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 covers the impact of COVID-19 on the economy.
She covered poverty, social services and affordable housing at the Pittsburgh Post-Gazette for nearly five years; prior to that, she spent several years in the newspaper’s Harrisburg bureau, covering the legislature, governor, and state government.
She was among the PG staff that won the 2019 Pulitzer Prize for reporting on the mass shooting at the Tree of Life Synagogue in Pittsburgh. She has won numerous national and local awards for her reporting and received a 2020 Keystone Media Award for her reporting on poverty.
She has also previously reported for several Ohio newspapers and covered the steel industry for a trade publication.
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 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.
“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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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!”
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 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:
– 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
– 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
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.
She picked up her life and started over in Fairfield, she said, adding that she got pregnant here in Adams County and didn’t know what resources were available to her at the time.
A flyer at the doctor’s office changed his life. It was for the Nurse-Family Partnership (NFP), an evidence-based community health program under Family First Health.
After successfully graduating from the program, Holding said her past would be most proud of her sobriety and stability.
“I’m by no means perfect, but I have the life I never thought I could,” she said. “I have a loving family and a fulfilling career.”
Joining the program when she was six weeks pregnant with her daughter, Abigail, Holding didn’t know what to expect.
“It taught me a lot,” she said. “It helped me grow as a mother. It helped me find answers and feel confident in myself and in my parenting abilities.
As a first-time mother, Holding said she has a lot of questions.
“It’s scary. It was really nice to have a nurse to help ease my anxiety and come up with solutions, even if it’s not about the baby,” Holding said.
Holding said Chelsea Boyde, Adams County’s leading home visiting nurse, helped her achieve important goals such as getting her own apartment and getting a job.
While the NFP expanded to Adams County four years ago, it only started a year before the pandemic, Boyde said.
Faced with staff turnover in health care after building relationships, the program was put on the back burner during the pandemic, according to Boyde.
Through the grant and the federally funded program, nurses provide free mentoring, assessment and education before birth and up to the child’s second birthday in people’s homes, Boyde said, adding that the program is aimed at high-risk, low-income first-time mothers. .
NFP currently has funding to serve 50 families in Adams County this year with some spaces already filled, according to Boyde.
“We’re working on growth to fill them,” Boyde said. “We can then apply for more funding and expand, which we hope to do.”
Boyde said she saw the need in Adams County for a program like this.
“We work very hard to empower women and follow what they already know innately,” Boyde said.
To be eligible for the program, people must meet low-income criteria, be a first-time mother, be their first parent, and be enrolled before the 28th week of pregnancy, according to Boyde.
Challenges faced by first-time mothers include homelessness, substance abuse, difficulty accessing community resources, educational and intellectual barriers, and lack of support, Boyde said.
“The biggest issue is finding affordable housing for people in Adams and York counties,” said Lisa Lathrop, program manager for the two counties.
Before becoming a program manager, Lathrop’s dream job in nursing school was to work in the field, like Boyde.
“I fully believe in this work,” said Lathrop, who faced financial hardship when her husband was self-employed. “As a first-time mother, I know the stigma because I’ve been through this.”
Through education, Lathrop said she was able to retire.
“A lot of these women have such big goals to further their education and move forward in their lives,” Boyde said. “They just need that mentorship.”
The National Service Office (NSO) recorded the median age of Pennsylvania mothers as 23 at admission. The organization also noted that 80% are single on admission and 74% are enrolled in Medicaid in Pennsylvania.
Additionally, the median annual household income in Pennsylvania at admission is between $6,000 and $9,000, according to NSO.
Boyde said NFP is part of the new Adams County Mother and Child Advisory Council, which partners with agencies helping families with children under age 5.
The virtual meetings brought together 40 people each month to collaborate with each other, Boyde said.
“It shows the tremendous need for maternal support in Adams County,” Boyde said. “I know the need is out there. I hear it every day.”
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/
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.
This work, Strengthen combat medicine interoperability with Polish alliesby SGT April Bensonidentified by DVDmust follow the restrictions listed at https://www.dvidshub.net/about/copyright.
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.
All-Pac-12 (third team)
Softball America Preseason Top 100 Players
D1 Softball All-America Pre-Season (Second Team)
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)
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)
All-Pac-12 (third team)
NFCA All-West Region (second team)
Pac-12 All-Academic (Honourable Mention)
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”.
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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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.
Global Smart Medical Textile Market pay attention to new top income study reports with data from top countries 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.
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:
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?
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
Book this Market Study on Medical Smart Textiles Market, Global Outlook and Forecast 2022-2030: (Instantly Buy This Report and Get Up to 30% Off)
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.
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. .
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.
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, 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.”
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.
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.
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.
Here’s what we know so far about some of the victims.
Nellie Mae Howard, 82
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.
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 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.
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.
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.
This video is part of a series featuring the best takeaways from Cloud Wars Expo 2022 by each of the accelerating economy analysts. If you like what you see, missed Cloud Wars Expo in person, or just want to watch it all again, recorded sessions from the June live event are available through the Cloud Wars exhibition website. All session recordings will be free for registered attendees, as well as Cloud Wars and Acceleration Economy subscribers. Make sure you register to access now.
00:00 – Paul recaps his experience speaking at Cloud Wars Expo in person about healthcare and technology.
00:57 — An intriguing healthcare case study included a hospital dramatically reducing the cost of PPE using Metaverse technologies to deliver hybrid care remotely.
01:45 — Paul cites another example of Metaverse technology in healthcare, which uses augmented reality in surgery in an exciting new way: projecting the patient’s internal organs during surgery.
02:30 — In addition, Paul participated in the AI theme of the exhibition, presenting a discussion on business intelligence and machine learning.
04:05 – Oracle’s relatively recent acquisition of Cerner had a noticeable impact on the event’s healthcare discussions, as well as the Industry Cloud Battleground sessions
05:00 — Paul lists Microsoft’s David Rhew and Workday’s Joe Wilson as his favorite expert presentations.
Want to see more health, AR and AI content from Cloud Wars Expo? The event’s video-on-demand is being rolled out, with over 40 hours of cloud-based educational content – featuring over 100 speakers – to be made available in the coming days. All content is free for Acceleration Economy subscribers with an on-demand pass.
The Inglis Foundation has agreed to sell its retirement home in West Philadelphia to a growing New Jersey-based for-profit company that already owns 10 facilities in the Philadelphia area, the organization said Thursday. non-profit Inglis.
The sale of Inglis House, a 252-bed facility that dates back to 1877, builds on the trend of not-for-profits pulling out of the nursing home industry to escape relentless financial and regulatory pressures as they aim to preserve their global missions.
Federal records show Inglis House, which specializes in caring for people with paralysis and mobility impairments, had $75 million in operating losses in the five years ending June 30, 2021, depleting the substantial endowment of the organization which is still worth around 240 million dollars.
“If we just use the whole investment account to cover losses, the whole organization ceases to exist for the foreseeable future, and that’s what we’re trying to prevent,” Inglis Foundation said general manager Dyann Roth.
A recent Medicaid rate increasewhich pays for most nursing home nursing in Pennsylvania, “would only extend our life trajectory by about five years,” Roth said, adding that there is great uncertainty about how long the increase in costs will last. rate and its magnitude. will travel to nursing home providers.
Roth declined to say how much Inglis will receive for his facility at 2600 Belmont Ave. The sale includes the Morris-Klein apartments on the same campus. Inglis’ total revenue, including home and community services and affordable housing, was $40 million for the fiscal year ended June 30, 2021.
READ MORE: Two years ago, Abramson Senior Services sold his nonprofit retirement home.
Any sale of a nonprofit retirement home to a for-profit company raises alarm bells for advocates, but for-profit companies have been the only buyers in recent years.
“We were unable to identify a non-profit organization that was able to support an operation with high immediate casualties,” Roth said.
Abramson Senior Care faced the same problem when it sold its highly rated Horsham retirement home to Imperial Healthcare Group in 2020.
The buyer Inglis chose is Tryko Partners, a Brick, NJ, company backed by four families, according to regulatory filings. Already this year, Tryko acquired the former college town Restore Health at 3609 Chestnut St. and the non-profit retirement homes Virtua Health in Berlin and Mount Holly. In 2020, Tryko purchased another local nonprofit, the former Regina Nursing Center in Norristown, now known as Markley Rehabilitation and Nursing Center.
Tryko has been in Philadelphia since 2013 when he purchased the Kearsley Rehabilitation and Nursing Center, located less than a mile from Inglis. Tryko has about 45 retirement homes on the East Coast.
READ MORE: City of Philadelphia officials plan to close the Philadelphia Nursing Home by the end of 2022.
Tryko, led by Yitzchok Rokowsky, invests in apartments, retirement homes and tax liens, according to its website. An affiliate company, Marquis Ltd., run by Nachum, also known as Norman, Rokeach, provides what Tryko describes as “advisory services” for Tryko retirement homes.
Marquis sometimes collects a 6% fee for his work, according to regulatory filings in other states, but Tryko said in an email that the fee should be lower than Inglis. Tryko has described its individual retirement homes as “self-operated,” but Kearsley, for example, pays rent, management and consulting fees to four Tryko-related entities, according to its latest federal cost report available at SNFData.com.
Inglis House, which employs 502 people, will operate as Enlive Rehabilitation and Wellness at Inglis House.
Since the sale will move charitable assets into for-profit control, the sale must be approved by the state attorney general’s office and the Philadelphia Orphans’ Court. These processes could take months.
Meanwhile, residents are on pins and needles.
“We all felt extremely unsettled and nervous because we thought when we came to Inglis with the foundation having had this place for over 100 years, we would be dependent on them,” said Mary Cyzyk, 67, who lives in Inglis for 14 years. . “Then they told us we were for sale.”
Cyzyk described Inglis as “the crown jewel” of long-term care. “It’s absolutely fabulous,” she said. “They have an adaptive technology computer lab. They visit our rooms and help to arrange them so that people with limitations can manage them with their voice.
Cyzyk fears that will change after the sale. The sales contract requires Tryko to allow current residents to stay in Inglis for as long as they wish.
Diane Menio, executive director of the Center for Advocacy for the Rights and Interests of the Elderly in Center City, said she hopes Inglis has picked a good vendor for the sale.
“The thing about Inglis House is that the residents are very, very vocal. They’re not going to give these people a hard time,” Menio said, referring to buyers. Owners will be held “more accountable at this establishment than they are at most establishments,” she said.
Dave Muffley thought he did when it came to a strong retirement. The Indiana man spent about 30 years as a salaried maintenance technician for Delphi Corp., a subsidiary of General Motors Corp., and expected to retire with a comfortable income by the time he hit 62 year.
But when GM plunged into the largest industrial bankruptcy proceeding in history in 2009 and the federal government brokered its restructuring, Muffley’s planned retirement package was curtailed.
The Russiaville resident, now 68, has lost 30% of his retirement savings, his promised healthcare coverage and his trust in the government.
Muffley is one of nearly 20,000 Delphi workers affected by GM’s bankruptcy, and many have spent the past 13 years fighting to get back what they lost. After the U.S. Supreme Court declined to hear their case this year, the retirees were cut off from their last legal recourse.
Now they are looking to Congress, where legislation to restore workers’ retirement savings has won support from left and right, and passed the House on Wednesday. Supporters hope the Senate will follow suit.
The bill is named the Susan Muffley Act, after Dave’s wife, who fell ill and died as they grappled with the hit to her pension fund.
The pensioners allege they were discriminated against as salaried employees, compared to union-covered workers whose pensions were preserved during the bankruptcy. Salaried employees are the engineers, technicians, and mid-level employees who fall between the well-paid executives and the unionized workers of the company.
After taking a Delphi buyout at 55 to avoid a possible layoff, Muffley says, he took one job after another to guide him until he could retire at 62. It was around this time that his wife was diagnosed with pancreatic cancer and died. within three years.
“Things fell apart, and things fell apart in a big way,” Muffley says. He estimated he had lost at least $130,000 in savings due to pension cuts over the years.
Despite bipartisan support, some members of Congress fear the government will bail out pension funds.
For retirees, the fight to get the legislation into law may be the latest battle in an ordeal that began when workers were swept up in the macroeconomic riptides of the recession.
Muffley and others started a support group in 2009 for workers at the auto parts company who had to overcome not only job losses, but also pension cuts and the loss of health plans.
Retirees tell stories of loss, severe depression, other health issues and resulting divorce. Some of their children have turned down college.
Presidential candidate Joe Biden said in September 2020 that he would work to help restore Delphi workers’ retirement savings. The following month, President Donald Trump ordered federal agencies to act on the issue.
But nothing came out of Trump’s memo. Nothing happened in the first 18 months of the Biden administration either.
Various legislative proposals to help Delphi workers have come and gone over the years without becoming law. The latest bill, which passed the House by a vote of 254 to 175, would restore workers’ benefits and make up for what they have lost since 2009.
Members of Congress from both parties, primarily from Michigan, Indiana and Ohio, sponsored the legislation. The White House itself issued a statement in support of the bill, saying the administration “supports a secure retirement for affected workers.”
But there are skeptics. During Wednesday’s House debate, Rep. Bob Good, R-Va., called the measure “a Democratic bailout bill by nanny-state sponsors.”
“Why should voters in my 5th district in Virginia pay for someone else’s pension plan? he said.
When GM filed for bankruptcy in June 2009 due to massive losses during the Great Recession, the company said it would not meet the pension obligations of Delphi unit employees – largely because it did not had no agreement with them, as she had negotiated with unions for hourly workers.
The Pension Benefit Guaranty Corp. The government then assumed responsibility for the pension scheme for the 20,000 employees and reduced monthly benefits for workers and pensioners if they exceeded the statutory maximum benefit the agency was guaranteed to pay. As a result, the pensions of some retirees have been reduced by up to 70%.
The arrangement unfolded in conjunction with a deal brokered by Obama administration officials who led a task force that gobbled up millions of dollars to save GM.
Part of the rationale was the need to prevent unionized workers from striking, while salaried workers were seen as more durable. The overriding objective was to preserve the auto industry and avoid an even deeper recession.
In January, the Supreme Court rejected efforts by Delphi retirees to review their case. The court effectively upheld a federal court ruling that the law allows troubled pension plans to be closed without court approval.
Rep. Dan Kildee, D-Mich., sponsor of the bill, told The Associated Press that the case was “particularly egregious because it was the federal government that engineered the bankruptcy.”
Another sponsor, Rep. Mike Turner, R-Ohio, called it a case where “the feds picked winners and losers here – and that’s not fair.”
Julie Naylor, a 68-year-old former nurse who lives in a suburb of Greenville, South Carolina, says restoring her husband’s pension and health care would mean she could afford basic necessities for her family. Her husband, Bruce Naylor, suffered a stroke after routine outpatient surgery, caused by an undiscovered brain tumour. With her husband now partially paralyzed, Julie Naylor says the medical bills have piled up without the health care she was promised.
“We live a very austere life and a very uncertain life,” she said. “I never thought he could lose half his pension and half his savings.”
The legislation would require the government to “top up” the pensions of salaried Delphi workers, as GM did for union workers.
Bill Kadereit, president of the National Retiree Legislative Network, said in many ways the government sacrificed those retirees to get a bigger deal.
This is what made the situation so painful for Muffley.
“I can’t believe our government would do something like this,” he said before the House vote.
And Muffley had a warning for others who might think their own promised benefits are secure: “If the government could do this to us, what else could they do to you?”
Associated Press writer Kevin Freking contributed to this report.
The air conditioning in the rooms affects the eyes, making them drier than normal
Published: Wed 27 Jul 2022, 04:17 PM
Last update: Wed 27 Jul 2022, 04:19 PM
Cases of allergic conjunctivitis have increased in the United Arab Emirates in various age groups, with children under 15 being the most affected, ophthalmologists said on Wednesday.
It comes as many residents complain of red, itchy and teary eyes, which seems to indicate the condition.
“There is an increase in the number of patients during the summer, either with acute allergic conjunctivitis or with recurrent or chronic allergic conjunctivitis with relapse of allergic conjunctivitis, especially with adenovirus conjunctivitis,” explains Dr. Haitham Abdul Hafez Moued, consultant in ophthalmology and head of the department. , Burjeel Day Surgery Center, Reem Island, Abu Dhabi.
He adds: “There are different types of conjunctivitis: seasonal which is related to weather conditions and vernal conjunctivitis which affects children between 5 and 15 years old.
The weather conditions in the United Arab Emirates affect the eyes in several ways, they say. “During the summer, most people tend to stay indoors. Being in air-conditioned rooms lets the eye become drier than normal. This is because the humidity inside air-conditioned rooms is low. As a result, the eyes are not hydrated and the tear film which constitutes three layers (mucus, lipids and water) is deficient and thins. But when we go out, it’s hot, windy and dusty. These environmental factors would affect the eyes more, making the tear film thinner and deficient,” says Dr. Vikram Mohindra, Ophthalmology Specialist, Aster Hospital, Mankhool, Dubai.
Once that happens, the dust particles can then easily come into contact with the eyes, doctors explain.
He adds: “The thinner tear film couldn’t wash them out of their eyes. It’s not just dust, but it can be pollen grains, sand, or any particle. Trees and flowers contain organic dust particles – these can cause allergies in dry eyes.
Air conditioners, furniture harbor allergens
Apparently, poorly maintained air conditioners and household dust on upholstered furniture are also places where these allergens can exist for a long time.
Dr Mandeep Lamba, Ophthalmology Specialist and Head of Retina Services at Prime Hospital, says: “Since allergic conjunctivitis is a response of the conjunctiva (an exposed part of the eye) to any allergen , one of the most common factors is dust mites, sand, pollens, grass, among others.It could also be associated with nasal allergies and sinusitis.It mainly occurs in spring and summer. High humidity during the summer months is an aggravating factor.
Therefore, medical professionals stress that affected individuals should ideally be able to recognize the source of allergens and the time of allergy within a year.
Lamba adds, “A thorough cleaning of the house and work space around this time helps a lot. Consult an ophthalmologist and rule out other associated causes such as dry eye syndrome and meibomian gland disease. An eye doctor may also prescribe prophylactic eye drops to be used once daily to prevent symptoms from worsening.
Besides replacing items that contain allergens, such as pillows and rugs, doctors suggest other simple solutions to prevent illness.
Dr Mohindra explains: “We have to make sure the tear film is robust. One measure is to blink. Frequent blinking is important because it would wipe away dust and increase the tear film.
“Increasing screen time also causes dryness in the eye as the blink rate decreases, so it’s important to blink frequently.
He adds, “Another important factor is keeping our bodies hydrated. Body hydration affects eye hydration. We must therefore hydrate ourselves adequately. Drink more water and no soft drinks or caffeine.
The LIV Golf event due to kick off at Donald Trump’s Bedminster club on Friday is generating more and more controversy by the day. On Tuesday, the National Press Club added its voice to the mix, saying in an unrestricted statement that he is “revolted” by the upcoming affair and hopes that it will fail.
A quick summary for those who need it: LIV is the Saudi-backed golf league that shook up the sport by challenging the dominance of the PGA. He attracted athletes to participate in his events with huge paydays. But it has been the subject of significant controversy given that it is funded by the Saudis who have an abysmal human rights record.
“We call on all Americans to see this unsavory attempt to downplay the appalling bone-saw attack on Washington Post opinion writer Jamal Khashoggi for what it is – an attempt to sweep under the rug a brutal state-sponsored murder,” the national press said. Club said in their searing statement. “We call on people of conscience to reject this tournament. Don’t attend. Don’t watch it on TV. Let it fail.”
The National Press Club criticized Trump for holding the event in Bedminster. He said Trump’s role succeeded in making the event “even more revolting” as he reminded the group that the former president had worked hard to downplay Khashoggi’s murder.
The journalism advocacy organization continued: “We note that during one of LIV’s first press conferences, their managers shouted a question from an AP reporter and escorted him out of the room. saying he was being rude. That’s how the LIV episode started. They silenced the press. Again.
And the National Press Club concluded its statement discouraging public relations firms from doing business with LIV Golf. “We note that LIV is currently seeking representation from a public relations firm to make the massacre of a journalist more palatable to the American public through golf,” the organization said. “We are calling on public relations firms, many of which employ former journalists, to reject this blood money. We understand that clients need to be represented, but it seems reasonable to draw a line under clients who use a bonesaw on a journalist. We hope the future PR firm thinks very carefully before agreeing to work for LIV.”
9/11 families ‘appalled’
On Tuesday, a group of 9/11 survivors blasted the tour, telling a press conference they were “appalled” by the “offensive, disrespectful and hurtful” event taking place in Bedminster. 9/11 Families United President Terry Strada said LIV Golf “is not about sports or good competition between worthy competitors.” Instead, Strada said that at bottom “this is a multi-billion dollar publicity stunt bought and paid for by the Kingdom of Saudi Arabia.” CNN’s Liam Reilly and Ben Morse have more here…
Trump: Interest in Khashoggi has ‘totally died out’
In an interview published Tuesday by The Wall Street Journal, Trump said he thought the public had lost interest in Khashoggi’s death. “I can say that from Khashoggi’s point of view, it has calmed down so much,” Trump told the newspaper. “He really seems to have totally disappeared.”
“No one has asked me that question in months,” Trump added.
Trump, however, said he believed LIV had generated “great publicity for Saudi Arabia”. According to him, the country “deserves this ‘advertisement’ for what it is doing ‘with the LIV golf league’ because it has become very exciting”. Trump said he thinks the PR is worth “billions of dollars…”
What LIV says
I checked with LIV on Tuesday night to see if he had any comment on the National Press Club statement. I did not have any answer. But a spokesperson for LIV told CNN, regarding criticism of 9/11 survivors: “As we have always said, these families have our deepest sympathy. Although some may disagree , we believe that golf is a force for good around the world.” 9/11 families plan to protest in Bedminster this week…
Having spent over three decades as a registered nurse (RN) working in acute care, home care and long-term care settings, I like to say – and think I have earned the right – that nurses are the oxygen that keeps our healthcare system functioning. And like the human body, without enough oxygen, the system fails.
The problems within the industry are well known. The stress of the pandemic has accelerated the existing shortage of nurses that began several years ago, particularly among older, experienced nurses who are choosing early retirement. This, in turn, has increased the burden on those left behind.
There are undoubtedly reasons for concern and a lot of things that need to be corrected in the field of health care. But my objective here is neither to criticize nor to reform, it is to defend the profession. How to reverse the trend and replenish the nursing workforce?
My employer, FedPoint, helps reduce barriers for new nursing students. Each year beginning in 2023, FedPoint will provide $5,000 scholarships to four individuals accepted into accredited nursing programs and currently residing in New Hampshire, Maine, or Massachusetts.
Such financial incentives are excellent. It is also important, I think, to raise awareness that, despite the challenges and stresses, careers in nursing offer tremendous benefits, material and otherwise. And with healthcare delivery models changing as we speak, now may be the perfect time to step into the field. Here are my top four reasons for considering a career in nursing:
1. Empowerment. In today’s health care environment, nurses enjoy autonomy, respect, responsibility and status. At the heart of our health care system, nurses are the frontline team providing care to those in need. Their knowledge covers the full spectrum of patient care, from knowing what medications a patient might be allergic to, to knowing what type of procedure is needed in an emergency. RNs perform a variety of medical (clinical) procedures and play a vital role in emergency situations, including assisting with intravenous insertions and intubations. Many take additional training to become nurse practitioners, who can write prescriptions, make referrals, and diagnose patients. Essentially, nurses act as proxies for physicians, who rely on us to monitor patients day-to-day in their absence and report any changes or problems – information that becomes the basis for new treatment orders.
2.Positive impact. Millennials and Gen Z’ers: If it’s true — as I’ve heard — that contributing to the greater good matters more to you than accumulating wealth, nursing can be your calling. During stressful times for patients and families, we provide both care and comfort, as well as advice and information to help navigate the notoriously complex healthcare system. No wonder Gallup polls have listed nursing as the most trusted profession for 20 straight years. Conclusion: Nurses are not always recognized enough for the work they do, but they are rock stars.
3. Job security, mobility and transferability. A career in nursing generally offers a solid salary and benefits. Even better, in the next few decades, you will never run out of work. Also, because care is needed 24/7, not 9 to 5, nurses’ schedules are flexible. You like to travel ? In today’s gig economy, nurses ready to bounce back can make big bucks (to the tune of $10,000+ per month) by accepting three- to six-month stints where they’re needed most, often receiving room and board in the bargain. In short, for those who play, opportunities abound, now and for the foreseeable future.
4. Choice of construction site. Nursing skills can be employed in all settings and locations, from operating theaters and emergency rooms to nursing homes, assisted living facilities, rehabilitation clinics and, especially nowadays, institutions. home care. Additionally, while some care will still need to be provided in person, COVID-19 has proven that many appointments and consultations can be done virtually, leading to a surge in remote nursing positions. Nurses can also work in non-clinical settings, of course. The more than 30 RNs I manage, for example, provide care coordination services and support to people enrolled in the federal long-term care insurance program.
Hopefully the above list will inspire some young readers (and mid-career workers looking for a change) to consider the field of nursing. With 25% of Americans expected to be over 65 by 2030 (thanks to baby boomers), we’re going to need all the help we can get, and the sooner the better.
Marilyn Staff, RN, is director of care coordination at FedPoint, a Portsmouth-based federal benefits administrator. For more information on the FedPoint Nursing Scholarship, visit fedpointusa.com.
Women’s health is in the headlines in 2022. But it has taken centuries for the medical profession to characterize and understand reproduction, menstruation and childbirth.
This bumpy history is captured in a new exhibit of ancient books at Second Story Books in DC The rare volumes – all on display, for sale and available to handle – trace centuries of evolving knowledge in the fields of gynecology, obstetrics and more.
Comprising 93 books on women’s health, the collection shows how early doctors thought about female anatomy, reproduction, pregnancy and childbirth.
Most were written by men, but an 1833 volume on diseases of the uterus was written by Marie-Anne Victoire Gillain Boivin, a French midwife turned obstetrician who helped launch the field of obstetrics , invented an early speculum and was among the first to listen to the heartbeat of the fetus with a stethoscope.
Gynecologists can actually see patients online. Here’s how and when.
The most valuable book in the collection is “Graphic Illustrations of Abortion and the Diseases of Menstruation” by AB Granville in 1834. A prolific scholar who campaigned against midwives for attempting to place pregnancy and childbirth under the control of physicians, Granville wrote extensively on conception and pregnancy at a time of high maternal and infant mortality.
The book contains striking color illustrations of fetuses and wombs in all stages of development and pregnancy – the aftermath of what Granville called “morbid menstruation”.
At the time, the term “abortion” included miscarriage. But Granville also helped women end their pregnancies by administering herbs such as savin in her private practice.
The books are from the collection of the late Milford “Mickey” Foxwell Jr., a physician who became a clinician and educator at the University of Maryland and served as admissions director for its medical school. A dissection lab at the university bears his name.
Foxwell was a connoisseur of medical history and his books document the evolution of the profession’s knowledge of the human body. Second Story Books sells over 2,000 Foxwell books from the 17th to 20th centuries.
CHICAGO, July 24, 2022 /PRNewswire/ — At the 2022 AACC Annual Scientific Meeting and Clinical Laboratory Expo, laboratory medicine experts will showcase cutting-edge research and technology that is revolutionizing clinical testing and patient care. Of July 24-28 in Chicago, the more than 250 sessions of the meeting will provide information on a wide range of current health topics. Highlights include discussions exploring the use of artificial intelligence (AI) in personalized medicine, advances in multiplexed genomic sequencing and imaging, real-world applications of human brain organogenesis, how to building trust with patients and guiding clinical decisions with mass spectrometry.
AI in personalized medicine. Precision medicine is about tailoring treatments to each patient, and clinicians are increasingly using AI in their clinical prediction models to do this. In the opening speech of the meeting, Dr. Lucila Ohno MachadoVice Dean of Computing and Technology at the University University of California San Diegowill present how AI models are developed, tested, and validated as well as performance metrics that can help clinicians select these models for routine use.
Multiplexed genomic sequencing and imaging. Thanks to advances in multiplexed genomic sequencing and imaging, we can identify small but crucial differences in DNA, RNA, proteins, and more. These techniques have also undergone a 50 million times cost reduction and comparable quality improvements since their appearance. Despite this, healthcare is only just beginning to catch up with the implications of these technologies. dr. St. George’s Churchwinner of the 2022 AACC Wallace H. Coulter Lectureship and Founding Senior Professor and Head of the Wyss Institute for Synthetic Biology at Harvard Universitywill discuss the advances and implications of multiplex technologies in this plenary session.
Applications of human brain organoid technology. The human brain is a very complex biological system and is susceptible to several neurological and neurodegenerative disorders that affect millions of people worldwide. During this plenary session, Dr. Alysson R. Muotri, professor of cellular and molecular medicine at the University University of California San Diego School of Medicine, will explore the concept of human brain organogenesis, or how to recreate the human brain in a dish. Several applications of this technology in neurological care will be discussed.
Building trust in health care. The world is experiencing a crisis of confidence that is affecting the delivery of healthcare across the globe. dr. Thomas Lee, Chief Medical Officer of Press Ganey Associates and Professor of Health Policy and Management at Harvard TH Chan School of Public Health, will describe the importance of building trust between patients and healthcare workers in this plenary session. . It will explore a three-component model for building trust and the types of interventions most likely to be effective.
Guide clinical decisions with mass spectrometry. In this, the closing speech of the meeting, Dr. Livia Schiavinato Eberlinlecturer in surgery and director of translational research and innovations at Baylor College of Medicine, will discuss the development and application of direct mass spectrometry techniques used in clinical microbiology laboratories, clinical pathology laboratories, and the operating room. The presentation will focus on results obtained in ongoing clinical studies using two direct mass spectrometry techniques, desorption electrospray ionization mass spectrometry imaging and MasSpec Pen technology.
Additionally, at the Clinical Lab Expo, more than 750 exhibitors will showcase innovative technologies that are just coming to market in every clinical laboratory discipline.
“The ability of laboratory medicine to adapt to changing health conditions and to use the scientific knowledge of the field to improve the quality of life is unprecedented. This ability is constantly increasing, with diagnostic technologies emerging every day in fields as diverse as mass spectrometry, artificial intelligence, genomic sequencing and neurology,” said the CEO of AACC Mark J. Golden. “The 2022 AACC Annual Scientific Meeting will highlight the pioneers in laboratory medicine who are harnessing these new advances to improve patient care.”
All sessions will take place in room S100 of the McCormick Place Convention Center at Chicago.
About AACC Annual Scientific Meeting and Clinical Laboratory Exhibition 2022 The AACC Annual Scientific Meeting offers 5 days packed with opportunities to learn about the exciting science of July 24-28. Plenary sessions will explore clinical prediction models based on artificial intelligence, advances in multiplex technologies, the organogenesis of the human brain, building trust between the public and health experts, and spectrometry techniques of direct mass.
At the AACC Clinical Lab Expo, more than 750 exhibitors will occupy the show floor of the McCormick Place Convention Center in Chicago with displays of the latest diagnostic technology, including but not limited to COVID-19 testing, artificial intelligence, mobile health, molecular diagnostics, mass spectrometry, point-of-care and l ‘automating.
About the AACC Dedicated to improving health through laboratory medicine, AACC brings together more than 70,000 clinical laboratory professionals, physicians, researchers and business leaders from around the world focused on clinical chemistry, molecular diagnostics, mass spectrometry, translational medicine, laboratory management and other areas of laboratory science is progressing. Since 1948, the AACC has worked to advance common interests in the field, providing programs that advance scientific collaboration, knowledge, expertise, and innovation. For more information, visit www.aacc.org.
