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Killexams : P-and-C Specialist health - BingNews https://killexams.com/pass4sure/exam-detail/NCCT-ICS Search results Killexams : P-and-C Specialist health - BingNews https://killexams.com/pass4sure/exam-detail/NCCT-ICS https://killexams.com/exam_list/P-and-C Killexams : Everybody's getting sick. Here's what you need to know

You're not imagining it. Kids and adults all around you are getting sick – and not just from one thing.

Illnesses due to the spike in RSV and flu cases are stretching capacity at area hospitals, wiping out drugstore shelves and decimating school attendance rates. Nationally, the picture is much the same.

"It's a bad situation," Gov. Kathy Hochul said at a Wednesday news conference.

A total of 889 new cases of Covid-19 were recorded for the week, up from 524 new cases recorded the week before, reversing five weeks of declines.

Now, confirmed Covid-19 cases that had been steadily falling since mid-October are once again on the rise. Both Erie and Niagara counties report double-digit growth in cases over the past week. Erie County's confirmed cases increased 70%.

"I’m concerned Covid is going to gain some momentum," said Dr. Thomas Russo, an infectious disease specialist with the University at Buffalo Jacobs School of Medicine and Biomedical Sciences. 

People are also reading…

There's some general medical consensus about why this "tridemic" convergence is plaguing us now when RSV and the flu weren't huge problems in the accurate past.

More importantly, there are concrete steps you can take to keep yourself and your family healthy, to minimize symptoms and serious illness if you get infected, and to reduce the likelihood of transmitting the virus to others.

With that in mind, here's a Q&A based on information provided by local and state health experts.

Q: I don't remember these non-Covid-19 viruses being big deals in the accurate past. Why are so many getting infected now?

A: The working hypothesis of health experts is that public health measures taken to protect against Covid-19 over the past few years have resulted in delayed exposure to a number of common, seasonal viruses. Masking, physical distancing and other preventative behaviors have safeguarded people from contracting the flu, other seasonal illnesses and colds, and RSV, short for respiratory syncytial virus.   

But we weren't going to live that way forever. With many of these preventative measures gone by the wayside and people returning to their pre-Covid-19 behaviors, viruses they may not have been exposed to in 2020 or 2021 are circulating and infecting people with a vengeance in 2022.

"This is going to be the key winter," Russo said. "We’re getting the RSV and flu pile-on. And then Covid is still hanging out, and we have not done well with our boosters."

Erie County Health Commissioner Gale Burstein said the current strain of flu has also been affecting people much earlier in the season than normal.

In a briefing with the Erie County Legislature Thursday, Erie County Health Commissioner Dr. Gale Burstein said an anticipated spike in Covid-19 cases has not yet materialized. 

Q: I thought Covid-19 was going to be really infectious again this season, but I haven't heard as much about it. Is Covid-19 still a threat?

A: While many community leaders and public health experts anticipated a spike in Covid-19 cases this fall as the weather cooled, Covid-19 trendlines have remained low  and even fallen considerably  since the early fall.

Burstein pointed out Wednesday that compared with this same time last year and the year before, Covid-19-related hospitalizations are low, and the number of serious Covid-19-related hospitalizations requiring admission to intensive care units remain exceedingly low. Erie County Executive Mark Poloncarz called this a sign that Covid-19 vaccinations and boosters are helping to minimize Covid-19's ability to cause serious illness to people.

However, this past week's leap in confirmed Covid-19 cases, from 524 on Nov. 26 to 889 on Saturday, could mark a turning point in local Covid-19 trendlines.

"This is only the tip of the iceberg, because many people don’t test and many people test at home," Burstein said. 

Health experts said Thanksgiving gatherings are a likely contributor to the surge. As temperatures continue to fall and more people gather for the holidays, health experts fear Covid-19 numbers will continue to climb, especially as the interest in getting vaccinated or boosted against Covid-19 has waned and the immune protection of earlier vaccines weakens.

Vowing to use his clout as majority leader, U.S. Sen. Charles Schumer called on the U.S. Department of Health and Human Services to take immediate action to get Western New York and upstate New York hospitals the support needed to tackle the wave of admissions head on.

Q. My kids are sick and their friends are sick. How thinking should I be about them infecting me?

A: It's a fact of life that kids are prolific germ spreaders. That's the normal travel map for viruses in families with school-age children. But it depends on the type of infection the child has.

RSV, for instance, is primarily an infection of early childhood. Most children would have been exposed to RSV within their first two years of life, but now, children may be contracting RSV at an older-than-normal age.

However, two-thirds of all flu cases reported in New York State so far have involved children ages 17 and younger. The flu represents a serious threat to all adults, particularly the elderly and those with compromised immune systems.

Covid-19 is also striking both children and adults, though Erie County residents ages 20 and older are still at higher risk than children for testing positive, according Erie County Health Department data, which does not include home testing results. Covid-19 booster vaccination rates are low for everyone, but particularly low for children at 5% or less, Burstein said. 

Q: What can I do to stay healthy?

A. There's a lot you can do.

First, get vaccinated against the flu and Covid-19. That's what vaccinations are for  to keep you from getting seriously ill. They are not guaranteed to prevent you from getting infected, but should protect you against serious illness.

The latest Covid-19 vaccine booster offers more protection against the newest Omicron variants. Unfortunately, few so far have taken advantage of the Covid-19 booster. Hochul said only 13% of New Yorkers ages 5 and older have received it. Even if you were initially vaccinated a year or two ago, that immunity protection wanes over time. If it has been at least six months since your last vaccine, prepare to roll up your sleeves. Vaccine boosters are plentiful.

Burstein pointed out this year's flu vaccine is a good match for the flu strain currently circulating. But the flu has taken many people by surprise because it arrived much earlier than past flu strains. Vaccine protection isn't immediate. It's takes a while to build up antibodies, so don't delay, the experts advise. 

Erie County will vaccinate you in your home as part of its Vax Visit program.

There isn't a vaccine for RSV yet, but doctors are hopeful for next year.

All other standard hygiene protocols offer protection. Wash your hands regularly. Stay physically distanced from others and consider wearing a mask, especially in crowded, indoor, public environments.

Q: What if I already feel ill?

A. There's good news on that front, too. 

First, get tested to find out what type of illness you have. Your primary care physician or an urgent care center should be able to offer tests for the flu, RSV and Covid-19. Rapid molecular tests for Covid-19 and the flu are available. Many pharmacies also offer testing.

Some places, like Erie County's Jesse Nash Clinic at 608 William St., Buffalo, offer a combination flu, RSV and Covid-19 PCR test, though results may take one to three days to get. Free testing is currently available Mondays, Wednesdays and Fridays from 9 a.m. to 1 p.m. Vaccinations are available in the afternoons.

