Showing: 1 - 10 of 14 RESULTS

A healthy dose of justice: When the vaccine comes, a COVID vulnerability index can help achieve both

There’s been lively discussion about whether people will be willing to take a vaccine for COVID-19 when it becomes available. It’s a question each of us will have to answer for ourselves sooner or later. But the debate obscures a more complex reality: when an effective and safe vaccine finally arrives, it will initially be in scarce supply. No country or business has the manufacturing capacity to quickly provide enough doses for an entire population.

The big question we should be considering, therefore, is who should get vaccinated first, and who should be next in line thereafter? Do certain groups within the population deserve priority over others? And if so, what considerations should influence these decisions?

This is not the first time we’ve been faced with this type of “allocation problem.” Typically, vaccine allocation decisions are made with a view toward maximizing the overall health benefit: to achieve the greatest good for the most people, such as the total number of lives saved. For reasons of epidemiology, that doesn’t always mean that people most vulnerable to a disease are the first ones to receive a vaccine. The worst-off groups are prioritized only insofar as it aligns with maximizing the benefits of the vaccine.

But COVID-19 is an exceptional disease — not just because of the rapidity and extent of its spread, but because of the way it has highlighted and heightened the inequities that exist in the United States. It has a disproportionate impact on communities who are disadvantaged by their race and ethnicity, by underlying comorbidities and lack of access to good health care, by their living conditions, or even by the kind of work they do. In the United States, rates of COVID-19 infection among Black, Latinx, and Native American people are more than two-and-a-half times as high as among white people — while hospitalization rates are approaching five times as high, and Black people are dying at twice the rate of white people. Historically, it’s precisely non-white populations that have lower coverage of vaccination for common diseases.

This is why we developed the COVID Community Vulnerability Index (CCVI) — to identify the communities impacted most negligibly by the virus, so we can plan and respond accordingly. It builds on the CDC’s Social Vulnerability Index (SVI) to take into account additional vulnerability factors that come into play with a pandemic disease like COVID-19 — from minority populations and foreign languages spoken, to the amount of household crowding or limited transportation access in a community.

It’s therefore exciting to see that the National Academies of Sciences, Engineering, and Medicine (NASEM) has just launched a set of vaccine allocation recommendations for the United States that make an important departure from the traditional vaccine allocation framework. NASEM aims to achieve not only impact, but also social justice, by taking into account that ethnic minority groups are worse affected by COVID-19.

NASEM proposes a vaccine allocation framework with the goal of reducing severe illness, death, and societal consequences due to COVID-19. Its

WellCare of Nebraska Will Rebrand as Healthy Blue in January, Reflecting a New Alliance With Blue Cross and Blue Shield of Nebraska

Members’ health plan benefits and services will remain the same.

Community Care Health Plan of Nebraska, Inc. (dba WellCare of Nebraska), which is an Anthem Inc. company and leading managed care provider of health benefits for Nebraska’s Heritage Health Medicaid program, along with Blue Cross and Blue Shield of Nebraska (BCBSNE), the largest health insurer in Nebraska, have received approval to enter into an alliance to collaboratively serve Medicaid beneficiaries across the state.

In support of this venture, the Nebraska health plan known as WellCare will be rebranded as Healthy Blue to reflect the strength of its new alliance with BCBSNE, as well as to extend brand stability and recognition of the Blue Cross and Blue Shield name to its Heritage Health Medicaid members. This name change will take effect on Jan. 1, 2021.

“Through this joint venture, we are bringing together proficiency in building best-in-class Medicaid programs with expertise that comes from being the state’s oldest and largest health insurer,” said Tim Meyers, health plan president. “We both have a shared interest in addressing the unique needs of Nebraska’s Medicaid beneficiaries and alleviating Nebraska’s most pressing health issues. Through our shared mission, we are confident that we will succeed in building healthier, stronger communities across our state.”

Approximately 83,000 health plan members, who participate in the state’s Heritage Health Medicaid program, will be notified through the mail to inform them of the change to their health plan’s name. Members should expect to receive new Healthy Blue member ID cards with the Blue Cross and Blue Shield logo before January 1, 2021. Existing WellCare of Nebraska member ID cards should be used through the end of 2020.

Members will also continue to receive the same healthcare benefits and have access to their established primary care providers, specialists and care centers. This rebrand will not have any impact on BCBSNE health plan members or providers.