Christine DeLong AACC Senior Manager, Communications and Public Relations (p) 202.835.8722 [email protected]
Molly Pollen AACC Senior Director, Communications and Public Relations (p) 202.420.7612 (c) 703.598.0472 [email protected]
With many local employers looking to fill vacancies, including thousands of essential healthcare jobs across the state, the University of Hawaii Community colleges continue to offer free, short-term training leading to industry credentials in the resilient healthcare, technology and skilled trades sectors through the Hana’s career path program. Applications for the fall trainings are now available via the Hana Career Pathways website.
A variety of sessions of different lengths offered from August to December include a Certified Healthcare Nursing Aide, THIS certifications and courses such as HVAC (heating, ventilation and air conditioning) and arborist certification in the skilled trades, leading to paid employment and apprenticeship pathways.
“Employers are stepping up their collaboration with uh Community colleges to fill important, well-paying jobs across the state,” said uh Vice President for Community Colleges Erika Lacro. “We hope that our Hawaii residents will take this opportunity for free training, with hands-on experiences and support services, to find employment in an exciting new field or to advance their careers.
The Hana Career Pathways program prepares students to apply for registered apprenticeships and related degree programs, and connects students with work-based learning opportunities such as paid internships and guaranteed interviews with local employers.
The students get CNA works
Kristie Doss-Chinggraduate nursing student (CNA) training program to Downwind Community Collegewas one of 10 students who were offered jobs as CNAs during training. She said the program will help students gain valuable experience in practical nursing, since CNAs are the ones who see and work the most with patients.
“Even before the end of the course, I had a job offer in hand, like everyone else in my class. Healthcare is a growing field, and nurses and CNAs in particular are desperately needed right now all over the country, and especially here in HawaiiDoss-Ching said. “I joined the training program because I had been laid off from the job I had worked in the hospitality industry for over 30 years, since March 2020 due to COVID. I knew I am not getting any younger , that health care is a growing field, that I had experience with family members and that I could do it, I knew that I wanted to learn more about nursing skills and I needed a job, so this was a win-win opportunity for me.
More than $2 million in Hana Career Pathways funding from the U.S. Department of Education is available for tuition this year. Eligible candidates receive tuition assistance for courses and other training costs such as books and industry certification exam fees. The program is free for most eligible participants, as many courses offer a 100% subsidy to cover all costs. Complementary services are also offered to students, including advice on college and professional studies, referrals to community partners offering support services and other financial aid.
“Demand for entry-level healthcare jobs has increased significantly during the pandemic and is expected to remain high. We appreciate the collaboration with the uh Community Colleges to create programs that combine the training and employment process,” said Janna Hoshide, of the Healthcare Association of Hawaii Senior Director of Workforce Development. “Through this program, employers also provide additional on-the-job skills training to support the student’s transition to their new job. This innovative model has enabled students to start new careers in healthcare and helped our members fill critical positions, but there remains a great need for additional students to fill a variety of vacancies across the State.
Financial support for Hana Career Pathways was provided by U.S. Department of Education Federal Grant #V425G200038, Reimagining Workforce Preparation: Hana Career Pathways, in the amount of $13,370,383.58 for the period of October 1, 2020 to September 29, 2023. Ascendium Education Group, Hawaii Community Foundation and the Harold KL Castle Foundation support the uh Community college coordination with industry partners in targeted sectors identified as recession resilient in HawaiiTalent roadmap to recoveryissued by the Hawaii Executive collaboration.
I was recently asked if there was an easy way to keep track of our health care system. My “simple” answer was, “Yes, count the number of people in emergency rooms, homeless shelters, and jail cells.”
In fact, I was answering another question that focused on “population health” rather than the success or failure of the health care system itself. Although they should be aligned, they encompass different purposes in practice.
The essential question we must answer is: are we measuring the success of the health care system and infrastructure, or are we measuring the well-being of the population they serve?
In the first case, is the measure of success based on balance sheet strength or on mission delivery? If it is the financial and systemic well-being of the health infrastructure itself, we are failing.
If it’s on-mission delivery—“population health,” as they call it—we fail as well, and the two main issues are access and cost, which are intertwined.
If “early diagnosis and treatment” is the “standard of care” in health care, then access becomes critical. If the cost prevents access, then we need to regulate the cost.
We recently visited some new Vermonters in central Vermont, both health care system navigation professionals, and they, too, expressed their confusion. They were told by their local hospital that they would need a primary care doctor for referrals, but were then told they were 219th on the wait list for a local primary care doctor.
Current estimates place the United States short of somewhere between 20,000 and 50,000 primary care physicians, and to effectively cover all rural areas, the number nearly doubles to 90,000.
As for the cost, the stories are legion. I’ve had three close family members, all professionals, who have turned down raises to keep their Medicaid option, but increasingly find that even that cost is beyond their capacity.
Most people in Vermont currently cannot afford health care. (see slide 44) Data shows that 44% of Vermonters with private insurance are underinsured and cannot afford health care costs. More than half of Vermonters have private, employer-assisted insurance as their primary source (329,800), but shared costs, deductibles, copayments and runaway inflation make this insurance unaffordable for many.
Meanwhile, the current round of hospital budget hearings has the University of Vermont Medical Center seeking a 20% increase in commercial insurance rates, Rutland Regional Hospital is seeking a 18% and Central Vermont Hospital is asking for 14.5%.
If double-digit increases are granted, access to health care services will decline further. In addition, federal aid for insurance premiums is due to expire in December. Given the congressional gridlock in health care funding, the likely loss of those grants will push even more Vermonters into the uninsured realm.
Hospitals account for half
It is high time to rethink all of this.
But, as I have indicated in previous columns, the currently deployed infrastructure of 13 regional hospitals and two tertiary care hospitals, UVM and Dartmouth-Hitchcock, is prohibitively expensive. Hospitals account for about half of all health spending, leaving less money for essential community services that keep people healthy and divert them from costly hospitalizations.
With demand far outstripping capacity for mental health, addictions and home health services, to name a few, some hospital funding needs to be redirected to these services – the only reasonable path if we want to reduce costs in the long term.
If we cling to the goal of maintaining all of this infrastructure with a positive net income (all are non-profit organizations), we will have lost focus on the welfare of those the system is designed to serve.
Population health goes well beyond emergency rooms. It starts with neonatal care, early childhood education, care and play, trauma-informed family counseling and support, access to health care (mental and physical), healthy eating and l access to education, safe housing, employment and a healthy environment.
Back to the future?
If we redesigned a health care system to focus on population health, it would not reflect what has evolved over the past 50 years in Vermont. In fact, it might be more like what came before it in my childhood, with community doctors in small practices, local clinics and support services, and tiny community hospitals.
Meanwhile, UVM Health Network is consolidating its dominance and governance, eliminating longtime local community board members from each of these hospitals and reducing their ability to make strategic decisions based on the needs of their community. .
From now on, decisions will be made based on the network’s corporate needs. How does consolidating the governance (finances, budgeting, and strategic planning) of a dispersed network of six hospitals in two states improve local delivery?
Is UVM’s expansion model to create a clone of the Geisinger Network, a huge healthcare company not without its own challenges?
If we are ever to provide accessible and affordable health care within the broader framework of population health, it will be with a properly funded local primary care network, supported by regional secondary and tertiary care hospitals designed uniquely to accommodate trauma, specialties, and high acuity cases.
We will need to invest in several generations of new primary care physicians and nurse practitioners. The economy – including waiving tuition fees and adequate compensation – must work so they can afford to live in their communities.
We need to reverse the number of nurses leaving hospitals or becoming “travellers” (hired by agencies) as well as the number of physicians leaving and starting “concierge” practices or retiring early.
When I was young, our family doctor, Phil Goddard, was one of three independent family doctors in our small community of 4,000 people. They knew everyone in town, their strengths and weaknesses, their health, background, and ability to pay for a home or office visit, and they charged accordingly. Unlike Dr. Phil, today’s concierge doctors charge a flat annual fee for access when needed, a fee out of reach for many.
We have to make choices about what matters in our society. Population health encompasses almost every aspect of the social safety net. If health care is to target the health of the population, it must begin with supportive services in the communities served and then expand to regional secondary and tertiary care facilities with increased acuity or specialization.
As the UVM Health Network revamps its governance and dominance, in the absence of any clear state health care policy, we are putting the “health of the population” at greater risk.
Where is the direction?
Governor Scott appears to have washed his hands of health care and is AWOL. The Department of Health, which is responsible by law for health care policy, has been absent since Governor Shumlin brought him into his office and has never returned.
The Green Mountain Care Board grapples with its own job description, oscillating between healthcare policy architect and healthcare policy regulator. He will have to choose one or the other; he cannot ethically or practically do both.
The Legislature just passed Bill 167, directing the Green Mountain Care Board and the Social Services Agency to engage communities and providers to develop a more sustainable health care system. When will public engagement begin? Will it be sturdy? Will management listen?
Meanwhile, the state’s largest health care entity, UVM Health Network, is navigating through the ice floes with no clear policy or regulatory navigation, other than its goal of growth and consolidation.
If we truly believe in population health and hope to care for our aging population, leaders must have the courage to make tough decisions.
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Robin Sparkles, a 5-year-old mare bred in New York, made every pole a victory by winning the 11th edition of the $200,000, Grade III Caress Stakes. Bruce Brown’s apprentice beat eight rivals by winning the 5 1/2 furlong sprint on a firm Mellon Turf course in 1 minute, 1.98 seconds.
Despite winning eight races in 15 starts and finishing third to Caress and Smart ‘N Fancy last year at Spa, bettors sent flag bearer Michael Schrader to the post at odds of 21- 1. Exotic bets were significantly inflated when Live Oak Plantation’s Souper Saver finished a header behind Robin Sparkles at 8-1 odds and Lady Edith was another half length in third at 15-1. Miss J McKay placed fourth at 6-1.
LOS ANGELES, Calif./ACCESSWIRE/July 23, 2022/ Medical lists of email addresses and cell phone numbers of major healthcare providers are a cost-effective marketing tool for those looking to target these medical professionals. This contact information can be difficult to find as licensed medical professionals tend not to disclose their direct personal information such as email addresses, cell phone numbers, direct phone numbers or even mailing addresses. . Hearbeat.AI solved this problem by compiling one of the largest databases of healthcare providers with over 11 million detailed records to easily search.
“Hearbeat.AI offers the broadest coverage of healthcare provider data, with direct cellphone and personal email data. Users can leverage Heartbeat.AI’s data network of over 200 official, private and public sources to obtain the most up-to-date medical list contact information available,” said Ben Argeband, Founder and CEO of Heartbeat. .HAVE.
Search medical lists of doctors and physicians for each state’s medicine boards
The medicine board was created for all licensed physicians and physicians practicing medicine in the United States. It ensures that these healthcare professionals meet the minimum requirements for safe practice. State medical boards also make a difference by investigating complaints and disciplinary action against physicians who do not follow these guidelines to ensure public safety.
Looking for a doctor list of doctors and doctors’ email addresses and mobile numbers? With Heartbeat.AI’s health research platform, quickly perform a phone number searchcheck the medical list’s licensing information to see if they are medical doctors (MD) or have other professional designations.
50 State Medical List for the Board of Physicians and Physician Assistants
In the United States, the List of medical assistants state boards include physician assistants, advanced practice nursing providers, medical and surgical physician assistants, clinical nurse specialists, nurse practitioners, and more.
Nursing Council medical lists for all 50 states
Each state has a Board of Nursing which is dedicated to ensuring the safety and certifying competent nurses who care for patients and their families by protecting the public from unsafe practices and unprofessional behavior among nurses. Registered nurses (RNs) who work hard to maintain their license with the Board of Nursing are rewarded with a sense of pride in knowing that they are providing quality care while meeting ethical standards.
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The Dentistry Council sets the standards for licensure of dental professionals. In addition, the Council is responsible for enforcing laws affecting the dental profession. The Council also helps regulate and control the quality of dental care provided by dental professionals in the United States. Practicing dentists must fulfill their responsibility as a member of the board of directors by ensuring that they meet all necessary professional standards.
Looking for custom products dental mailing lists for licensed dentists such as those with a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree? These lists also include dentists, dental assistantsdental hygienists, general dentists, orthodontists, endodontists and other specialized areas of dentistry.
State Board of Optometry Lists for Ophthalmologists
Registered optometrists are members of the optometry advice which is the governing body that regulates optometrists, ophthalmologists and relevant institutions related to vision. The legislative intent of the Board of Optometry is that individuals who fail to meet minimum standards or who otherwise pose a danger to the public should be prohibited from practicing in the United States.
When looking for a list of optometrists, there are several types to choose from. Specialties in corneal vision, contact management, low vision rehabilitation, professional vision, pediatrics, sports vision, vision therapy, etc.
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Medical lists of over 11 million email addresses, mobile numbers, mailing addresses and other important healthcare provider details verified with an accuracy rate of over 95%.
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CONTACT: Heartbeat.AI Drew Clark VP Corporate Partnerships 332-333-4114 [email protected]
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THE SOURCE: Heartbeat.AI
See the source version on accesswire.com: https://www.accesswire.com/709571/Medical-Lists-of-Doctors-Nurses-Dentists-in-All-50-States
A new study published in PNAS highlights a newly identified mechanism of auditory sensitivity regulation that may temporarily reduce the sensitivity of the auditory system to protect itself from loud sounds that can cause irreversible damage.
The study, led by CU Anschutz researchers Andrew Mecca and Giusy Caprara in Anthony Peng’s lab, tested a decades-old hypothesis that proposed that the trigger spring, a tiny nanoscale protein structure that Mechanically opens and closes an ion channel in sensory hair cells in response to sound vibrations, can act directly as a controller of channel activity.
Previous work in the auditory field has primarily focused on understanding the mechanisms that target the ion channel. This study provides the first evidence that the trigger spring itself has the ability to modulate channel sensitivity.
“This study documents the first time that we understand a mechanism that regulates hearing sensitivity at the molecular and mechanical levels,” says Peng, Ph.D., associate professor at the University of Colorado School of Medicine and lead author of the study. ‘study. “We have discovered a new mechanism for modulating sensitivity, which opens the door to deeper discovery of the general functioning of the auditory system and uses it both to maximize the range of sounds we can detect and to protect sensory cells. potential damage.”
The mechanism discussed in the study works by altering a physical property of the trigger spring, its stiffness, which is responsible for controlling the opening and closing of the canal in response to sound vibrations entering the inner ear. The researchers studied the properties of the trigger spring and the resulting channel activity in single sensory hair cells, and found that cyclic adenosine monophosphate (cAMP), a specific type of signaling molecule, reduced the stiffness of the spring. trigger and decreased channel sensitivity. sensitivity – which is the first time that a physiological mechanism for controlling trigger spring stiffness has been identified.
“Identifying the underlying mechanism of this process – how it works physiologically and mechanically, paves the way for future research and provides an opportunity for the field to develop a new type of drug that can be used to prevent a type of hearing loss. that occurs from exposure to very loud sound,” says Peng. Ultimately, they aim to find out more about how the ear can detect such a wide range of sounds and how the system protects itself, which is a huge step forward for the field.
HARRISBURG — Pennsylvania’s Independent Fiscal Office has sought to answer a question of great concern — Where have the workers gone? — in a new report this indicates the state’s declining population, increasing homeschooling and home care, and greater savings and investment.
The resulting responses from the nonpartisan office have spread even further, exposing a problem that workforce development professionals say requires multi-faceted solutions.
Higher wages for employees. Flexible working hours and spaces. Tuition incentives and professional development. Cross-training in offices and on manufacturing floors. Consolidated changes. Investments in automation.
Jennifer Wakeman, executive director of DRIVE, an economic development entity based in Montour County, spoke about the dreaded “more with less” philosophy. She found herself asking another question indicating how long this mantra would last in corporate America: when did we ever have more of anything?
“I think it’s going to take some creative solutions and I don’t think this is a moment of panic,” Wakeman said.
According to the report, “Where Have the Workers Gone? from the Independent Fiscal Office, an estimated 120,000 potential workers left the Pennsylvania workforce between May 2019 and May 2022.
Around the same time, the state’s population dropped by 48,000, and it aged as more baby boomers advanced toward retirement age. Resident populations in nursing homes fell 15% as the 65-and-older age groups increased, indicating that some workers left the workforce to care for elderly relatives, says The report.
Susan Whisler, director of the Southern Alleghenies Workforce Development Board, said the population 65 and older in this six-county region is 22% of the population compared to 19% statewide. She estimated the region’s labor force participation at 50% to 53%, well below the statewide rate of nearly 62% in May 2022.
The region represents Bedford, Blair, Cambria, Fulton, Huntingdon and Somerset counties.
“We saw this happen long before the pandemic,” Whisler said of the labor shortage, citing the aging population. “I think what the pandemic has done is speed up time.”
where they went
Enrollment in public and private physical schools fell by about 56,000 students after the onset of COVID-19 and did not recover, according to the report. In turn, another 35,600 people in total were either enrolled in cyber charter schools or home-schooled, likely pushing more workers away from their jobs.
Fewer childcare options, early retirements, and shifts in lifestyles and priorities due to the pandemic are all factors in the state’s changing workforce. The same is true for increased personal savings, rising home values, and market investment returns.
According to the analysis, IFO referred to a growth of $4.6 trillion in U.S. household cash and cash equivalents holdings between the start of 2020 and 2022; 29% increase in median home value in Pennsylvania; 51% rise in holdings on the S&P 500 market index. An important footnote in the report: $7 of every $10 in cash and equivalents added belonged to the top 20% of households.
Although warehousing and storage saw employment increase by 33% and courier and courier services by 12%, employment fell in most other sectors, according to the analysis. For nursing homes and residential care, salaried employment fell by almost 30%. Restaurants followed with a decline of almost 27%. Manufacturing, hospitality, local and national education, and retail were among those that declined.
There are now more jobs available than there are people unemployed and actively seeking work, according to the report – around 80,000 more.
Given that the report’s data sources are fluid from month to month, IFO Director Matthew Knittel now estimates it likely at 100,000 or more. He expects that as savings are spent, particularly through stimulus funds, and inflation remains high, more workers could return to the market next fall.
“We need higher turnouts here, otherwise it’s definitely going to hurt economic growth in the future,” Knittel said. “We’re trying to bring this to the attention of policy makers because it’s a real concern not just in Pennsylvania but across the country.”
A contracted workforce influences the unemployment rate of the state. If more workers returned to the labor market in search of jobs, according to the IFO report, the unemployment rate would rise or job openings would disappear.
Pennsylvania the unemployment rate has fallen at 4.5% in June, the lowest since September 2019, according to the Ministry of Labor and Industry. The unemployment rate in the United States was 3.6%, unchanged from last month.
According to Labor & Industry, the state saw 7,000 additional workers enter the civilian workforce in June. Year on year, it has increased by about 20,000, according to the department’s monthly update.
Retain young workers
Eric Karmecy, operations and special projects division manager, West Central Job Partnership, said that for his region covering Mercer and Lawrence counties, the shortage varies by industry and community.
Foot traffic at local CareerLink offices is increasing, he said, and attendance at a recent job fair far exceeded expectations.
Karmecy said the focus should be on preventing young people in the region from leaving for college and moving to other areas. This means providing more internship opportunities and fostering the development of the local workforce. He spoke of a grant program through his organization that helps offset the cost of paid internship opportunities, which will hopefully lead to local job openings.
Companies need to restructure their collective approach — and some have done so successfully, he says — to a new generation of workers who want a better return on their own investment: their time. Employers are now competing not only with each other, but also with broader self-employment opportunities, especially in e-commerce and services.
Pennsylvania CareerLinks statewide, Karmecy pointed out, provide many opportunities for would-be and would-be job seekers to not only find work, but also find resources to transition into a job opportunity for which they have need help learning new skills.
“In 20 years, I have never seen what is happening like today,” Karmecy said.
A nurse tends to a Covid patient in the intensive care unit at Salem Hospital on August 20, 2021. (Amanda Loman/Salem Reporter)
The number of people hospitalized with Covid in the Salem area has increased over the past week, while newly reported cases have remained mostly stable in both Marion County and statewide.
The average number of Covid patients at Salem Hospital is up this week as the hospital remains nearly full.
As of Friday July 22, the hospital had 45 patients hospitalized with Covid, one in intensive care and none on a ventilator.
There were 492 of the 494 licensed hospital beds in use. The hospital is able to care for more patients than allowed due to ongoing pandemic waivers.
Lisa Wood, spokesperson for Salem Health, said the number of Covid patients hospitalized over the past week remained between 45 and 54. Last week, Wood said the daily number was between 38 and 49 patients hospitalized Covid.
Region 2, which includes Marion, Polk, Yamhill, Linn, Benton and Lincoln counties, had 87 people hospitalized with Covid as of July 20, up from 80 the week before and 76 two weeks ago.
The number of new reported Covid cases has remained stable both statewide and in Marion County, while declining slightly in Polk County.
This data is for the week ending July 20.
Marion County: 114.6 new cases of Covid per day on average, a rate of 231 cases per 100,000 inhabitants.
This is down from 115.4 average daily cases for the week ending July 13 and 121.9 average daily cases for the week ending July 6.
10.6% of Covid tests this week were positive, compared to 12.5% last week.
Polk County: 29.1 new cases of Covid per day on average, a rate of 229.4 cases per 100,000 inhabitants.
This is down from an average of 34.3 daily cases the week ending July 13 and 26.3 daily cases the week ending July 6.
18.7% of Covid tests this week were positive, compared to 20.3% last week.
Oregon: 1,410.9 new cases per day on average, compared to 1,417.3 average daily cases the previous week; 14.4% positive tests, compared to 12.9% the previous week.
VACCINATION AND BREAKING CASES
The Oregon Health Authority has moved to a monthly breakthrough case report and will release its next report in early August.
Nearly half of the state of Maryland’s for-profit retirement homes have changed hands in the past five years, putting operators like Lorien Health Services in a unique position.
Lorien, which offers a range of services from skilled nursing to assisted living across its 15 locations, was founded in 1977 by the same family that runs the business today.
“Lorien has only been owned by one company this whole time, hasn’t made any acquisitions… [The founder] builds its own buildings, so we’re basically, I would say, like the industry was compared to what’s happening today,” CEO Lou Grimmel told Skilled Nursing News.
The continuous rush of transactions is not an unfamiliar trend for the industry. The Centers for Medicare & Medicaid Services (CMS) released data in April that found more than 3,000 skilled nursing facilities changed ownership between 2016 and 2021.
Despite his long-term leadership, Grimmel said Lorien sees his efforts to bridge the gap between home and community services and nursing homes as a way for the company to prepare for the future of post-care. sharp and long lasting.
“What excites me is what’s not being done in nursing homes today, and if you have longevity in the market and the hospitals and doctors know you, I think the role at the future is a much less traditional nursing home,” Grimmel said.
This interview has been condensed and edited.
What do you see as Lorien’s role in the senior care space?
It is a stable, stable and constantly changing environment.
What do you mean? Can you elaborate a bit on that?
Look, the pandemic and especially in Maryland – all the changes and the owners and everything – is an absolutely changing environment. Lorien has only been owned by one company this whole time, hasn’t made any acquisitions… [The founder] builds its own buildings, so we’re basically, I would say, like the industry was to what’s happening today.
I know this happens in other states as well. But do you see [change of ownership] a lot in the state of Maryland?
Since 2017, 41% of for-profit nursing homes have changed hands.
Why do you think that is? What do you think is the driving force behind this?
Maryland has above-average Medicaid reimbursement for nursing homes, and it has one of the lowest managed Medicare penetrations in the nation. So you take those two factors, it makes Maryland very attractive to outside investors.
Have you seen that be pretty consistent since 2017? Or has Covid ignited this even further?
It has been constant or even accelerated. I think some of the big companies, for example Genesis, had a stronghold in Maryland… So that definitely added to that.
What keeps you up at night as an elderly care operator?
Right now in my mind there is only one thing and that is work. It’s called a nursing home for a reason, because you have nurses. If you don’t have nurses, I don’t see how you have a business. So that’s my number one issue is the staff, the nursing, all the staff.
Is this something you see on both the clinical side and the non-clinical side?
Absolutely at all levels. I mean, you’re telling me about an industry that doesn’t live it. So you add… The hard work you have in a nursing home that just adds to it.
Lorien created a career ladder program in 2021. Where is that program at this point and what are some of the other ways you recruit and retain staff?
Well, the career ladder program is very effective because… We pay the tuition up front because there are companies that say, “Well, you take the course and if you get a certain note, we will refund you. Well, when you have people working in nursing homes, and they often have kids at home and stuff like that, they don’t have the money to spend up front. We put the tuition up front.
You want to go to school, you want to make your career path, here we’re going to give you the money and we’re going to work your schedule around your school because… It’s just a common sense approach. I don’t know of many other facilities, companies that do this.
Did it help with retention? Obviously you bring people to the door, you take care of their tuition. Have you seen that pay off in terms of people who have gone through this program so far?
Yes, we have success stories that started as Nursing Assistants and belong to RNs and will graduate. So it pays. But we also recruit in high schools. I think high school is a great opportunity because when you finish your senior year in high school, not everyone knows what they want to do. I would say a lot of people do, but not everyone knows if they want to be an accountant or an architect.
So we provide that opportunity – of course we have our own CNA class and we can train them and they can, right after high school they can train and go to work, at least have a job that pays income and probably get their parents on their backs.
How is TNA training going?
This process is actually going very well. We have an association in the state of Maryland, Lifespan [Network], and they have just been approved for their CNA course where students can take their course online anytime. They have a certain amount of time to complete each chapter but they can do it on their own, they don’t need to be in front of the computer at fixed times. They take the class when it’s convenient for them, and if they have questions and stuff, they can bring the questions to work the next day and talk to their supervisor or the supervising nurse about the issues. This program works.
This is going to be the key to the success and training of people who take this class. It’s very innovative.
What is the state of the agency right now at Lorien? How many agencies do you use?
We use a lot more than we would like to, I mean, before the pandemic we were without an agency for years and then all hell broke loose.
What percentage of staff is [made up of] agency?
The majority of our staff are our employees, but we have to replace them with agencies, and then there’s a whole new hybrid of agencies out there… You take someone like me who’s been there a long time, that’s quite radical, some of that is what’s happening today with staffing and the various innovative programs that different companies have put in place to try to address the issue.
I think there are factors that come into play: Is your facility in a safe area? Is it a safe place to work? Is it a clean workplace? Are there enough supplies for patients? I mean all of those factors come into play, but there’s not one knockout. So that’s how I think as the staff, the nursing home employees mature in this market, I think those things that I just mentioned will start to take on more and more weight. Right now, I think we’re still almost in this race to the highest bidder.
What excites you about the future of the industry?
So what excites me is that I believe nursing homes can be so much more than the perception [is] and what they were. I think they can be so much more, and we’re entering an era where we have a growth in the population that uses nursing homes and I think they can be a very important cog in the home and community services (HCBS) who use the retirement home as their home base. What excites me is what’s not done in nursing homes today, and if you have longevity in the market and the hospitals and doctors know you, I think the role at the he future is a much less traditional retirement home. I think there are chapters to be written about what nursing homes can do well in the future.
County, local and Rowan University officials gathered July 21 to celebrate the historic opening of the Sewell Campus of the School of Osteopathic Medicine (SOM). After remarks to a gathered crowd of students, staff, faculty and special guests, officials welcomed the first class of 72 medical students to the new campus with a traditional ribbon-cutting ceremony. Located on the campus of Rowan College of South Jersey (RCSJ), the new Sewell campus represents SOM’s largest expansion since the medical school opened 45 years ago.
In his opening remarks, Dr. Thomas Cavalieri, Dean of the School of Osteopathic Medicine, congratulated the students and thanked those involved for their continued partnership, including RCJS President Dr. Fred Keating, County Commissioners of Gloucester and board members.
“This is a true team effort, involving individuals from our university and our partner organizations,” said Dr. Cavalieri. “Today, we not only celebrate the start of our students’ medical careers, but also the start of expanded access to health care for thousands of South Jersey residents.”
It marks the first time in New Jersey history that a four-year medical school has been located on the campus of a community college. This extraordinary collaboration between Rowan, RCSJ and local and county officials provides unprecedented educational opportunities for New Jersey residents. In addition to SOM medical students, other allied health students will be able to gain valuable clinical experience at the Rowan Medicine offices.
“Too often people dismiss an idea, saying it can’t or shouldn’t be done, just because it’s never been done before,” said former New Jersey Senate President Steve Sweeney. “We are here today to celebrate what can be accomplished when parties come together, find their mutual interests and resolve to work together to accomplish something for the benefit of others.” Sweeney currently chairs the Steve Sweeney Center for Public Policy at Rowan University.
The Sewell location complements a “one school, two campuses” vision for SOM. Located on the second floor of the 56,454 square foot Rowan Medicine Building, SOM’s new medical school includes classrooms, library, problem-based learning and lecture rooms, wet lab, manipulative medicine lab osteopath and administrative offices. Teaching students in the first two years will be through SOM’s innovative problem-based learning program, followed by two years of clinical skills training, often delivered at Rowan Medicine’s clinical offices in the first floor of the building.
The new SOM campus continues the school’s historic growth over the past decade as it rises to help address the country’s doctor shortage challenge and expand access to health care. health and health care education in South Jersey.
“This is truly the start of a new era in opportunity and access,” said Rowan University President Dr. Ali Houshmand. “You took an idea and created a legacy. As we continue to grow through our new partnership with Virtua Health, we can see beyond the horizon a new era in healthcare, research and discovery.
A powerful new partnership
With its growing student body, rich research component, and many highly valued affiliations with New Jersey hospital systems, SOM is quickly earning a reputation as the premier school of osteopathic medicine in the nation. This reputation was greatly reinforced in January of this year with the announcement of a historic partnership between Rowan and Virtua Health to advance patient care and train the workforce of tomorrow.
Backed by a generous investment from Virtua Health, South Jersey’s largest healthcare system, Rowan University’s new Virtua Health College of Medicine and Health Sciences encompasses SOM; the Virtua Health School of Nursing and Health Professions; the new School of Engineering and Translational Biomedical Sciences; several research institutes; and aligned clinical practices.
About Rowan University: Rowan University is ranked among the top 100 public research institutions in the nation. Over the past decade, the University has rapidly transformed into a research-intensive doctoral university with more than 23,000 students, program offerings on eight campuses, and partnerships with health systems across the south. of Jersey. Focused on access, quality, affordability and economic development, Rowan is one of only three institutions in the country to offer both MD and DO medical degree programs and recently established a School of Professions nurses and health. Learn more: rowan.edu.
United Airlines reported its highest second-quarter revenue and enjoyed its first profitable quarter since the start of the Covid-19 pandemic, the carrier said Wednesday.
The Chicago-based airline, the second-largest in the United States, reported net income of $329 million on operating revenue of $12.1 billion. Revenue was up 6% from the March-June quarter in 2019, while flying with 15% less seat capacity.
Earnings per share came in at $1.43, below analyst estimates of $1.95 per share, according to Refinitiv.
Summer air travel was thrown into chaos in May and June as flight operations struggled to expand to meet a surge in pent-up demand created by the Covid-19 pandemic. More than 34,000 United flights to, from or within the United States have been canceled or delayed, equivalent to a quarter of its entire slate for those two months, according to FlightAware flight tracker .
“It’s good to get back to profitability, but we face three risks that could increase over the next six to 18 months,” chief executive Scott Kirby said, referring to “operational challenges at the scale industry challenges that limit system capacity, record fuel prices and the growing possibility of a global recession.
Ed Bastian, chief executive of rival Delta Air Lines, told the Financial Times last week that he was not worried about the potential impact of a recession on the airline industry.
United spent about $4.18 per gallon on fuel, consuming 912 million gallons in the second quarter. The airline expects fuel prices to moderate in the third quarter to $3.81 per gallon.
The carrier also expects third-quarter revenue to be up 11% from the same period in 2019, when it was $11.4 billion. United also reiterated their expectations for a profitable full year.