Your doctor can prescribe you antiviral drugs to shorten either flu or Covid-19 illness. If you have the flu, you can be prescribed Tamiflu. If you have Covid-19, your physician can prescribe Paxlovid.

Stay home and away from others. Stay hydrated. And rest. Seek higher-level medical treatment or go to the hospital if you or a family member has trouble breathing or experience dizziness or chest pains.

Read the full story here.

Wed, 07 Dec 2022 18:59:00 -0600 en text/html https://buffalonews.com/news/local/everybodys-getting-sick-heres-what-you-need-to-know/article_287cdfda-7659-11ed-8fa6-c7539101fe77.html
Killexams : 2 Self-Checks That May Strengthen Your Mental Health

Source: Jess Foami/Pixabay

People often believe they have mental health conditions such as depression, anxiety, bipolar, borderline, and attention-deficit/hyperactivity disorder (ADHD). But the real culprit can be their food.

After 15+ years as an eating and body image specialist therapist, I’ve met many people whose symptoms (hyper-irritability, sadness, anger, mood swings, etc.) greatly improved or even disappeared once they found their best ways to nourish their bodies. Sometimes their original diagnoses even no longer applied. I remember originally feeling surprised by how much our eating habits could contribute to mental health symptoms.

History Speaking for Itself

I mentioned this Topic to my colleague, Beth Harrell, a registered dietitian. She reminded me of a time when many of us probably experienced unwanted mental health symptoms from our eating habits. “Your brain is about 60 percent fat, and back in the fat-free era, people weren't making hormones to keep their moods stable." Since then, research has repeatedly shown us that fat-free and low-fat diets can make people angry, depressed, or both. (Yet it was a “health” trend!)

Back in the 1940s, the Minnesota Starvation Experiment provided us with a lot of information about undereating, which can also be referred to as modern-day "dieting.” Quick synopsis: In the 1940s, male subjects were studied regarding the effects of cutting their calories by slightly less than half for six months for a daily total of 1570 kcal. Researchers documented a laundry list of changes and symptoms during that semistarvation period. Six examples follow:

  • Feelings of exhilaration followed by low periods
  • Sense of apathy
  • Loss of libido
  • Narrowing of interests
  • Nervousness
  • Inability to concentrate

Take the list above. Imagine you’re experiencing, for example, exhilaration followed by low periods. You may wonder about bipolar, right? What if you’re instead dealing with a combination of the following: an onset of apathy, loss of libido, and narrowing of interests? That could indicate depression. Maybe you’re exhibiting nervousness, which is often how people describe anxiety. Or perhaps you can’t concentrate, a key feature of ADHD.

If you didn’t realize that your undereating could cause those symptoms, you might believe you have a mental illness. (With all the information available on Google and social media, it’s hard not to self-diagnose, right?) Yet, in the case of undereating, correcting your food might partially or fully fix your unwanted symptoms.

But when and why would we undereat nowadays? Well, there’s food scarcity and unaffordability that affect many. Also, a frequent piece of medical advice is to lose weight “for your health.” So you cut way back on your calories.

2 Self-Checks That May Strengthen Your Mental Health

At this point, science verifies a relationship between what we eat and our mental health. However, contrary to how it’s presented online or in the media, more research is needed to confirm specific foods as healing agents, meaning specific "food-medicine" for a particular mental health symptom. So getting to basics may be anyone’s best bet for feeling mentally well (or at least well"er”).

  1. Check your eating frequency and balance. For example, we know that a lack of food for a duration of time can cause “hanger.” For consistent mood and energy, registered dietitian Matt Stranberg suggests that we start with the “rule of threes. Aim to consume three balanced meals each day, one to three snacks each day, and no more than 3-4 hours between meals and snacks. Be sure to include all components at meals (i.e., starches, proteins, fats, fruits and/or vegetables, and at least 8 oz. of fluid).”
  2. Check your fluid intake. Are you drinking enough for you? Matt reminds us that dehydration affects so much: “cognition, mood, energy levels, feelings of well-being, feelings of anxiety, depression, fatigue, and so on. Being dehydrated by just 2% significantly impairs performance in tasks that require attention, psychomotor, and immediate memory skills, as well as assessment of the subjective state.” With that in mind, insufficient hydration may account for some symptoms of attentional (e.g., ADHD), mood, and anxiety disorders. (Please note that drinking too much water is also possible, especially if you have certain medical conditions.)

I’ve heard people say, “If I ate what’s recommended, I’d be this or that size.” If you’re someone who says things like this, I get it. Diet culture shoves ideals at us about “health,” and it’s hard to know what actually is right for you. I ask you this with respect: Have you tested your beliefs about the rule of threes? If not, they might be based on forecasts and fears. And those may be holding you back from feeling better and experiencing improved mental health.

Warning

Some people take an article like this and get highly caught up in pursuing mental wellness through their nutrition. Yet their good intentions can go overboard, tipping into disordered eating or an eating disorder without realizing it. Instead, they’ll often believe they need to try harder to get the health, weight, healing, or mental health improvements they want.

In the book, MeaningFULL: 23 Life-Changing Stories of Conquering Dieting, Weight, & Body Image Issues, I offer a concept that might help you to assess if you or someone you know might have developed an eating disorder:

A person with an eating disorder seems unable to ‘normally’ eat. Their choices about food and exercise become ‘I have to’ or ‘I must;’ they cannot not do what they feel they need to do.

People who experience eating disorders usually develop additional mental health issues—some of which may be caused or made more intense by the food practices related to their illnesses.

In Conclusion

Experiencing mental health symptoms can be tiring, challenging, and even derailing. Trying the two self-checks shared in this post may help you to self-advocate for your wellness. Both are free and might provide you with some aid and information.

We tend to accept that medical conditions can affect our mental health (e.g., anemia may trigger or amplify depressive symptoms). Yet it can be difficult to see our eating patterns in a similar way—especially with so much confusing information coming at us about what’s best for us nutritionally (e.g., fads, plans, programs, lifestyles). Nonetheless, our eating patterns may create or worsen unwanted symptoms or get in the way of relief.

If you'd like to explore these concepts more with a professional, try reaching out to a dietitian or a therapist who is well-trained in eating and body image issues. (That can mean that they've experienced thousands of hours of specialized practice and education.) Though both professionals differ in training and scope (what they're allowed to do under their license), either might offer beneficial support.

This article is for informational purposes only and does not provide therapy or professional advice.