“We have been here for millions of Nebraskans throughout their health journeys and believe that ensuring care access and equity is fundamental to the health and well-being of our communities,” said Steve Grandfield, president and chief executive officer of BCBSNE. “In collaboration with a fellow industry leader, we look forward to equipping more people across our state with the power and peace of mind a Blue card provides.”

When the name change takes effect on Jan. 1, 2021, the current member website will be redirected to a new Healthy Blue website, and members should begin using the new customer service phone numbers printed on their Healthy Blue ID cards. Current members who do not receive their new Healthy Blue ID cards by Jan. 1, or those who have questions may contact member services at 855-599-3811 (TTY 877-247-6272), Monday – Friday, 8:00 a.m. – 5:00 p.m. CST, or visit myhealthybluene.com.

About Community Health Plan of Nebraska, Inc.

Community Care Health Plan of Nebraska, Inc. (“CCHPN”), an Anthem Inc. company that is formally known as WellCare of Nebraska, Inc., is a managed healthcare provider committed to

‘I Got Healthy, Didn’t Starve Myself I Lost 5.5 Stone in a Year

My name is Jenny Chatelain (@jenniie_fit), and I’m 29 years old. I’m from Haiti and was raised in Canada, and I currently work as a respiratory therapist. I lost 78 pounds by staying in a calorie deficit and slowly increasing my weight lifting workouts over the course of a year.



a couple of people posing for the camera: With a calorie deficit and slowly increasing her weight lifting and HIIT workouts from 2 to 5 days a week, Jenny Chatelain lost almost 6 stone in one year.


© Provided by Women’s Health UK
With a calorie deficit and slowly increasing her weight lifting and HIIT workouts from 2 to 5 days a week, Jenny Chatelain lost almost 6 stone in one year.

When it comes to losing weight, my biggest struggle has always been my love of food. It’s so convenient to go out to eat, and I’ve loved eating my whole life. At my heaviest, I weighed 242 pounds.

When I first started my weight-loss journey, I thought I had to give up all my favorite foods and *always* eat healthy foods. I kept telling myself that it was too hard, and I wasn’t sure if I could do it. But my motivation was my health. When I was overweight, I was out of breath simply from taking the stairs. I was always tired. I couldn’t find my size in clothes I liked. I lacked self-esteem.

My turning point came when I was on the bus on my way to school. A lady who was seated asked me if I needed her seat for the baby. She thought I was pregnant.

I was so embarrassed because I wasn’t – I was just overweight. This event made me sad enough to tell myself I couldn’t stay like that. I had already thought about losing weight, but I had not taken any real action. Thinking about it is not enough – I had to put in the work, stay focused and be consistent.

I chose to start by focusing on the amount of calories I was consuming per day. I learned that all I really needed to do to lose fat was to be in a caloric deficit (eating fewer calories than your body burns). I eat protein at each meal, and eat a lot of fruit and veggies. I was able to include some of my favorite foods and treats while staying in a caloric deficit and learning how to control my portions.

I’ve never starved or punished myself. This new diet became my lifestyle. I came to the realisation that I was struggling to lose weight because I lacked the knowledge of what to really do. Now, I know I can lose fat and still eat ice cream in moderation. This method is the best for me because it’s sustainable.

What I typically eat in a day

  • Breakfast: Two full eggs and one egg white omelet with a lot of veggies. Fruits on the side.
  • Lunch: Ground turkey, avocado, broccoli.
  • Snacks: Carrots, cucumbers, almonds or a bowl of oats. I make my oats with water or oat milk and add a banana and chia seeds.
  • Dinner: Grilled salmon, sweet potatoes and green peas.
  • Dessert: Plain

Study Finds Exercise Keeps Your Brain Healthy, Even If You’re Sitting All Day

Photo credit: supersizer - Getty Images
Photo credit: supersizer – Getty Images

From Prevention

  • The brain’s cortex (the outer layer) is thicker in adults who regularly exercise even if they’re otherwise sedentary, according to a study in Medicine & Science in Sports & Exercise.

  • Cortical thinning—the atrophy of that outer layer—is associated with declining brain health that can happen as you age.

  • Sitting less is still important for your health, but regular exercise can help protect your brain even when you’re otherwise unable to be very active.

You know that sitting on your behind all day is bad for your health. But recent research brings some good news for those of us whose work demands that we stay parked at a desk: Your daily bout of exercise protects your brain, even if you’re otherwise sedentary.

That’s because it helps keep your brain’s cortex—the outermost layer—thick and healthy. With age, the cortex naturally thins, a process known as cortical thinning, which has been associated with age-related cognitive decline, especially when it occurs in the frontal and temporal lobes, which are responsible for memory, attention, and planning.