While COVID-19 hospitalizations in Oregon are less than half of what they were at their peak last fall, hospitals across the state are struggling to operate normally.
Hospital executives and state officials say a combination of financial hardship, rising hospitalizations due in part to COVID-19, and severe staffing shortages have led to fewer available beds in some areas. .
Central and southern Oregon have been particularly hard hit, state epidemiologist Dr. Dean Sidelinger told reporters at a news conference Wednesday, particularly St. Charles Medical Center in Bend.
But no Oregon hospital was spared, he said.
Although there may be physical beds available, some hospitals do not have the staff to use these spaces.
“It’s kind of a domino effect,” Sidelinger said.
Oregon health officials are urging residents of 21 counties with high COVID-19 cases — including the three Portland-area counties — to resume mask-wearing to help ease the strain people are under hospitals.
Long hours, full beds
In Bend, 96% of inpatient adult beds at St. Charles Medical Center were occupied Tuesday, with six more ER patients waiting to be admitted to the hospital, according to spokeswoman Kayley Mendenhall.
Patients in need are not being turned away, she said.
Last week, the hospital’s chief medical officer told providers to prepare for “the toughest challenges we’ve seen in the past two years”.
“Now more than ever, we must not have any patient in a hospital bed who does not absolutely need it,” Chief Medical Officer Doug Merrill said in a July 15 email.
Two St. Charles nurses told the OPB their working conditions have deteriorated in recent months, with many providers unable to take scheduled breaks and working up to 16 hours a day in some cases .
“The work environment and staffing at St. Charles, … it got worse, horribly worse,” said Megan Bovi, who has been a registered nurse at Bend Medical Center for 15 years.
St. Charles Chief Operating Officer Iman Simmons said staffing shortages are preventing the health care system from staffing as many beds as it otherwise could.
“Our staffing shortages have really impacted our ability to staff all beds at all times,” she said.
Simmons said some staff are missing their scheduled breaks and “that’s not OK,” while adding that the factors behind employee stress and vacancies are multifaceted.
“I don’t think there’s a good guy or a bad guy,” Simmons said. “I think it’s just a lot more complicated, and it’s difficult and healthcare is going through a crisis, almost an existential crisis when it comes to taking care of their communities.”
Last Friday, St. Charles activated its Incident Command System, a standardized approach to hospital emergencies. The aim was to stabilize the workforce and manage hospital admissions, internal emails show.
Other hospitals in the state are also experiencing capacity issues. Of the Wednesdaystate data shows that only 7% of all hospital beds in Oregon are available.
Becky Hultberg, president and CEO of the Oregon Association of Hospitals and Health Systems, said hospitals are facing a situation as dire as the delta and omicron waves of the COVID-19 pandemic at the end of 2021. and earlier this year when sick patients flooded hospital rooms across the state.
The large number of patients who could be transferred to long-term care centers, but those centers have little or no room, has compounded the problem, Hultberg said. As a result, some patients end up staying weeks in hospital longer than necessary.
Financial challenges for hospitals
Financial difficulties also played a role. The first quarter of 2022 was the worst for Oregon hospitals since the pandemic began, with hospitals reporting a collective $103 million, according to OAHHS.
Rising costs of delivering health care combined with relatively flat incomes have left many health systems struggling to stay in the black, Hultberg said.
“Things are quite challenging from a financial perspective, and that exacerbates that capacity challenge as well,” she said.
St. Charles, for example, has reported a loss of more than $40 million this year so far.
In May, the health system laid off more than 100 employees, while eliminating 76 vacant positions. Two executives were laid off last week as part of cost-cutting measures, hospital officials said.
The remaining positions have been difficult to fill, particularly nursing positions. St. Charles has a systemwide vacancy rate of 15%, while 21% of RN positions are open. An even bigger gap is the rate of certified practical nurses at 38%, according to Simmons.
Simmons said vacancies, people using vacation time and burnout among current staff are all contributing to the understaffing.
Joel Hernandez, a registered nurse at St. Charles for 16 years and vice president of the Oregon Nurses Association in Bend, said hospital staff morale was the worst he’s seen in his career and many are considering leaving. health care completely, if they did. t already.
“They don’t feel like they have a voice,” Hernandez said of his co-workers. “I feel like a number… if [management] Get rid of me, I’m just a number to them.
Simmons said the health system is bringing in 30 travel nurses — who work shorter contracts for premium pay — to help fill the staffing gap.
Oregon isn’t the only state where hospitals are operating at or above their limits.
Idaho does not publicly provide hospital bed availability, but COVID hospitalization rates have increased in high-risk areas such as Ada County, as reported by the Idaho Statesman. COVID patients there occupied 10% of staffed hospital beds as of Monday.
Republican state lawmakers want to ban abortion in Indiana, with limited exceptions in cases of rape and incest and when the pregnant person’s life is in danger.
Senate Republicans unveiled their bill, SB 1(ss), on Wednesday.
Senate Speaker Pro Tem Rodric Bray (R-Martinsville) called it “the most difficult and polarizing issue we’ve faced in a generation.” He said his caucus’ goal was to promote more adoption and less abortion.
Sen. Sue Glick (R-LaGrange) will sponsor the bill. She stressed that this will not affect access to contraception or the morning after pill, also known as Plan B.
“This bill does not affect the treatment of miscarriages, the treatment of ectopic pregnancies,” Glick said. “It does not affect in vitro fertilization procedures.”
But residents of states with bans similar to Indiana’s proposal have struggled to access lifesaving drugs and treatments that are sometimes used for abortion.
Senate Democratic Leader Greg Taylor (D-Indianapolis) said it was a step backwards for Indiana.
“You just have to watch when people get their hands on this bill and find out that we have an outright ban on abortion in Indiana,” Taylor said. “It will get worse.
There are no criminal penalties in the bill imposed on anyone seeking an abortion. And Bray said the only criminal penalties imposed on a physician who performs a prohibited abortion are those provided by applicable law.
The first public hearing on the bill is Monday.
Republicans also want to tie their abortion ban to legislation that will spend more money on pregnant women, children and parents.
The Senate’s proposed measure, SB 2(ss), would create a new Hoosier Families First Fund and inject $45 million into it.
Bray said the money will be used for organizations that provide services and support to pregnant Hoosiers.
“Access to contraception and pregnancy planning, including removing barriers where we can to long-acting reversible contraception – particularly when the new mother is discharged from hospital, so that ‘She doesn’t get pregnant again soon after,’ Bray said.
Bray said the money will also be used to support better access to childcare, low-income families with children under 4, and support for foster and adoption families. The bill would also increase Indiana’s adoption tax credit to $10,000 per child, up from $1,000 previously.
READ MORE: Researchers release ‘Hoosier abortion access study’ ahead of planned passage of Indiana restrictions
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Taylor said Democrats have been pushing many of these ideas for a long time, only to be ignored by Republicans.
“Where is the support for families and child care?” Taylor said. “Where is the support for families who need help just to get by?”
The Senate will hold a public hearing on this bill on Tuesday.
House Republicans released their own version of a financial support bill on Wednesday. This measure would cost $78 million.
Of this amount, $20 million would go to exemptions and tax credits. The House GOP plan would increase the amount of the exemption for each child claimed as a dependent, add an additional tax exemption for each adopted child, and increase the state adoption tax credit to $3,000.
The House bill also eliminates the sales tax on diapers, something Democrats have long called for — only to be repeatedly voted down by Republicans.
The additional $58 million in the measure would go to bolster existing programs, including childcare vouchers, nurse-family partnerships and the state safety PIN grant fund, which aims to reduce the infant mortality.
The House bill also expands services covered by Indiana Medicaid and Healthy Indiana Plan 2.0 coverage, including donated breast milk, prenatal screenings, and labor and delivery costs.
In a statement, House Speaker Todd Huston (R-Fishers) said his caucus shares the Senate’s goals.
“Increasing protections for Indiana’s unborn children while stepping up our investments in overall services to better support new and expectant moms and babies,” Huston said.
House Democratic Leader Cherrish Pryor (D-Indianapolis), however, called the abortion ban “fundamentally cruel” and “not rooted in real science.”
“Protecting the life of the mother without guaranteeing the right to an abortion if the woman’s health is in danger is not life-valuing legislation,” Pryor said in a statement. “Women shouldn’t have to wait until they are near death to access a safe routine healthcare procedure.”
The measure appears to match expectations expressed Wednesday by Indiana Right To Life, one of the state’s most influential anti-abortion groups.
The Planned Parenthood Alliance Advocates Indiana State Executive LaKimba DeSadier said the Senate abortion ban “confirms our greatest fears.”
“It’s time for the Indiana State Legislature to start listening — our futures and our lives are literally at stake,” DeSadier said. “We will do everything we can to end these attacks on reproductive freedom.”
Rallies from abortion rights and anti-abortion groups are expected at the Statehouse on Monday.
Goshen College received a $4 million grant from the U.S. Department of Commerce’s Economic Development Administration. The college says the funding will allow it to renovate historic Westlawn Hall, which will triple the size of its nursing program facilities and increase enrollment capacity.
Approximately 18,000 square feet on the second and third floors of Westlawn Hall will be renovated to create a nursing education center. The renovated facilities will include three inpatient simulation rooms and six exam rooms for simulation training, as well as a 10-bed skills lab, central teaching area, flexible classrooms, student lounges , study areas and offices.
With the additional space, the college says it will be able to quadruple the number of nursing students, which will help address the shortage of nurses in Elkhart County and the surrounding area.
“Goshen College is pleased and grateful for this investment from EDA, which will support the expansion of our highly regarded nursing program and address a critical shortage of skilled nursing labor in the region,” said the President Rebecca Stoltzfus. “The COVID-19 pandemic has demonstrated the importance of trained nurses and healthcare professionals in an emergency. As a regional workforce training provider for the health sector, we are well placed to help prepare the region’s workforce for future health emergencies, which will increase the resilience of the region in the face of future health-related crises.
In total, the renovation is estimated at $5.7 million, and the EDA’s investment will be matched by the college’s $1.7 million.
WASHINGTON — U.S. Senators Kevin Cramer (R-ND), Martin Heinrich (D-NM), and Roger Wicker (R-MS) sent a bipartisan, bicameral letter urging the acting director of the National Institute of Health (NIH), the Dr. Lawrence A. Tabak to expand funding opportunities for research in osteopathic medicine. Osteopathic physicians have expertise in the musculoskeletal system and receive additional training in Osteopathic Manipulative Treatment (OMT), a hands-on technique and non-pharmacological solution to pain management. This type of treatment can serve as a non-addictive alternative to opioids. Increasing this focus at NIH would help address health disparities in rural and medically underserved populations and advance research in primary care, prevention, and treatment. It also helps address the nation’s doctor shortage — 58% of osteopathic medical schools are located in states with a shortage of medical professionals, including New Mexico, Mississippi, and Nevada.
“We are concerned about the historical disparity in NIH funding and representation for
[Colleges of Osteopathic Medicine (COMs)]”, write the senators.
Osteopathy is the fastest growing medical field in the country, and 38 osteopathic medical schools nationwide currently train nearly 34,000 doctors, or 25% of all American medical students. Unfortunately, osteopathic medical schools receive only 0.1% of NIH grants, compared to 40% for allopathic schools.
In the letter, lawmakers outlined critical steps for NIH to increase research funding for COMs. This includes tips for:
Establish a structured partnership with the osteopathic medical education community, including the American Association of Colleges of Osteopathic Medicine (AACOM), which creates and executes a plan to increase NIH funding for COMs.
Establish a program to incentivize COM Principal Investigators.
Consider funding opportunities for research projects that integrate osteopathic philosophy and OMT.
Increase representation of the osteopathic profession on NIH National Advisory Boards and Study Screeners.
“We encourage you and NIH leadership to meet with relevant stakeholders to discuss the issues outlined in this letter. We thank you for your attention to this important issue and we look forward to hearing more about your efforts to advance funding and advocacy opportunities for osteopathic medicine,” conclude the senators.
The lawmakers’ letter is supported by the American Association of Colleges of Osteopathic Medicine (AACOM).
“For decades, the NIH has overlooked the world-class research conducted at colleges of osteopathic medicine,” said Dr. Robert A. Cain, President and CEO of AACOM. “Increasing funding for osteopathic medical research will help our country in its efforts to address health disparities in rural and underserved populations, allow us to better understand the COVID-19 pandemic, and advance the quality of treatment in primary care and beyond.”
Alongside Senators Cramer, Wicker and Heinrich are Senators John Boozman (R-AR), Sherrod Brown (D-OH), Mark Kelly (D-AZ) Cindy Hyde-Smith (R-MS), James Inhofe (R -OK), James Lankford (R-OK) and Ben Ray Luján (D-NM).
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As COVID-19 cases increased dramatically in Fiji in June 2021, health authorities noticed something strange: there was a less than expected increase in the number of people visiting health facilities for treatment for COVID-19 or other conditions. But there have been reports of people dying at home or arriving at hospital too late for treatment.
To find out what was going on, the Fiji Ministry of Health and Medical Services, together with the World Health Organization (WHO) and other partners, turned to the ‘Social Listening’ system. that he had set up a month earlier.
In public health, social listening is an important tool used to understand what the public is thinking and doing; during a health emergency, for example. This allows adjustments to be made to the response to better meet people’s needs. With financial support from the European Union, WHO is helping Pacific island countries introduce and scale up social listening throughout the pandemic.
Fiji’s Social Listening System was originally set up in May 2021 to identify and counter rumors and misinformation as the country prepared to roll out COVID-19 vaccines. But now the bugging system was urgently needed to reverse the trend of people appearing to avoid health care.
In this particular case, risk communication and community engagement specialists in Fiji listened to opinions expressed on social media, in calls to hotlines, in the news and in discussions with community volunteers and mobile medical teams.
Here’s an example of what the team heard:
“My grandmother [grandmother] was sick with all the symptoms of COVID-19. We were too scared to take her to the hospital – she was so scared too. All of his friends and family who went to… the hospital are dead… No family, no loved ones, no one with them!
More than 600 comments, mostly on social media, expressed people’s fear of being trapped alone in hospitals without care, or worse, of dying there.
Ms Arishma Devi, a risk communication specialist hired by WHO to work with the Ministry of Health and Medical Services, said listening to what Fiji was saying gave the team unique and important insights. on what motivated their behavior:
“Once we started hearing from the experiences of ordinary Fijians, we could see where some of the obvious gaps were. We then very quickly escalated the complaints we heard to other parts of the COVID-19 response so they could be addressed. For example, when we learned that there were no adequate mattresses in some of the school isolation centres, we notified our partners who helped rectify the situation. Then we worked to restore people’s trust in the healthcare system, because we knew that getting care in the right place at the right time was key to keeping people alive during this pandemic.
To demystify and personalize health care, the Department of Health and Medical Services, with the support of WHO, has launched a three-pronged campaign.
The first part highlighted the commitment of nurses, doctors and paramedics.
“We are part of the solution,” Chief Nurse Maria Bucago tearfully said in a video titled Meet Our Frontliners posted on the ministry’s Facebook page. Leaving her husband and five children in Serua province, she served at the Fiji Emergency Medical Assistance Team (FEMAT) hospital in the capital, Suva, during this extraordinary time.
“This is a national crisis and it is a national call for me and my colleagues. I never imagined it would be like this in my nursing career,” she said.
“There is only one thing I would like to plead with my fellow Fijians – please follow the advice of the Ministry of Health. We don’t want things to get worse.”
The campaign also included testimonials from patients treated at the height of the 2021 case surge who spoke of the professionalism, empathy and care they encountered.
A final part of the campaign was to respond to questions and concerns. A ministry team answered questions on social media and hotlines, and directed people to healthcare resources.
The campaign was a success online, generating more than 200,000 views for Nurse Bucago’s video alone and hundreds of supportive comments such as “Thank you, sister, for your hard work.” This video moved me so much. My prayers are with all frontline workers. Together we can do it.”
Importantly, in the real world, more people have sought treatment for COVID-19 and other conditions.
Fiji’s Social Listening System has continued to inform the country’s response to COVID-19. When Fiji was ready to roll out the COVID-19 vaccines, social listening identified that many people wanted to avoid further lockdowns. Guided by this idea, messages highlighted the importance of vaccination and COVID-safe behaviors to help ease movement restrictions, as well as provide a safer environment for communities.
As a result, the team noticed much more positive conversations about vaccination online. As of July 7, 2022, nearly 90% of the eligible population has been vaccinated. Thanks to vaccine protection and increased comfort in seeking health care, fewer people are dying during the current outbreak of COVID-19 transmission.
WHO Representative for the South Pacific and Director of Pacific Technical Support, Dr Mark Jacobs, said: “What happens with the COVID-19 pandemic depends to a large extent on how we behave. as individuals and communities. Taking the time to listen to the public and understand the drivers of their behavior has given the Government of Fiji, together with WHO and partners, the opportunity to ensure that their communications and the wider emergency response are better adapted to the preferences, needs and expectations of the population. . As a result, lives have been saved. Given the excellent results and the capacity that has been built, we hope that social listening will be used to solve other health problems in Fiji and elsewhere in the Pacific. »
In Fiji, other social listening partners include UNICEF, the Australian Department of Foreign Affairs and Trade (DFAT), the International Federation of Red Cross and Red Crescent Societies (IFRC) and the Community of the Pacific (SPC).
Growing demand for specialist services is once again spurring an increase in starting salaries for specialist physicians, according to a new report from AMN Healthcare and its physician research division, Merritt Hawkins.
Demand for doctors was suppressed at the height of the pandemic, in part due to the delay or cancellation of elective procedures. But the resulting large backlog of patients, combined with an aging population and the prevalence of chronic diseases, has caused a surge in demand for doctors, the AMN said in its annual report announcement. on recruitment incentives.
“The demand for physicians and the salaries available to them have rebounded dramatically since the peak of COVID-19,” AMN Physician Permanent Placement Chairman Tom Florence said in a statement. “Virtually every hospital and major medical group in the country is looking to hire doctors.”
According to the report, orthopedic surgeons topped the list this year for the highest average starting salary among physicians and advanced practice professionals. They are offered an average of $565,000 – excluding signing bonuses and other incentives – compared to $546,000 the previous year.
Overall, the demand for specialist physicians, such as gastroenterologists, orthopedic surgeons, oncologists, pulmonologists, neurologists and psychiatrists is increasing, AMN said, while demand for primary care physicians decreased. The majority of the company’s research assignments (64%) over the previous 12 months were for medical specialists. However, only 17% involved primary care physicians; the rest were for advanced practice professionals, such as nurse practitioners, physician assistants, and certified registered nurse anesthetists.
Florence attributed this change to two factors: an aging population that needs more specialists to care for diseased internal organs as well as musculoskeletal disorders and neurological problems, and the increasing reliance on advanced practice professionals to provide primary care in practical settings.
AMN and Merritt Hawkins elaborate on this latest trend in their report, writing that “major non-traditional players have a concerted strategy to shift consumer access to healthcare toward the convenience-of-care model and away from the traditional office-based model. primary care physician, creating a new gateway to the healthcare system.”
“Instead of relying on a regular primary care doctor as a gatekeeper who directs them to additional services, such as diagnostic tests, surgery and therapy, more and more patients are using urgent care centers, retail clinics and telemedicine as the first step on their path to care,” they wrote.
Starting salaries for medical specialists have generally increased, but not always year over year, AMN and Merritt Hawkins noted in their report. COVID-19, indeed, had a chilling effect on the starting salaries of most specialists tracked for last year’s report, they noted. However, in 2022, starting salaries for most specialists have increased, even though a higher percentage of research assignments were conducted during the review period than in previous years, which may lower the average overall starting salary.
Another significant trend noted in the report is that academic medical centers (AMCs) are adding physicians. Specifically, AMN said 34% of search missions last year were conducted for AMCs. This represents an increase from 20% a year ago and 11% five years ago.
“The importance of AMCs increased during the pandemic, as they were key centers of specialized care for COVID-19 patients,” Florence said. “They are expanding their footprint both as tertiary care centers and as community care providers.”
According to the report, the top 10 starting salaries for doctors for 2021/2022 were:
1. Orthopedic surgery:
Up 3% from $546,000 in 2020/2021
2. Interventional cardiology
Down 16% from $611,000 in 2020/2021
Up 3% from $497,000 in 2020/2021
Up 7% from $453,000 in 2020/2021
5. Non-invasive cardiology
Up 8% from $446,000 in 2020/2021
Up 12% from $401,000 in 2020/2021
Up 6% from $385,000 in 2020/2021
Up 5% from $385,000 in 2020/2021
Up 8% from $367,000 in 2020/2021
10. Maxillofacial oral surgery
Up 5% from $349,000 in 2020/2021
Jennifer Henderson joined MedPage Today as a corporate and investigative writer in January 2021. She has covered New York healthcare, life sciences, and legal affairs, among other areas.
“With 100 years of experience and excellence behind us, Yale School of Nursing is thrilled to launch our first fully online MSN program in a field that the world desperately needs,” said Yale School of Nursing Dean Ann Kurth, PhD, CNM, MPH, FAAN, FACNM. PMHNP degree program online, we are answering that call, filling a gap in psychiatric care while meeting our students where they live and work, enabling them to continue to serve their local communities. We are committed to excellence, equity and access, and this program helps advance our mission of better health for everyone, everywhere. »
The PMHNP program prepares students for advanced practice in a variety of settings. Students will be prepared to care for people throughout their lives with psychiatric needs ranging from health promotion and risk reduction to complex and persistent mental illness. The application of classical theories, research evidence and a holistic bio-psycho-social-spiritual-cultural approach provides a comprehensive framework for developing knowledge and skills for clinical management. The program’s coursework and clinical experiences meet the population mental health and psychiatric competencies required by the National Organization of Nurse Practitioner Colleges (NONPF). The PMHNP program meets the American Association of Colleges of Nursing (AACN) Essentials of Master’s Education in Nursing.
The FNP specialty emphasizes the primary care of newborns, infants, children, adolescents, adults, pregnant and postpartum women, and the elderly within the context of family-centered care. FNPs are equipped to provide comprehensive care to all people in the primary care setting. After graduation, eligible FNP students can sit for board certification through the certification boards of the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners (AANP).
“We are honored that Yale School of Nursing trusted Noodle to launch their first online masters program with us,” said Lee Bradshaw, Chief Strategy Officer of Noodle. “Due to the huge demand for advanced practice nurses, especially psychiatric and family nurse practitioners, we are confident that from Yale The best online master’s in nursing programs will provide a huge opportunity for students who want to pursue this career and for the many people they will help.”
About Yale School of Nursing (YSN)
Founded in 1923 with funding from the Rockefeller Foundation, Yale School of Nursing was the first school within a university to prepare nurses through an educational program rather than an apprenticeship. YSN’s ultimate mission is better health for all. YSN accomplishes this by educating each generation of nurse leaders, scholars and practitioners; transforming the practice of health care; and advance science. YSN students have access to from Yale world-renowned online library fund and cutting-edge teaching technology and online simulation resources.
About the noodles
Noodle is a Certified B Corp that builds great online, agile programs that enhance campus-wide teaching and technology. Since January 2019, Noodle has launched as many online programs with elite American universities as all of its competitors combined. Its network of universities, higher education leaders, suppliers and students fuels innovation and efficiency in learning design, marketing, recruitment, technology, student support and teachers and clinical placement. Follow Noodle on LinkedIn and Twitter.
MEDIA CONTACTS: Alissa Pinck Noodle 914-523-5320 [email protected]
Niamh Emerson Yale School of Nursing 203-737-2521 [email protected]
Well into the third year of the coronavirus disease 2019 (COVID-19) pandemic, new vaccines for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continue to be developed. However, many groups and individuals remain hesitant about vaccinating against COVID-19, including pregnant women who are at high risk of severe disease and adverse pregnancy outcomes.
A new Women’s Health Reports The study examines pregnant women’s feelings toward the COVID-19 vaccine based on a survey conducted at a single regional center in New York City.
Study: Cross-sectional survey of the opinions of high-risk pregnant women on vaccination against COVID-19. Image Credit: Andrey_Popov / Shutterstock.com
The COVID-19 pandemic has resulted in widespread and crippling waves of illness around the world. This triggered the implementation of quarantine measures which halted travel, business, education and social interaction.
The resulting disruption of global life has led many pharmaceutical companies to make intensive efforts to develop safe and effective vaccines against SARS-CoV-2. The first type of COVID-19 vaccine to be approved was based on the messenger ribonucleic acid (mRNA) platform. Since then, several billion doses of mRNA vaccines have been administered worldwide.
Pregnant women were not included in clinical trials of mRNA vaccines and were initially reluctant to receive these vaccines for fear of their impact on their health and that of their babies. This fear has been cited, even though COVID-19 during pregnancy is associated with an increased risk of severe illness, mechanical ventilation and death compared to non-pregnant women.
Pregnant women who were at high risk for COVID-19, such as frontline medical staff and other workers, received COVID-19 vaccines early in the pandemic. Observational studies have shown that no harm was done to the mother or the fetus as a result of these vaccinations.
This success has been referenced by many professional societies and public health agencies like the US Centers for Disease Control and Prevention (CDC) to demonstrate that COVID-19 mRNA vaccines are safe in pregnancy.
Despite recommendations from these organizations, including the American College of Obstetricians and Gynecologists (ACOG), the Society for Maternal Fetal Medicine (SMFM), and the CDC, social media pressure and a lack of clinical trial data have led to many pregnant women still resist vaccination.
About 160 women participated in the current study, of whom only about 33% had received the vaccine. Of those who had not yet been vaccinated against COVID-19, most cited lack of information about the vaccine used during pregnancy as a reason for their unvaccinated status and feared adverse effects.
More than 50% of study participants said they felt the vaccine platform was too new for them to trust its safety. About a third did not trust the benevolent intentions of the government in recommending widespread vaccination.
There was a weak positive trend with education level, with those who had completed less than eight years of formal schooling being half as likely to be vaccinated. The differences in the other groups, from those who completed the ninth grade to the baccalaureate, were not significant.
Bayesian hierarchical logistic regression.
Other factors didn’t seem to play a major role in the decision, including race, type of residence, occupation, marital status, type of insurance, and drug use. The woman’s body habitus, the number of living children or the term of the pregnancy also had no significant difference on the decision to be vaccinated.
A history of influenza or tetanus-diphtheria pertussis (Tdap) vaccination also did not show a correlation with COVID-19 acceptance rates. Interestingly, only one-third of patients who received COVID-19 vaccines had taken the Tdap vaccine, whereas two-thirds of unvaccinated women had received this vaccine, although this difference did not reach statistical significance.
Among study participants with high-risk factors such as hypertension, heart disease, asthma, diabetes mellitus, cancer, chronic kidney disease, and developmental disabilities, only diabetes was associated with a 30% higher probability of vaccination against COVID-19.
Overall, women said they would rather learn about the vaccine from their doctor than from brochures, videos, websites or social media. This response was referenced by half of unvaccinated women versus 60% of vaccinated women. The least popular choice was a short recorded video or a webinar and was selected by 10% or less of both groups.
Vaccination rates for pregnant women remain low. It seems that the lack of reliable data regarding the safety of current COVID-19 vaccines in pregnancy is the main obstacle.
The disconnect between influenza and Tdap vaccination and COVID-19 vaccination status during pregnancy belies assumptions that hesitancy about COVID-19 vaccination reflects a negative view of vaccines in general. The importance of discussing the COVID-19 vaccine with patients during elective antenatal visits is evident given the confidence expressed by women in obtaining information about this vaccine from their physicians.
Perhaps the slightly higher vaccination rate among pregnant women with diabetes is due to their increased frequency of interaction with their health care providers, through which they may have gained a positive opinion of the vaccine through a increased information.
Further research could involve providing more clinic visits and assessing any changes in willingness to vaccinate afterwards.
Opinions on COVID-19 vaccination are dynamic throughout the natural history of the pandemic and future studies may be useful to reassess changing patient opinions.”
DesJardin, M., Raff, E., Baranco, N., et al. (2022). Cross-sectional survey of the opinions of high-risk pregnant women on vaccination against COVID-19. Women’s Health Reports. doi: 10.1089/whr.2022.0006.
Sakshi, 17, is a father’s daughter. She pinned high hopes on July 17 – the day of the NEET (National Eligibility Cum Entry Test). As she reviewed her notes and marked questions as “important” and “more important” in her preparation for the test, she remembered the most important lesson of her life: taking care of her father. She knew the time to give her father a newspaper, give him his shaving kit, make him tea, and bring him his meals—the schedule of her father’s every need, including dressing his wounds.
Yes, she was already playing doctor and doing a neat job of it. Now she dreams of wearing the white dress and getting a medical degree. Daddy’s Girl to Daddy’s Doctor – this dream of Sakshi was born out of a nine-year-old nightmare.
“I would have chosen another field without him,” she says, referring to her father Sanjeet Kumar. “I don’t want others to suffer from the pain he has.”
The 52-year-old retired as a bus driver from Himachal Road Transport Corporation after one year of active service – from March 7, 2012 to March 24, 2013 – at HRTC’s Reckong Peo unit in Kinnaur district . Sitting in his house in Malghota village in Baijnath tehsil in Kangra district of Himachal Pradesh, he tells his story from one March to the next – March 11, 2022, the date he retired .
“Sab kuchh theek chal raha tha. Naukari lag gayi thi aur pakki hone ki umeed thi. By kismat mein kuchh aur hi tha (Everything was fine. I had found a job and hoped to get regularized. But fate had something else for me),” he says. On March 24, 2013, he recalls, they were on a bus to Reckong Peo. It was around 7:30 a.m., the road was almost deserted and it was cold. When they arrived near the village of Rarang, the bus suddenly rolled into a gorge. There were no fatalities, but he suffered a serious spinal injury. All the injured were first rushed to Rarang dispensary, from there to Reckong Peo Civil Hospital and then to Indira Gandhi Medical College and Hospital in Shimla. As his condition was serious, he was referred to Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh.
“He remained admitted to IGP for a month and had surgery. When he was released, we rented a room in Dhanas village because he needed regular check-ups,” says Jai Devi, 70, Sanjeet Kumar’s mother.
Doctors ruled out his full recovery and issued a certificate of 100% disability on September 19, 2014. “Humein to kuchh samajh nahin aa raha tha ki kya kiya jaye. Maine to isse ek baar lagane wali dawa pila di thi (We didn’t know what to do. Once I gave her a liquid medicine for external application),” says Jai Devi.
His permanent disability meant more responsibility for his father. “Fortunately, I was getting a pension so I could make ends meet,” says Sanjeet’s father, Ram Pratap, 80, a retired primary school teacher.
Raising two small children – Sakshi and his brother Mehak – has become difficult for his wife. “During the first two years, I couldn’t go out because he needed to get dressed regularly. To move him on the bed, it took the help of at least two or three people,” says Sanjeet’s wife. , Sapna Devi, 39 years old.
The family got a break with the restoration of movement to his upper body.
“Doctors had assured us that he would regain sensation above the waist in due course. Two Australian doctors had examined him at a hospital in Palampur. They too were of the same opinion. Slowly and slowly he started to move his hands,” says Jai Devi.
Mehak, 13, who studies in class IX, took advantage of this welcome break to play carrom and ludo with his father.
Sapna Devi, who studied up to Plus Two, started looking for a job and soon got a job as a physiotherapy assistant at a hospital in Palampur.
Not to be left behind, a bedridden Sanjeet Kumar joined the family struggle through pen and paper. He will write to the authorities of his department to draw their attention to his fate. “Each month, I attached a request to my medical bills. I would ask them to do something for me. I would get the refund but no response,” he said.
In January this year, however, the HRTC introduced a program to provide employment to eligible dependents of an employee who suffers a disability or dies from an accident while on duty. asset. The work must be given within three months of the incident. To date, 16 people have benefited from this scheme. Sanjeet’s case was eligible for a remedy under this program. So, as soon as he retired from the service, his wife was offered the position of Junior Office Assistant (IT). His dues amounting to over Rs 8 lakh were also wiped out.
