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Governor Abercrombie signed the following bills:
House Bill 2052 (Relating to Provider Orders for Life-Sustaining Treatment) increases access to Provider Orders for Life-Sustaining Treatment (POLST) by updating references from “physicians orders for life-sustaining treatment” to “provider orders for life-sustaining treatment.” The measure also expands health care provider signatory authority to include advance practice registered nurses and corrects inconsistencies of terms describing who may sign a POLST form on behalf of a patient.
House Bill 1616 (Relating to Health Planning) adds to the Hawaii State Planning Act’s objectives and policies for health, the identification of social determinants of health and prioritization of programs, services, interventions, and activities that address identified social determinants of health to improve Native Hawaiian health in accordance with federal law and reduce health disparities of disproportionately affected demographics.
House Bill 1723 (Relating to Psychiatric Facilities) amends the notice requirements for the discharge of an involuntary patient committed pursuant to legal proceeding involving fitness to proceed and requires the family court to conduct a timely hearing prior to the termination of a standing commitment order.
House Bill 2320 (Relating to Health) establishes health equity as a goal for the DOH and requires the DOH to consider social determinants of health in assessing health needs in the state. The measure is known as “Loretta’s Law” for the late DOH Director Loretta Fuddy, who was passionate proponent.
House Bill 2581 (Relating to Insurance) establishes the State Innovation Waiver Task Force and requires the task force to submit two interim reports and a final report to the legislature.
Senate Bill 2469 (Relating to Telehealth) requires equivalent reimbursement for services, including behavioral health services, provided through telehealth as for the same services provided via face-to-face contact between a health care provider and a patient. The measure also clarifies that health care providers for purposes of telehealth include primary care providers, mental health providers, oral health providers, physicians and osteopathic physicians, advanced practice registered nurses, psychologists, and dentists. For consistency purposes, the bill changes statutory references of “telemedicine” to “telehealth.”
House Bill 2400 (Relating to Temporary Disability Benefits) provides temporary disability benefits to employees who suffer disabilities as a result of donating organs.
Senate Bill 1233 (Relating to Leaves of Absence) requires certain private employers to allow employees to take leaves of absence for organ, bone marrow, or peripheral blood stem cell donation. Unused sick leave, vacation, or paid time off, or unpaid time off, may be used for these leaves of absence. The measure also requires employers to restore an employee returning from leave to the same or equivalent position and establishes a private right of action for employees seeking enforcement of provisions.
Reliable health centre are very few especially in the rural areas. Returnees are preferring to settle in urban centres where they are assures of some basic services. This in turn leads to overcrowding and stretching of the little services available. EC/ECHO/Martin Karimi
Here are some statistics resulted from looking into the matter after almost 50 years of birth control:
www.womenhealthzone.com/womens-reproductive-health/birth-...
As we near the production printing process, Sarah has designed a card deck for the health axioms. Not too shabby.
Support us through the IndieGoGo campaign: www.indiegogo.com/projects/health-axioms-card-deck/x/874861
San Jacinto College offers a wide range of nursing courses and degree options at all three campuses.
Our Daily Challenge 3-9 February : Health
These little weights sit where i can see them but don't get lifted as much as they should!
I prefer swimming, but that doesn't increase muscle as much as weights.
Nyamuoch Gatdet, 9 years, 1st grade student, Kuanyluaalthoan kebele, Lare woreda, Gambella Region.
“It was dawn. I was asleep and woke up when I heard the noise of a gunfire. We immediately run out of the house. I remember being taken to a forest. We were afraid and scared. We were running fast but they caught me. Heard that my father was killed that day- didn’t know about it until my return.
The Abductors are always talking to us but we don’t understand anything. I think they were trying to teach us their language. I only met one friend from my village but the rest of the children were strangers. I am so happy to be back to my family. When I grow up I only want to do good things to human beings by becoming a teacher or a doctor. I will never forget this experience. It was such unexpected return- I was thinking they will lock us there forever. Me and my mother cried for a long time with happiness. Now that my mother is with me, I am not scared anymore. I miss my siblings so I want to go back to my village soon.”© UNICEF Ethiopia/2016/Meklit Mersha
Marly Kadak (left) and Anne Fotheringham (right) with Ingrid Perry, President & CEO of Bridgepoint Health Foundation.