Research shows that you can prevent this thinning a couple of ways. One is with regular moderate to vigorous physical activity, such as running. The other is limiting sedentary behavior, such as sitting at a desk all day. What has been less clear is whether exercise can protect against that thinning independent of being otherwise sedentary.

To find out, a group of scientists from British Columbia measured the activity levels, sedentary behavior, and cortical thickness of 30 adults, with the average age of 61, who had been enrolled in another study on increasing exercise and reducing sedentary time among adults with osteoarthritis of the knee.

The researchers tracked the participants’ exercise and sedentary time using fitness trackers for seven days and used MRI scanning to measure their cortical thickness.

The group got an average of 70 minutes of moderate to vigorous physical activity each day, and they spent nearly 12 hours a day doing nothing more strenuous than reading a book or surfing the web outside of their daily exercise.

When the researchers crunched the data and compared the brain scans, they found that high levels of physical activity were associated with greater cortical thickness, especially in the frontal areas, regardless of their sedentary time. There was no link between less thickness or thinning with greater amounts of sedentary behavior outside of exercise.

Sitting is generally bad for your health and should be limited as much as possible, this is good news for folks who are stuck at desk or other sedentary jobs.

“One potential explanation is that higher amounts of MVPA [moderate to vigorous physical activity] provide a strong neuroprotective response, which ameliorates the negative consequences of too much SB [sedentary behavior],” the study authors wrote in Medicine & Science in Sports & Exercise.

Keeping your cortex thick with regular exercise can help you fend off dementia and brain disease. According to the study, meeting the current exercise

Is Subway Healthy? Court Ruling About Chain’s Bread Contains Surprise Findings

If you have been eating Subway thinking it’s a healthier fast-food option, then you may need to change your thinking, as the sandwich chain has come under fire in an Irish court ruling which says the bread their famous footlongs are made on cannot be defined as such thanks to the amounts of sugar in it.

According to The Guardian, the Irish Supreme Court rules that under Ireland’s Value-Added Tax Act of 1972, the amount of sugar in the chain’s bread us also unable to be defined as a Staple food due to the amount of sugar, which is five times the amount that qualifies it as a staple food under the act, which gives staple foods VAT exemption.

The Value-Added Tax states that the sugar allowed in a bread product cannot be more than 2% of the total weight of flour in the dough, but all of the bread options in Subway’s chain contain about 10% sugar content, ABC Affiliate WFTS reports.

The ruling came from an appeal by franchisee Bookfinders Ltd.

“The argument depends on the acceptance of the prior contention that the Subway heated sandwich contains ‘bread’ as defined, and therefore can be said to be food for the purposes of the Second Schedule rather than confectionary. Since that argument has been rejected, this subsidiary argument must fail,” the ruling stated.

The ruling does not affect how the bread or sandwiches are classified anywhere else, including the United States, but it could be a small setback since the company has made their name on claims of making sandwiches that were healthier alternatives to traditional fast food, and even used former spokesman Jared Fogle in tons of commercials and advertisements, where he claimed to have lost 245 pounds by combining a diet of the sandwiches and exercise. He remained as the spokesperson until 2015 when the company parted ways with him after he was convicted of possession of child pornography and traveling to pay for sex with minors.

According to information that can be downloaded from the company’s website, bread including the Italian White, 9-Grain Wheat, Italian Herb and Cheese and Sourdough all contain 3g of sugar in a 6” serving. When a sandwich increases to Footlong size, those numbers are doubled to 6g of sugar per sandwich. The 9-grain Honey Oat and Roasted Garlic Bread also contain 5g and 4 g respectively in a 6” sandwich.

As for the sandwiches themselves, the company still prides itself on having “Fresh Fit” options, which include the Black Forest Ham, Sweet Onion Chicken Teriyaki, Turkey Breast and Veggie Delite Sandwiches. Still, when prepared standard and served on 9-grain wheat bread with lettuce, tomatoes, onions, green peppers and cucumbers, the Black Forest Ham, for example, still contains 260 calories, 4g fat and 8g sugar.

Subway Sandwich A Subway sandwich is seen in a restaurant.  Photo: Joe Raedle/Getty Images

Source Article

North Carolina college student, seemingly otherwise healthy, dies of Covid-19 complications

A college student and former high school basketball player has died from Covid-19, highlighting the virus’s danger even toward the young and healthy.



a view of a city


© Shutterstock


Chad Dorrill, a 19-year-old sophomore at Appalachian State University in North Carolina, died this week after complications from Covid-19, according to the university. He was diagnosed with the virus earlier in September.