“It’s too little, too late. We cannot compensate him for his emotional pain,” says HRTC Chief Executive Sandeep Kumar.
Sanjeet’s life seems to be on the mend now.
But Sakshi is still worried. “When Dad was in the accident, we were too young to grasp the tragedy. Its enormity dawned on us as we grew up. Then we learned that Dad was in terrible pain. There is a slight improvement. But we know that “He can’t be alone because there’s no feeling below his waist. I can’t leave him alone. That’s why I’ve decided never to get married.”
In the 1990s, Theresa Mullan worked in communications and an engineering group in the US military, and monitored the trajectories of military aircraft as part of the US Air Force.
In the 2000s, she cared for patients as a nurse in Latrobe, Westmoreland County and around the country.
Today, she has embarked on a new adventure: turning her pastry hobby into a business.
And she started it at the height of the pandemic.
Theresa Mullan, 62, owner of Kenzaleah’s Cake Cafe in Harrisburg, is a baker who ships her treats to several counties, including Lancaster via Market Wagon, with dreams of one day opening her own brick-and-mortar.
Mullan shared some of her journey from the military to her current career as a baker. The following conversation has been edited for length and clarity.
You joined the army reserve at 28, right? What led to this decision?
Yes. I was a single parent, trying to go to school and trying to support my two children (then 3 and 2 years old). So I thought I would go into the army and it would serve two purposes: I would help my country and I would help my children.
What did you do in the army?
I was in communications and part of an engineering group in Uniontown, Pennsylvania.
How long have you been in the army?
I was in the military for nine years, then I moved to the air force. I stayed there for four years.
Did you do the same with the Air Force?
No. It was called medical administration…that was the title, but each time I was deployed I did different things. I was deployed to Germany and we configured planes.
Have you been deployed elsewhere?
Well, I was deployed to the United States at Scott Air Force Base (in Illinois). When I was there, I had another mission. I tracked aircraft and put crews on crew rest (which included making sure a flight crew rested before a mission). I also made sure the planes got to where they needed to go and got there safely.
What did you do after leaving the army (in 2006)?
That’s when I got into nursing…When I graduated (from the University of California, Pennsylvania), I was one of the oldest in my class. I think I was 50 when I graduated from nursing.
I started out in medical surgery and worked in a small field hospital in Latrobe, PA for about a year and a half. Then after that I started traveling as a nurse. I traveled for probably four or five years across the country.
So how do you go from nurse to baker?
Good question. Well, I can’t say I’ve always been into baking, but when my kids were younger, I was baking. But I really haven’t had the opportunity to sell my wares. I had no money for advertising. I didn’t really have the money to continue buying products. So that just went by the wayside.
Once I became a nurse, I took over baking and started cooking for my colleagues. They always said, “Oh, you should open a bakery” because they were my tasters. So, being a nurse allowed me to get back into it.
So when did you switch completely and focus solely on the baking profession?
I would say it’s been about a year now. I mean, I still have my nursing license, but it’s been about a year since I’ve been there full time.
So you started in the middle of the pandemic? It must have been a scary time to start a new business.
Right? It was. But like I said, I had this opportunity. I was working (through a nursing agency) as a vaccine coordinator. So I had some time to get used to it. Most people didn’t go out. It was a good opportunity to be able to cook and people could still buy the items they wanted even if they couldn’t get to a bakery in front of a store.
The name of your bakery has a meaning. Can you explain it?
Yes. Well, I have two nieces, MacKenzie and Aleah, who have been in my life since they were babies. They are now 16 and soon to be 18. Anyway, I got a phone call one day and asked if I could take care of them. That was over three years ago, and I said yes. So I wanted to be able to build something for them too, so that they would have a good foundation when they got older. That’s why I decided to give it their name, in the hope that one day they can take it back.
Do they help you in the kitchen?
Now it’s a bit uncertain. They will taste the test. But they will also go to sales events with me and things like that. But yeah, even if it’s just manual stuff, like loading stuff, it really helps a lot.
What kind of desserts do you make?
I started making pies and actually liked apple pies and things like that and cakes. Then I got into specialty sugar cookies. I make all kinds of pastries. I sculpt sometimes — I’m not a great sculptor, but you know, but I try. Yeah, everything I see that pops up that might be new and mainstream, so I’m trying.
Are these family recipes or how do you invent all these recipes?
No, not family recipes, but I like experimenting with different things. So if I see something I like, then 99% of the time I adapt it to what I want it to be.
How can people buy your desserts?
I work with Market Wagon which is awesome. Market Wagon has been a lifesaver because it’s big in scale and so much more than I could ever do. So I don’t have to pay for all the advertising and delivery of it all. I could never reach all the people they reach for me.
How does it feel to know your desserts go this far?
Oh my God. It’s really super. I remember the very first time I sold something that wasn’t to family or friends, and seeing that person walking around with it and eating it…it’s amazing. It’s really a good feeling.
What’s next for you?
I would love to one day have a brick and mortar and be able to have a real storefront cafe. With that, I wish I could reach out to the underprivileged, maybe like a Sunday and have something for the homeless. You know something where they can come in and have dessert. I mean, everyone deserves to have good food. So it’s one of my dreams.
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Ann Arbor – Hundreds of nurses and family members gathered in Ann Arbor Saturday morning to protest working conditions and staffing issues as contract negotiations with the University of Michigan Health System continue .
A sea of people wearing bright red T-shirts and holding signs scrawled with slogans such as “patients before profits” filled the grassy field of Fuller Park, which sits across from the University Hospital campus.
The show of force comes two weeks after the contracts of more than 6,000 nurses expired after months of labor negotiations between Michigan Medicine and the University of Michigan Council of Professional Nurses.
At the morning rally, a slate of politicians, organizers and union leaders addressed the crowd before union nurses and their supporters walked out, forming a long picket line along the perimeter of the hospital.
“People in the community understand that your working conditions are their conditions of care,” said AFL-CIO President Ron Bieber, calling the latest contract concessions offered by hospital management “despicable”.
“We have your back, we will be there with you in this fight,” Bieber said. “You are going to win. All you have to do is stick together and fight together and you will get justice.
Before joining the picket line, a group of labor and delivery nurses from the hospital gathered for a photo with their families.
Some of the nurse’s top demands include safe staffing levels, an end to mandatory overtime, and changes to paid time off policy.
“We advocate for our patients for safe staffing and for our nurses, who work long hours and then have to fight for our contract as we work so hard to care for our patients,” Tasneem Abdul-Basir said. . , a 45-year-old nurse.
“It’s really, really, really frustrating because we’re here to represent all the hard-working nurses here, trying hard to take care of our patients.”
Michigan Medicine officials say they are continuing to work earnestly with the UM Council of Professional Nurses to create a new labor agreement after the previous contract expired on June 30.
“Our nurses are the backbone of our healthcare system,” the hospital’s executive nurse, Nancy May, said in an emailed statement on Saturday. “I couldn’t be more proud of our nurses and the care they provide.
May acknowledged that the hospital’s nurses are “a key reason” for the facility’s performance and its patient safety record. According to the hospital, the contract terms it is currently offering recognize the value of its staff. Some aspects of the current proposal highlighted by the health system include increases in the average wage,
According to Ruth Moscarello, who also works in the labor and delivery department, staff are seeing more patients with fewer nurses.
“It’s not fair to our patients and staff here that we can’t provide them with the care they need,” Moscarello said.
U.S. Representative Debbie Dingell, DDearborn, acknowledged the stressful working conditions nurses face in the health care industry and she offered her support for the union’s demands.
“Some people reach breaking point. It’s hard, it’s scary,” Dingell said, wearing a bright red shift dress, acknowledging the stress nurses are under.
Dingell referenced a recent hospital stay, where she said she observed nurses juggling large numbers of patients at once. “We have to do something now, it’s not sure,” she said.
As the MP finished her speech, she ignited the crowd with a chant.
The move has drawn protests from some in the public and parents continue to raise concerns about the move.
Employees would have to be authorized by the district to carry a weapon and would be required to take firearms training.
Lawsuit alleges sexual assault at immigration detention center…
Lawyers and immigrant rights groups have filed a federal lawsuit on behalf of four immigrant women who claim they were sexually assaulted by the same nurse while in custody at Stewart Detention Center in southwest Georgia .
Lawyers and immigrant rights groups have filed a federal complaint with the Department of Homeland Security and the DOJ on behalf of four immigrant women who claim they were sexually assaulted by the same nurse while held at Stewart Detention Center in Georgia.https://t. co/sXqP54KrfI
The city of Atlanta has spent months trying to relocate residents of Forest Cove, a run-down apartment complex in south Atlanta. But only a few dozen families have actually moved.
Atlanta Mayor Andre Dickens hosted an event to try to speed up the process earlier this week.
And hear more about WABE’s in-depth reporting on Forest Cove residents who say they feel left out by their landlord and the government.
There is now news that the HUD-funded Forest Cove complex could be demolished, after years of tenants waiting in unsafe conditions for a renovation. Here is the story of what happened over the past year through a resident: a woman named Mrs. Peaches. https://t.co/jgLAfC2IBc
A rare, but often deadly, hazard lurks in freshwater ponds, rivers and lakes across the United States — and experts say recreational swimmers need to be aware.
In early July, Iowa officials announced the closure of a beach at its Lake of Three Fires state park after a Missouri resident contracted Naegleria fowleri, also known as the “eating amoeba of brain”, after having swum there at the end of June.
The person died of a rare and usually fatal brain disease caused by Naegleria fowleri called primary amoebic meningoencephalitis, or PAM, Lisa Cox, spokeswoman for the Missouri Department of Health and Senior Services, said at USA TODAY.
Specific diagnostic tests for the amoeba are available in only a few laboratories in the United States, and infections are so rare and difficult to detect initially that 75% of diagnoses are made after death, according to the Centers for Disease Control and Prevention. Amoeba infects a person through water through the nose.
After one person in California survived in 1978, reported cases were fatal for 35 years until three children beat the infection in the past decade, according to the CDC:
Here’s what you need to know about Naegleria fowleri.
What is Naegleria fowleri?
Naegleria fowleri is the only Naegleria species that infects humans and has a 97% mortality rate, according to the CDC. Amoeba is usually found in soil and warm or warm freshwater, such as lakes, rivers, ponds, and hot springs. It can also live in poorly chlorinated water heaters or swimming pools, according to the CDC.
The amoeba thrives in temperatures as high as 114.4 degrees Fahrenheit, said Paul Rega, retired assistant professor at the University of Toledo in public health, disease prevention and emergency medicine.
“Naegleria fowleri is ubiquitous; it is found in both fresh waters and soils on six of the seven continents,” he said. Rega added that people can also get it from contaminated water on water slides or during artificial white-water rafting and water skiing.
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The amoeba is not found in salt water, according to the CDC. “Salt dehydrates cells, so it’s like a natural disinfection system,” said Christopher A. Rice, associate scientist and director of the Center for Drug Discovery at the University of Georgia College of Pharmacy.
What is the impact of climate change on the spread of Naegleria fowleri?
Naegleria fowleri is often found in freshwater in southern states like Texas and Florida, two states where the CDC reported 76 cases of MPA between 1962 and 2021. These cases make up the bulk of reported cases of Naegleria fowleri in the states. -United.
With 10 cases over a period of nearly 50 years, California had the third highest frequency of reported cases. CDC data shows that during this period, 154 cases of amoebas were reported. All but four were fatal.
Recent cases have been reported as far north as Minnesota and Iowa as climate change increases freshwater temperatures in northern states, Rega research shows.
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“The incidence will increase not only because more people could be exposed, but also because it will not be diagnosed in a timely manner due to the naivety of the health profession in many parts of the country,” a- he added.
How does Naegleria fowleri kill quickly?
Naegleria fowleri can make its own nutrients, but continues to forage in soil or water to feed on bacteria, fungi, and other organisms. That’s how problems can arise for freshwater swimmers, Rice said.
If contaminated water goes up a person’s nose, the organism migrates to the brain, leading to infection with primary amoebic meningoencephalitis, he said. Rice added that misdiagnosis and mistreatment are the reason so few people survive MPA.
Naegleria fowleri is often misdiagnosed as bacterial or viral meningitis, Rice said. The diseases share early-stage PAM symptoms like vomiting, fever, and nausea. The amoeba can kill within days.
“Patients succumbed between one day after symptoms and between 13 and 15 days after symptoms,” Rice said.
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It can grow and divide in 10 hours, and therapeutics suggested by the CDC can take between three and five days after diagnosis to work, Rice said. He explained that the amoeba does not cause problems when swallowed, as stomach acid kills it.
How to avoid brain-eating amoeba infection?
The key to avoidance is keeping fresh water out of your nose, experts say. The CDC recommends assuming that any warm freshwater body in the United States contains Naegleria fowleri.
“Maybe wading through the water rather than splashing around and getting water in your nose,” Rice said. If jumping, holding the nose can help, he added.
Swimmers should avoid immersing their heads under fresh water when swimming or diving, Rega said.
“Good nasal plugs would also prevent the amoeba from entering the nose,” he said.
His death was due to blood loss from his internal wounds and the cause of death was multiple gunshot wounds, Kohler said.
Tests revealed no evidence of drugs or alcohol in her system, she added.
Kohler said the gunshot wounds included:
• 15 on Walker’s torso, where he had internal injuries to his heart, lungs, liver, spleen, left kidney, intestines and several ribs. • 17 on the pelvis and thighs, where the right main artery to the leg and the bladder were injured and the pelvis and both femurs were broken. • 1 on his face, where his jaw broke. • 8 on his arms and his right hand. • 5 on knees, lower right leg and right foot.
Walker’s family and representatives were able to review the report ahead of this announcement at a press conference, Kohler said.
His cousin, Roddray Walker Jr., told CNN on Friday, “I feel like we echoed, ‘Zero threat, zero violence.’
“I keep saying his name. Young African American man from Akron, Ohio, who was looking to explore the world, high spirited young man, loves to travel, even planned to come to Houston to visit the rodeo , revival festival and even attending a WWE live event,” he said.
“So her life was taken way too soon… I’m focusing on how to educate my daughters about what just happened, the tragedy behind it. And then what we can do locally to raise awareness and continue to be in the community and show that we are not threats to society.”
In a statement Friday, the legal team representing Walker’s family said the medical examiner’s report “confirms the violent and unnecessary use of force by the Akron Police Department on an unarmed young man who, as the family expected it, was not under the influence of drugs or alcohol.”
The statement read: “That Jayland suffered 46 gunshot wounds to the body is horrific. The fact that after being beaten nearly four dozen times, the police still handcuffed him as he lay motionless and bleeding on the ground is absolutely inhumane.
“The family is devastated by the report’s findings and is still awaiting a public apology from the police department.”
A gunshot residue test was not performed on Walker, the medical examiner said. Akron police charged him with firing what appeared to be a shot through the window. A gun was later found in his car. Police said he was unarmed when he was killed.
Gunshot residue tests can detect specific particles related to the discharge of a firearm “but the results of these tests are inconclusive as to whether or not the person fired a weapon,” said Kohler said.
The FBI discontinued these tests in 2006. She said the bureau discontinued collection of this sample in 2016 and no longer purchases collection kits.
NAACP wants Justice Department investigation
A United Nations organization will investigate the police shooting, a spokesperson for the group told CNN on Friday.
The investigating UN body follows an agenda “to end systemic racism and human rights abuses by law enforcement against Africans and people of African descent”, according to the report. UN Human Rights websiteand has been implicated in other high-profile cases, including the death of George Floyd.
At Walker’s funeral on Wednesday, an attorney for the family said the organization had been in touch.
The NAACP on Thursday also urged the Justice Department to investigate the shooting, calling it a “gruesome murder” in a letter to Attorney General Merrick Garland.
“No one is above the law, including law enforcement. Those who tracked him down and fired 90 bullets at him should be held accountable to the fullest extent of the law,” the president said. and NAACP CEO Derrick Johnson in the letter. “We urge you and your Department of Justice to fully investigate the murder of Jayland Walker and, if what we have all seen with our own eyes is true, to federally indict the officers responsible for his murder. gruesome murder.”
“It’s time to hold law enforcement officials accountable for treating black Americans by different standards,” Johnson added in the letter. “We pray that your department initiates this critical investigation in the pursuit of justice in this case.”
A Justice Department spokesperson said, “The U.S. Attorney’s Office, the Justice Department’s Civil Rights Division, and the FBI Field Office in Akron, Ohio are closely monitoring and reviewing the circumstances. surrounding the death of Jayland Walker. The FBI continues to coordinate with state and local partners to provide specialized resources and expertise. If the evidence reveals potential violations of federal criminal laws, the Department of Justice will take appropriate action.
A spokesperson for the Akron Police Department said it “reserved comment regarding the report.”
CNN’s Hannah Rabinowitz, Zenebou Sylla and Samantha Beech contributed to this report.
AUSTIN (KXAN) — Photos of Kathleen Laurel line the kitchen counter at her daughter’s home: Snapshots of weddings, dinner parties and a “parents’ weekend” celebration from when her two daughters were students at the University of Texas.
These daughters, Lisa Howard and Kelly Pesek, remember their mother as a woman with a sense of humor and quick wit.
“She was so funny and always made us laugh,” Pesek said. “We were all kinds of friends once my sister and I were growing up.”
Her husband, Joe Laurel, describes her as his “best friend”.
Along with the happy memories, however, are the more difficult ones: his diagnosis of Alzheimer’s, the progression of his disease and an eventual move to a skilled nursing facility in southwest Austin. The most difficult memories to process, according to his family, are those of his last days.
Two weeks before Kathleen died last September, the family said they learned ants were found in her bedroom at Brush Country Nursing and Rehabilitation – and on her body.
“I went there as soon as I found out that day, and I actually spoke to the nurse who found her the night before. This sweet nurse was pregnant and she was crying. She would tell me the story that she was the one taking my mother’s ants away, and she was getting bitten doing it,” Howard said.
The family took pictures of what they believed to be ant bites on Kathleen’s arms and legs. Both sisters told KXAN that they were told by the facility’s management that the injuries resulted from a rash.
“Which looks ridiculous to me, if you see the pictures,” Pesek said. “Then the heat rash begs the question, ‘Well, why – where was she in such heat that she got a heat rash?’ “”
“It’s something out of a horror story,” Howard said.
There are other cases involving ants in nursing homes, including a lawsuit filed last spring in Arkansas about a woman who died after a stroke and a recent report of a Fort Worth area facility fined for ant infestation.
Kathleen’s family has filed a civil lawsuit against Brush Country Nursing and Rehabilitation and the healthcare company that owns it, Dynasty Healthcare Management.
KXAN contacted the company and the law firm representing them. Lawyers for the facility and the company told KXAN they could not comment on the pending court case, but filed a response in Travis County District Court denying all of the company’s claims. family and demanding proof of their allegations of neglect. Their filing also notes that “there is insufficient factual argument to state a claim of gross negligence against these defendants.”
The incident is detailed in a report completed by a surveyor with the Texas Health and Human Services Commission, who was on hand at the nursing facility for an unrelated visit. The attorney representing Kathleen’s family obtained the report and provided a copy to KXAN investigators, who verified its validity with HHSC.
The report says the facility failed to ensure that a resident “with severe physical and cognitive impairments was monitored as needed throughout the night shift, as she was found with active ants crawling on her while she was in bed with ant bites all over her body pain, red marks and hives requiring immediate medical intervention and treatment.
The report cites an interview with a nurse’s aide who told the investigator that she had tried to knock all the ants off the resident before moving her to the bedroom recliner, but that “it was impossible to check on every resident every two hours.”
According to the facility administrator’s interview in the report, he contacted pest control after the incident to “spray inside and outside his room.” Additionally, he said his room was “deeply cleaned” by the housekeeping staff.
The report also noted that the facility’s administrator and director of nursing checked all resident rooms and that “no additional ants” were found. The report also states that the facility has implemented “skin assessments.”
Other workers cited in the investigator’s report detailed other issues they said were caused by staffing shortages: resident falls, missed meals and failure to deliver certain medications on time.
A registered nurse told the investigator, “the lack of care that residents receive due to the lack of staff[ed] was heartbreaking.
Statewide staff shortage
Industry leaders and long-term care advocates have warned of widespread staffing shortages at Texas nursing homes, but also nationwide, in recent months.
“It’s not a new issue. It’s not a, ‘Oh by the way, look what COVID has caused.’ We were tens of thousands of employees behind even before COVID hit,” said Kevin Warren, president and CEO of the Texas Health Care Association, representing skilled nursing facilities.
Last fall, her association partnered with a group called LeadingAge Texas to conduct a survey focused on the workforce in long-term care facilities, including nursing homes and living communities. assisted. They found that nearly every facility in Texas reported Certified Nursing Assistant, or CNA, vacancies. Others had unfilled registered nurse positions, as well as open dietary and housekeeping staff positions.
Seventy percent of survey respondents said they couldn’t compete with other employers.
Warren testified before lawmakers in late June about what he hopes will be long-term solutions: Loan forgiveness programs for people going to work in long-term care facilities, more outreach to high school students. or early college training programs and more funding to offer better pay.
“How do we encourage those men and women who see long-term care as an option to say, ‘It’s affordable. It’s something I want to do and make a career out of it,” Warren said.
The state’s long-term care ombudsman, Patty Ducayet, told stories of residents having to wait for a bath or getting out of bed, poorly maintained HVAC systems affecting quality of life for staff and residents, and facility vehicles in poor condition – instead of used for resident activities and appointments.
Lawmakers agreed, saying “most” of the funding “should go to patient care.” Ducayet called for more transparent financial reporting by facility owners and operators to ensure this happens.
KXAN investigators asked Warren about this proposal, and he said he thinks the nursing home industry is more transparent than many other healthcare sectors when it comes to staffing, finances and quality of care.
He said one thing was clear: “there is a significant delta between the cost of care and what [Medicaid] refund is.
In the HHSC investigator’s report into what was found at Brush Country Nursing and Rehabilitation, the facility’s administrator detailed its normal staffing schedule, which included three nurses, five CNAs and three medical assistants. during the day shift. The administrator also detailed the night staff at the facility, which included three nurses and four CNAs.
The report reads: “He said he believed there were enough staff to be able to care for all residents appropriately.”
“Unable to ask for help”
The HHSC investigator’s report details at least four deficiencies found at the facility, including those described as quality of care, sufficient nursing staff, medication errors and the physical environment. The report notes that the facility resolved all deficiencies in just a few days.
Kathleen Laurel’s family said they saw her condition worsen in the days that followed, and 19 days later she died. His death certificate does not cite ant bites or mention injuries seen on his body. His cause of death was listed as “Alzheimer’s disease.”
Howard called the loss of a parent “heartbreaking” but said it was even harder to find out those details of his last weeks alive, “after the fact”.
“She was completely helpless. Like I said, she was non-verbal. She couldn’t ask for help. She had no way to raise her hand and say, “I need help; I am mistreated; I’m hungry; I have ants on me,” Howard said.
Joe Laurel said that in general, he would like to see minimum staffing standards enforced across the state, to ensure people with similar diagnoses at any facility will receive appropriate care.
Pesek added, “To make sure this doesn’t happen to anyone else.”
UnitedHealth Group’s profits topped $5 billion in the second quarter on strong performance from its Optum health services and UnitedHealthcare health insurance plans.
UnitedHealth said net income rose to $5.2 billion from $4.27 billion in the second quarter of 2021, the healthcare giant’s diversified portfolio of health insurance plans and its medical services Optum with a solid performance. Revenue rose 13% to $80.3 billion in the quarter from $71.3 billion a year ago.
Friday’s earnings report signaled robust performance for the remainder of the year as UnitedHealth management moved to raise its 2022 earnings forecast.
“Based on first-half performance and growth expectations, the company raised its full-year net earnings outlook to $20.45 to $20.95 per share and adjusted net earnings to $21.40. $ to $21.90 per share,” the company said. “Growth in the second quarter was balanced across all of the company’s businesses, including continued strong expansion in the number of people served at UnitedHealthcare and value-based agreements at Optum Health.”
UnitedHealth’s UnitedHealthcare health insurance business has grown in everything from commercial insurance to government-sponsored insurance, such as the increasingly popular Medicare Advantage plans, which contract with the federal government to provide additional benefits and services to seniors, such as disease management and nurse helplines with some also offering vision, dental and wellness programs.
“The total number of people served by UnitedHealthcare grew by more than 600,000 in 2022, including 280,000 in the second quarter,” the company said. “Growth was driven by UnitedHealthcare’s community and senior offerings.”
Additional health plan enrollees helped revenue for the UnitedHealthcare health insurance business rise 12% to $62.1 billion in the second quarter.
Meanwhile, Optum’s second-quarter revenue soared 18% to $45.1 billion “with double-digit growth in every business, led by Optum Health,” the company said. UnitedHealth’s Optum businesses include a range of healthcare services including surgery centers, clinics, physician practices and the pharmacy benefits management (PBM) company, OptumRx, which reported a 10% increase in revenue in second quarter to reach $24.8 billion.
The cast and orchestra of ‘The Pirates of Penzance’ from the Young Victorian Theater Company (photo by Steve Ruark for the Young Victorian Theater Company).
Finally, the Young Victorian Theater Company (YVTC) can celebrate its 50th anniversary (albeit two years late due to the pandemic) and is back in its original home on the Gilman School campus. They do it in grand style with a production as delightful and professional as you’ll ever see – Gilbert & Sullivan’s wonderfully hilarious ‘The Pirates of Penzance’.
…a production as delicious and professional as you will ever see…
YVTC has become a Baltimore institution, showcasing the work of Gilbert & Sullivan for decades. Brian S. Goodman — who joined what started as a student group at Gilman at 18, was the general manager for 45 years — introduced the show with some fun facts. Gilbert & Sullivan were apparently the first British invasion and the Beatles of their time. When the show premiered in New York on December 31, 1879 (for copyright reasons), it was a huge success. As evidenced by the hit 1980s film starring Kevin Kline, Linda Ronstandt and Rex Smith and probably too many productions to name them, it has continued to appeal over the years.
The day has finally arrived: the 21st birthday of young Frédéric (a serious Luke Schmidt) who will finally be released from his apprenticeship under contract. His nurse Ruth (the wonderfully funny Cara Shaefer) misheard “pilot” and she gave the boy to a bunch of “pirates” – who are about as scary as a basket of puppies. Frederic turns out to be a very dedicated and honorable young man, and tells the Pirate King (a fantastic Sam Mungo), his right-hand man, Samuel (an excellent Daniel Sampson), and the rest of the gang that he must track them down. and rid the word of pirates if they do not reform.
Meanwhile, Ruth, the only woman this young man has ever seen, wants Frederick to marry her. He reluctantly agrees until a gang of young girls, all Major General Stanley’s daughters (more on the amazing Thomas Hochla later), arrive on the beach and he is instantly smitten with Mabel (Tess Ottinger, with a breathtaking voice) because she is with him. The pirates soon follow and want to make all the women their wives.
These hackers live by several ethical codes, the most important being that they will never harm an orphan because they are orphans. (There are some really fun puns out there.) As everyone knows, these aren’t the most successful hackers. When the Major-General arrives and after his incredible tongue twister “I-am-the-model-of-a-modern-Major-General”, he convinces the pirates that he is an orphan. If they marry his daughters, he will be so lonely.
As Frederic rounds up the ragtag group of police, led by Police Sergeant (sweet-voiced Jim Williams), the Pirate King and Ruth find a paradox and convince Frederic that because he was born in a leap year on February 29 , it is only five. Meanwhile, the Major-General is stricken with insomnia and overwhelming guilt over his lie to the pirates (and does a fabulous ballet trick, channeling his inner “swan”). All sorts of craziness ensues but, of course, we end up with a most unlikely and happiest ending.
Other notable characters are Mabel’s two notable sisters. July 10 was Hannah Wardell as Kate (she’ll also be on July 14, 16, and 17, and the other dates are covered by Zoe Christine). Edith was played by Cassidy Dixon and alternates performances with Hana Abrams.
The artistic director, Catrin Rowenna Davies, herself a mezzo-soprano who has performed several times with the company, is at the helm of this production. With the help of Hochla who is also the choreographer, they move the large cast very well around the small stage and the rhythm is excellent.
Christoper Flint’s set is simple, which works because there are often a lot of actors on stage. Since they’re all decked out in beautifully detailed, brightly colored costumes (thanks to Glenn Avery Breed and Wardrobe Witchery) – the pirates in red, gold and orange and the ladies in all the colors of the rainbow – a complex set not necessary and would be a distraction. At the time, it was the prized and sadly lost costume store, AT Jones & Sons on Howard Street, that helped dress the actors. But there’s still a bit of history left with the boutique’s Mary Bova as wardrobe manager.
As per tradition, lyrics from a few locations are updated with local references and touch on current headlines (thanks to Goodman and Mungo). Of course, it destroyed the house every time!
J. Ernest Green returns as a conductor who has been with YVTC for over 20 years. He has an impressive resume and the orchestra is just stunning – all of them – and such a pleasure to have a live orchestra. The orchestra sits in front of the stage but it is actually part of the show as Green sometimes interacts with the actors. (If you’re in the front rows, there may be a line-of-sight issue – Green makes a bold move. After a while, the show is so much fun, it works.)
The cast has no mics and projects very well overall. When they are on the front of the stage, they are helped by two microphones in the pit. If you are having trouble, the supertitles are projected above the stage.
Ironically, the lack of air conditioning forced the company to perform at other area schools for several years. Now with the newly installed system, the theater was freezing (maybe it has since been adjusted) so don’t forget to bring a sweater or jacket.
I would like to name everyone involved as it was a magnificent show on every level. A special nod also goes to the incredible choir and their glorious voices – and the team behind the scenes. Go see it and you will leave with a song in your heart.
Duration: About 2h30 with an intermission.
‘The Pirates of Penzance’ runs until July 17, 2022, presented by the Young Victorian Theater Company at the Gilman Alumni Auditorium, 5407 Roland Avenue, Baltimore, MARYLAND 21210. For more information and tickets, call the box office at 410-323-3077 or go online.
One thing is true about the legalization of cannabis, no matter where it happens: no one gets it right the first time and there are always lots of critics. This has been true in all US legalizing states. This is true of Canada. This will almost certainly be the case in Europe, although lawmakers here are cautious to back most advances on the legalization front in “trials”. This is also now seen in Asia as Thailand becomes the first country in the region to legalize the plant and proceeds to draft formal legislation to regulate the country’s burgeoning cannabis industry.
While Thailand may be hailed internationally as the first Asian country to embrace cannabis reform, however, the new policies are being harshly criticized in some quarters, particularly domestically, and further with flawed logic seen elsewhere. .
There are two main points of contention. The first is that critics berate the government’s decision to go ahead with cannabis reform, albeit medical in nature. The second is that the government should have moved more slowly and studied the consequences of legalization, plugging loopholes along the way.
One of the more public consequences of the country’s move to legalize cannabis this year, beyond the global publicity Thailand has received for donating a million cannabis plants or freeing its cannabis prisoners, is to launch a public relations campaign warning tourists that cannabis is not widely legal in the country.
And all this before the official bill to legalize medical use was officially passed.
Buyer’s remorse in Thailand?
Thailand may be carrying out reform a little differently than Western countries to date, but the arguments against reform seem to be remarkably similar regardless of the geography in which they occur.
The first, inevitably, comes from the established medical profession. Despite government assurances that they are implementing reforms for medical, not recreational use, Thai doctors have raised concerns familiar elsewhere. Namely that cannabis can supposedly “trigger” mental health problems. This is especially ironic given the history of the plant here. Historically, cannabis has been used in Thailand, as in other countries, for medical and religious purposes.