Thu, 01 Dec 2022 01:04:00 -0600 en-US text/html https://www.psychologytoday.com/us/blog/meaningfull/202212/2-self-checks-may-improve-your-mental-health
Killexams : Early Signs You Could Be Developing Arthritis Woman with a tender wrist © Doucefleur/Shutterstock Woman with a tender wrist

Arthritis refers to inflammation of the joints, which leads to pain, stiffness, and decreased mobility (via CDC). There are over 100 types of arthritic conditions, including osteoarthritis and rheumatoid arthritis.

Osteoarthritis is the most common among the different types of arthritis (via Mayo Clinic). It results from the wear and tear of the body's skeletal system, and generally affects the joints of the hands, knees, hips, and the spine (via MyHealth.Alberta.ca). Meanwhile, rheumatoid arthritis (which is also common, yet less prevalent than osteoarthritis) is an autoimmune and inflammatory disease that affects the joints as well as other parts of the body. If you are a woman aged between 40 and 60 years old, you are more likely to develop rheumatoid arthritis (via Versus Arthritis). The main difference between the two is the cause behind the joint inflammation: Rheumatoid arthritis is induced by the immune system attacking the cells of the joints, whereas osteoarthritis occurs from bone and cartilage deterioration (a process of aging). 

Early signs of rheumatoid arthritis include fatigue, weakness, and tenderness in certain body areas (via Healthline). However, it doesn't necessarily include swelling at first. Within weeks (or months) of this malaise, a person may begin to see signs of inflammation and redness as well as tingling and numbness. Other symptoms at this stage include general joint pain and stiffness (especially in the morning), as well as a decreased range of motion. Osteoarthritis symptoms, on the other hand, take more time to develop (via Mayo Clinic).

Increased Fatigue And Flu-Like Symptoms

Woman feeling tired and unwell © Krakenimages.com/Shutterstock Woman feeling tired and unwell

Increased fatigue is not uncommon for people with rheumatoid arthritis, according to a 2020 publication by the Institute for Quality and Efficiency in Health Care. That's because inflammation in the body is exhausting -- and this overwhelming feeling of tiredness occurs early in the disease. 

With low energy levels, the arms and legs may even feel heavy and difficult to move, akin to symptoms of the flu (via Versus Arthritis). It can also affect how well you can focus. Occasional low-grade fevers as well as a loss of appetite are also common to the condition (via National Institute of Arthritis and Musculoskeletal and Skin Diseases). According to Healthline, a mild fever can result from a compromised immune function and inflammatory conditions of the joints, both of which are present in rheumatoid arthritis. Loss of appetite is said to be associated with discomfort and pain (via MyRATeam). However, the person's appetite may return once the pain and inflammation subside.

Pain In A Joint That Was Previously Injured

Man with pain in knee © Tpawat/Shutterstock Man with pain in knee

Joints with injuries (versus those unaffected) are seven times more likely to develop arthritic pain (via Goshen Health). That's why it is so important to wear protective knee, elbow, and/or wrist gear when playing sports (via Blue Cross Blue Shield Minnesota). 

And while any kind of joint trauma or injury can progress into arthritis, it is generally dislocations or fractions that are most common to post-traumatic arthritis, which is defined as stiffness and pain in joints post-injury (via Cleveland Clinic). This causes more rapid wear and tear of the skeletal and connective tissue, a complication of osteoarthritis (via Goshen Health). With that said, it must be noted that any kind of joint trauma can lead to inflammation, which is a typical symptom of arthritis. 

Post-traumatic arthritis can manifest within months or even years of the initial injury (via Midwest Center for Joint Replacement). As such, arthritis can affect anyone at any age.

Tenderness In Fingers And Toes

Man with tender fingers © Digitalskillet/Getty Images Man with tender fingers

Rheumatoid arthritis targets the linings of your joints, affecting the smaller joints first (via Mayo Clinic). And while you may not see any bone deformities during the early onset of this disease, swelling of the joint can erode bone over time and result in malformation in your fingers and toes.

The early stages of rheumatoid starts with the tenderness of those joints (via Arthritis Foundation). Swelling will follow as the disease progresses. You may feel it in the middle and base of your fingers, as well as the base of your toes (via Medical News Today). You may likely put more weight on your heels to avoid pressure on the toes. What this means is that everyday tasks can become more challenging. The individual joints of your fingers are part of a complex structure, allowing a wide range of precise movement from grasping and holding to typing and texting (via Institute for Quality and Efficiency in Health Care). 

When it comes to avoiding pressure on the toes, utilizing your big toe well is more necessary than you may think. It is important for shock absorption and balance (via Athletico Physical Activity). Thus, everyday activity such as walking, standing, and jogging can become a little off.

Morning Stiffness

Woman feeling stiffness upon walking © Fizkes/Shutterstock Woman feeling stiffness upon walking

Have you felt a bit stiff in the morning? Aging can wear those cushions of our joints and reduce their natural lubrication (via WebMD). Additionally, your joints can stiffen from inactivity. Tight, creaky joints can stem from age-related osteoarthritis. Rheumatoid arthritis can be impactful as well, as inflammation can cause those joints to tighten. Either way, it can make it more difficult to rise and shine, especially if you are feeling a bit achy, too. As with any arthritic condition, pain and soreness may accompany it, and may be felt more frequently in the morning (via Elliott Physiotherapy).

With osteoarthritis, morning stiffness may iron itself out once you've started moving; it may only last minutes (via NHS). With rheumatoid arthritis, however, it may take a bit longer to flex those joints, as it can last for an hour or more. If your morning stiffness lasts three days or beyond, it may be a good idea to rule out arthritis (via WebMD). Other health conditions related to stiff mornings include thyroid issues, vitamin D deficiency, fibromyalgia, and obesity.

Rashes Or Nodules

Hands with arthritic © Zay Nyi Nyi/Shutterstock Hands with arthritic

It may sound surprising, but skin rashes can be a sign of rheumatoid arthritis (via Arthritis Foundation). In fact, doctors may look for rashes to help in confirm a diagnosis of rheumatoid arthritis (via Water's Edge Dermatology). 

Palmar erythema is one type of rash associated with rheumatoid arthritis, according to Visual Dx. Redness of the palms is a sign of this condition: more blood reaches the surface of the hands, as the small blood vessels in them become dilated (per Water's Edge Dermatology). Although this type of rash may stem from a variety of health issues, it occurs in 60% of individuals with rheumatoid arthritis.

What is unique to rheumatoid arthritis is the formation of nodules or firm lumps under the skin near the joints (via Medical News Today). These nodules occur in up to 25% of people with rheumatoid arthritis. Fortunately, these generally aren't tender. However, they can grow from the size of a pea to as large as a lemon.