(photo credit: Sonia Recchia/Pimental Photo)
A Lime Mental Health Awareness Image I created in support of www.facebook.com/groups/168384363282873/
Lime-lighters for MENTAL HEALTH AWARENESS is an informal group of FB members with a mission to recruit other FB members from alll over the world to promote May Mental Health Awareness Month by creative use of lime green (neon-shade).
Wear a Lime green ribbon in support of Mental Health Awareness
Month in May
Michael Milken, Chairman, Milken Institute
Tanisha Carino, Executive Director, FasterCures
Jim Yong Kim, President, World Bank Group
Rajiv Shah, President, Rockefeller Foundation
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Fortune Brainstorm HEALTH 2018
Tuesday, March 20th, 2018
Laguna Niguel, CA
9:05 AM
THE NEXT ENDANGERED SPECIES: THE DOCTOR
Lost in the conversation of the digital health revolution is the focus on humans that often drive transformation in healthcare and that’s the medical doctor. We’ve seen doctors increasingly demoralized, depressed, and under pressure to meet mounting administrative loads while maintaining impeccable, patient-rated “healthgrades” online. The epidemic of burnout now affects almost two-thirds of America’s physicians according to a recent Medscape study. They’re frustrated by the payment systems and being pushed out by large health systems that imagine others doing their work and stripping them of authority. They spend less and less time with patients, and there’s giddy talk about how soon robots—already active in surgery and radiology—will do it all. Do we really want to imagine a world without doctors?
Dr. Toby Cosgrove, Former President and CEO, Cleveland Clinic
Dr. Laurie Glimcher, President and CEO, Dana-Farber Cancer Institute
Moderator: Dr. David B. Agus, University of Southern California
Photograph by Stuart Isett/Fortune
School Health Programs in Bangalore City !
Trinity Care Foundation - trinitycarefoundation.org/
Doctor's & Dentist's Join us Write to - " support@trinitycarefoundation.org " for more Information on Internship & Volunteer Opportunities !!!
Hefty Insurance Services Inc
2667 Vivian St Portage, IN 46368
(219)359-2850
"health insurance portage in"
There are many people who love to post selfies of themselves at the dentist. In the internet age, even the biggest Hollywood celebrities are doing this. However, there are those that do go a bit further, snapping directly from where the dentist chair is. However, some celebrities love to talk about the fact that they have other problems as well. While chipped teeth and fillings are a big one, grinding teeth is also something that can be detrimental to your health. However, most people don’t pay attention to it, but it’s actually a huge problem that is very common. Teeth grinding is a condition that many dentist will talk about, but often people don’t take it seriously. It’s also called #bruxism.
Now bruxism is a habit that affects many people, however, so many don’t realize it. The main reason, is because people are actually doing this at night, while they are sleeping. They do it unconsciously, but it’s definitely something that isn’t good for the health of the teeth. If you unconsciously grind your teeth, it then starts to push a lot of force on the teeth itself. This then causes chipping or damage to the #teeth which in turn will require more dental work than before. It can even loosen teeth if you’re not careful. It is common mostly in children under 11, but it is also a big problem with adults, especially those that are under a lot of stress.
Sometimes, you can feel the damage that you’re doing. Mouth pain might be there, soreness, and some damage can be seen if you’re grinding a lot. Other times, your dentist might notice this evidence through a cleaning. Tooth sensitivity is also a very obvious sign of this as well, and it can be seen on the surface too. If your dentist tells you that you have this, well it’s important that you act, because this can hurt your teeth permanently.
Now in most adults, it’s caused by #stress. While stress I small amounts is considered good, in those that have a large amount of it, it’ll negatively impact you. It can also come about because of bite problems, an overuse of various stimulants such as caffeine, alcohol, illicit drugs, and even tobacco, and even can be a side effect of various medications. Sometimes, people do notice it and they can get it under their thumb and control it. However, sometimes some don’t and they need some help with it.