The second wave of criticism comes from critics who fear the change in law will damage the reputation of Thai agricultural exports. Whether this biomass will be used in animal feed. There is also considerable irony in this attack, including the existence of a recent Thai study which seems to indicate that chickens fed hemp containing up to 0.4% THC seem to need less, if not more. ‘none, antibiotics because they are bred for meat.
A global stigma remains
No matter how far cannabis reform has come over the past decade, it’s situations like the one unfolding in Thailand now that serve as a stark reminder of just how far the legalization effort still needs to go.
The good news is that Thailand’s sudden change in attitude towards cannabis is already causing other countries in the region (such as Indonesia) to re-examine their own approach to cannabis.
In other words, Thailand’s green conversion is particularly disruptive in a region that has so far resisted modern cannabis reform and still has some of the toughest anti-cannabis laws in the world. In many parts of Asia, a person can still be sentenced to life imprisonment or even the death penalty for “crimes” that are considered relatively minor cannabis-related offenses elsewhere.
The world’s largest hemp producer, China, is of course watching all of these developments closely. At the UN, the country is still lobbying against the removal of cannabis from a Schedule I drug. At home, even unauthorized possession of hemp seeds is considered a serious crime.
Be that as it may, the remarkable progress in Thailand, together with the unconventional approach to reform implementation seen here, is just another welcome sign that, regardless of criticism, the great revolution in cannabis continues, unabated, even in this part of the world.
Ménière’s disease is a disorder of the inner ear that is clinically diagnosed by symptoms of fluctuating hearing loss, tinnitus, aural fullness (sensation causing muffled hearing), and vertigo. Ménière’s disease is often difficult to diagnose due to the range of symptoms typically involved.
A new study, published in the Journal of Neurosurgery, draws a critical link between this disorder and some cases of meningiomas, the most commonly diagnosed primary brain tumors in adults, the vast majority of which are non-cancerous or benign.
Michael McDermott, MD., neurosurgeon and medical director of the Miami Neuroscience Institute.
Considered the world’s foremost expert in the surgical management of meningiomas, Dr. McDermott conceptualized and designed the study, linking the classic symptoms of Ménière’s disease to meningiomas located deep within the skull.
For their review, the researchers looked at a database of 2,882 patients with intracranial meningioma who were undergoing resection or surgical removal of the tumor as well as infiltrated structures within the tumor. Of these patients, 144 had petrous tumors of the face, which are difficult to treat tumors due to their proximity to the cranial nerves, brainstem and critical vasculature. There were seven cases where patients reported Ménière-like symptoms and had posterior meningiomas of the petrous surface covering the endolymphatic sac, the nonsensory organ of the inner ear.
In each of the seven cases, the symptoms improved after the meningiomas were removed.
“Currently, most doctors don’t think these symptoms are related to this small tumour, but we show there may be a relationship,” Dr. McDermott said. “This is an important article for neurosurgeons and neurotologists who have patients with these indescribable audio vestibular symptoms that no one has been able to treat. Surgical resection works. If you remove the tumor, the symptoms go away.
Dr. McDermott pioneered optimal surgical approaches to safely and successfully resect meningiomas. His research has influenced the classification, diagnosis and grading of meningiomas. Prior to joining Baptist Health South Florida, where he is Medical Director of the Miami Neuroscience Institute, he served as Wolfe Family Endowed Professor in Meningioma Research at UCSF Medical Center in San Francisco.
While meningiomas are the most common benign brain tumor, Dr. McDermott says they rarely occur on the posterior petrous surface. He cautioned that not all patients with tumors there will experience these symptoms.
Dr. McDermott pointed out that vestibulocochlear dysfunction – such as dizziness, vertigo and balance problems – does not usually occur with posterior petrous meningiomas unless it involves the vestibular opening or the endolymphatic sac. – components of the inner ear system that controls balance. The tumor may interfere with the reabsorption of endolymphatic fluid, causing balance changes.
“The tumors are positioned in such a way that they impede the reabsorption of endolymph into the circulation. When we remove the tumor, we open up the endolymphatic sac and essentially create a shunt. This is why the patient’s symptoms disappear,” said Dr. McDermott.
Vestibular dysfunction usually improves regardless of the specific surgical approach to removing meningiomas.
“Resection of meningiomas in this specific part of the base of the skull has the potential to significantly improve the quality of life for patients struggling with these idiopathic symptoms,” Dr. McDermott said.
Tags: meningioma, Miami Neuroscience Institute, Michael McDermott MD
Staffing shortages have been widely reported in Oregon and across the country as businesses struggle to recover from the decimating economic blow of the COVID-19 pandemic.
The third in the state “Oregon Talent Assessment” confirms hiring has been difficult – with 84% of employers reporting difficulty filling vacancies – and the report finds many other difficulties in what it calls a ‘very unusual job market’ created by a health emergency public and government response to the crisis.
One of the hopes of the assessment is that it will help inform the implementation of Future Ready Oregon – a $200 million labor spending bill that the US Legislature Oregon adopted earlier this year.
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“The results of this year’s talent assessment will help inform employer and community collaboration in implementing Future Ready Oregon’s unprecedented investment program,” said Anne Mersereau, President of Workforce Talent Development. State Board, in a statement. “Employers and partners have shown a desire to collaborate with college and workforce partners in a variety of ways to create equitable pathways to prosperity, and the more we know, the better we can use that data. to adapt our strategies to better serve all Oregonians during this time. time of change.
The talent assessment was developed by economic consulting firm ECONorthwest for the Oregon Workforce and Talent Development Council and Higher Education Coordinating Commission.
The assessment notes that the state’s unemployment rate is at an all-time low, but employment levels have still not returned to pre-pandemic levels. The assessment also notes that, by some indicators, Oregon’s labor market is doing better than the national average, with a slightly higher labor force participation rate.
The report notes the complex state of hiring and workforce development in 2022. For example, the report’s analysis of different employment sectors found that shortages were not universal.
The assessment confirmed the state’s ongoing and long-standing need for more healthcare workers, such as registered nurses and dental assistants. Service jobs, including food service, also account for a large number of projected job openings. On the other hand, he found that the number of people earning technology-related credentials appears to far exceed the number of expected job openings in the relevant fields.
The pandemic has had a mixed impact on the skills development of workers and managers, according to the report. Employers reported that while there was less access to hands-on learning – especially for people like vocational and technical students – the pandemic has helped increase the growth of digital, leadership and skills. soft skills, such as their reliability, empathy and teamwork.
However, of employers who said their staff were not “fully competent”, most said the main reasons were a lack of professional and soft skills. The 2022 assessment notes that employer complaints about lack of soft skills and inadequate preparation for specific jobs is not a new problem. They appeared in previous reviews, long before the COVID-19 pandemic.
The funding is earmarked for home improvement projects for seniors who would otherwise have to leave their home because it does not meet their needs.
BRANDON, Fla. – This year, state lawmakers set aside $600,000 to help Hillsborough County seniors stay in their homes rather than be burdened with rising housing costs or long-term care .
That’s exactly what a group called The Self Reliance Center for Independent Living is doing. Help seniors with disabilities by making changes that can keep them where they want to be.
In their own homes, with their own families.
“Staying at home means everything. I didn’t know how much,” said Dave Rimmer, who lives in Brandon.
Rimmer, fast approaching 80, was afraid he would have to leave the house he and his wife bought seven years ago after a biking accident left him stranded.
But thanks to Self Reliance, the Rimmers recently received a new, safer shower that will keep them together in their home for years to come.
“It’s so much better to be able to move around and move around and do anything,” Rimmer said.
Rep. Jackie Toledo (R-FL) presented Self Reliance with a check for $600,000 on Wednesday. That’s enough money to help about 15 additional households.
Daniel Lugo recently had a ramp installed in front of his home. The upgrade will allow Lugo and his wife who uses a wheelchair to stay together in their home.
“I mean, so awesome,” Lugo said. “Because now I don’t need to hold her anymore.” She is independent with the wheelchair. Go around the ramp. And it has been a blessing for us.
“Most seniors with disabilities want to stay in their homes,” Toledo said. “But for those who are older and have a disability, the only choice is often to go to a retirement home or an assisted living facility.”
The project’s sponsors say it’s about much more than adding convenience. It is a matter of independence. And dignity.
“It’s just a pride to stay in your own home,” said Self Reliance executive director Gary Martoccio. “And with a modification that allows that.”
Lawmakers say the money is also a good investment because helping people stay in their homes is much cheaper than providing publicly funded long-term care. Nursing homes, Toledo said, can cost $8,000 a month. Serviced residences – approximately $3,000 per month.
Proponents say they would like to see this particular program expanded. They say that in Hillsborough County, 15% of the population is 65 or older and has lived in their homes for over 40 years.
“This service,” Toledo said, “prevents premature nursing home placements and unnecessary hospitalizations.”
Self Reliance is now accepting applications from low-income seniors who qualify for home renovations they might not otherwise be able to afford. Click here to find out more.
It’s a return on investment that’s hard to put into words for those who receive help.
“It means everything to us,” said Wanda, Dave Rimmer’s wife. “Because this is our home, and we want to stay here.”
In mid-June, Dallas County officials reported 2,363 nursing vacancies, nearly eight times the number of vacancies from this time last year.
Officials at Texas Health Resources, the parent company of Texas Health Presbyterian Dallas, said they are working hard to provide opportunities for those who want to join the field.
“It is incumbent on all health care systems and others to find new ways to attract and retain staff,” said Mark Morales, director of learning for Texas Health Resources. “Maintaining such a culture has always been a top priority for Texas Health, and we are committed to continuing to seek new solutions and collaborations that address these challenges.”
Projections from the Texas Department of Health and Human Services show that hospitals across the state are facing a shortage of nurses and other full-time staff. The demand for full-time registered nurses is expected to grow to nearly 350,000 over the next decade, according to state projections.
That could leave the state’s health care industry with a staffing shortage of more than 57,000 full-time employees by 2032, according to DSHS data. Based on these state estimates, more than 16% of the projected demand for RNs in 2032 will go unmet.
“The healthcare workforce is at a critical point,” said Stephen Love, president and CEO of the Dallas-Fort Worth Hospital Council. “The COVID-19 pandemic has taken a very heavy toll on healthcare teams, especially on the front line. As a result, many suffered from stress, trauma, burnout and behavioral health issues.
Hospital officials said they are actively working to alleviate staffing shortages on several fronts, including addressing burnout and retention; expand recruitment efforts; and increase training opportunities for nurses.
Alleviating nursing shortages will require producing more available nurses while creating an environment to better retain existing employees, according to Texas Nurses Association CEO Cindy Zolnierek.
“I think healthcare organizations do a lot to try to support a particularly diverse workforce, because if they support their staff, they’re likely to be loyal and want to stay with that organization,” Zolnierek said.
Zolnierek said the COVID-19 pandemic has been a factor in labor shortages.
“The work environment during COVID[-19] was so intense and difficult for nurses that some are leaving the nursing profession or maybe taking a temporary break,” she said. “Some [nurses] are at an age where they can retire or retire early, and we don’t quite understand the impact of that.
Incredible Health, a recruiting company that partners with hospitals and health systems to help nurses get hired, analyzed data from more than 400,000 nurse profiles in its system and interviewed more than 2,500 nurses allowed in the United States in February.
Survey data showed that 34% of nurses surveyed said they are very likely to leave their jobs by the end of this year.
Of the nurses surveyed, 44% cited burnout and a very stressful environment as reasons for wanting to leave their jobs. Almost a third of nurses said they plan to leave the field altogether or retire, while 42% of nurses surveyed have started a new nursing role since January 2021.
Many professional groups, such as the Texas Nurses Association and the Texas Hospital Association, pay attention to the mental health of healthcare workers, Zolnierek said. Hospitals such as Texas Health Presbyterian Dallas are also working to increase retention by addressing the issue of burnout among staff, officials said.
According to a study of clinician well-being and resilience by the National Academy of Medicine, changes to reduce burnout were recommended for medical staff, including investing in more regular job stress assessments as well than destigmatizing and supporting mental health. The study also recommends that focusing on wellness is a long-term value.
“Let’s not wait to be exhausted,” Zolnierek said. “We are looking at how we can support the well-being of our workforce.
Hospitals are also working to retain staff to grow the ongoing workforce, said Kelly Martin, vice president of human resources for Texas Health Resources.
“Texas Health knows that hiring employees is only the first step to overcoming staffing,” Martin said. “To retain employees, especially during the difficult times we have experienced in the context of the pandemic, systems must treat employees well. [and] provide opportunities for career growth and resources to help take care of their physical and mental health.
At White Rock Medical Center in Lakewood, the nursing shortage has forced the hospital to look for new ways to entice nurses to join the hospital. Jenny Humpal, chief nursing officer at White Rock Medical Center, said the hospital has begun expanding its recruitment efforts internationally to help hire qualified nurses.
Humpal said White Rock Medical Center was welcoming about 60 nurses from other countries at the end of June.
“The safety of our patients is always our top priority, and so we have worked hard to ensure we have the appropriate levels of staff and qualified nurses to care for our patients,” Humpal said.
To help fill the gaps in the workforce, hospitals have relied on additional staff through agencies, which Zolnierek says has been done on a smaller scale for decades.
This additional staffing has led to an increase in the hiring of traveling nurses or agency nurses. These traveling nurses can often earn twice as much as those employed by the hospital due to the shorter assignments.
“It became a vicious cycle where nurses left hospitals to travel because they could make more money and have different experiences and travel to different places,” Zolnierek said. “In turn, this has worsened the shortage in hospitals.”
Texas Health Presbyterian Dallas officials said they would rather have full-time staff than traveling nurses. But travel nurses have been invaluable during the pandemic and will continue to be, Love said.
“We don’t blame nurses for wanting to have that mobility, the ability to travel or to [become traveling nurses] for their personal economic perspective,” he said.
To keep employment high, hospitals across the state are using existing partnerships with colleges and universities to help fill staffing shortages, according to Candy Baptist, director of the Texas Health Career Transformation Center. ResourcesUniversity.
“Texas Health works with a variety of high schools to provide students with the opportunity to intern at our facilities,” Baptist said.
Texas Health Presbyterian Hospital Dallas has partnered with Richardson ISD since 2017 to provide internships for students with disabilities through Project Search, a national vocational training program. Most of the students found jobs afterwards, many at Texas Health Dallas, Baptist said.
Texas Health Resources also offers apprenticeship programs to guide graduates into healthcare careers.
In 2021, Texas Health Resources created the Patient Care Technician Apprentice program through a partnership with Dallas College and with support from the US Department of Labor. The program has two different “earn as you learn” paths, allowing candidates to be hired and paid while they learn their work in the classroom.
Love said the lack of faculty in nursing schools is also hurting the profession.
“So many qualified applicants…for bachelor’s and graduate programs cannot really be accepted into nursing school for lack of necessary faculty [to teach them]“said love.
Now is the time for young nurses to enter the workforce, as many hospitals are hiring new graduates, Zolnierek said.
A coalition of Los Angeles hospitals and other healthcare facilities launched a campaign on Tuesdayto repeal a newly enacted ordinance raising the minimum wage for thousands of healthcare workers to $25 an hour, saying the law will have a detrimental effect on medical care across the city.
The No on the Unequal Pay Measure Coalition, a group sponsored by the California Assn. of hospitals and health systems, said he would start collectingsignatures this week for a referendum to put the issue of wage increases to voters.
To qualify the referendum for the ballot, the coalition would need to collect nearly 41,000 valid signatures from Los Angeles voters within 30 days. Such a move, if successful, would prevent the wage increase from taking effect — at least until an election to determine its fate.
The coalition acted just days after Mayor Eric Garcetti signed the measure. Appearing last week at an order-signing ceremony, he said higher wages would lead to better health care, help hospitals and other facilities retain workers and reduce staff turnover. .
“It’s going to make your industry stronger,” Garcetti told workers at Service Employees International Union-United Healthcare Workers West, the union that lobbied for the wage increase.
Opponents of the wage increase strongly disagree, saying it will abruptly upend the finances of health facilities in the region and jeopardize access to health services.
At Gateways Hospital and Echo Park Mental Health Center, administrators have said they are considering cutting operations – possibly by as much as 20% – as a way to absorb rising costs. The 300-bed psychiatric facility serves a large number of people who are homeless or at risk of homelessness, hospital CEO Phil Wong said in an interview.
In Woodland Hills, the nonprofit Motion Picture and Television Fund is now seeking to cover a $1.5 million annual increase in labor costs, according to Bob Beitcher, the fund’s chief executive. This increase is currently expected to take effect in August.
Beitcher said some security guards at the 300-bed campus of the Motion Picture Fund, which provides care for seniors who have retired from the entertainment industry, would receive pay increases of 40% to 50%. Some practical nurses would see pay increases of 30% to 40%, he said.
“The only way we could absorb this is either to cut services, which is not something we would like to do, or to raise additional funds of one and a half million [dollars] per year,” he said.
The city council voted to approve the pay rise last month, boosting pay for a range of employees, including security guards, receptionists, orderlies, cleaners, gardeners., janitors and others who work in private hospitals,clinics and skilled nursing facilities that are part of these hospitals, and dialysis clinics, among other health facilities specified as part of the measure.They did so over objections from hospital leaders, who said the city hadn’t bothered to analyze the financial impact on the area’s medical system.
The SEIU-UHW initially collected more than 145,000 signatures to put the salary increase on the Nov. 8 ballot. Councilors Curren Price and Marqueece Harris-Dawson decided to act faster, pushing their colleagues to pass the measure immediately.
“Now is the time to show these workers that we see them, that we appreciate them and that we appreciate all the sacrifices” made since the outbreak of COVID-19, Price said last month, before the board votes. the first of two votes on the ordinance.
SEIU-UHW endorsed six of 15 board members in this year’s election, including Price, who just won a third term representing part of South Los Angeles. Two of them – Councilmen Mitch O’Farrell and Paul Koretz – are on the ballot on Nov. 8. (Representative Karen Bass, a mayoral candidate, also has union support.)
For weeks at City Hall, union members argued that health care companies had made huge profits while workers at the bottom struggled to pay for gas and rent – sometimes turning to a second job.
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Mauricio Medina, a nursing assistant who works at Southern California Hospital in Hollywood, said many of his colleagues were considering quitting and seeking better paying jobs outside of the medical profession.
“A co-worker of mine who just welcomed a new baby just got an eviction notice because he and his wife are behind on their bills,” said Medina, who lives downtown. He said he and his co-workers set up a GoFundMe to help the co-worker pay for his baby’s diapers and milk.
The union estimated the higher pay will cover about 4,500 union workers and potentially more than 10,000 non-union workers at more than 102 workplaces, including those operated by Kaiser Permanente and Cedars-Sinai Medical Center. About half of the workplaces affected by the measure would be dialysis centers, according to a representative of the SEIU-UHW.
After the hospital group launched its efforts on Tuesday to end the wage measure, SEIU-UHW spokeswoman Renée Saldaña said “greedy hospital executives have seen record pandemic windfalls, but they don’t ‘have no plan to solve the staffing crisis plaguing Los Angeles hospitals’.
“They are out of step with local voters if they think the solution is to cut the salaries of the caregivers who got us through the pandemic,” Saldaña said. “The issue that needs to be addressed is excessive executive compensation that is driving up health care costs for Angelenos.”
Hospital officials have described the order as arbitrary and unfair because it covers only a fraction of healthcare facilities, excluding county government-run hospitals, such as the Olive View-UCLA Medical Center in Sylmar. .and LAC+ USC Medical Center, and Federally Qualified Health Centers – community clinics that provide care to underserved areas or populations.
They predicted that workers in public hospitals and community clinics would likely seek high-paying jobs in private facilities, creating a talent drain for facilities operating in low-income communities.
George Greene, President and CEO of Hospital Assn. of Southern California, pushed back against the idea that area hospitals are hugely profitable. Many, he said, are “in shock” financially after 2 and a half years of battling a pandemic, he said.
“There was no analysis of what this would entail for hospitals,” Greene said.
Union officials said their measure did not cover public facilities because the city could not set rates for county and state employees. SEIU-UHW is also supporting a bill in the state legislature to raise salaries at federally qualified health centers to at least $25.
“All healthcare workers should earn a minimum wage of $25, but there are different routes to achieve this,” Saldaña said.
Private hospital workers aren’t the only workers to earn their own minimum wage in Los Angeles. Unite Here Local 11, which runs independent campaigns to elect municipal candidates, has a minimum wage of $18.86 under municipal law.
For other Los Angeles workers, the minimum wage is $16.04 per hour.
Times editor Emily Alpert Reyes contributed to this report.
HARRISBURG — Pennsylvania nursing home trade associations said Monday they had agreed to increase staffing as part of a deal with Gov. Tom Wolf to increase aid to an industry struggling with a death rate. high turnover.
As Pennsylvania is awash in excess tax revenue, Wolf on Monday signed legislation authorizing nearly $300 million per year, or nearly 20% more per year, in additional Medicaid payments to nursing homes, which have been ravaged by the COVID-19 pandemic.
Trade associations had reached a compromise on staffing levels with the Wolf administration and SEIU Healthcare Pennsylvania, a union that represents about 5,000 nursing home workers, before the legislations were signed.
“This is a major step forward for Pennsylvania’s long-term care industry,” Wolf said at a Capitol press conference after signing the legislation.
Officials say the money is expected to boost worker salaries, staffing levels and retention while stabilizing facility finances and improving the quality of care.
Matt Yarnell, president of SEIU Healthcare Pennsylvania, said the pandemic’s toll on nursing homes helped persuade state budget makers to grant a Medicaid reimbursement rate increase.
Pennsylvania’s Medicaid reimbursement rate increase is the first in nearly a decade, trade associations said.
Professional associations had been pushing for higher rates, saying some facilities were closing or downsizing because they were losing money on every resident covered by Medicaid.
They also fought Wolf’s initial proposal last year to require them to increase direct care hours by 50%.
The staffing agreement calls for a modest increase in direct care hours — from 2.7 to 2.87 per patient per day — but sets minimum shift ratios for nurses and nursing assistants to patients.
Wolf’s proposal was not “feasible,” given the difficulties in finding and retaining workers, said Garry Pezzano, president of LeadingAge PA, which represents nonprofit retirement homes.
Personnel regulations are expected to be finalized before Wolf leaves office in January.
The reimbursement of the higher rate takes effect on January 1. Meanwhile, lawmakers have approved sending $130 million to nursing homes as part of federal coronavirus relief to help them hire and retain workers.
Yarnell said he hopes to raise the wages of certified practical nurses to $20 an hour.
Currently, the statewide average is $16.50 and nursing homes are struggling to keep workers from leaving for other industries, including the service industry, a said Zack Shamberg, president of the Pennsylvania Health Care Association, which represents for-profit nursing homes.
I’m sure you’ve heard of various types of coaching careers these days. You might even know someone who is a coach. Maybe they are a life coach or a health and wellness coach. So what does coaching have to do with nursing?
Do you know that as a nurse, there is a form of coaching that can set you apart from others? There is a little known but increasingly popular specialist area of nursing known as nursing coaching. In fact, there are two nationally recognized certifications available for RNs in nursing coaching.
>> Click to see the 4 steps to becoming a cosmetic nurse
What is nursing coaching
According to published studies, “Professional nurse coaching is a skilled, focused, results-oriented, structured, relationship-focused interaction with clients provided by registered nurses with the goal of promoting the achievement of clients’ goals, by first establishing a co-creative partnership with the client where the client is the expert, and then identifying the client’s priorities and areas of change to achieve the client’s goals. »
In a nutshell, a nurse coach works with a client from a holistic approach to promote health and wellness while helping the client achieve a specific goal. The customer is considered the expert when it comes to their needs. The nurse coach focuses on the client’s strengths rather than weaknesses and provides support and resources throughout the coaching contract.
Certifications are offered
Currently, the American Holistic Nursing Credentialing Corporation (AHNCC) offers two types of nurse coaching certifications:
NC-BC – Certified by the Council of Nursing Coaches
HWNC-BC – Certified by the Health and Wellness Nurses Board of Directors
To apply and qualify for the HWNC-BC credential, you must be a Certified Nurse Coach AND a Certified Holistic Nurse.
To take the certification exam, you must first apply to AHNCC and be approved for the test. The exam requirements are a bit different depending on the highest nursing degree you currently hold.
Bachelor of Science in Nursing (BSN): You must have worked full-time for at least 2 years OR part-time for the past 5 years for a total of 4,000 hours.
Associate Degree in Nursing (ADN): You must have worked full-time for 4 years OR part-time for the past 7 years for a total of 8,000 hours.
International Diploma in Nursing: AHNCC will review international credentials to determine their equivalency with United States (US) nursing programs.
All nurses: You must have an active, unlimited license in the United States. Your degree must also be from an accredited academic institution or be assessed by AHNCC if it is an international degree.
A minimum of 60 CNEs over the last 3 years is required. CNEs must be relevant to the core values and competencies of nurse coaches. Academic credits must be a “C” grade or better or “pass” if the credit is pass/fail.
You must be supervised and/or supervised by a Certified Supervisory Nurse Coach for a total of 60 hours AND have a letter of validation from a Certified Nurse Coach.
Once you have met all of the above requirements and attested to CHANC Applicant Agreement, you can submit your application and await testing approval.
You can find the above requirements at: https://www.ahncc.org/certification/holistic-nurse-coach/
The future of nursing coaching
Effective July 1, 2022, nursing coaching now has its own Current Procedural Terminology (CPT) category code. It is now classified as a Category III code. So what does this mean exactly? A CPT code is issued by the American Medical Association (AMA). It sets standards for documentation and invoicing of services or insurance reimbursement procedures.
A Category III code is a temporary code used for data collection to determine the effectiveness of a service. Nursing coaching is not yet reimbursable by insurance, but it could very well be in the near future! The nursing coaching outcome should be assigned a Category I code, which is a permanent code. It can take up to 5 years of data collection and research for a service to receive a Category I CPT code. However, when assigned a Category I CPT code, insurance reimburses nurse coaches for their services.
AHNA and AHNCC will continue to recruit nurse coaches to participate in the studies necessary to prove the effectiveness of nurse coaching in an ongoing effort to achieve a CPT Category I code in the future.
How exciting is that? Imagine if you got into nursing coaching now, when it was still in its infancy! You could be one of the first pioneers! Now is the time to explore your options with nursing coaching. Be a different coach! Get accredited and be a nurse coach!
With abortion bans in place or soon to be enacted in at least 20 states, many concerned Americans are now wondering: What does the investigation and prosecution of illegal abortion look like?
An internal document from the country’s largest police force in the fore-Roe vs. Wade era provides a pretty good answer.
The New York Police Department first formed an abortion squad after an abortion ring bust in the mid-1950s. It later became the abortion unit within Central Bureau of NYPD investigation, and its detectives provided operational support on abortion cases to other units. From 1872 to 1970, it was generally illegal to provide abortions in New York State.
In 1968, the CIB distributed a training bulletin titled “ABORTIONS” to detectives across the city as part of a series highlighting investigative best practices and the specialized units available within the bureau to aid in investigations. .
According to the manual, investigations normally did not begin with a tip from a suspicious acquaintance, but in the emergency room following reports from hospital staff treating victims of botched illegal abortions.
Interviewing the women while they were still “confined” in the hospital was “necessary”, according to the manual, to “verify the identity” of the abortionist and other “relevant details” of the operation.
The manual warned that a male detective investigating a hospitalized woman for intimate details “invariably results in embarrassment to both parties” and “frequently produces such resentment on the part of the woman that she becomes totally uncooperative”. Instead, police deemed it “highly desirable that a qualified female detective, rather than a male”, conduct the questioning due to the “very personal and sensitive nature” of the issues involved.
The female detectives did not face the same embarrassment and had a better understanding of anatomy, the manual advised, and were therefore more likely to “demonstrate to the subject the flaws of a fabricated story”.
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The primary target of any investigation was the abortion practitioner. Detectives were more interested in “using” the woman as a witness against the abortionist than in charging her as a defendant (although this perspective remains for uncooperative women).
At this point in the case, there was a tactical fork in the road depending on who was identified as performing the abortion: a lay “lone operator” or a licensed physician.
Most of the lone operators were women who were or presented themselves as nurses or orderlies. These women generally had no professional training, operated in “unsterile and, in many cases, downright dirty” conditions, and were relatively easy to arrest and prosecute, the manual says.
With a single witness ID, detectives could initiate a lone operator’s arrest without an indictment or warrant, according to the manual.
Meanwhile, the scales of justice weighed differently depending on the defendant: licensed doctors performing illegal abortions (usually men, at a time when women made up 5% of the country’s doctors) often received deference from the district attorney that was not given to their non-professional female counterparts. The training bulletin stated that “cases involving licensed physicians are another matter.”
District attorneys were “of the opinion that at least six counts are desirable” before a doctor can be arrested. This opinion was based “on the theory” that grand juries showed an “unwillingness to indict a doctor” unless the doctor performed abortions as a “regular business”.
To arrest a doctor, detectives had to set up an undercover operation. A female undercover officer should make an appointment to “get as much information out of him as possible,” the manual says. If the conversation was fruitful, detectives could get a warrant to bug the doctor’s office.
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After that, the police would organize surveillance of the clinic and its clients. Women “known or suspected” of going to the doctor’s office for abortions were “followed, by car and on foot, if necessary”, to secretly establish their identity and whereabouts.
Unlike cases involving single female operators, where those assisting the abortionist were often offered immunity to testify against the provider, in cases involving doctors, “pilots, drivers, pharmacists, etc.” were charged as co-defendants. As a result, the cases could quickly become sprawling investigations into “highly organized, interstate” abortion rings. It was only at this stage that male officers were used in the investigation “if the case requires it”.
After documenting at least six counts of abortions, detectives consulted with the district attorney to convene a grand jury. On the appointed day, the police showed up at the residences of the “previously identified aborts” to serve subpoenas. The women were then “brought to the prosecutor’s office, interrogated and [their testimony] put to the Grand Jury” to get a doctor charged.
The final operational support provided by the CIB’s abortion unit was to maintain a “central abortion file” detailing all aspects of previous abortion cases, which the police considered “one of the functions most important” of the unit.
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Because abortions were illegal, providers often took steps to conceal themselves and their practice from examination. Women who had abortions often had only “bits of information” about providers, such as a location, phone number, or pseudonym. The register was an “invaluable” resource for the police “since abortionists, eager for easy money, are most often repeat offenders”.
Much has changed in the 54 years since the publication of this training bulletin. Electronic surveillance captures far more data than phone calls, and physical surveillance is easier than ever, thanks to drones. More than a third of American doctors are women. Database records can be collected, stored and accessed electronically. But with the reversal of deer and a likely impending spike in abortion lawsuits, it may feel like little has changed at all.
Tom Sherman is a Delaware journalist with a collection of vintage and old historical documents.
Doctors on the frontline say the situation for healthcare workers is ‘beyond a crisis’.
Desperation, desperation and fear of patients dying in waiting rooms – doctors from all aspects of patient care say the healthcare system is beyond a crisis and they want the government to fix it recognize.
The survey, conducted by the New Zealand Women in Medicine (NZWIM) Charitable Trust, gathered more than 900 responses from doctors working in 30 different fields of medicine.
“The findings indicate that we are at risk of a catastrophic health workforce collapse,” the authors wrote in a letter to Prime Minister Jacinda Ardern, Health Ministers and Associate Health Ministers and leaders of Te Whatu Ora Health NZ on Monday. . A total of 923 doctors from GP clinics and hospitals signed their names to the letter, while survey comments were anonymized.
“So much [nurses] sick (and some of them because of burnout) that we have to close areas of the ward or work there alone without nursing support… Our triage nurses are so scared someone will die in the ward. ‘waiting – then they quit too,’ an ER doctor told the inquest.