Dry Eyes

Woman with dry, irritated eyes © Tunatura/Getty Images Woman with dry, irritated eyes

While rheumatoid arthritis is known for its effect on the joints, other parts of the body may also be negatively impacted by the disease (via Mayo Clinic). Take the eyes, for example: The most commonly eye issue associated with rheumatoid arthritis is dry eyes, which can result in redness and irritation. In fact, an opthamologist may suspect rheumatoid arthritis if a patient reports dryness and painful irritation at least twice a year, prompting further evaluation to confirm a diagnosis (via New Optical Palace). 

Dry eyes are also common to the autoimmune disease Sjogren's syndrome, which is also associated with rheumatoid arthritis. Essentially, the same immune cells that attack your joints attack the lacrimal gland, which is responsible for producing your tears (via Creaky Joints). When the eyes can't maintain enough natural saline -- that stuff your tears are made of -- protection and lubrication is diminished (via Arthritis Foundation). This may happen due to the eyes being incapable of producing enough tears; it may also be the result of rapid tear evaporation (via Arthritis Foundation). 

Dry Mouth

Woman with dry mouth © Wonderplay/Shutterstock Woman with dry mouth

Various autoimmune disorders may disrupt your salivary gland production, according to a 2013 study in Rheumatology International. This may cause a dry sensation in the mouth that isn't simply relieved with water (via Creaky Joints). Sjogren's syndrome is one such autoimmune disease that is known to affect your saliva, and this disease affects nearly one-third of individuals with rheumatoid arthritis. Hence, you may experience dry mouth, a not-so-obvious symptom of rheumatoid arthritis.

Symptoms of dry mouth include a feeling of dryness or stickiness in the oral cavity, bad breath, difficulty with chewing, swallowing, and in some cases speaking, a sore throat, and a dry or grooved tongue (via Mayo Clinic). Over time, this lack of adequate saliva can lead not just to discomfort, but also dental issues (via Rheumatoid Associates, P.C. and Osteoporosis Center). If you are experiencing stiffness in the joints as well as dry mouth, it may be time to get tested for the possibility of rheumatoid arthritis.

Reduced Range Of Motion

Woman with stiffness in legs © 9nong/Shutterstock Woman with stiffness in legs

It is possible to feel pain and stiffness from any new physical activity routine, especially if your body isn't used to such exercises (via CDC). With exercise modifications, warm-ups, and cool downs, this should resolve in 6 to 8 weeks, or once your body adjusts to the new level of exercise. But what are signs that your body's rigidity (and thus, reduced range of motion) may be related to arthritis?

Joint stiffness that results from arthritis will often occur in more than one joint (via Arthritis Society Canada). If it occurs in the morning and lasts for over an hour or worsens with inactivity, it may be a sign of inflammatory arthritis. Not only may it be more of a strain to flex the joints, but decreased movement will also affect the joints' nutrition and blood supply (via Southeast Orthopedic Specialists). In addition, it can lead to muscle tightness. Thus, stiff joints and reduced flexibility may lead to even greater motility issues.

If you feel your stiffness isn't exercise-related and it worsens with inactivity, you should consult your doctor.

Tingling And Numbness

Tingling, numb fingers © Zay Nyi Nyi/Shutterstock Tingling, numb fingers

In addition to morning stiffness and fatigue, are you feeling any tingling and numbness around your joints? These are considered as common early signs of arthritis (via Joint Flex). 

These sensations may be mild, especially when they've just started to occur. You may notice "pins and needles" or reduced sensitivity in your hands and the feet (via Medical News Today). The lack of circulation can result from nerve compression induced by joint inflammation, which is a common manifestation of rheumatoid arthritis.

To distinguish the feeling of "my hands fell asleep" from repetitive motion (carpal tunnel), your doctor will ask questions to evaluate the timing, duration, and location of the numbness (via Everyday Health). They will also access if it follows certain typical activities such as typing, texting, or blow-drying your hair. Carpal tunnel isn't uncommon for those with rheumatoid arthritis. In fact, 5% of those with rheumatoid arthritiswill develop this condition.

Grating Sensation (Bone Spurs)

Xray showing bone spurs © ChooChin/Shutterstock Xray showing bone spurs

Medically referred to as osteophytes, bone spurs develop as time passes, as does the condition of osteoarthritis (via Cleveland Clinic and Mayo Clinic). The Mayo Clinic describes bone spurs as "bony projections that develop along bone edges" They often result from damaged joints observed in people with osteoarthritis. It can sometimes take years for them to be discovered in the body.

Bone spurs can appear on the hands, feet, hips, knees, shoulders, and spine (via Coastal Orthopedics). A grating sensation may be an indication of the bony growth, according to Christopher Toth, DPM, a foot and ankle surgeon for Banner Health. He points out that these bony growths tend to grow inward, and are often undetectable on our outer physique. While typically harmless on their own, they can impact your everyday routine (via Coastal Orthopedics). Pain, stiffness, and reduced mobility may result from the spur rubbing against surrounding tissue and nerves. If the spur is within the spinal column, it can impinge against those spinal nerves and result in lower back pain and mobility issues. A healthy lifestyle can help delay the symptoms and physical therapy can help (via Cleveland Clinic). Surgery is another an option for relief.

Groin Pain

Man with groin pain © Jelena Stanojkovic/Shutterstock Man with groin pain

Groin pain is common to arthritis of the hip (via Bassett Healthcare Network). That's because bone spurs that can develop within the hip typically cause pain in the groin (via Johns Hopkins Medicine). And while bone spurs can develop gradually as time passes, the irregular shapes of the hip joint bones can cause added friction, which means the bony growth(s) can grow somewhat more rapidly. Walking or standing for lengthy periods of time can exacerbate the distress.

Both osteoarthritis and rheumatoid arthritis can contribute to pain in the groin (via Johns Hopkins Medicine). Cartilage breakdown and bone spurs can develop from either condition. Described by Arthritis Health as among the body's most vulnerable joints, the hip is highly susceptible to stress and injury. Bone spurs not only develop from degenerative processes of the areas connecting the tendon, ligament, and bone (your joints), but also from inflammatory conditions which put stress on those sites (via Rheumatology Network).

Palindromic Swelling

Woman with swollen finger © Albina Gavrilovic/Shutterstock Woman with swollen finger

When a patient experiences joint swelling that persists for days or weeks, clears up entirely, then returns in a similar pattern in the same area, it is referred to as palindromic swelling (via Johns Hopkins Medicine). This is one of the typical experiences associated with rheumatoid arthritis.

During a palindromic flare-up, the joints and tendons are swollen, stiff, tender, and painful, according to Versus Arthritis. In addition, the skin around the area may appear reddened. These attacks, however, are not thought to cause joint damage. Fatigue may also follow after a flare-up, and may affect your disposition and ability to work.