If you’re stressed, and you’re doing this, it’s important to start to figure out a good routine to help with this, such as maybe exercising, meditation, a bath, or maybe some quiet time before you go to bed. These can help with the problem if it doesn’t reduce.
If this doesn’t fix it completely, there are other ways to help with this. While bruxism is a bite problem, albeit a small one, you can get a bite adjustment done at your #dentist. This is essentially taking a bit of enamel from the tooth that’s out of position, and bringing it in closer. If it’s way more serious, you might need to get orthodontic appliances put in, which are often the better solution.
Now, there are also custom mouth guards that you can put on as well. They are comfy and will secure themselves to the teeth easily. This will prevent your teeth from being damaged by touching each other, so if you are doing this, you can protect them. This will also protect the jaw from stress because of excessive grinding.
Now grinding is something that people often take for granted and don’t realize that they do until it’s too late. However, you don’t have to be like this, but instead, you can call you dentist and get the help that you need today. You owe it to yourself to have good, healthy teeth, and if you’re able to get this problem checked before it’s too late, you’ll be able to really feel the effects of it, and you’ll be able to have much healthier teeth. Tooth grinding is often a problem that should be taken care of right away.
A Lime Mental Health Awareness Image I created in support of www.facebook.com/groups/168384363282873/
Lime-lighters for MENTAL HEALTH AWARENESS is an informal group of FB members with a mission to recruit other FB members from alll over the world to promote May Mental Health Awareness Month by creative use of lime green (neon-shade).
Wear a Lime green ribbon in support of Mental Health Awareness
Month in May
HAL CSR Activity Focusing on Outreach Health Program , trinitycarefoundation.org/
www.facebook.com/media/set/?set=a.448937881836334.107936.... Community Health Initiative in rural areas of India under CSR Programs. Outreach Health programs are important tools for bringing health education and screening services directly to community members and serve to contribute to reducing health disparities.They assist communities and hospitals to reach mutually beneficial goals that would otherwise not be achievable for promoting accessible and equitable care.
Photo Credit: Allan Gichigi/MCSP
A pregnant woman is checked during the MCSP/MOH health facility outreach program, Kenya
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Fortune Brainstorm HEALTH 2018
Tuesday, March 20th, 2018
Laguna Niguel, CA
4:05 PM
TAKE TWO TERABYTES AND CALL ME IN THE MORNING: DATA’S GROWING ROLE IN THE MEDICAL TOOL BOX
At the core of precision medicine is precision: the critical need to hit, square on, a moving target in a body chock full of moving targets. To keep the aim sound, we need more than a steady hand, we need data. Smart data, and lots of it. That imperative has driven much of the innovation—and investment—in the current digital health transformation. Entrepreneurs and corporate leaders are now championing the role of big data in everything from drug development to predictive analytics in cancer diagnosis to hospital systems management—and putting billions of dollars behind these efforts. Do the numbers add up, or is the promise of big data yet another false medical miracle?
Dr. Amy Abernethy, Chief Medical Officer, Chief Scientific Officer, and Senior Vice President, Oncology, Flatiron Health
Dr. Kyu Rhee, Vice President and Chief Health Officer, IBM Corporation
Dr. Mona Siddiqui, Chief Data Officer, U.S. Dept. of Health and Human Services
Photograph by Stuart Isett/Fortune
Cancer can be treated in a number of ways. Surgery, Chemotherapy, Radiation Therapy, Immunotherapy, and Monoclonal Antibody Therapy are among the most popular. The choice of cancer therapy is made by looking at the stage of the disease and the state of the patient. The goal of cancer treatment is the complete removal of the cancer without significantly damaging the rest of the body. Sometimes a surgeon can remove the cancer easily, other times this is not possible. Chemotherapy and Radiation can be quite affective in killing cancer cells, but they are also toxic to healthy cells.
The Breast Cancer Run
Surgery
Theoretically, non-blood based cancers can be cured if entirely removed by surgery. This is easier said than done. If the cancer spreads to other parts of the body before surgery, it is usually impossible to remove all the cancer through surgery. Two of the most well know surgical procedures for removing cancer are mastectomy (where one or both of the breast are removed in an effort to treat breast cancer) and a prostatectomy (where all or part of the prostate gland are removed). Cancer can recur if a single cell is left behind after surgery. With this in mind a pathologist will carefully examine your surgical specimen to make sure there is a margin of healthy tissue present.