READ MORE: * Critically understaffed, why doesn’t New Zealand employ more foreign-trained doctors? * Covid-19: two-thirds of doctors at the point of burnout, before the Omicron “tsunami” hit * Covid-19: Frontline hospital workers warn patients will die without staff increases
“The system is beyond a crisis. I feel sorry for the new graduates who are entering this crisis. It will break a lot of them, ”said a chief medical officer.
Almost all 911 respondents said there was either definitely a crisis (93.5%) or probably a crisis (6.3%) in New Zealand’s healthcare workforce.
Many said they regularly consider leaving the profession due to stress and unpaid hours: “With great sadness, I am leaving the GP workforce in the next few months to retrain. I love being a GP , but his future looks bleak and I don’t see anyone in 10 or 20 years ahead of me who is happy,” said a GP.
An emergency department clerk wrote: “I have no words to describe how dreadful the labor has become. I have yet to see an article that comes even closer to the reality of what it is like to work in healthcare right now.
The problems were nothing new, said Dr Orna McGinn, a general practitioner for east Auckland and chairman of the trust, but the pandemic and winter had meant the cracks could no longer be concealed.
“We’re not afraid to work hard, but we’re beyond working harder,” McGinn said.
“Concerns have been mitigated and dismissed; a ‘lack of listening’ has led to a disconnect between decision makers and those working within the system,” she said.
At the top of the list of recommendations is a call for officials to recognize that there is a crisis.
Andy MacDonald / Stuff
Shirley Bielawski, 82, was abandoned by the healthcare system and lost her left eye as a result.
“Public statements by political leaders that there is ‘no crisis’ in the healthcare system have seemed increasingly out of step with the experience of physicians over the past year,” McGinn said. .
“I think that until it is recognized that there is a problem, it is not possible to solve it.”
Comments from respondents revealed deep distress among clinicians. The perilous state of the nursing, midwifery and paramedical staff was constantly mentioned as a major risk for the sustainability of the health system.
McGinn said her patients with a high body mass index (BMI) waiting for surgery for endometriosis, a painful condition, faced wait times of at least three years. These women were losing their jobs because they were unable to work while in so much pain, she said.
Patients with high BMIs were typically Maori and Pasifika, which exacerbated equity concerns, she said.
McGinn said doctors can’t address the entrenched inequities the new health care system was supposed to tackle when “we can’t even do the basics.”
“There’s the moral hurt of feeling we’re failing and falling behind in our efforts to close the equity gap when we can’t even admit sick patients to hospital, let alone screening, we can’t address inequalities when we’re fighting fires,” McGinn said.
Health Minister Andrew Little has been approached for comment.
Recognize that there is a workforce crisis with a need for immediate innovative solutions to ensure retention, recruitment and equity in all areas of healthcare.
Create a responsive model with adequate funding for primary care.
Integrate clinical leadership expertise into the planning and design of health services.
Develop a workforce health, safety and wellness strategy that underpins future planning.
Do law school applicants still have to take the LSAT? A proposal by an American Bar Association committee would eliminate the longstanding rule that accredited law schools must require prospective students to pass a “valid and reliable test” as part of the application process. If the LSAT is waived, maybe the bar exam should be next.
The recommendation to scrap the admissions test requirement comes amid cascading accusations that reliance on the law school admissions test harms minority applicants. The proposal is hotly opposed by many friends of diversity.(1) Some find it stigmatizing to be told they don’t do as well on the test as white applicants. But given that the case against the test appears to have convinced the ABA’s highly appointed Legal Education and Bar Admissions Section Council, let’s assume, for the sake of argument, that the LSAT does indeed represent an unfair barrier to entry into the legal field. occupation.
Why doesn’t the same argument apply to the bar exam?
Except in Wisconsin, no one can practice law without passing the bar exam. Some states – California being the most prominent – even require attorneys licensed elsewhere to pass an exam if they want to set up shop in the jurisdiction. Such rules function like classic barriers to entry, easily manipulated to limit the supply of lawyers.
Additionally, the ABA admits that minority bar exam pass rates continue to lag. A 2021 study found that an increasing percentage of non-white students at a law school correlates with a reduction in the school’s bar pass rate. Hmmm. If the LSAT is a problem because of its supposed effect on diversity, perhaps the bar exam should join it in the trash. Or the exam could be optional, leaving employers to decide if they want to require it.
Even a minority barrier to entry might be justified if we could highlight the vital public purpose the bar exam serves. It’s harder than you think.
The ABA called for a written exam for all attorneys in 1921 and reaffirmed its position in a resolution passed fifty years later. This 1971 resolution is worth reading. It lacks data and contains many strangely specious claims. For example, the requirement of an exam was supposed to “encourage law graduates to study subjects not taken in law school” and force them to satisfy people other than “those who taught them”, a feat that the ABA described, remarkably, as “a valuable experience in preparing to appear before a completely strange judge. Nine years later, the Montana Supreme Court explained that without a bar exam, controlling access to the profession would be in the hands of the “wrong people” – law professors, for example.
None of this is convincing. If, for example, a student can learn entire subjects during the bar exam process, there may not be a need for law school. The profession once understood this, because the tradition of “reading for the bar” while apprenticed to a practicing attorney is far older than the American Bar Association.
But in 1881, three years after the ABA was founded, the forerunner of the aforementioned verbosely named committee announced that there was “little dispute” that formal schooling produced better advocates than “learning as as a lawyer’s clerk”. The classroom, the committee explained, best inculcated the valuable habits of “arguing, reading, reasoning, and discoursing.” How did the members know this? It was, the members wrote, “the verdict of the best informed.”(2)
Today’s justifications are not much better. In fact, no one can explain what the bar exam measures – or if it measures anything. The test has never been properly validated. We have no idea what he predicts.(3) Critics are on the right track when they call the bar exam a “superb hazing ritual” supported only by “arguments that seem selfish, condescending and protectionists”. Yet, many schools attempt to increase the pass rate among their students by essentially teaching the test.
If none of this is convincing – if the ABA nevertheless wants to retain the barrier of the bar exam – then there is this to consider: although law school grades are the best predictor of success at the bar exam, the LSAT also predicts, albeit weakly. In addition to this, there may be a correlation between a school’s average LSAT score and the bar pass rate of its graduates. But if the LSAT is still bad, the bar exam is worse.
Do not mistake yourself. I am not against standardized tests in all circumstances. For example, I would support a plan under which the bar authorities follow the medical profession by requiring a certification process before members can present themselves as specialists in particular fields. But there is no compelling justification for forcing graduates of accredited law schools to take another step before they are allowed to practice their profession.
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(1) According to studies conducted by the Law School Admission Council, the test slightly overestimates the law school grades of minority students.
(2) A number of secondary sources incorrectly date this report to 1879.
(3) Some work suggests a weak correlation between passing the exam with a low score and facing bar discipline at some point in one’s career. But not everyone is convinced, and even the study authors say more research is needed.
This column does not necessarily reflect the opinion of the Editorial Board or of Bloomberg LP and its owners.
Stephen L. Carter is a Bloomberg Opinion columnist. A law professor at Yale University, he is the author, most recently, of “Invisible: the story of the black lawyer who shot down America’s most powerful gangster”.
After two years of caring for others during the coronavirus pandemic, it was Indian nurse Sherin Babu’s turn to receive extra special care as her first child arrives minutes away from Eid Al Adha.
Ms Babu, who has recovered from Covid-19, gave birth to Seria Mary Rony at Medeor Hospital in Abu Dhabi to make Eid celebrations even more special for her family.
We didn’t expect to give baby Omar a special welcome into the world on the occasion of Eid Al Adha.
Omar Abdulrahman Mohammad
Giving birth in the hospital where she works as a specialist intensive care nurse meant that Ms Babu was surrounded by friends and colleagues.
Seria was born just after midnight and weighed 2.86 kilograms.
“Sometimes such coincidences make us happy,” Ms. Babu said.
“I have worked on the front line here, and we have seen the plight of our patients in intensive care and have supported them.
“When I was sick with Covid-19, I was well cared for by my colleagues.
“Now I was surrounded by them to welcome my first baby.
“They are like guardians for my baby and me. I will cherish this moment forever as a healthcare worker.
Ms Babu handled complex cases during the peak of the pandemic and supported patients in intensive care for weeks.
The first Eid Al Adha baby at Danat Al Emarat Hospital in Abu Dhabi was from the Emirati family of Sultan Hasan, a daughter, Dana. Photos: Danat Al Emarat Hospital
In the line of duty, she caught the coronavirus in June last year. When her symptoms worsened and she had difficulty breathing, Ms. Babu was hospitalized for several days.
Ms. Babu was released a few days later after recovering from complications.
“This Eid Al Adha is so special for us because Sherin is like family and has been such a brave warrior on the front lines,” said Dr Walid El Sherbiny, consultant obstetrician and gynecologist at Medeor Hospital.
“For this reason, welcoming baby angel Seria on this auspicious day is a time of joy and pride for all of us.”
Mrs. Babu was one of the first women to give birth in the early hours of Eid Al Adha.
At Burjeel Hospital in Abu Dhabi, Abdul Rahman Omar Abdulrahman Mohamed was born to Egyptian couple Omar Abdulrahman Mohamed and Yasmin Sadeq Abdelhamid, and is the first child in the family.
Abdul was born at the stroke of midnight and weighed a healthy 3 kg.
“Our whole family has been eagerly awaiting the baby’s arrival since Yasmin became pregnant,” Mr Mohamed said.
“We did not expect to give Omar a special welcome to the world on the occasion of Eid Al Adha. His birth on this blessed day has doubled our happiness.
At the Danat Al Emarat Women’s and Children’s Hospital, parents celebrated the first day of Eid Al Adha with the arrival of three baby girls.
The first was the Emirati family of Sultan Hasan, who took in his daughter Dana.
The second was delivered to a Jordanian family at 3:51 a.m. and the third Eid baby in the hospital was delivered at 7:09 a.m.
Asma’s father thanked the hospital staff for the safe delivery.
“We thank God that she and her mother are healthy,” said Emirati Mussalam Mohammed Alrashdi.
Since Danat Al Emarat Hospital in Abu Dhabi delivered its first baby in 2015, medical staff have seen 29,153 babies, 16,172 of whom were Emirati.
Meanwhile, at NMC Specialized Hospital in Al Ain, Shemeema Puthu gave birth to her second child, Anoush Ahmed, at 12:44 a.m., and was supported by her husband, Noufal Mambullinhalil, an Indian accountant.
The baby was born at term and weighed 3.05 kg.
Just before 4am, an Emirati baby girl was also born at the NMC Royal Hospital in Sharjah.
Shahd Ismail Miri was the second child of Ismail Miri, a construction supervisor at the House of Wisdom and the Sharjah Investment and Development Authority.
“I am very happy to once again be the father of my beautiful and precious baby girl,” Mr Miri said.
“I want to thank Allah for this blessing. He gave us his blessings on such a holy day. I am thrilled and delighted.
In the Dobbs v. Jackson Women’s Health Organization decision, the conservative justices rejected the idea that it is a basic human right for women to have power over their own bodies and ruled that state lawmakers can exercise control over some of what is actually a spectrum of reproductive health care. It’s a spectrum because all reproductive health experiences are linked, and the accessibility and safety of abortion care is key to ensuring that pregnancy, childbirth, and miscarriage can also be safe. There are not people who have children and others who have abortions; we are the same people at different times in our lives. 1
I had an abortion, a miscarriage and a full term pregnancy which ended in a caesarean section and the birth of my son. None of these health issues should be treated in isolation – I know this because I have experienced it. My medical abortion kind of prepared me for my miscarriage of a planned and wanted pregnancy, as the care for both was similar. In both cases, my uterus contracted to expel the pregnancy about six weeks after conception. Some people who miscarry have additional treatment, such as a D&C, to remove the products of conception from the uterus. I didn’t need this care, but if my uterus hadn’t been completely emptied either way, I would have been at risk for infection or sepsis. Regulating or prohibiting procedures under one condition but not the other puts us all at risk of complications or death. This is not hyperbole, as providers, fearing criminal charges, may not help patients in need of life-saving care. 2
Decades of research, including a landmark 2018 report from the National Academies of Sciences, Engineering, and Medicine, found that abortion is extremely safe. Medical abortion is even safer than Tylenol and extractions of wisdom teeth. Yet in no other similar health care facility can judges, let alone state legislators, insert their objections. The short explanation is that patriarchy, misogyny and good old fashioned racism. But the longer explanation goes back to how abortion became an issue to legislate in this country – through the medical community.3
It was not until the late 1800s that state legislatures began to pass criminal abortion laws, allowing abortions only if a doctor agreed it was necessary, not if the pregnant person simply did not want to be pregnant or had a medical reason to terminate the pregnancy. . It used to be legal to ‘bring back the rules’ before accelerating with the support of community midwives and their elders. Enter: Dr. Horatio Storer, who ushered in the century-long crusade against abortion at the American Medical Association and propelled the movement’s ideology about the beginning of “life” into the mainstream. Anti-abortion restrictions began to appear that allowed “therapeutic abortions” only if patients had the approval of their doctors and hospital boards.4
This story makes the Jane Collective in 1970s Chicago all the more remarkable. Not only has this underground feminist health care network revolutionized the delivery of safe medical care before Roe vs. Wade became the law of the land, during their operations between 1969 and 1973, but when the Janes, as they called themselves, finally began performing abortions themselves, they were able to center the needs and desires of women receiving care through the collective. When the deer decision handed down in 1973, the Janes were relieved but also skeptical about the treatment of women in clinics that had come to model themselves on the services the collective had created. The deer decision, wrote Laura Kaplan in her 1995 book on the network, “written emphatically on physicians’ rights, not women’s rights, revalidated the medical profession’s control over women’s reproductive health.”5
“Women would always be objectified as patients, removed from abortion as a life-defining experience. They would be followed by effects, not with which they would act,” Kaplan added. “Jane’s members knew the medical profession was not going to seize the opportunity to educate women. Roe vs. Wade had won the war, but the battle for decent care and respectful treatment was still far from over.6
For some time now, abortion providers have been forced to build their practices not with their patients’ needs in mind, but with medically unnecessary regulations. As we begin this new post-deer chapter, it is even more important that we recognize the crucial role that self-managed abortion will play in allowing pregnant women to control when and how they receive their abortion care. A person wishing to have an abortion can order medication for their abortion from reliable online resources such as Aid Access, which helps people access medical abortion regardless of their postcode. seven
Certainly, beyond the physical discomforts of a medical abortion, there are significant legal risks associated with SMA without the protections of deer, especially in today’s criminalized environment and how people of color and undocumented people are already targets of imprisonment. But we need to provide those who seek this care with support and accurate information about available health care. services, as well as the legal assistance services that the lawyers have in place at the moment. History shows us that abortion bans do not stop abortions; they only make care more difficult and dangerous to obtain. SMA has the potential to minimize the number of preventable deaths associated with laws that criminalize abortion. 8
Self-managed abortion is not the only solution in this post-deer environment. Clinics are essential for communities, and there are instances where an in-clinic abortion is the only option for a patient, including for those facing incomplete miscarriages, as we have seen recently in Malta. But clearly too few people are aware of the safety of medical abortion, which now accounts for more than half of all abortions in the United States, where the majority of abortions occur within the FDA-approved window. for drugs inducing abortion (up to 70 days of pregnancy). So while we donate to abortion funds and support clinics, we must also champion self-managed abortion, both in principle and in practice. 9
Induced abortions are an important part of what is a spectrum of reproductive health care. As we fight to reopen abortion clinics in every state, let us continue to advance Janes’ vision for health care, which is not based on what doctors, lawmakers or judges allow us to do with our bodies, but about what we choose to do with our bodies, while ensuring that everyone has the resources they need, no matter where and how their care happens.ten
Arapahoe County voters will decide the results of seven races in the Nov. 8 general election, choosing to fill two county commissioner seats and casting ballots for sheriff, treasurer, assessor, coroner and clerk. and recorder.
Incumbent Democrats largely hold most elected countywide positions and face challenges from Republicans, Independents and Libertarians as November approaches.
Here’s who’s on the ballot.
In the race for Arapahoe County Commissioner for District 2, which encompasses south-central Arapahoe County, former Centennial City Councilman Mark Gotto will face Democrat Jessica Campbell-Swanson after winning his Republican primary.
Campbell-Swanson, campaign manager and political consultant, ran unopposed.
Gotto is continuing his 20-year corporate career, which culminated in an executive position at a Fortune 100 company, as well as his stint in public office as a primary pitcher to voters. Top priorities for him are targeting spending on the $550 billion federal infrastructure bill, maintaining a debt-free budget and reducing crime. He supports the construction of a new jail in the county.
Campbell-Swanson, who previously served as director of voter protection for the Colorado Democratic Party and now runs a political consulting firm for progressive candidates and politicians, said she wanted to deal with the rising cost of housing and mental health needs if elected.
Both candidates also highlighted the task of supporting the new county health departmentwhich is slated to begin operations Jan. 1 and will likely consume commissioners next year as they grapple with staffing and cost issues.
In the race for a seat for District 4, which encompasses central Arapahoe County, voters narrowly chose Navy veteran and small-business owner Leslie Summey over Regina Edmondson, who sits on the advisory board of Aurora City Affairs and the Rotary Club of Aurora, in the Democratic Primary.
Summey will face Republican Bob Roth, who ran unopposed in the Republican primary in November.
Summey has focused much of his platform on promoting equity and human rights in Arapahoe County. She said she wants to address rising rates of domestic violence and easily accessible reproductive health services, provide more accessible housing and services for the homeless, improve care for veterans, and make the county a more inclusive place for LGBTQ people.
Roth, who has served in multiple public service positions — including serving as interim mayor of the city of Aurora from 2013 to 2019 — wants to improve public safety, build support for businesses, and work with educators and administrators to providing “educational choices so parents can set their children on the path of their choice,” according to his campaign website.
Sheriff Tyler Brown, a Democrat, will face challengers Kevin Edling, a Republican, and Scott Liva, a Libertarian.
Brown, who has served as sheriff since 2019, oversees a staff of 700 throughout Arapahoe County. As sheriff, he oversaw the implementation of a new mental health co-respondent program, partnered with the Colorado Criminal Justice Reform Coalition, and expanded the school resource officer program.
In September last year, Brown came under fire when a video surfaced on social media showing her grabbing a man by the throat during an altercation at the restaurant. Brown said he stood up for his wife after a man asked for her number.
The Denver District Attorney’s Office said Brown would not face criminal charges, but called his actions “irresponsible and unprofessional for an elected sheriff.”
His Republican opponent, Kevin Edling, is currently the commanding officer of the Denver Police Department and had worked for the department for 26 years. Edling said his top priorities as sheriff would be to reduce property crime, connect the homeless to services, and strengthen law enforcement hiring and retention. Edling said he blamed the “Defund the Police movement” for causing “serious damage to morale and manpower across the country”. according to his campaign website.
Libertarian Scott Liva has portrayed himself as a civil rights advocate who will hold police accountable for misconduct. He has taken part in several protests against police abuse in the county and said on his campaign website that he “will not allow military punt raids on citizens when elected county sheriff.”
In photos on her website, Liva can be seen holding signs that read “DEFUND POLICE.”
Clerk and recorder
Clerk and recorder Joan Lopez, a Democrat, will face Republican challenger Caroline Cornell.
Lopez, who was elected in 2019, oversees elections in the county and issues marriage and civil union licenses, motor vehicle registration and more.
She said she was committed to the protection and integrity of voters, a priority issue for many voters following the fallout from the 2020 election and the rise of voter denial conspiracy theories and voter intimidation. .
Lopez said during the 2020 election in November, tThe men showed up at the county office polls and filmed voters coming to cast their ballots. One of them openly carried a gun.
“He was very hostile any time anyone approached him and told him what you were doing,” Lopez said of his staff’s attempts to speak with the men in a previous interview with Colorado Community Media. .
Cornell, a small business owner, said she would “run an election without causing political drama,” according to her campaign website.
Coroner Kelly Lear will face Republican challenger Ron Bouchard.
Lear, a physician and medical examiner, said fentanyl remains a major threat to community safety, with his office seeing a 50% increase in fentanyl-related deaths between 2020 and 2021.
“Fentanyl is flooding our communities and it’s critical that the death investigation community participate and assist in education and prevention efforts,” Lear said in a social media post.
Bouchard has more than 30 years of experience in scientific research laboratories, both in the field of higher education and in the medical field.
As coroner, Bouchard said he wanted to investigate comorbidities surrounding viral infections, develop a process to notify family members before any cremations and create a tracking system to ensure families have been closed. .
Incumbent Democrat PK Kaiser will face Republican challenger Robert Andrews.
Kaiser, who has held the position since 2019, said he will continue to establish accurate values for all properties in the county to ensure “the tax burden is distributed fairly evenly among all property owners,“ according to his campaign website. As an appraiser, Kaiser filed property appeals and digitized the appeals process.
His Republican challenger, Andrews, has 40 years of real estate experience. If elected, Andrews pledged to restore walk-in appointments and reduce turnover at the assessor’s office.
In the race for Treasurer, Democrat Michael Westerberg will face Republican Marsha Berzins to succeed incumbent Treasurer Sue Sandstrom.
Westerberg said as treasurer, he wants to have candid conversations with county taxpayers to improve financial literacy and better educate communities about the programs and resources that exist for them.
“Whether you can’t pay your property taxes or your business needs a boost during the pandemic, every county program, its requirements, and its qualifications should be readily available and easy to find,” Westerberg said on his campaign website.
Berzins, who served on Aurora City Council from 2009 to 2021, said she had experience managing a budget and said she wanted to work with small businesses to help spur growth. county economy.
At VA, we have been investing for years in new ways to provide telehealth care to our veterans.
When the world went virtual during the height of the COVID-19 pandemic, many employers embraced a new way of doing business out of necessity, but we had a network in place that quickly and easily adapted to the changes that were happening. produced around us.
In 2017, VA announced a new initiative called “Anywhere to Anywhere VA Health Care”, which laid the foundation for interstate telemedicine between VA providers and patients. Other efforts under the initiative included expanding telehealth opportunities for remote clinics and call centers, as well as the development of VA telehealth access points.
The effort was designed as an awareness-raising measure, but was also developed with a view to using telehealth during disasters. The VA Telehealth Emergency Management Team was created in response to Hurricanes Harvey and Maria in 2017, although the COVID-19 pandemic triggered a rapid expansion of telehealth services.
“I like to say we hit our five-year telehealth goals in the first month of the pandemic, and we’re not looking back,” shared Dr Neil Evans, CEO of our Office of Connected Care. “Connected Care is and will remain a critical part of how VA is able to care for the Veterans we serve.”
I always look ahead
The world has changed significantly since the outbreak of COVID-19, and VA has changed as well. Continued investment in our telehealth services will allow us to maintain the broad spectrum of clinical care that we have developed with our veterans. Meanwhile, the expansion of our telehealth operations will provide care to even more patients, which in turn means more job opportunities.
In April, VA opened a new Clinical Resource Center (CRH) in Boise, Idaho – the first such facility in our network. The HRC will serve as a space for VA staff treating veterans via telehealth and will accommodate more than 200 staff, including doctorsadvanced practice providers, psychologistssocial workers, nursesplanners, pharmaciststechnicians and Administrative Support.
Supporting systems that care for veterans is also a necessity to improve our telehealth networks. Program specialists provide essential operational management and the technical know-how to maintain clinical telehealth operations at our facilities, ensuring that we can reach veterans smoothly and efficiently.
A career with benefits
At VA, you and your dedicated colleagues are rewarded with a strong support system. A VA career offers you a balanced and flexible work environment and advantages focused on your unique needs.
Competitive starting salaries. We offer our employees solid starting salaries based on education, training and experience. We also offer steady growth, with periodic salary increases that take into account inflation and local market changes.
Flexible hours. Our employees receive 13 to 26 paid vacation/personal days, plus 13 sick days per year with no accrual limit, and we celebrate 11 paid federal holidays each year.
Robust insurance options. You can choose from a variety of health maintenance organizations or paid health plans, and all cover pre-existing conditions. Plus, we pay up to 75% of health insurance premiums, a benefit that can continue into retirement.
Work at VA
As we continue to evolve the way we care for veterans, telehealth careers are a great way to join our team in a variety of fields.
Learn about our investments in telehealth opportunities.
Do you feel like your house always empties your wallet? Maybe it’s time to earn him an income instead of burning him down with a secondary suite.
Homeowners across the country are building ADUs. And aging homeowners are incorporating ADUs into their retirement income planning. They can even leave the main house and move into their ADU to earn more income and age in place.
In addition, cities with housing shortages encourage the construction of ADUs. In California, the state legislature authorized the construction of ADUs. ADUs in many cities are helping to boost affordable housing.
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“Our city is allowing ADUs at a pretty rapid rate,” Rosie Dyste said. She is a project planner with the Department of Community Development for the City of Santa Barbara, California. Setback rules — how far a structure must be from land lines — have been reduced for new ADUs and wavered for ADU conversions (like garages), Dyste says.
“For the most part, if you can adapt it, you can build it,” she said.
Retirement planning: building a secondary suite
As of 2017, Santa Barbara owners have built (or are currently building) 215 ADUs. This is according to the city’s ADU sitemap. But this is only the beginning. The site says 371 ADU plans have been approved and 288 plans are pending approval as of July 1, 2022.
“ADUs are accepted by municipalities across the country,” said Sheri Koones, author of nine books on tiny homes and sustainable construction. “It’s a growing trend.”
Koones says ADUs were first adopted in Vancouver, Canada. But as city living has become more expensive, ADUs have become popular in the United States as a way to alleviate “the huge housing shortage”, she said.
ADU permits issued across California rose from nearly 9,000 in 2018 to 12,392 in 2020, according to data collected by the California Department of Housing and Community Development.
California cities actively promoting ADUs include San Francisco, Santa Cruz, Del Mar and many others. Del Mar even offers sample ADU plans on its website.
ADUs are not tiny houses, Koones explains. They may be small structures, but ADUs are not on wheels. And unlike Tiny Homes, they are fully up to code.
Dyste says many homeowners in Santa Barbara are building 500 to 600 square foot units. Structural costs typically range from $150,000 to $200,000 for permits, site preparation, and construction. However, California allows ADUs up to 1,200 square feet. And conversions can be any size (think barn or other outbuilding).
Or, an owner may choose to build an ADU or JADU junior. They are created within the structure of an existing single-family home. These Golden State ADUs are limited to less than 500 square feet.
Cities in other states have their own rules. Research the rules in your area, possible sources of financing (a home equity loan or a line of credit), and possible ADU grants for certain projects.
Be sure to check with your municipality about owner occupancy and short-term rental (STR) rules. Many communities restrict short-term rentals of ADUs and other properties. And some municipalities require a homeowner to live in either the main house or the ADU.
DIY An ADU?
David Marchetti, a real estate agent with Sotheby’s International Realty in Santa Barbara, demolished a carport to build his recently completed 500 square foot ADU. He says he had help with the design, foundation and other “heavy lifting”. However, he did “most of the finishing work myself”.
His plan for the short-term unit is to rent it out to a professional — teacher, firefighter, or traveling nurse — who needs affordable housing. He and his wife are considering retirement, so they built the unit to “create passive income.”
When they retire, the ADU will give them flexibility. “It gives us the ability to put our stuff in the ADU and use it as a home base if we want to travel,” Marchetti said. “We can go out and see part of the world.”
“The rent from my main house, which is very close to the beach, would pay the rent from anywhere in the world,” he said.
Does an ADU increase the value of the house? The taxman is coming
ADUs will increase the value of a property. How many? It depends on the features and location of the property. In Santa Barbara, a small ADU “would likely increase the value of the property far more than the cost of building it,” said Bob Walsmith Jr., a realtor and 2022 president of the Santa Barbara Association of Realtors.
Walsmith says a small unit, say 600 square feet, can fetch $2,000 a month or more in rent today. “We’re at about 99% occupancy for apartments in this area,” Walsmith said.
However, Uncle Sam still gets his share. Building an ADU will increase the assessed value of a property and therefore the property tax bill.
In addition, you will need to report all rental income on your tax returns. And since you’re installing a rental unit on your property, you’ll want to research the possible tax ramifications at the time of sale.
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Brookdale Community College’s Spring Nursing Class of 2022 is pinned! They enrolled in the midst of the pandemic, and throughout their studies they saw the demand for the profession increase. Some graduates always wanted to be a nurse. For others, it was a career change. Some did not have the prospect of a higher education earlier in life and have now embraced the opportunity. What binds this class is the dedication they all have to this noble calling.
“The rewards of this profession outweigh any other hurdles we might encounter,” said nursing graduate Bryanna Long as she kicked off the nursing pinning ceremony. “This group of graduates witnessed the profession through a global pandemic and still said I wanted to be part of this special profession.”
The pre-commencement pinning ceremony is distinctive to the nursing community and unlike any graduation ceremony. Not only does it mark the end of student classes, but this ceremony honors nursing graduates who will work in a career where they will have to be selfless for the good of many others. Each nursing school designs and awards its own personalized pin, connecting each graduate to the alumni before them.
Charlotte Cole, nursing educator and graduate of the Brookdale nursing class of 2006, was chosen by the class to be the guest speaker. She reflected on the College’s motto, “Here you will get there.” She shared some success stories about three of the former Brookdale nurses she had the pleasure of working with and where they are today.
Latoya Thomas graduated from Brookdale in 2014 and is an assistant instructor. She is the head of the oncology unit at Jersey Shore University Medical Center (JSUMC).
“Here Latoya is here,” Cole said.
A graduate of Brookdale with the Class of 2002, Bill Schreiber started out in housekeeping at JSUMC, then went on to earn his BSN, MSN, from Thomas Edison University and an MBA from Monmouth University. He is now the director of operations at Southern Ocean Medical Center. He accomplished all of this while having a busy family life.
“Here Bill is,” Cole said.
Thomas Ciancia is an alumni from the class of 2014. He changed careers and entered nursing after a career in construction and eventually became a nurse practitioner. As Brookdale’s newest faculty member, he said, “I came to teach to have a positive impact on health care by training the next generation of nurses.”
“Here Tom is here,” Cole said.
The spring 2022 class has 57 graduates. Each has their own unique stories, goals, and challenges. “Now you’re all nursing grads,” Cole said. “Brookdale brought you there!”
“Nursing is the hardest job you’ll ever love,” Cole said. “Nursing is cerebral, physical and emotional. You will serve some when they enter this world, and others when they leave it. You can shed tears on both. In these and other difficult times, you will remember why you became a nurse.
Director of Nursing, Patricia D’Aloia-Gandolfo, MSN, RN, CMSRN presented the Nursing Honor Society Awards to the following graduate students, Stphanie Beckerman, Vivian Eadicicco, Chelsea Fulton, Bryanna Long, Kristy Ngo, Michelle Rotunno , Laina Tollefsen , and Alyson Trione.
The farewell speech was delivered by Siobhan Nagy, a nursing graduate and member of the US Army Reserve’s 357th Chemical Company. She said: “Teamwork will be the epitome of our nursing class. When a teammate is weak, the others become their strike and practice every shift. During the clinics, we met some amazing friends. We created undeniable bonds and leaned on each other for support. Our motto was “Leave no one behind” and today our entire clinical group is here getting caught. »
New Jersey, United States,– The Global Wide Field Medical Imaging Systems Market The report offers important insights into the state of the industry. This research offers in-depth details on the fundamentals, productivity, strengths, manufacturers, and current industry trends that support business expansion and economic success. The study endeavors to maintain an in-depth analysis and offer a regional assessment of the global Wide Field Medical Imaging Systems market.
The Global Medical Wide Field Imaging Systems Market study examines the potential segments including product type, application, and end-user and their size impact. In simple and understandable formats, the article offers a detailed and knowledgeable assessment of the complex analysis of prospects, development variables and future projections.