With that said, the pattern of the swelling -- how often it occurs, the length of time it persists, and specific joints involved -- differs from patient to patient. The most common joints affected by palindromic swelling are the fingers, wrists, and knees (via the National Center for Advancing Translational Sciences).

How Is Arthritis Diagnosed?

Doctor examining patient with arthritis symptoms. © Ladanifer/Shutterstock Doctor examining patient with arthritis symptoms.

As there are over 100 varieties of arthritis, it can be difficult to diagnose (via Johns Hopkins Medicine). Thus, your doctor will review your symptoms and your medical history, complete an examination focusing on your joints, order lab tests, x-rays, and ultrasounds if necessary, and possibly remove fluid from a joint (a procedure known as arthrocentesis). Arthrocentesis is performed to get a better understanding as to why a joint is swollen or to simply relieve some of the pain (via Kids Health).

When it comes to imaging, a doctor may be able to use a routine x-ray to access the degree of bone degradation, in order to determine the extent of a patient's arthritis (via HSS). However, symptoms of joint pain and inflammation may be observed even before standard x-rays can detect early bone and cartilage injury or wear-and-tear. In such cases, an MRI (magnetic resonance imaging), CT scans (computerized tomography), or ultrasounds may be ordered. An MRI can detect early indications of arthritis such as fluid build-up around the joints as well as inflammation. It can produce a more highly detailed image of the soft tissue in the joints via high-frequency radio waves and a strong magnetic field (via Mayo Clinic). CT scans can detect bone spurs, and ultrasounds can detect synovial cysts that are sometimes present in osteoarthritis patients (via HSS).

Treatment Options And Lifestyle Management

Patient receiving physical therapy © DC Studio/Shutterstock Patient receiving physical therapy

Various treatment options are available to those suffering arthritis pain (via Mayo Clinic). Sometimes, more than one treatment may be prescribed (and some may be prescribed in conjunction) in order to identify the most effective course of action for the patient.

Medications for arthritis include NSAIDs (nonsteroidal anti-inflammatory drugs) for reducing inflammation and pain. Menthol or capsaicin-based creams or ointments may help aleviate the sensation of pain. They do so by blocking the transmission of pain-signaling responses in the body. Steroids may be provided to help reduce joint damage and inflammation, while disease-modifying antirheumatic drugs (DMARDs) may be prescribed to delay the progression of rheumatoid arthritis and prevent irreversible damage.

Including physical therapy in the treatment plan can be beneficial for arthritis relief (via Twin Boro). An exercise routine coupled with manual therapy by the practitioner may be a beneficial aspect of the treatment and recovery process. What's more, adhering to a Mediterranean-style diet as well as aerobics, aquatics, and resistance-training is recommended as part of the 2022 integrative treatment guidelines for rheumatoid arthritis developed by the American College of Rheumatology.

Read this next: Health Symptoms That Are Serious Red Flags

Wed, 07 Dec 2022 23:58:58 -0600 en-US text/html https://www.msn.com/en-us/health/health-news/early-signs-you-could-be-developing-arthritis/ar-AA15352S
Killexams : Weight management specialists share why weight gain isn’t a choice

“This is termed ‘hormone-sensitive obesity’. Hormone fluctuations (progesterone in particular) make women hungry. Many women, for example, experience significant hunger one to two weeks before their periods are due, and this is due to the surge in progesterone which causes hunger – it is a normal response.”

Dr Bishay says being aware of this normal change in appetite is often helpful, and women should be supported to help maintain healthy eating, have access to platforms such as Juniper which provide highly trained GPs, dietitians and community programs to help them regain control of their health in a supportive, non-judgemental environment.

Male weight gain versus female weight gain

Acknowledging the difference between male and female weight gain is also key, especially as we age and our metabolism slows down by about 3 per cent every decade after age 30.

“We hear ‘eat less and move more’ but it’s a lot more nuanced than that,” adds Bandera.

“We reach different stages of our lives and might have different responsibilities which could affect how much time we have to be physically active, or if we’re stressed that can certainly impact our food choices.

“But there are also other things throughout our life that can influence weight changes, like thyroid function and changes in sex hormones in particular for women.

“When we reach peri menopause and menopause and see those changes in our hormones, the way we’ve been eating for most of our lives might not work anymore. We might see some weight gain and that’s because those hormonal changes can impact how our body uses and processes different nutrients.”

Weight loss is more nuanced than “eat less and move more”.Credit:Juniper

Time for change

The national discourse around obesity is something we need to address, agrees Dr Bishay, who has himself lost 45kg and kept the weight off for two decades.

“Say a disease suddenly descended on the entire nation of Australia that affected two in three people leading to health problems and symptoms. What would people think? That there was an individual fault to play or is it more likely to be a pandemic?

“It makes no sense to say something this widespread is purely out of choice. This is not to say that people are being forced to make less healthy choices in regards to diet and exercise, but it does mean that, as a species, our natural physiological response is to gain weight and resist weight loss. It drives some of us to eat, often excessively.”

With statistics showing two in three Australian adults are currently overweight or obese, costing the economy more than $11.8 billion per annum, he would like to see the change come from the medical profession in the first instance.

“To our well-meaning, hard-working GPs - please ask about your patient’s weight (with permission and empathy, of course) and get upskilled in weight management,” he urges.

“This is the golden era of weight management with many new, highly effective treatments available that can benefit the lives of millions of Australians.”

Talk to the healthcare professionals at myjuniper.com

Please note: the medical information in this article is general in nature and should not be relied upon in place of targeted medical advice that is specific to your condition.

Fri, 02 Dec 2022 00:04:00 -0600 en text/html https://www.smh.com.au/lifestyle/health-and-wellness/weight-management-specialists-share-why-weight-gain-isn-t-a-choice-20221130-p5c2jk.html
Killexams : My Health Record struggles to be useful for patients

But the poor meaningful patient use of the My Health Record and patchy clinical participation of the national health record has prompted the former dean of the Notre Dame medical school, emeritus professor Christine Bennett, to call for a review of the scheme.

“Around 90 per cent of the population have a record but I do think it needs a major review about where it is and where it’s going,” said Professor Bennett, who advises the Digital Health Co-operative Research Centre and led the Rudd government’s 2009 health and hospitals review.

Professor Bennett wants to strengthen the scheme. She said poor digital skills and clunky usability and interface design were impeding uptake of health workers and consumers so that only about 5 per cent of system functionality was being used.

Make it easy for doctors

“The very first thing you have to do is to make it easy. You have to have it embedded in the workflow of a busy clinical setting, whether it’s a GP or specialist or hospital or aged care,” Professor Bennett said.