Loading...

Load Error

Dorrill lived off campus, and all of his classes were online. The university did not say how he contracted the virus.

“When he began feeling unwell earlier this month, his mother encouraged him to come home, quarantine, and be tested for COVID-19,” Sheri Everts, chancellor of App State, said in an announcement to the university community.

“After testing positive for COVID-19 in his home county, he followed isolation procedures and was cleared by his doctor to return to Boone.”

When he returned to school, Dorrill began experiencing further difficulties, Everts said. His family then picked him up, and he was hospitalized.

“Despite generally being at lower risk for severe illness, college-age adults can become seriously ill from COVID-19. As we approach the halfway mark to the last day of classes for the Fall semester, we are seeing a rise in COVID-19 cases in students,” Everts warned.

Classes — a mix of online and in-person — began in August. Since March 27, more than 600 people at the university have contracted the virus, according to the school’s tally.

Dorrill is not the first undergraduate student to die from Covid-19, but his death raises even more urgent questions around the safety of college campuses, even as universities urge safety measures amidst reopening.

CNN reached out to Dorrill’s family for comment, but has not immediately received a response.

Liam Dunman, a student at App State, said the death “definitely resonated” with him.

“You don’t hear about people our age dying from it at all, so it definitely got a little bit more real for me,” he told CNN affiliate WSOC.

In the state of North Carolina, there have only been five reported deaths from Covid-19 in people ages 24 and under and more than 56,000 confirmed cases, according to the state’s Department of Health and Human Services.

Continue Reading

Source Article

“Super healthy” Appalachian State student dies following COVID-19 complications

The University of North Carolina system reported its first coronavirus-related student death on Tuesday since several campuses reopened with at least partial in-person learning last month. Chad Dorrill, a 19-year student at Appalachian State University who his mother and former coach described as a “super healthy” athlete, died on Monday due to coronavirus complications, officials said.

“Any loss of life is a tragedy, but the grief cuts especially deep as we mourn a young man who had so much life ahead,” said a statement from Peter Hans, chancellor of the system overseeing the state’s 16 public colleges and universities. “I ache for the profound sadness that Chad Dorrill’s family is enduring right now. My heart goes out to the entire Appalachian State community.”

Dorrill was a graduate of Ledford High School in Thomasvile, CBS affiliate WFMY-TV reports. His former high school coach, Jason Anderson, told the station it’s hard to come to terms with Dorrill’s death.

“This is a perfectly healthy 19-year-old kid that two years ago was running up and down the floor playing 30 out of 32-minute games,” Anderson said.

The Piedmont Pacers, a travel basketball team that Chad Dorrill played on, said Dorrill was their all-time leading scorer and member of the 2018 USSSA National Championship team.

Dorrill’s mother released a statement though the team. “The doctors said that Chad is the rarest 1-10,000,000 case but if it can happen to a super healthy 19-year old boy who doesn’t smoke, vape or do drugs, it can happen to anyone,” Susan Dorrill said, according to WFMY.

The university reported a new high of 159 current COVID-19 cases among students on Tuesday. Nearly 550 students have tested positive for the virus since in-person classes resumed last month. Appalachian State remains open for in-person instruction.

Three North Carolina colleges, including UNC-Chapel Hill, North Carolina State University and East Carolina University, have halted physical classes for undergraduate students, after reporting a series of coronavirus outbreaks  shortly after students returned to campus. Nearly 1,000 UNC students have tested positive for COVID-19 since classes resumed in August. ECU surpassed 1,000 cases earlier this month, followed shortly thereafter by NC State.

In a message to the university community on Tuesday, App State Chancellor Sheri Everts reminded college students to take the virus seriously and follow public health guidelines.

“His family’s wishes are for the university to share a common call to action so our entire campus community recognizes the importance of following COVID-19 safety protocols and guidelines,” Everts wrote. “Despite generally being at lower risk for severe illness, college-age adults can become seriously ill from COVID-19.”

Source Article

Are Pickled Onions Good Or Unhealthy For You (Healthy Onion Benefits)

Social health, together with mental and bodily health, is one of the key elements to determine the final effectively-being of an individual. Without the benefits of a public health training, most individuals may really feel healthy sufficient and never discover the necessity to go for a general check-up. Every is a tremendous food, jam packed with health giving benefits. construct a medication reconciliation paper, that the patient and caregiver will have the ability to use as a information to taking the ache medicine.