To ensure that specific details of the Global Wide-Field Medical Imaging Systems Market footprint and sales demographics are captured accurately, in-depth analysis of multiple regions is performed enabling the user to make the most of the data.
Scope of Wide Field Medical Imaging Systems Market Report:
Market size available for years
2022 – 2028
Base year considered
2018 – 2021
2022 – 2028
Revenue in USD Million and CAGR from 2022 to 2028
Types, applications, end users, and more.
Revenue Forecast, Business Ranking, Competitive Landscape, Growth Factors and Trends
North America, Europe, Asia-Pacific, Latin America, Middle East and Africa
Scope of customization
Free report customization (equivalent to up to 8 analyst business days) with purchase. Added or changed country, region and segment scope.
Pricing and purchase options
Take advantage of personalized purchasing options to meet your exact research needs. Explore purchase options
Regions are covered in Wide-Field Medical Imaging Systems Market Report 2022 to 2028
For a comprehensive understanding of dynamics, the global Wide Field Medical Imaging Systems market is analyzed across key geographies, namely: North America (United States, Canada, and Mexico), Europe (Germany, France, United Kingdom, Russia and Italy), Asia-Pacific (China, Japan, Korea, India and Southeast Asia), South America (Brazil, Argentina and Colombia), Middle East and Africa (Saudi Arabia, United Arab Emirates States, Egypt, Nigeria and South Africa). Each of these regions is analyzed based on the results of the major countries in these regions for a macro-level understanding of the.
– Quantitative information and forecast for the global Wide Field Medical Imaging Systems market industry segmented by type, end-use and geographical region.
– Expert analysis of the key technological, demographic, economic and regulatory factors driving the growth of the Wide-field Medical Imaging Systems market up to 2026.
– opportunities and recommendations for new investments.
– Growth prospects for emerging countries until 2026.
✦ What is the growth potential of the Wide Field Medical Imaging Systems market? ✦ Which product segment will take the lion’s share? ✦ Which region will impose itself as a precursor in the years to come? ✦ Which application segment will grow at a rapid pace? ✦ What are the growth opportunities that could emerge in the lock washer in the coming years? ✦ What are the major challenges that the global Wide Field Medical Imaging Systems markets may face in the future? ✦ Who are the leading companies in the Global Wide Field Medical Imaging Systems Market? ✦ What are the main trends that have a positive impact on the growth of the ?
Below is an overview of these quadrants.
Customer Experience Map:-
The Wide Field Medical Imaging Systems market study offers an in-depth assessment of various customer journeys relevant to the and its segments. It offers various customer impressions of the products and the use of the services. The analysis takes a closer look at their pain points and fears across various customer touchpoints.
Information and tools: –
The various insights contained in the Wide Field Medical Imaging Systems market study are based on elaborate cycles of primary and secondary research that analysts engage with during research. Research Intellect analysts and expert advisors adopt industry-wide quantitative customer information projection tools and methodologies to arrive at results, making them reliable.
The results presented in this study are an indispensable guide to meeting all business priorities, including strategic priorities. The results, when implemented, showed tangible benefits to business stakeholders and industry entities to improve their performance. The results are tailored to the individual strategic framework.
Strategic frameworks: –
The Wide Field Medical Imaging Systems Market study empowers companies and anyone interested in defining broad strategic frameworks. This has become more important than ever given the current uncertainty due to COVID-19. The study deliberates consultations to overcome various past disruptions and plans new ones to strengthen preparedness.
Market Research Intellect provides syndicated and customized research reports to clients across various industries and organizations with the aim of providing functional expertise. We provide reports for all industries including Energy, Technology, Manufacturing & Construction, Chemicals & Materials, Food & Beverage, and more. These reports provide an in-depth study of industry analysis, value for regions and countries, and industry-relevant trends.
A UW Health nurse who has been in the field for 10 years said he loves his job, but the working conditions are driving him crazy.
“Nursing at UW is a great career because I love it. I want to keep doing it, but we’re running out of colleagues, support and we’re all pretty tired and exhausted from COVID,” the UW Health nurse said.
Another UW Health nurse who has worked in the field for 15 years said it was not a new problem, but COVID has made the conditions even worse.
“We have been sounding the alarm for a long time, and now we are sounding it as loud as possible. We need help immediately,” she said.
Local healthcare employers also contributed to the conversation, all agreeing that staffing is a major issue they face.
Employers discussed several avenues to help ease the stress placed on workers, including considering canceling student loans, raising wages, paying for training, and working with area schools to help channel potential nurses to hospitals.
Group Health Cooperative of South Central Wisconsin President and CEO Dr. Mark Huth said that while COVID has exacerbated problems in the health sector, they are problems that have been going on for years.
“Health care has been broken for many years in this country. We spend twice as much as anyone else, and we’re 37th in the world for quality, so health care has been down for some time,” Dr Huth said.
The committee will continue its discussions and ask for further recommendations at a future meeting. The date of this meeting has yet to be determined.
NBC15 has reached out to UW Health for comment after hours, but has yet to receive a response.
Most of the July issue of Health Affairs is dedicated to articles about how we can provide preventive care and positive outcomes for type 2 diabetes. There are also studies looking at the frequency of inaccurate Medicaid mental health provider directories, recent changes in disease burden expenditures and the correlation between a community’s hospital readmission rates and patient care options once a patient is discharged.
Featured articles highlighted and described below:
Diet, work and hospitalizations in adults with type 2 diabetes.
The Department of Agriculture estimates that in 2020, 10.5% of U.S. households experienced food insecurity, defined as “the limited or uncertain availability of nutritionally adequate or safe food.” Research has shown that food insecurity is more common in people with type 2 diabetes. However, few studies have investigated the relationship between food insecurity in working-age adults living with the disease. To fill this void, Joshua Weinstein and his co-authors at the University of North Carolina at Chapel Hill assessed data from a 2011 to 2018 government survey of American adults aged sixty-five and under with the disease. diabetes and found that food insecure survey participants had an average of 13.32 days missed from health-related work over the past twelve months, compared to 6.02 days missed among those with diabetes. Food Safety. For those who reported hospitalizations in the past twelve months, food-insecure adults spent an average of 2.77 nights in hospital, compared to 1.41 nights among their food-secure counterparts. The authors hypothesize that food insecurity can lead to a vicious circle – it worsens health, potentially reduces income and increases the extent of food insecurity – and recommend that policy makers consider the potential benefits of productivity in addition to implications for health care utilization.
Also in the July issue: six studies, published June 27, discuss how to provide preventive care and improve outcomes for type 2 diabetes.
Oregon Medicaid mental health provider directories frequently include “ghost” participants.
Health insurance plans are required to provide their customers with a list of providers in their networks. These databases are a crucial tool that patients can use to select health plans or locate providers in the network, especially for mental health services, which a 2019 Health Affairs study showed that they were up to six times more likely than general medical services to be provided out-of-network. Previous studies have revealed widespread inaccuracies in these directories, with growing concerns about so-called “ghost networks”. In what is among the first studies of provider data (as opposed to studies using “secret shoppers”), Jane Zhu of Oregon Health and Science University and her co-authors examined lists of providers in network directories compared to provider networks empirically constructed from administrative claims among Oregon Medicaid managed care organizations in 2018. They found that 58.2% of providers listed in the network saw four or fewer Medicaid patients in that year, including 67.4% of mental health prescribers, 59.0% of mental health non-prescribers, and 54.0% of primary care providers. They conclude that these discrepancies suggest that federal and state efforts to monitor and enforce network adequacy standards may not be accurate if they rely on current network directories.
Hospital readmission rates related to patient care options after discharge.
Hospital readmissions are increasingly seen as an indicator of quality of care. The Centers for Medicare and Medicaid Services (CMS) calculates annual readmission rates and financially penalizes hospitals whose readmission rates exceed national averages. However, it is unknown whether a patient’s risk of readmission is influenced by the local availability of follow-up care after discharge. To better understand this relationship, Kevin Griffith of Vanderbilt University Medical Center and his co-authors linked county-level data on healthcare workforce and infrastructure to hospital 30-day readmission rates for heart attack, heart failure and pneumonia between 2013 and 2019. Their results showed lower thirty-day readmission rates in hospitals that operated a palliative care service or had a greater local supply of primary care physicians, skilled nursing facility beds and licensed nursing home beds. In contrast, hospitals with more local home care agencies or nurse practitioners were associated with increased readmissions. The authors conclude that CMS can penalize or reward hospitals in part based on the communities they serve versus the quality of care they provide. The findings also suggest that hospitals could benefit from work to improve local access to care or from hospital-community partnerships to improve continuity of care after a patient is discharged.
Non-pharmaceutical responses to COVID-19 in Brazil.
When the first cases of COVID-19 appeared in Brazil at the end of February 2020, the twenty-seven Brazilian states responded by implementing a variety of non-pharmaceutical interventions: restrictions on public events, schools and non-essential commerce , and a bit later, masking orders. In this study, Louise Russell of the University of Pennsylvania and her co-authors estimated the independent effects of seven of these interventions on COVID-19 cases and deaths in twelve Brazilian states, using daily data from March to December 2020. They found that two interventions — restrictions on public events and masking mandates — significantly reduced the spread of the disease. Complete restrictions on public events reduced the growth rate of COVID-19 cases by 0.227, which averaged 1.30 before any intervention was introduced. Partial restrictions on public events have been equally effective, suggesting some easing was possible without increasing cases. Full Hide Mandates were also effective, with a growth rate reduction of 0.060. The authors note that the combined effect of suspending public events and imposing full blackout warrants reduced the growth rate to nearly 1, the point at which cases are no longer increasing. Selective use of non-pharmaceutical interventions is important in all countries to minimize the economic and social burdens of controlling COVID-19, but may be particularly important in low- and middle-income countries like Brazil, which have more workers in informal jobs that lack security. net services, poor infrastructure for distance education and less ability to stimulate their economies. The authors conclude that their findings can help policy makers choose the most effective measures to adopt when community transmission and incidence of COVID-19 increase.
Photo above: ’73 Bishop Ronnie White (LS), of Chicago Heights, Illinois, is the Juvenile Officer and Director of Juvenile Services at the Chicago Heights Police Department and the assistant pastor of New Hope Baptist Church.
The book co-written by Kathleen Paris
’71 Kathleen Paris (EHS), of Madison, co-edited the book Bending Granite, over 30 true stories of change managementa collection of first-person conversational stories about the changing world for anyone leading change at any level.
’73 Beard Borkovec (EHS), of Antigo, is very active in her church, St. John the Evangelist. Brokovec retired after 20 years as a second grade teacher at Crestwood Elementary School. She is married to ’83Harold Borkovec (MBA).
’73Tom Luljak (LS), of Milwaukee, retired in 2021 after more than 50 years in radio, journalism and education. Luljak is currently acting director of Wisconsin Public Radio.
’73 Bishop Ronnie White (LS), of Chicago Heights, Illinois, is the Juvenile Constable and Director of Juvenile Services for the Chicago Heights Police Department and the assistant pastor of New Hope Baptist Church. White is Chairman of the Board of Trustees of Prairie State College, where he has served since 2015.
’85 Michel Horvath (EHS), of Mount Pleasant, South Carolina, is a counselor in private practice and a member of the rock band SoulBeast. Horvath plays guitar, bass, keyboards and sings backing vocals.
’87 Rob Kleman (B), of Oshkosh, will serve as president and CEO of the Oshkosh Chamber of Commerce effective Jan. 1, 2023. Kleman is currently senior vice president of economic development for the Chamber.
’87 Kathleen “Katie” (Schumacher) Pethan (EHS), of Manitowoc, retired after teaching for more than 30 years in the Valders community. Pethan plans to travel with her retired husband and fellow teacher, ’84 John Pethan (EHS).
Brenda and Martin Lastrilla
’88 Brenda (Schulteis) Lastrilla (NOT), of Summit, is a registered nurse at Froedtert Menomonee Falls Hospital. Lastrilla is married to ’88 Martin Lastrilla (LS).
’97 Brian Shimon (MSE), from Sussex, is the principal of Burlington Catholic Central High School. Shimon has been Principal of St. John Vianney Catholic School in Brookfield for the past four years and has over 25 years of educational experience.
’97Jim Mielke (MPA), of Beaver Dam, is retiring after 14 years as a Dodge County administrator.
’97Steven Johnson (LS), of Milwaukee, was promoted to deputy chief of the Milwaukee Police Department where he has worked for more than 25 years.
’98Gena (Schmidt) Frey (LS) and ’06 (MPA), of Oshkosh, is a recipient of the 2022 Shining Star Award from the Fox Cities Chamber’s Excellence in Student Services. Frey is the director of the Reading and Study Skills Center at UW Oshkosh.
’00 Garth Wicinski (MBA) of Winneconne, is the President and CEO of Secura Insurance. Wicinsky has been with Secura since 1996, most recently as senior vice president and chief administrative officer.
Holden Gerner with his family.
’05 Kevin Deering (EHS), of Grafton, is the executive director of educational services for the Mequon-Thiensville School District. Deering was the principal of John Long Middle School in the Grafton School District. He is married to ’05 Jennifer (Whealon) deer (EHS) and ’08 (MSE).
April 10 Zuberbier (MBA), of Appleton, is senior vice president of investments and insurance at Community First Credit Union. Zuberbier previously worked at Thrivent.
’13Holden Gerner (LS), of Waupun, is regional manager for Walmart Logistics.
’14 Chris Tarman (EHS), of Neenah, was selected to carry the torch for the annual Law Enforcement Torch Run at the United States Special Olympics in Orlando. Tarmann is the acting police chief for UW Oshkosh and the founder of Run With the Cops, a UWO campus fundraiser.
’16 Jordan Schettle (LS), of Milwaukee, is the assistant attorney for the city of Milwaukee.
Alex and Logan Mitchell
’17Ben Binner (LS), of Nashville, Tennessee, is the A&R director of Green Hill Music. Binner has worked with renowned artists such as Paul Anka, Frankie Valli, Jim Brickman, Lynda Carter and many more.
’19 Alex (Weiland) Mitchell (LS), of Kaukauna, is a data analyst at EatStreet. Mitchell and his wife, ’20Logan Mitchell (LS), recently purchased a home on the Fox River.
DEHRADUN: Over the past six months, the Uttarakhand Medical Council (UKMC) issued notices to 41 physicians for breaching its “Professional Conduct, Etiquette and Ethics Regulations 2002” by agreeing to appear in advertisements on billboards, banners and newspapers. The UKMC ordered these doctors to undergo up to 150 hours of “continuing medical education” to “rekindle the memory of the ethics of the medical profession”. The council also said doctors should “focus on the job and not the limelight” and that their faces in advertisements were “an embarrassment, a gross violation of the law and unethical”. The body reiterated that if doctors were caught flouting the advice and repeating the offence, legal action would be taken against them. “Board action can range from suspension to license suspension,” UKMC said. “A single doctor claiming to treat several specialties is disturbing” Meanwhile, TOI has learned that a major Dehradun-based hospital has been arrested by the council for such misconduct. The Uttarakhand Medical Council has made it clear that such publicity could also result in license suspension of individuals. Speaking to TOI, a board member said: “Doctors working as employees of large facilities have been urged to take this message to their administrators. Such abusive practices are promoted by the corporate world to gain traction. ‘silver.” Dr DD Choudhury, member secretary of the UKMC’s Ethics and Disciplinary Committee, said: “A single doctor claims to treat several specialties on billboards. It’s troubling. Hospitals using photos of doctors as an advertising and marketing tool are unacceptable according to the ethics of Indian Medical Council. A person’s diploma and specialties are enough to transmit their skills. Physicians are advised not to use their photos in advertisements.”
Donald H. Snow, 74, Harpursville, NY passed away surrounded by his loving family on July 2, 2022. He was predeceased by his parents Donald F. Snow and Marguerite Babcock. Also, his mother-in-law Mae Snow, his sister Karen Hall, his nephew Jim Snow, his beloved cousins David and Leslee Kark and his truly missed friend Jerry Grosvenor. He is survived by his loving siblings Gloria Donichy and Mark Snow (Jean), and his brother-in-law Scott Hall. He is survived by his son DJ Snow (Ileta) and his grandchildren Donald (Rayann), Cody (Maryanna), Tucker (Cora), Rachael and their mother Tanis. As well as his four great-grandchildren, Donald, Colton, Stella and Jacob. He is survived by his daughter Nicole Weist (Russ) and his grandchildren Mitchell, Brockton and Olivia. Lots of loving nieces, nephews and cousins that stretched from east coast to west coast. With her loving “Brazilian” family, especially Monica, the Brazilian foreign student of the family in 1989 who was like a daughter. Don served in the United States Navy stationed in Norfolk, Virginia on a submarine tender. As a young man he enjoyed being competitive in the horse gymkhana events with his favorite horse Jack and proud of having won many first place ribbons. Don started Don Snow Trucking in 1978, with a single-axle International gas-powered dump truck. With the determination and dedication of his wife Sharon at the time, who remained Don’s best friend until his last moments by his side. They built their business until it is today which employs many family members and those who have become family. His son DJ was raised to be part of the business from the start. He insisted that DJ start in the gravel pit and progress to managing and managing the entire fleet. He felt that DJ really had to know the business from scratch in order to be most effective. It turned out to be true. He said his lifestyle over the past 15 years is really down to the insight and hard work of DJs and how much he appreciates them. This gave him time to enjoy the farm while being the company’s sounding board. Don has always had his own path, however, he wanted to ensure that all employees were recognized for their dedication, including employees who have been with us for 30 years and those who have just joined our family business. He recognized the importance of each of our employees to the success of our business, whether they are those who drive our dump trucks, logging trucks, dumpsters, livestock trailers, trailers, flatbeds , our equipment carriers, our office staff and our shop workers. A perfect day for Don started with coffee and breakfast at his daughters house on the porch, and seeing his grandkids stop by before starting their day, then on their way to the office to start and finish business. . On weekends, he could be found cycling with his son DJ to find a project to ride his bike and trade, attending an auction for less time than it took to drive there , or his love for the hay field which he passed on to his son and grandsons. He could be found in his John Deere UTV on back roads en route to compete with his brother Mark to see who could be more sarcastic towards each other, to show their love of course. He then dropped by his close cousin Jon Kark to talk about solving day-to-day projects that always involved thinking outside the box. His life has always been about giving to his family. It was important to him that his sister Gloria in San Diego and his sister Karen in Charlotte had apples from New York to make a homemade pie and piano stools for that special guest. He continued chopping wood until just a few weeks before his death, it was a bonding and learning experience for his grandsons and “Randy”. Randy was a trusted friend and employee who was always involved in all of Don’s crazy ventures. Ideally, the pile of wood with a chainsaw in hand would have been his most comforting place to pass. Due to medical issues for which he was still responsible, he was instead surrounded by his family who were actively involved in his daily care and comfort. He lacked neither company nor good wishes from his beloved grandchildren. They stopped to help and get as much advice as they could, to navigate their grandfather’s life. He was always known as a man of his word and he also insisted on his children and grandchildren. While recently making hay in the backyard, DJ was able to come in and ask his opinion on how to fix the scooping twine and of course his dad was able to fix it with instructions and advice. Don had a much loved relationship with his son-in-law Russ, as well as his step-daughter Tanis. It was nothing for Russ to go home with the execution of one of Don’s ideas that wasn’t Russ’ vision. Fortunately, their respect and love for each other has always helped them through these times. Tanis and Don continued to have a romantic relationship that he enjoyed and was proud of. Our father took pride in working and pushing himself every day to overcome his health issues. He really went against all the advice of the medical community and exceeded all their expectations, while remaining in control of his quality of life. We are grateful that he was able to enjoy a season and a half longer of hay than expected, an entire family vacation in the Outer Banks, an impromptu trip to San Diego to see his sister Gloria. Jon Kark was the tour guide while Don, Sharon, DJ, Ileta and Pat were happy to join the ride. He was able to enjoy another holiday season and Father’s Day. With a new dump truck that has recently been added to the fleet. Our regrets are minimal because of the time we spent each morning and evening soaking up His love and giving our own on a daily basis. Don has always had a convertible and thought everyone should do the same. He insisted his granddaughters knew how to drive a switchboard. He always wanted them to be in charge and able to get out of any situation. He always encouraged his grandchildren to take matters into their own hands because he was more confident in their ability to handle situations than anyone else. He always said “be good, be careful and love yourself” as they went about their business. He was looking forward to Sunday to gather everyone and enjoy dinner. It was time to discuss business, possible endeavors, and what each of the grandchildren was up to. Don was known for his “Plan A and Plan B” lifestyle. His grandsons have stories that involved grandpa’s moving equipment and all those “plan Bs” that shouldn’t have worked and always did. He was never afraid to give his advice and if you didn’t want to follow him, he kept reminding you that his idea would work better. His presence as “Big Dad” will be sorely missed as his great-grandchildren gather for their weekly Sunday dinner, and they peek in and see his empty seat. He has always emphasized that at “Don Snow Trucking…all we have to sell is service”. He is a legend and will remain in our hearts and minds for the end of time. We’ll take the wheel from here. Funeral services will be held at Snow’s Hilltop Manor Pavilion 1909 Route 7 Harpursville on Saturday. July 9, 2022 at 1 p.m. Interment will be in Port Crane Cemetery. The family will receive friends at Snow’s Hilltop Manor lodge on Saturday. from 10 a.m. to 1 p.m. before the service. Memorial contributions in Don’s memory may be made to a charity of his choice. Online condolences can be made at: www.omaddenfh.com.
Primary care is often the first line of health care that patients access; however, research suggests that opportunities in primary care are limited for student nurses, especially nurses with learning disabilities.
The primary care experience is a great opportunity to gain skills and, for students, provides a new perspective on career paths. I had the good fortune to experience a small side of primary care, doing health checkups led by student nurses through the nurses on tour road show hosted by Joanna Vintis, Nurse Practitioner and Nurse Liaison for the Northumberland Clinical Commissioning Group, and Helen Stainsby, Practice Placement Facilitator, Effective Learning Environments at Health Education England.
As a learning disabled nursing student, this opportunity gave me valuable insight into primary care. Highlighting the adaptability and diversity of the role of the nurse with learning disabilities, the Student Nursing Roadshow offers all areas of nursing the opportunity to attend and participate in patient check-ups .
Health checkups are an integral and vital part of preventive measures to promote the health and well-being of patients in primary care, they offer routine screening and can often detect signs of deterioration when a person is generally well . Examples include reporting elevated blood pressure readings or perhaps identifying increased alcohol consumption. Importantly, the skills learned during health checkups give nursing students increased confidence to ask potentially difficult questions and to develop and strengthen their clinical judgment and decision-making.
People with learning disabilities are four times more likely to die from preventable causes than the general population, and evidence suggests that NHS health checks often identify modifiable risk factors (such as the risk of diabetes and cardiovascular disease), referrals from disadvantaged groups are included in these results.
The information collected from the LeDeR Action from Learning Report 2020/2021 identifies ischemic heart disease as one of the leading preventable medical causes of death in adults with learning disabilities, accounting for 22% of all preventable deaths. NHS health checks are now designed to highlight and identify cardiovascular risk factors, with nurse practitioners able to offer specialist advice and make relevant referrals to improve wellbeing. Primary care nursing students are in a valuable position to learn from nurse practitioners, who have varied and diverse skills and specialist knowledge to meet the needs of their patients.
The Nursing Student Roadshow allowed me to reflect on my own practice, skills and development as a student. The coaching model adopted by the road show, with peer support at the forefront, gave me confidence in my skills and my ability to share knowledge with others. Encouragement from facilitators allows for the development of decision-making skills, which is an essential part of our nursing education. The opportunity for nursing students with learning disabilities to consider primary care was well received and greatly appreciated.
Nurses with learning disabilities should continue to build on their development and presence in primary care, not only to improve the health and well-being of people with learning disabilities, but also to continue and contribute to the NHS long-term plan.
Chloe Hawkins is a second-year learning disabled nursing student at Northumbria University and editor of The Nursing Times 2021-22
JEFFERSON CITY — A wealthy U.S. Senate candidate may have violated state election law by pledging to forfeit her congressional salary if she wins the race.
Trudy Busch Valentine, a Democrat seeking to replace Republican Roy Blunt in the Senate, issued a press release Wednesday saying she would not accept a salary if sent to Washington.
“All my life I have known that true meaning lies in service to others. That’s why I became a nurse serving the most vulnerable in our state,” Valentine said. “For me, public service is another way to give back. That’s why I pledge to receive no salary as a US senator.
But under state election law, candidates cannot promise to serve for “less than the salary” paid for the position as a “voter inducement.”
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“Under election law … it is a class 4 election offense for a candidate to make representations regarding the pay cut to attract votes,” said a spokesman for Secretary of State Jay Ashcroft, who oversees elections in Missouri.
The offense is classified as a misdemeanor punishable by up to one year in prison or a fine of up to $2,500.
His campaign said Friday that it was not a violation.
“This law is specific to incentivizing someone to vote, not a press release that simply lays out Trudy’s plans,” campaign manager Alex Witt said.
Valentine, a first-time candidate who is the heiress to the Busch beer fortune, filed paperwork on Sunday as part of her bid for office showing she has a net worth of between $69.4 million. dollars and $219.4 million.
His annual income is listed between $4.3 million and $30.7 million.
Valentine’s one-fifth stake in Grant’s Farm, the family tourist attraction in southern St. Louis County where she grew up, is worth between $5 million and $25 million.
The record shows that Valentine holds much of her wealth in stocks, bonds and securities.
The personal financial disclosure form she submitted to the US Senate shows she owns $34 million in stock, including Google, Apple, CVS, Bank of America and General Motors. She has delegated control of her finances, including the shares she owns, to outside professional managers, a campaign spokesperson said.
She also owns a farm in Montgomery County, in the northern Rhineland.
Valentine is part of a large group seeking to replace U.S. Senator Roy Blunt, a Republican who announced his retirement last year. Other Democrats include Lucas Kunce and Spencer Toder.
Republicans seeking the seat include Missouri Attorney General Eric Schmitt, former Governor Eric Greitens, State Senate Speaker Dave Schatz, St. Louis attorney Mark McCloskey, and U.S. Representatives Vicky Hartzler and Billy Long.
Republican lawyer John Wood announced this week that he was mounting an independent bid for the office backed by former US senator Jack Danforth.
Valentine isn’t the only candidate planning to spend part of her fortune to get elected.
Schatz, a Sullivan businessman, previously made a $1 million loan to his campaign. Long, a Springfield auctioneer, invested $250,000 in his campaign.
Toder, a St. Louis businessman, has put up at least $240,000 in the race.
Along with promising not to take the Senate’s $174,000 annual salary, Valentine pledged to bar members of Congress from trading stocks while in office.
“No senator should be able to make money using inside information when they should be focused on serving the people who elected them,” Valentine said.
She and her husband, John Fries, plan to place their fortune in a blind trust if she wins.
Valentine, a registered nurse, is a family member who owned a majority stake in Anheuser-Busch until it was sold to InBev in 2008 for $52 billion.
In 2020, Forbes magazine listed the family’s overall wealth at $17.6 billion, making the Busches the 16th richest family in the country.
Valentine, 65, is the daughter of August “Gussie” Busch Jr., who died in 1989. Her mother, Gertrude Busch, was Busch’s third wife.
In 2019, St. Louis University School of Nursing was named in Valentine’s honor after donating $4 million to the school. She graduated from the school in 1980.
This isn’t the first time a candidate has found himself in hot water over a promise not to take a salary.
In 1990, officials cried foul over similar pledges from Joan Kelly Horn, a Democrat who challenged U.S. Representative Jack Buechner in the 2nd Congressional District, and State House candidate Martin “Bubs” Hohulin, a Republican. by Lamar.
Horn, who defeated Buechner but served only one term, promised to donate his share of a pay raise to social service organizations in his district.
During his campaign, Hohulin promised to use part of his salary to provide scholarships to students in his southwestern Missouri district. He was elected and served 13 years in the House.
Summary of Trudy Busch Valentine Assets
1/5 owner of Grant’s Farmh)Total
Lower limit$5,000,001 $69,378,336
Upper limit $25,000,000 $219,420,000
Lower limit$0 $4,301,008
Upper limit$0 $30,674,000
Bank Deposit Heart 6 Ranch
GF Holdings (retirement accounts and investment portfolios
Bank deposit and cash
Money market funds
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Norman Winter is a horticulturist. He is a former director of the Coastal Georgia Botanical Gardens. Follow him on Facebook at Norman Winter “The Garden Guy”. See more of Norman’s columns at SavannahNow.com/lifestyle/home-garden/.
Every year, as my son James, my color design guru, orders plants to use in his clients’ homes, from those that look like historic cottages to lavish gardens, from those by the water’s edge to those considered mountainous. The only color I can be sure will get a lot of use is white.
When spring arrives every year with all its glorious colors – purples, pinks, yellows and reds, the color guaranteed to catch your eye every time is white. Of course, a scientist would most likely say that white is not a color, that it does not absorb any other color or wavelength, and that it is pure.
Pure and unspoiled goes with the bride in a white dress or the nurse in a white uniform. It’s like the morning when you wake up and see pure white snow on the ground that hasn’t been violated in any way.
Mother Nature does this in the spring forest. Dogwood trees seem to shine with their blooms, drawing our attention to shimmering, reflective bracts in an otherwise simple forest of green.
More from the garden guru:The greenhouse pot has become an ecological marvel
White flowers say planning and precision
White blooms like this year’s new soprano impatiens not only give definition to those more shaded areas of the landscape, but also provide a sense of cleanliness and purity. They also give a sense of planning and precision. In other words, the gardener knew what he was doing by carefully planting white.
Where possible, use white bedding plants such as Supertunia Vista Silverberry, Supertunia Vista Snowdrift or Supertunia Mini Vista White in the front of the border, along sidewalks or paths to define the start of the driveway. This brings the evening stroll through the garden to life.
In the landscape proper, hydrangeas reign like kings, whether they are varieties of the native oakleaf (Hydrangea quercifolia), native smooth hydrangea (Hydrangea arborescens) or Pee Gees (Hydrangea paniculata). . Could there be a reason they named it Limelight?
Add vertical dimension with climbers and rockers
Since white is the last color to disappear when the sun goes down in the evening. If it is a moonlit night, they will reflect that light all night. Use flowering vines like Proven Winners New Thunbergia, A-Peel Coconut, or Bombshell White Mandevilla to add nocturnal interest as they give a vertical element when climbing a Victorian-style tower or trellis. This year’s new Fairytrail Bride, the first cascading hydrangea, can turn an urn into a living statue in the moonlit garden.
While ‘The Garden Guy’ loves warm orange, red and salmon, if you walked on my patio tonight, Superbena Whiteout verbenas would be seen tumbling over the edges of containers and cascading down the rock face in the distance. It’s an all-weather verbena, offering vigor and large moonlit sparkling flowers.
More from the garden guru:Rush for Blue Mohawk to be your container’s suspense plant
Make the garden magical by moonlight
The moonlit garden can be incredibly magical with the addition of shrubs with fragrant white flowers. This will be the place where childhood memories are made. Memories of mom and dad and what life was like back then.
Proven Winners has introduced the Illuminati Series of Scented Mock Oranges which will have three varieties with the addition of the new Illuminati Sparks in 2023. Then there is the native or summersweet Clethera, like Vanilla Spice and Sugartina Crystalina, which by the mere mention of their name says olfactory experience.
The shrub everyone is talking about, however, is Fizzy Mizzy, a compact, fragrant sweetspire from Virginia that debuts this year.
The moonlit garden is enchanting and magical, all it takes is a little planning as the prerequisite is the color white. Every aspect of the landscape can have white included. Here’s hoping you’ll give it a try.