“The provider’s system has to literally be a click of about 10 to 15 seconds. But at the moment, there’s this laborious kind of drafting of summary statements.”

Professor Bennett said the data needed to be “atomised” (reduced to its most basic level) so the record can be clustered and analysed and presented to doctors and allied health workers, as well as consumers, in a meaningful way.

Christine Bennett says data from digitising health records will help prevent chronic disease and reduce pressure on hospitals. Kate Geraghty

The call for a review comes as Health Minister Mark Butler told The Australian Financial Review the uptake of digital health by medical practitioners was a key focus for the Strengthening Medicare Taskforce, set up in July.

“Australians rightly expect that their digital health record to actually reflect their health record,” Mr Butler said.

“One of the constant areas of concern is the low rate of uploading of pathology results into My Health Record. So, when a patient goes to a doctor, there’s no ensure that doctor can look up their pathology results.

“What ends up happening is unnecessary repeated tests and further bookings for patients. Our health resources are already stretched – not uploading the data is a waste of time and money for patients and practitioners.”

Mr Butler chairs the Medicare taskforce and regards digital health and virtual care as central to modernising primary care and lifting the focus on preventative medicine as part of a broader strategy to reduce pressure on acute care. The push towards personalised care assumes widespread availability of quality heath data to guide clinical responses.

COVID-19 accelerated the uptake of virtual care with the embrace of telehealth and the roll-out of major “hospital in the home” programs. Telehealth has grown from less than 1 per cent to more than 25 per cent of all Medicare consultations.

A new hospital every month

Deloitte modelling estimates the health workforce will need to be four times more productive by 2050 to meet forecast demand.

The modelling was done as a collaboration between Curtin University, the Digital Health Co-operative Research Centre and the Consumers Health Forum of Australia.

Deloitte said modelling of public and private hospital bed requirements from 2016 to 2036 showed that Australia would need to build a hospital with 375 acute-care beds every month for the next 15 years to keep pace with demand and replace ageing stock.

The Deloitte report said Australia’s health system was heavily geared towards “an acute, reactive system of treating illness”.

An associated survey found around 70 per cent of Australians were willing and ready to use virtual care and 80 per cent were ready to share their health data in a digitally enabled health system.

Australian Digital Health Agency research has also found that Australians largely want to be involved in their healthcare. Four out of five consumers (81 per cent) surveyed already assume their healthcare providers are sharing or have access to their key health information.

“We are desparate to work with government to support the Strengthening Medicare Taskforce by leveraging our relationships with jurisdictions, healthcare providers and the health technology sector to progress a range of innovative healthcare solutions,” said Amanda Cattermole, chief executive of the ADHA.

No compulsion to upload data

The ADHA administers My Health Record, which has around 23.4 million participants, after the previous government opted all Australian citizens into the scheme. Successive omicron waves have spiked usage of the scheme, with the latest data showing 6.3 million people had accessed their record in October.

The ADHA is targeting a 20 per cent increase in consumer use of My Health Record, a 15 per cent increase in clinical and provider use of MHR and a 20 per cent increase in electronic prescribing for 2022-23.

The CEO of the Australian Digital Health Agency Amanda Cattermole. Olive + Maeve

The ADHA is pushing for a major increase in aged care transfer summaries, the near-real-time sharing of primary care and acute care data, and a digital version of a child’s baby book.

The push to increase data sharing among clinicians comes as officials note several private pathology and diagnostic imaging providers are using My Health Record but are uploading only a small number of reports.

Once registered, these organisations may elect to upload content to My Health Record or not, as there is no regulatory lever compelling them to do so.

Officials have noted that too often healthcare providers put in place local policies, system rules and other constraints that restrict what they upload to My Health Record.

An example cited is where an imaging provider might only upload test results that have been requested electronically, rather than via a paper request. Pathology labs are also electing to upload results only for certain test types.

Data to enable “wellness reports”

Professor Bennett said the use of the data from a mature My Health Record system would open a major opportunity to pivot the health system to one more focussed on prevention.

“This shift will help reduce the growing pressures on the existing system by keeping more Australians healthy and reshaping demand for healthcare,” the Deloitte report said.

The Deloitte report noted that despite the Australian health system’s high global ranking “Australia is considerably poorer in patient engagement and delivering preventative, safe and coordinated care”.

The report said the integration of health data, including from wearables and other smart devices would enable personal “wellness reports” supported by “nudge behaviours” (eg notifications to have a cancer test) that “encourage healthier lifestyles, vitality and wellness and prevent chronic disease and ill health.”

Tue, 29 Nov 2022 16:12:00 -0600 en text/html https://www.afr.com/policy/health-and-education/my-health-record-struggles-to-be-useful-for-patients-20221129-p5c218
Killexams : How a J.P. Morgan specialist offers smaller practices capital support No result found, try new keyword!Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their ... Mon, 14 Nov 2022 21:18:00 -0600 en text/html https://www.healthcarefinancenews.com/video/how-jp-morgan-specialist-offers-smaller-practices-capital-support Killexams : 988 makes it easier to get help in a mental health crisis, but NC needs more providers No result found, try new keyword!The new National Suicide Prevention Lifeline is fast. But expanding North Carolina’s network of mental health care is not. Thu, 24 Nov 2022 22:01:00 -0600 text/html https://www.newsobserver.com/news/local/article269160802.html Killexams : ‘Zero Covid,’ Once Ubiquitous, Vanishes in China’s Messy Pivot

A day after China’s ruling Communist Party announced a broad rollback of the “zero Covid” restrictions that had smothered the economy and transformed life in the country, the propaganda apparatus on Thursday began the daunting task of promoting an audacious revision of history.

While the rest of the world concluded months ago that the coronavirus was becoming less deadly, Beijing presented the development as fresh news to explain its abrupt decision to undo the lockdowns that prompted widespread protests. In doing so, it also made a high-risk bet that vaccination rates in China are sufficient, or soon will be, to prevent a severe outbreak that overwhelms the nation’s hospitals.

“The pathogenicity of the Omicron strain of the coronavirus now is significantly reduced,” Wang Guiqiang, a health expert, told reporters in Beijing at a news briefing on Thursday that was widely covered in state media. “Everyone should treat it with a normal heart — there is no need to be nervous or even fearful.”

State television also trumpeted assertions that more than 90 percent of cases of the year-old Omicron variant are mild or asymptomatic, without explaining the sudden embrace of such conclusions. The health commission released details on how residents should quarantine at home if they test positive, instead of at hospitals. Workers began tearing down testing booths. Officials detailed new limits on when and how local authorities can impose lockdowns.