Surgery is also used to determine the stage (extent) of cancer. Staging is very important for determining a prognosis and treatment.
A Radiation Mask
Radiation Therapy
Radiation Therapy is the use of radiation to kill cancer cells and shrink tumors. Radiation can be giving externally through External Beam Radiotherapy (EBRT) or internally through Brachytherapy. The effects of radiation are concentrated on the area being treated. Radiation Therapy damages the DNA of the cancer cells making it impossible for them to grow and divide. Radiation Therapy damages both healthy and cancer cells, but healthy cells are able to recover from the Radiation. Radiation is given over several rounds so the healthy cells have a chance to recover between treatments.
Radiation is used to treat almost every type of cancer. The amount of Radiation that is given depends on the type of cancer and how close it is to major organs. As with every form of cancer treatment, radiation is not without side effects.
Steve after Radiation
Side Effects of Radiation Therapy
The side effects of Radiation Therapy can appear during treatment or years later. The nature of the side effects depend on where the radiation was received and how much. Some of the immediate side effects from radiation are burning on the skin, swelling, infertility, and fatigue. Some of the long term side effects fibrosis (loss of elasticity in the tissue that was treated), hair loss, dryness, and cancer.
Mia in the Hospital
Chemotherapy
Chemotherapy is the treatment of cancer with anticancer drugs. Most chemotherapy targets all rapidly dividing cells, and not just cancer cells. This means that often chemotherapy damages healthy cells as well as cancer cells. However, most healthy cells repair themselves after the chemotherapy has ended. Most patients are given a combination of chemotherapy drugs. It is important that you talk all drugs that are prescribed in combination with your chemotherapy.
Targeted Therapy
Targeted Therapy first became available in the late 1990s and it has proven to be very effective in treating some types of cancer. If you have questions about Targeted Therapy and how it can help you or your loved one, talk to your doctor. Your doctor will know what Targeted Therapies may be right for your cancer.
Josh and his family after surgery
Immunotherapy
Immunotherapy is a set of strategies that will trigger a patient’s immune system to fight the tumor. Immunotherapy has been very affective on Renal Cell Carcinoma, Melanoma, and prostate cancer.
Hormonal Therapy
Hormonal therapy is used to block or provide certain hormones. They have been particularly effective in Breast and Prostate Cancers.
Tom getting chemo
Symptom Control
Some treatments are designed not to kill the cancer cells, but to control the symptoms of the cancer. This is very important for helping maintain a high quality of life for the cancer patient. Symptom Control is used for all stages of cancer, but particularly for end of life care. There is somewhat of a social stigma attached to the use of high power pain killers. Cancer patients should feel free to ask their doctor or Hospice provider about any medicine they take, especially if the patient feels the medicine is doing more harm than good. That being said, do not stop taking any medicines without consulting your health care provider first.
Complementary and Alternative Medicines
Consult your doctor and do lots of research before beginning any alternative treatment. Do not stop your other therapies or medicines in order to take an Alternative Medicine. No Alternative Treatments have been shown to effectively treat any form of cancer, and none are FDA approved.
Roger perparing for surgery
Clinical Trials
Clinical Trials test new treatments on people with cancer. The goal of these studies is to find better ways to treat cancer and help cancer patients. Patients who take part in clinical trails get the best available standard of care for their cancer, however there is no guarantee that the new treatment will work. If the treatment does work, those in the trial are among the first to benefit from the new treatment.
Article From www.cancer.sc/content,treatment/
HDR panorama done in LR Classic CC. Two exposures for each of 13 shots. This one really challenged the algorithms and there were too many stitching and HDR masking errors to deal with. Still, I love the shot so I'll choose to ignore the problems.
Chewing gum is not something new to the people who live out there in the world. In fact, people have been chewing gum for thousands of years. As a result, a variety of studies have been conducted in order to figure out whether chewing gum is healthy for dental health of people or not.
Read More here: lnkd.in/fNycgGW