Within the acute care settings reminiscent of medical, surgical, pediatrics, or labor and supply, you will come throughout all kinds of people which might be in acute pain for many different reasons. 3. People are in a position to adopt a healthier behavior to reduce the chance of illnesses being spread among themselves.

Most medical hospitals and clinics supply immunization or vaccine shots in the course of the flu seasons, or when a normal outbreak of hepatitis is going round, and a public health schooling ensures that more folks know to go to those services and avail of the treatment, thereby lessening the amount of ailing folks.

The availability of unhealthy and low-cost meals makes it troublesome for Hawaiians to make healthier decisions. Lastly, after learning to eat proper, exercise, and create good habits in her life with constructive considering and constructive individuals, she included line dancing in her routine for good health.

Healthy people are in a position to mobilise all their physical, psychological, and religious assets to enhance their probabilities of survival, to dwell completely happy and fulfilling lives, and to be of profit to their dependants and society. Turkey is without doubt one of the leanest protein foods and is low in energy, making it an excellent healthy meals selection.…

Are Pickled Onions Good Or Bad For You (Healthy Onion Benefits)

In response to Health Psychology 5th edition (2016) the comprehensive intervention mannequin is a mannequin that swimming pools and coordinates the medical and psychological experience in some properly-outlined area of medical apply in order to make all out there expertise and expertise out there to a affected person; the ache administration program is one instance of a complete intervention mannequin”. The numerous fatty foods folks favor to snack on nowadays contain cholesterol and unhealthy fat that end up clogging the arteries positioned within the coronary heart region. By way of extensive analysis on Hawaiian culture, food, assimilation and historical occasions, this paper analyzes both the benefits of Hawaii’s ethnic amalgamation and the unlucky results of unhealthy, popular foods in Hawaii.

Afterward the police went from door to door asking if we had seen him and telling my mom he was from MH. It’s completely heartbreaking to know the youngsters I exploit to see by means of the keyhole playing within the playground had been treated so badly.

At the identical time there’s a nice demand on having EHRs simply accessible for health care suppliers. To satisfy the expectations of the Native Individuals, health care workers need to understand and combine into treatment and procedures the beliefs of the patients’ tribes.

In Singapore, the Ministry of Health has drawn up the TCM Practitioners’ Moral Code and Ethical Tips to forestall any unscrupulous practitioners from preying on their patients and taking advantage of their beliefs, for instance, molesting ignorant sufferers.

MacLaren Corridor is the place i acquired rapped for the primary time.I forgot his labored I the early.eighty’ would come and take me out of my bed a do issues to i try to inform they’d bend my arm way lock me in a room for they heard me would come beat few time’s i went to courtroom.I would after they convey me again.i might get wouldn’t let me and my twin was in jr my little sister who was in handled my brother worse as a result of he was mentally sick.i had 2 damaged arm’s a broken today.i belief nobody.I can’t be in a room with the door shut.…

Are Pickled Onions Good Or Dangerous For You (Healthy Onion Advantages)

A listing of the highest 10 healthiest foods may appear to be a come-on. Blackberries are a significant supply of Vitamin E. You want this vitamin for healthy pores and skin. The ten healthiest foods are meals that are so exceptionally good for us that we must always embody them in our healthy food plan on a regular basis. Patients should have the flexibility to obtain high quality care, regardless if they have cash or not, and regardless in the event that they dwell in a more developed nation or not.

@ Keala – It feels good to have the ability to encourage you to try out healthy foods and recipes. Hospital stays in Japan can last for months at a time as a result of the affected person may need time to get in stability emotionally, mentally, and physically. Psychological health is how we expect, really feel, and act with a purpose to face life’s situations.

In a while the police went from door to door asking if we had seen him and telling my mom he was from MH. It’s absolutely heartbreaking to know the kids I use to see by the keyhole taking part in in the playground were handled so badly.

While it’s true to say that health care is the prevention, treatment and management of illness, and the preservation of psychological and physical properly-being, by way of the companies provided by the medical, nursing and allied health professions, health-associated behaviour is influenced by our own values, that are decided by upbringing, by example, by expertise, by the corporate one retains, by the persuasive energy of promoting (often a drive of behaviour that can harm health), and by efficient health education.

Florida rejected participating in the Medicaid Growth with the Inexpensive Care Act; subsequently, inflicting 535,000 uninsured adults with critical psychological health and substance abuse points that will have been eligible for protection to not be covered (Nguyen).…