There were scenes of both relief and confusion over the easing of the lockdowns. Rush-hour traffic returned to Beijing’s long empty roads. People posted selfies marking their return to work and to dining at restaurants. But any celebratory mood seemed dampened by worries about getting sick, with people rushing to order home Covid test kits and fever medications.

Even China’s leader, Xi Jinping, seemed to distance himself from the unwinding of his signature policy, traveling to the Gulf for several regional summits — one of the few overseas trips he has taken during the pandemic. Mr. Xi’s travels were highlighted on the front page of the People’s Daily, the Communist Party’s mouthpiece, where there was no mention of “zero Covid” or its overhaul.

For months, state media commentaries and experts had played up the threat of Omicron to justify his strict policy of lockdowns, mass quarantines and testing that had disrupted daily life.

“They knew the severity of Omicron, but they did not want to tell people the truth. Instead they started to exaggerate the severity of the disease, the virulence, in order to justify the policy of ‘zero Covid,’” said Yanzhong Huang, a global health specialist and a senior fellow at the Council on Foreign Relations.

“Suddenly, you have all these experts coming out to justify why this policy relaxation is necessary,” he said, referring to health officials whose messages around the pandemic have pivoted drastically in accurate days.

China’s jarring, whiplash-inducing narrative shift around Omicron points to the challenge for the party as it tries to prevent this week’s sudden abandoning of “zero Covid” from being construed as an admission of failure and a stain on Mr. Xi’s legacy. For years, China has pushed a triumphalist narrative about its top-down, heavy-handed approach to eradicating infections, saying that only the Communist Party, under Mr. Xi’s leadership, had the will and ability to save lives.

The changes the government announced on Wednesday — which would limit lockdowns and scrap mass mandatory quarantines and hospitalization for most cases — amounted to a reversal of “zero Covid” in the face of public opposition and mounting economic costs. But the party is deploying the full force of its propaganda and censorship apparatus to depict the transition as part of the plan all along.

More crucially, state media appeared to be distancing the policy shift from Mr. Xi, in stark contrast to the summer of 2020 when they had highlighted Mr. Xi’s declaration of victory against Covid when the restrictions curbed infections. Even the term “zero Covid” has suddenly disappeared from official statements and officials’ remarks.

Opening China up to a highly transmissible outbreak is not the success that Beijing had hoped to achieve, said Dali Yang, a professor at the University of Chicago. “They realized that this is not something that is worth celebrating,” he said. “Reopening has taken too long, and praising Xi may very well be counterproductive.”

Cases have surged, with the country reporting an average of around 30,000 cases a day in the last week, though with the cutting back of testing, such tallies are expected to soon result in an undercount. International experts have warned that China’s strategy of relying heavily on snap lockdowns and contact tracing, at the expense of ramping up vaccinations, has put the country at risk of overwhelming the chronically underfunded and understaffed public health care system. Compared with many other Asian countries, China has fewer intensive care beds per capita.

Images and videos posted on Chinese social media and state media showed the rapid dismantling of the some of the most widely feared or despised features of the “zero Covid” controls around the country. Workers carted away signs denoting mass testing sites and ripped down posters that restricted subway use to those who had negative Covid tests. Prefabricated makeshift hospitals, which Beijing had once touted as proof of its ability to mobilize but had quickly become symbols of the state’s power to detain citizens, were torn down.

Internet censors seemed to be trying to tread a delicate line. Xiao Qiang, an expert on censorship at the University of California, Berkeley, said that since the new policy was announced on Wednesday, censors have tried to erase posts and comments that either called for sticking to the stringent “zero Covid” measures or supported the complete removal of restrictions.

“The government has indeed turned 180 degrees, but it does not allow the public to call it a complete failure of the previous policy,” Mr. Xiao said. “It also wants to basically control the narrative that what the government did was right, and the new policy shift is not directly the result of the protests.”

For the party, the strategy of playing down the threat of the virus is a gamble because it can be difficult to predict how China will fare as the virus continues to spread unabated. But health officials are thinking about a surge in cases overwhelming the country’s hospitals, especially after mandating for nearly three years that anyone who tests positive must be admitted.

In a speech reported by the China Youth Daily, a Communist Party newspaper, on Wednesday, a former infectious diseases official predicted that as much as 90 percent of the population could eventually be infected with Covid. Feng Zijian, the former deputy head of the Chinese Center for Disease Control and Prevention, said officials must quickly accelerate vaccinations, especially in older people, and prepare the health care system for an influx of patients.

Spreading the message that most cases will not require any medical treatment could help hospitals with triage. On Thursday, China’s national health commission issued a plan that enabled Chinese to use store-bought rapid-antigen tests instead of relying on the widely criticized government-run P.C.R. tests. Residents who tested positive with self-administered tests could choose to quarantine at home, the plan said.

Many ordinary Chinese appeared to be bracing themselves for a widespread outbreak. On Weibo, a popular Chinese social media platform, people shared tips for quarantining at home. Residents began to stockpile drugs and pain killers, including ibuprofen and acetaminophen, apparently driving up prices in stores.

At the same time, many Chinese were quick to point out the party’s abrupt turnabout in policy. On Weibo, users mocked experts who had been enlisted to justify the central leadership decisions. Foremost among them was Liang Wannian, the chief scientist working with the World Health Organization on studies into the origins of the pandemic. (For months, Mr. Liang talked up the deadliness of the Omicron variant, but told reporters on Wednesday that the virus “has now become milder.”)

“The people persisted in popularizing science to the experts,” wrote one widely circulating post on social media. “The experts finally realized that Covid is less serious than the flu.”

Hazel Liu, a resident in Beijing who had taken part in a accurate protest, saw the easing as evidence that the public pressure campaign had worked. She was glad to see malls in the city lift rules requiring customers to show negative tests before entry. “I hope I can travel abroad in 2023!” she added.

In many ways, the new policy was also a vindication of health experts and others who had previously been silenced, or ignored, for questioning China’s zero-tolerance approach.

When Tedros Adhanom Ghebreyesus, the head of the World Health Organization, described China’s “zero Covid” policy as unsustainable in May, his comments were censored on the Chinese internet and denounced as “irresponsible” by a foreign ministry spokesman.

Chinese social media users shared articles recalling Zhang Wenhong, a epidemiologist in Shanghai and an earlier proponent of easing. Shortly after Shanghai entered a brutal 60-day lockdown in April, Mr. Zhang and other authors published a study on the weakening lethality of the Omicron variant that was widely criticized.

On Thursday, an article titled: “Mistaken criticisms of Zhang Wenhong and ‘living with the virus’ cost us a year,” was shared widely. The article was later removed.