Eisa Salem Aldhaheri, Ambassador of the United Arab Emirates to Afghanistan, said: “The United Arab Emirates recently dispatched an aid plane carrying 30 metric tons of food as part of the relief airlift for the victims of the earthquake in Afghanistan. The consignment responds to the food shortage of a large number of families and vulnerable groups, in particular women and children, affected by the earthquake.
Talks between the United States and the Taliban continued in Doha earlier this week to discuss earthquake relief, the State Department said on Friday, months after the two sides last met in the Qatari capital in March.
The Taliban are seeking a way to unlock some of the country’s foreign exchange reserves – currently frozen by the United States – following a devastating earthquake last month, with the United States seeking to ensure that the money would go to help people.
During Wednesday’s and Thursday’s meetings, the United States reiterated an earlier pledge of $55 million in new earthquake relief assistance, the State Department said in a statement Friday.
And “the two sides discussed in detail U.S. actions to preserve $3.5 billion in Afghan central bank reserves for the benefit of the Afghan people,” the statement said, money the White House said the last week that the United States was “urgently” working to resolve. .
Last week’s magnitude 5.9 earthquake in eastern Afghanistan, which killed more than 1,000 people and left tens of thousands homeless, adds urgency to the debate over the funding.
During the same week, the United Arab Emirates sent 30 tons of aid, including essential food, to Afghanistan.
US, Taliban discuss earthquake aid and foreign exchange reserves in Qatar
Taliban leader hails Afghan victory at rally to forge national unity
Pakistani Foreign Minister calls for easing of sanctions against Afghanistan
Gerald “Jerry” Goerl, 89, passed away peacefully in his sleep on June 30, 2022, at Angel’s Touch Assisted Living Community. The son of the late Emil and Elda (Moeller) Goerl was born on April 27, 1933 in the canton of Lesser. He graduated from Seymour High School. Jerry served in the military for two years during which he was stationed in France with his brother Dallas. On March 27, 1960, Jerry married Gail Petrowski and they moved to De Pere, where they bought a house. Together they were blessed with three daughters. Jerry drove trucks for several companies, including Morning Glory Dairy, and retired from Red Owl Foods. He enjoyed traveling to Wisconsin and the Upper Peninsula of Michigan for his work. Personally, he loved traveling the west coast to visit his goddaughter Heidi, and Europe to visit his daughter. Jerry’s passion was to make people smile by playing his chromatic or keyboard accordions and the piano. He was well known for his polka music. Over the years he has played in several bands including: the Eldon Otto Band, the Three Yanks and the Mark Jirikovec Band. He particularly enjoyed playing in various retirement homes. Jerry has played alone or with Roger Walburn for many years and more recently with Delores Diny. He was a proud member of the Northeast Wisconsin Accordion Club. Jerry is survived by his children: Sharon Baumgartner (Brian Hardtke), Karen Smiley and Mary Kay (Kevin) Sands. He is also survived by his grandchildren: Thomas (Alicia) Jordan, Elizabeth (Wil) Chow, as well as many step-grandchildren, great-grandchildren, great-great-grandchildren and many nieces. and nephews. Jerry was predeceased by his parents, Emil and Elda, his siblings: Eugene, Dallas, Marlene (Gerald) Baehler, his sons-in-law, Gerald Baumgartner and George Smiley, and his special friend Gail Goerl. Please visit ryanfh.com for information about a family celebration of life and to leave a message of sympathy and support.
COVID-19 has posed big problems for public universities as students have struggled to continue their studies in recent years. But in many ways, community colleges have borne the brunt of the pandemic’s effects on higher education.
In Oregon, community college enrollment fell nearly 24% last fall from pre-pandemic levels, according to the Oregon Higher Education Coordinating Commission. Some colleges have seen layoffs due to continued declining enrollment.
But, there are some bright spots. Oregon is investing $200 million in workforce development through Future Ready Oregon, which includes nearly $15 million to boost career-path training programs at all community colleges in the state. Colleges also continue to enjoy local support, with some securing large bonds issued this spring.
The PCC this year celebrated 10 years of a scholarship program for low-income and first-generation students, and it recently established a writers’ residency program.
Early in Kemper-Pelle’s career as Rogue president, in 2016 voters in Jackson and Josephine counties passed a $20 million bond for the college to fund building programs and upgrade its facilities.
Lane Community College in Eugene also saw its community support a bond of more than $121 million in 2020.
But alongside the successes, the presidents have faced significant challenges – many of which have been exacerbated by the COVID-19 pandemic.
Drop in enrollment and challenges ahead
“When you’re a big college, you take the biggest hit first,” Margaret Hamilton, outgoing president of Lane Community College, told the OPB. “Big community colleges, we’re such a cross section of humanity, so we tend to take the hit.”
Hamilton pointed out that while the state’s public universities also saw enrollment declines, they only saw an average of about 4% fewer students last fall compared to the pre-pandemic period.
“We were all in double digits,” Hamilton said of declining community college enrollment. “We were sweating every time these numbers came in, because we are so focused on registrations. We just lost so many students.
Lane saw enrollment drop about 30% last fall from 2019, CCP saw it drop 23%, and Rogue’s enrollment fell 35%, according to state data.
Their new presidents are now being challenged to bring those numbers back up.
Cathy Kemper-Pelle of Rogue Community College in Grants Pass said that in recent years her college has made the decision to shift to “data-driven decision-making” – working on more data collection and research to to better understand the needs of students and their barriers to success.
“While the pandemic has driven down enrollment at RCC and community colleges across the country, we demonstrated early in the pandemic that we are able to pivot quickly and respond to changing demands from employers and students. We continue to adapt during pandemic recovery, using data to inform our decisions about both employment needs and barriers to student success,” Kemper-Pelle said.
At Oregon’s largest institution of higher education, Portland Community College, Mark Mitsui said understanding why students are leaving community colleges means looking at other opportunities available during the ongoing pandemic. Mitsui retired as president at the end of June.
According to Mitsui, the pandemic has changed the way some prospective students think about college. Instead of going to community college and getting a better-paying job, many people were pressured to get jobs right out of high school in order to make ends meet.
“Inflation continues, wages are also rising in low-barrier-to-entry jobs,” Mitsui said. “Housing, child care, food – basic needs – insecurity remains high and inequitable.”
To make community college more attractive, Mitsui said, colleges must continue to help students meet their basic needs through the implementation and expansion of supports like those in the recently passed Bill 2835. This Oregon law funds staff at all public universities in the state. and community colleges that can help students access resources such as food assistance and housing assistance.
Related: Oregon bill funds ‘benefits navigators’ at public universities and colleges
Hamilton and Lane also recognized that the very specific needs and living conditions of community college students during the pandemic often differed from those of university students.
“Our students didn’t have the luxury of going to a dorm with the nice working laptop and the good working wi-fi,” she said. “Our students were at home. Some of their parents fell ill, lost their jobs. They themselves fell ill, lost their jobs. Anyone in this household loses their job, they have no money for school fees.
Hamilton said LCC saw students drop out at the height of the pandemic for a variety of reasons – including unfamiliarity and the difficulty of remote learning.
“We’re going to have to woo them,” she said.
Hamilton said that while many students still want a primarily in-person experience, she expects online and blended learning to continue to be a big part of the university after the pandemic. She said the schools that adapt best will be the ones that students flock to.
“Schools that embrace technology, do it well, and make it appealing to students, … they’re going to be the survivors of it all. And that’s what we’re going to see in the next few years – who’s going to be able to do that,” she said. “Mediocre isn’t going to do it anymore, you’re going to have to be the best at everything you do.”
Community colleges will help with pandemic recovery, but they need help too
While it may take some persuasion to recover community college enrollment numbers, RCC’s Kemper-Pelle said their recovery is a crucial part of Oregon’s post-pandemic recovery, both for their regions and for the state as a whole.
“Because we have the ability to provide both vocational and transfer programs, we are better positioned than any other higher education institution to meet workforce needs,” Kemper-Pelle said. .
She said Rogue has focused on its partnerships with K-12 schools to allow students to earn RCC credits while still in high school, as well as transfer agreements with universities to allow students to make the smooth transition from college to a four-year program. university, if they wish.
“The RCC is an integral part of the pandemic recovery in southern Oregon, and we will continue to partner with universities and employers to ensure our students are ready for the next step in their career paths,” said Kemper-Pelle.
Hamilton with LCC is a registered nurse and has a health care background in addition to higher education. She said she is already hearing the demand for more healthcare workers in her community, like certified practical nurses and paramedics.
“These people all need to be trained, and that’s definitely a big part of our role,” Hamilton said. “Everyone in Oregon and across the country understands how necessary these community colleges are to get us out of the pandemic.”
But, she said, the small class sizes and the technology needed to teach specific training courses make them much more expensive than, say, large university conferences.
Hamilton said she, like other Oregon college and university presidents, has been a strong advocate for more funding, as well as a change in the state funding model. Currently, the funding that community colleges receive from the state is largely dictated by enrollment numbers. This can mean even more financial loss when fewer students enroll, as in recent years. Hamilton argues that these are the wrong priorities.
“It’s what you teach and who you teach that should really affect your funding,” Hamilton said, meaning schools offering specialized career tech programs and educating low-income or underserved students should help. to determine the costs. This means that the funding could cover support programs and complementary services for students.
Mitsui, as outgoing president of the state’s largest institution of higher learning, also saw a great need to increase state funding for community colleges. He said it is in Oregon’s interest to ensure a skilled workforce in the years to come.
“Community colleges will continue to advance economic mobility by addressing both skills gaps and equity gaps in paid careers, through strategic partnerships with [community-based organizations], K-12 districts, employers, the philanthropic community, and state agencies…” Mitsui said. “However, additional state funding is needed to truly close the equity and skills gaps, statewide.”
This article has been updated (July 1, 2022) to reflect the voting numbers that were just released.
Now that the June 30 deadline has passed for the measures to be placed (or removed) in the November 8, 2022 ballot, what measures will California voters decide? According to the California Secretary of State, the following seven measures will be voted on by voters across the state in just over four months:
This measure would amend the California Constitution to prohibit the state from denying or interfering with an individual’s reproductive freedom in their most intimate decisions, which includes their fundamental right to choose to have an abortion and their fundamental right to choose or refuse contraceptives.
AUTHORIZES NEW TYPES OF GAMES. CONSTITUTIONAL AND STATUTORY AMENDMENT INITIATIVE.
The measure would allow federally recognized Native American tribes to operate roulette, dice games, and sports betting on tribal lands, subject to pacts negotiated by the governor and ratified by the legislature. From 2022, allows on-site sports betting only at private racetracks in four specified counties for people 21 or older. Imposes a 10% tax on sports betting profits at racetracks; directs a portion of revenue to law enforcement and problem gambling programs. Prohibits the marketing of sports betting to persons under the age of 21. Allows private suits to enforce other gaming laws. Summary of Legislative Analyst and Chief Financial Officer’s Estimate of Fiscal Impact on State and Local Governments: Increased State Revenue of up to Tens of Millions of Dollars a Year from Payments carried out by facilities offering sports betting and new civil penalties authorized by this measure. A portion of this revenue would reflect a change from other existing state and local revenues. Increased state regulatory costs, potentially reaching low tens of millions of dollars per year. Some or all of these costs would be offset by increased revenues or reimbursements to the state. Increased state enforcement costs, likely not to exceed several million dollars per year, related to a new civil enforcement tool for enforcing certain gaming laws.
ENABLES ONLINE AND MOBILE SPORTS BETTING. CONSTITUTIONAL AND BYLAWS AMENDMENT INITIATIVE.
This measure would legalize online and mobile sports betting, which is currently prohibited, for people aged 21 and over. Such wagers may only be offered by Federally Recognized Indian Tribes and eligible companies that contract with them. Persons placing bets must be in California and not located on Indian lands. Imposes a 10% tax on sports betting revenue and licensing fees. Directs tax and licensing revenue first to regulatory costs, then the remainder to: 85% to homelessness programs; 15% to non-participating tribes. Specifies licensing, regulatory, consumer protection and betting integrity standards for sports betting. Summary of Legislative Analyst and Chief Financial Officer’s estimate of fiscal impact on state and local governments:Increased state revenue of up to hundreds of millions of dollars annually from online sports betting taxes, licensing fees and penalties. A portion of this revenue would reflect a change from other existing state and local revenues. Increased state regulatory costs, potentially reaching the tens of millions of dollars per year, which would be fully or partially offset by increased revenues.
PROVIDES ADDITIONAL FUNDING FOR ARTS AND MUSIC EDUCATION IN PUBLIC SCHOOLS. INITIATIVE STATUS.
This measure would provide additional funding for arts and music education in all K-12 public schools (including charter schools) by allocating each year from the state’s general fund a amount equal to 1% of required state and local government funding for public schools. Allocates a greater proportion of funds to schools serving the most economically disadvantaged students. Schools with 500 or more students must spend at least 80% of funding on employing teachers and the remainder on training, supplies and educational partnerships. Requires audits and limits administrative costs to 1% of funding. Summary of Legislative Analyst and CFO’s estimate of fiscal impact on state and local governments: increased spending likely in the range of $800 million to $1 billion per year, at starting in 2023-2024, for arts education in schools.
REQUIRES A LICENSED MEDICAL PROFESSIONAL ON-SITE AT KIDNEY DIALYSIS CLINICS AND SET OTHER STATE REQUIREMENTS. INITIATIVE STATUS.
This measure would require physicians, nurse practitioners or physician assistants, with six months of relevant experience, to be on site during treatments in outpatient kidney dialysis clinics; allows for a staffing shortage exemption if a qualified healthcare professional is available via telehealth. Requires clinics to disclose to patients all physicians who hold a five percent or greater stake in the clinic. Requires clinics to report dialysis-related infection data to the state. Prohibits clinics from closing or drastically reducing services without state approval. Prohibits clinics from refusing to treat patients based on source of payment. Summary of Legislative Analyst and CFO’s estimate of fiscal impact on state and local governments: Increased costs to state and local governments likely in the range of tens of millions of dollars per year.
PROVIDES FUNDING FOR GREENHOUSE GAS EMISSION REDUCTION PROGRAMS BY INCREASE PERSONAL INCOME TAX TO MORE THAN $2 MILLION. INITIATIVE STATUS.
This measure would increase personal income tax by more than $2 million by 1.75% for individuals and married couples and allocate the new tax revenues as follows: (1) 45% for rebates and other incentives to the purchase of zero-emission vehicles and 35% for charging stations for zero-emission vehicles, with at least half of this funding going to low-income households and communities; and (2) 20% for forest fire prevention and suppression programs, with priority given to the hiring and training of firefighters. Requires program and expenditure audits. Summary of Legislative Analyst and Chief Financial Officer’s Estimate of Fiscal Impact on State and Local Governments: Increase in annual state tax revenue ranging from $3 billion to $4.5 billion , with additional revenue being used to support zero-emission vehicle programs and wildfire-related activities. Potential increase in state administrative costs paid by other sources of funding which could reach tens of millions to a few hundred million dollars per year. Net decrease in national and local transport revenues of up to tens of millions of dollars per year in the first years, and increasing to a few hundred million dollars per year after several years.
REFERENDUM CHALLENGING A 2020 LAW BANNING THE RETAIL SALE OF CERTAIN FLAVORED TOBACCO PRODUCTS.
This is a referendum challenging a 2020 law on the next national ballot after the November 3, 2020 general election. The contested law prohibits the retail sale of certain flavored tobacco products and tobacco flavor enhancers. The referendum would require a majority of voters to approve the state law of 2020 before it can go into effect.
With the arrival of summer, I hope people will take the opportunity to take some time off from work to enjoy the season. For the past two weeks, my family and I have taken time off to be in the Pacific Northwest because Michigan wasn’t cloudy enough for us this winter. I’m joking; it was lovely, but our Michigan shores have the same beautiful sunsets, and you can see as many whales in the Great Lakes as we saw on our trip.
I made it back in time to visit the College of Human Medicine tent during the Grand Rapids Pride event two weeks ago (it’s pictured above). There were so many people! And, as a note to all, we’re working to get the t-shirts out of the college store. (And, look for Diagnosis Queer, an advocacy group started by fourth-year medical student Nicholas Nicoletti. They had a busy, well-attended tent at Pride and were featured on MSU Today. Catch Nick, as well as Rick Leach and Keith English also at City Hall last week.)
Today is July 1, the start date for residencies and residents across the country. It’s a big day for the profession, and a big day for new residents. Almost everyone I know has a story about their first day as a resident. I will share one of mine; I followed my wife to East Lansing when she joined the faculty at MSU, and started residency just about a month before her first day as a faculty. I started on the wards, and my primary resident had a clinic, so after rounds he walked me to the emergency department (ED) for our first admission of the day. We took stock, I got hands-on experience in the ER and with Sparrow’s paperwork; everything was good. Shortly after, we went back upstairs, did some work, and my eldest went to the clinic.
And then I was called to do an admission, but I couldn’t find my way to the ER, so I walked out the front door of the hospital, walked around the building and I entered through the ER parking lot entrance. I did the admission, called the attending physician, everything was fine, then I left the emergency room and came back through the front door of the hospital. I mean, it was stressful doing the admission on my own, but I felt well trained and attending was good for me (thanks, Dr. Neiberg!), so overall the day was going good .
Then the ED called for another admission, so I walked out of the hospital, walked around the building, and entered the ED through the parking lot entrance. Again I did the admission, called the attending physician, all was well, and retraced my way outside back to the main hospital through the front door. And, sure enough, the ER called back, so I walked through the front door of the hospital to the ER, and it was a beautiful day. I thought, “Could you keep walking…” And then I remembered my student loans, and walked around the building and into ED through the parking lot entrance…
Today I started doing the rounds with the new elders and new first year residents. It will be stressful for all of us, but we will make sure we take good care of the patients, and if we have to take a few extra steps to provide good care, so be it.
More than 100 Army, Air Force and Reserve medical personnel are in southern Missouri for a week to provide free medical services to anyone who wants it.
The project is a collaboration between the Ministry of Defence, the Delta Regional Authority and local health agencies.
“These are the preferred missions where we can train our soldiers, build relationships with community partners and see the impact we are having in the community,” said Lt. Col. Safuratu Aranmolate, commander of a field hospital in the army.
The mission is designed to help communities and train troops by simulating the work environments that military medics may face if deployed in a natural disaster or in overseas conflicts.
“Some of us are in high school gyms, and some of us are in storage closets. We need to be able to get that practice that, you know, some medical professionals won’t get. that kind of field environment of their civilian work,” said Capt. David Falcon, an Air Force medical officer.
In addition to working in temporary medical spaces and sleeping in makeshift quarters, military medical personnel will have the opportunity to work with regular patients in situations that would be similar to what they would see while deployed.
“They have to realize that they kind of have to have that empathy and have that connection with the patients who may not react the way a soldier would. So it’s a great opportunity to expand that skill set,” Falcon said.
Medical care will be available in the cities of Ava, Eminence and Houston, which are all located in counties that have high levels of poverty and limited access to medical care.
“The need is great here because sometimes specialty care and simple access to care is a little harder to come by,” said Tim Shryack, CEO of Missouri Ozarks Community Health. “The military is going to provide great care, and again, it’s first come, first served, so whoever comes here, no matter how far away, I know they’re going to take care of them. , and that’s going to be a huge advantage.
Services provided include basic medical and wellness exams, dental exams, extractions and fillings, as well as eye and eye exams.
Clinics will be open from 8 a.m. to 7 p.m. until July 8. They will take place at Eminence High School, Houston High School and the MOCH Wellness Center in Ava.
Pamela Joseph’s nursing career came full circle recently when she retired from the profession after 40 years.
The emergency department nurse chose May 14, 2022 as her last day for a reason. It was on this exact date that she graduated from Southwestern Oklahoma State University School of Nursing in 1982.
The Hennessey native knew from a young age that she wanted to be a nurse. “The one thing I always wanted to do growing up was to be a nurse,” Pamela said.
In the late 1970s, Pamela first had a taste for working in the medical field as a teenage volunteer. “I was a candy stripper at Bass when I was in high school,” she said. “Then I attended Autry Vo-tech and got my CNA license. I worked in the urology department at Bass the summer after my senior year in high school. That’s where Pamela met a nurse who encouraged her to continue in the profession.
After graduating from nursing, Pamela worked briefly at Shattuck Hospital as a registered nurse before moving to Midwest City, where she took a job in an emergency department.
In 1999, at age 39, Pamela made a major change and joined the Air National Guard as a flight nurse. Two years after being sworn in, the 9/11 terrorist attacks happened and she was deployed while working at Tinker Air Force Base in Oklahoma City. In all, she completed five tours in Afghanistan and Iraq. “I loved working as a flight nurse,” Pamela said of her experience. “The people we cared for were so grateful. We worked alongside soldiers from other countries, and many of them were young. I was older, so they called me “mom”, which made me feel good. If my children were in the same situation, I would want someone to take care of them.
Pamela retired from the military in 2010 and moved back to Hennessey to be closer to her aging parents. She returned to INTEGRIS Bass Baptist Health Center in 2016.
“Working with Pamela has been a pleasure,” said Emergency Department Manager Jamie McAlister. “She took other caregivers under her wing and really enjoyed helping other nurses and sharing her knowledge and experiences. Everyone who crossed her path gained to know her.
On her last day, Pamela wore her nursing whites and her white hat. She came with photos and badges from her time in the military, as well as all of her badges from previous jobs.
Upon retirement, Pamela plans to spend time with her mother and sister, who are also retiring and returning home to Hennessey, where she is building a house next to Pamela. She has a sewing booth filled with fabrics, sewing and monogramming machines, and she plans to spend much of her time there.
According to McAlister, Pamela’s retirement is bittersweet. “Not only is the department losing a great nurse, but also a great friend. We truly wish her the best as she transitions into a retirement full of hobbies and travel.
Students studying nursing, MRI diagnostics and other healthcare roles will soon learn in an innovative new space, with the opening of the British Columbia Institute of Technology (BCIT) Health Sciences Center ) in September.
The new space will support students from 32 healthcare programs and include classrooms that enhance learning by simulating real healthcare settings.
“The BCIT Health Sciences Center has been designed to meet the needs of students today and for years to come,” said Anne Kang, Minister of Higher Education and Skills Training. “We put people first by increasing and improving the spaces and programs they need to advance their careers. We make sure to produce well-trained nurses and health care professionals who are ready to meet the health care needs of British Columbians.
The center will enhance the learning and study experience for more than 6,000 part-time and full-time health science students at BCIT, including those pursuing careers in diagnostic medical imaging and laboratory science medical. It offers simulations that replicate hospital, clinical, and laboratory workflows, and includes living labs, simulation labs, and multi-purpose rooms.
“Throughout the COVID-19 pandemic, health science professionals working in hospitals, acute care, long-term care and community health centers to provide all levels of health care, including including prevention, diagnosis, treatment and rehabilitation, have ensured that British Columbians have access to the quality care they need and deserve,” said Adrian Dix, Minister of Health. “BCIT’s new Health Sciences Center will provide hands-on, on-the-job learning environments so students can have the best training possible to provide the care people rely on.
The province has invested $66.6 million in the $88.2 million project.
“As we have all seen over the past few years, health care professionals are integral to the well-being of all British Columbians and are the cornerstone of our province’s economic and social well-being,” said said Kathy Kinloch, President, BCIT. “BCIT’s new Health Sciences Center is a critical investment in our ability to train, empower and deliver the graduates the province needs. In these innovative teaching and learning spaces, BCIT faculty and staff will train the next generation of specialist nurses, medical radiographers, nuclear medicine technologists and more with the practical skills they need.
The four-story, 10,355-square-meter (111,460-square-foot) low-carbon building, including parking, is aiming for WELL Gold certification, in line with the province’s CleanBC goals to reduce business carbon footprints. WELL certification means that owners and occupants can be confident that their spaces are specifically designed to improve human health and well-being.
In Budget 2021, the Province committed to investing $96 million over three years to support the expansion of post-secondary education and health workforce training capacity. BCIT’s new space supports the province’s work to provide students with educational opportunities to enter the healthcare system, including training and hiring healthcare workers by expanding seats across the of the province for the training of health auxiliaries, nurses and orderlies.
To learn more about the BCIT Health Sciences Centre, visit: https://www.bcit.ca/campus-plan/health-sciences-centre/
For more information on health science programs at BCIT, visit: https://www.bcit.ca/path/health/
It was our second year of medical school. We had heard stories of diligent physicians doing all they can to lift patients from the jaws of death. After a year and a half of taking courses, learning the course of a vessel, the physiology of a nerve and the biochemistry of cholesterol, we finally had the chance to enter a hospital. We had to learn the tactics needed to get a useful clinical history and how to hit the hammer on a knee jerk test. We had so much to learn in such a short time.
Equipped with Littmann stethoscopes, we reached the rooms crowded with patients. “Patients are your best teachers,” we reminded ourselves. We were getting ready to go to the patients when the residents stopped us. The next day, the government announced the containment linked to Covid-19. We went back home. There were online courses to supplement our studies, but they could only simulate hands-on experience. Over the next two years, our learning never picked up momentum.
We came back in our last year – the most difficult year of the program. There were nine lengthy topics to cover in just eight months. Our teachers expected us to know the basics and skipped them during teaching. But we couldn’t learn them properly earlier, so we had extra work to do. Our anxiety was already at its height when a new exam schedule was announced.
A senior official spoke anonymously about the National Exit Test (NExT) to a newspaper, which was reported by other news portals without much additional information, stating that the new model will first be implemented for the lot graduated in 2023.
NExT will replace the two-decade-old NEET-PG that medical graduates had to go through to gain postgraduate places. Borrowing heavily from the USMLE (United States Medical Licensing Exam) – a multi-stage assessment that tests medical student recall, concepts and clinical skills to enable practice in the United States – it will be a three-day affair with morning and evening changes every day.
Taking place just after the final year, it will also remove a year of preparation, with the NEET taking place after the students’ internship. Preparing for 19 subjects, with a flurry of tests and homework, seems almost impossible. That too, when nothing concrete has been shared.
The problem is compounded for students who plan to travel out of India for their masters. They should prepare for this exam and get at least passing grades to get their undergraduate degree. They would also no longer be able to get internship extensions for electives at hospitals in the United States, as an internship must be completed within the stipulated time frame under the new rules.
Passing an exam that would also double the final professional theory exam is also fraught with pitfalls for colleges. The most basic is being able to complete the program on time – in fact, at least two months before the exam, which seems absurd right now, given that many private colleges in UP have only held exams pre-final professionals only in March.
The abrupt introduction of baffling changes over the past few days leading to major reviews has been a recurring pattern of late. Take, for example, the INI-CET, an exam that allows entry into the most sought-after central institutions. It replaced the old exam just a month before its due date.
Every official order sounds like a warning. An update earlier this year said the exam would be held in two parts – once after the second year of college and the next after the final year. Barring sketchy information about the basic structure of the course and a few scattered facts that arise unpredictably, students wonder about the details of an exam they may have to attempt in January.
Gupta is a New-Delhi based writer and medical student
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St. Jude Medical (Abbott)
Codman & Shurtleff (J&J)
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North County school districts and charter schools will be hiring for a variety of teaching and non-teaching positions at a special education careers job fair on July 23.
The job fair, hosted by the San Diego County Office of Education (SDCOE), will be held from 8 a.m. to noon at the North County Regional Education Center, 255 Pico Ave. in San Marcos.
“Attendees will have the opportunity to meet directly with human resources representatives from several North County districts and charters, as well as others from San Diego County,” said Adina Sullivan-Marlow, one of the coordinators of the the event. “There will also be opportunities with after-school programs and other expanded learning programs at the event, providing a great way for people to start a career in education.”
Sign up for one of the time slots below to attend.
Attendees at previous SDCOE career fairs said they appreciated the opportunity to get interviews, get a sense of an organization’s culture, and speak directly with hiring managers.
“The fair helped me get my resume out there and speak with several districts face-to-face,” said one attendee.
Many educational organizations will be looking to recruit new staff and substitute teachers to fill teaching and non-teaching positions, including after-school program staff, bus drivers, campus supervisors, nutrition assistants childcare workers, food service professionals, health care workers, teacher aides and assistants. , maintenance workers, midday duty supervisors and nurses.
This is an opportunity to make connections and a great first impression. Participants should dress professionally and bring copies of their resumes and letters of recommendation. Some districts may interview on-site, while others will collect your resume in anticipation of an opening within the district.
The last column on the Johnston family during WWII needs correction. I said that three Johnston brothers returned safely from World War II, but in reality only two brothers, Howard and Bob, went to war.
The third sibling was Faye’s sister, Lorraine Johnston Hamilton. Lorraine was an army nurse and a lieutenant, while Howard and Bob were sergeants. Because she was an officer, Lorraine was not allowed to fraternize with her brothers while they were stationed in Europe.
Through a series of correspondences with their mother at home, the three somehow arranged to meet in England before returning home for good. Now living in Traverse City, Lorraine, 101, reads these articles and deserves a big thank you for her service.
By 1944, most eligible men were in the military, forcing many women into the workforce. Even children were asked to help. Faye and thousands of other students across America were doing their part to help the war effort by collecting milkweed pods. Milk grass silk has been extracted and used as flotation material for life jackets. As a class assignment, children were asked to fill mesh onion bags with milkweed pods. Two bags provided enough filler for a life jacket.
According to The Monarch Joint Venture, “More than 12 MILLION pounds of milkweed pods have been collected and sent by truckloads to Petosky, Michigan, for processing.”
“Nobody thought of the monarch butterfly,” Johnston said.
Cheboygan volunteers also stood guard at the Opera House, one of the city’s tallest buildings. Armed with binoculars, they stood at third-floor windows and watched for enemy planes. If a suspicious aircraft was seen, they were to alert a liaison at the airport.
Cheboygan’s first public hospital was built in 1942. When the war ended and the soldiers returned home in 1945, the baby boom began across America. As a junior in high school, Faye left her job as a housekeeper to Mrs. Duncan. She accepted a job as a “candy stripper” at the hospital. Most of her work was done in the maternity ward. “We may not have known much about delivering babies, but we learned quickly,” Johnston said. “It was really busy.” That same year, Faye had a hand in the junior class play. She saw the Opera for the first time.
“It wasn’t like today, not as well maintained, no nice carpets or fancy seats. But I was just a girl and didn’t pay much attention to architecture or detail It was a very special place and it really was a great opportunity for the classes to be there and so began Faye’s love of the Cheboygan Opera House.
In 1946, Faye, a senior, met Sophia Fultz, “Grandma Shy”. Fultz’s letters to her grandson spoke of her passion for the Cheboygan Opera House, where she had first visited in 1900. Faye was 17 or 18 and Fultz was 53.
Fultz decided that upper-class girls, many of whom were farm workers, needed more culture. She invited the senior girls to a tea party at her house. The girls had to dress up and had to wear white gloves.
No one in the Johnston family had white gloves and it took some time to find a pair Faye could borrow. She arrived at the tea party in her best dress and white gloves with Delores Peach Petersen and Anne Tromble. Fultz served tea in his finest china and fine linen. She entertained the girls, playing the piano for them. The Fultz house where Sophia gave piano recitals, hosted a bridge club and hosted fancy tea parties still stands on the corner of Locust and Bailey.
In senior year, Faye had a bigger role in the class play at the Opera, “Grandpa Hangs the Holly” about a petty old grandpa who wasn’t happy at Christmas. Vic Leonall played the grandfather. “He was always class president,” Faye said. Faye played the spirit of his dead wife who came back to change her mind. She wore a long white dress and was able to kiss Vic Leonall, “but only on the forehead, because of her makeup”.
Faye made another appearance on the Opera stage when she graduated in June 1946. In 1944 most of the 12th graders joined the service and the class was very small. But in 1946, the promotion was again very numerous. It was a hot and humid day, made worse by the onset of the rains. The Opera had no air conditioning.
Seated at the top of the balcony, 83 seniors were cooking, wearing toques and woolen caps. Fo