Many Chinese returned to Dr. Li Wenliang, the first victim of censorship involving the pandemic, who died in early 2020 after contracting the coronavirus. Users flocked to Dr. Li’s Weibo page to leave heartfelt notes of solidarity. “Dr. Li, it’s finally over.” one user wrote. “We miss you. Thank you for your hard work.”

Li You contributed research.

Thu, 08 Dec 2022 03:41:00 -0600 en text/html https://www.nytimes.com/2022/12/08/world/asia/china-covid-rollback.html
Killexams : Clever Care Health Plan Announces New Partnership with Allied Pacific IPA

Clever Care Health Plan Inc. ("Clever Care") announced its partnership with Allied Pacific IPA, Alpha Care Medical Group, and Accountable Health Care IPA.

HUNTINGTON BEACH, Calif. (PRWEB) November 28, 2022

Clever Care Health Plan Inc. ("Clever Care") announced its partnership with Allied Pacific IPA, Alpha Care Medical Group, and Accountable Health Care IPA.

Allied Pacific IPA (Allied) is one of the largest provider networks in Southern California, serving over 350,000 patients in the greater San Gabriel Valley area. Alpha Care Medical Group (Alpha Care), founded in 1993, serves the ever-growing Inland Empire communities – expanding Victorville to Indio. Finally, Accountable Health Care IPA (Accountable) serves residents of the greater Long Beach area of Los Angeles County and Downtown Los Angeles.

The partnership combines Clever Care's focus on whole-health Medicare plans and a quality patient-centered network of doctors, specialists, and hospitals in the greater Southern California area. Many of the providers in the three physician groups are bi-lingual and care for traditionally under-served populations.
"Our partnership with Allied Pacific IPA will provide Medicare beneficiaries more options in receiving the quality, culturally-sensitive healthcare they deserve," said Peter Winston, Senior Vice President, and General Manager at Clever Care Health Plan. "Through this affiliation, Clever Care members will also have access to more hospitals in Greater Los Angeles."

Brandon Sim, Co-CEO of Apollo Medical Holdings Inc. ("ApolloMed"), the value-based enablement company that partners with and manages the three IPA groups, said, "Clever Care and our IPA network of physicians share a strong commitment to providing high-quality, culturally competent healthcare right here in our communities. The partnership with Clever Care will offer Medicare patients more choices and enhance their access to care. Together, we will continue to fulfill our mission of serving the needs of our communities and allowing them to live their lives to their fullest."

Clever Care offers a whole health approach that includes Western and Eastern medicine. Clever Care has over 15,000 provider facilities, over 50 leading hospitals, and an extensive network of in-language doctors and healthcare experts, making accessing care at any stage of your health journey easier. The company also offers plan options with unlimited acupuncture with access to over 600 acupuncture providers, cupping, herbal supplements, and a flexible allowance for golf, tai chi, gym memberships, and much more. In addition, Clever Care's dedicated Medicare team and community centers provide in-language support services to ensure that nothing gets lost in translation so that members can optimize their healthcare services to best fit their needs.

About Clever Care Health Plan
Clever Care Health Plan, Inc. is a private Medicare Advantage Plan company based in Southern California that offers quality and affordable Medicare plans that focus on whole health. The company prides itself in removing healthcare obstacles by honoring and uplifting the cultural values of the communities it serves. Clever Care plans are centered around complete wellness and combine the healing therapies of Eastern medicine with the innovative practices of Western medicine. Clever Care understands that there is more to a person than their health. To learn more about Clever Care Health Plan, visit clevercarehealthplan.com.

About Allied Pacific IPA
Founded in 1992, Allied Pacific IPA continues to provide high-quality and patient-centered medical care through an extensive and accessible network of physicians, hospitals, and ancillary healthcare professionals. With 1,337 primary care and specialty physicians, Allied Pacific IPA (Allied) is one of the largest provider networks in Southern California, serving over 350,000 patients.
To learn more about Allied Pacific IPA, visit alliedipa.com.

About Alpha Care Medical Group
Alpha Care Medical Group, an Independent Physician Association (IPA), was founded in 1993 by community doctors who wanted to Strengthen health care for the Inland Empire's diverse communities. Today, over 1,479 primary care physicians and specialists continue to work together to provide high-value, affordable care to the residents of the Riverside and San Bernardino Counties, California.
For more information, visit alphacaremed.com.

About Accountable Health Care IPA
Accountable Health Care IPA is dedicated to promoting personal health and well-being through the coordinated delivery of care. With over 1,000 primary care and specialty physicians, Accountable Health Care IPA is committed to providing high-quality and patient-focused care to the Los Angeles and Long Beach communities.

CLEVER CARE HEALTH PLAN IS AN HMO AND HMO C-SNP WITH A MEDICARE CONTRACT. ENROLLMENT DEPENDS ON CONTRACT RENEWAL. OTHER PHYSICIANS/PROVIDERS ARE AVAILABLE IN OUR NETWORK.
H7607_23_CM1465_M 11262022

For the original version on PRWeb visit: https://www.prweb.com/releases/2022/11/prweb19043478.htm

© 2022 Benzinga.com. Benzinga does not provide investment advice. All rights reserved.

Mon, 28 Nov 2022 07:55:00 -0600 text/html https://www.benzinga.com/pressreleases/22/11/p29880284/clever-care-health-plan-announces-new-partnership-with-allied-pacific-ipa
Killexams : University of Northern Colorado fall commencement ceremonies Dec. 9 and 10

Dec. 3—The University of Northern Colorado will celebrate its fall 2022 graduates in on-campus ceremonies Dec. 9 and 10 in Greeley.

Approximately 927 students will graduate this semester with bachelor's, master's, specialist or doctoral degrees, according to the university.

The graduate school's doctoral hooding ceremony is Dec. 9, with three ceremonies for the bachelor's, master's and specialist candidates on Dec. 10.

The doctoral hooding ceremony is 7 p.m. Dec. 9 in the Campus Commons Performance Hall.

The bachelor's, master's and specialists ceremonies are scheduled at the following times Dec. 10 at Bank of Colorado Arena.

* 9 a.m. — College of Education and Behavioral Sciences

12:30 p.m. — College of Natural and Health Sciences and College of Performing and Visual Arts

3 p.m. — College of Humanities and Social Sciences and Kenneth W. Monfort College of Business

For more information, visit the university's fall commencement page at www.unco.edu/news/articles/2022-fall-commencement-ceremony.aspx.

(c)2022 the Greeley Tribune (Greeley, Colo.) Distributed by Tribune Content Agency, LLC.

Sat, 03 Dec 2022 12:39:00 -0600 en-US text/html https://www.msn.com/en-us/news/us/university-of-northern-colorado-fall-commencement-ceremonies-dec-9-and-10/ar-AA14Skr0
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