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Rollaway Durable Medical Equipment Supplier Gets 9-Year Sentence


Hard line power wheelchair marketing tactics part of a Medicare fraud scheme.

A fugitive owner of a Los Angeles-based durable medical equipment (DME) company was sentenced to nine years in prison following a more than $1 million power wheelchair fraud case, announced a a Department of Justice press release on march 25.

Owner and operator of Pacific City Group Inc aka Pacific City Medical Equipment) will also serve three years of supervised release following his prison term, pay $526,243 in restitution and $25,000 in fines, and give up more than $526,000 in stolen Medicare funds.

In September 2008, he was convicted of conspiracy to commit health care fraud as well as health care fraud. Since then he has fled and become a fugitive enemy of the government.

If we go by the DOJ, Nwafor submitted $1,109,438 in fraudulent claims to Medicare and as a result bagged $526,243 in payments. All claims were expensive, high-end power wheelchairs and wheelchair accessories that beneficiaries did not require.

The main scheme of Nwafor focused on recruiting beneficiaries through “marketers”, who approached potential recruits on the streets, community events, and at home. A witnessed claimed, the marketers either forced or paid these beneficiaries in order to take out Medicare information and get more referrals. Nwafor billed Medicare for power wheelchairs β€” at $7,000 each β€” on behalf of more than 170 beneficiaries who did not use them.

Nwafor and his co-conspirators did a great job to carry out their fundamental scheme. One witness testified that an individual purporting to be from Medicare, but who was actually connected with Nwafor threatened to do away with the Medicare benefits of the beneficiary and her husband unless they accepted two power wheelchairs that the beneficiary and her husband didn’t require.

He also made use of names of LA physicians on fake prescriptions which he portrayed to support his fraudulent claims to Medicare. His accomplice Ajibola Sadiqr had pleaded guilty.

The medicare fraud Strike Force (HEAT) looked after by the Criminal Division’s Fraud Section and the US Attorney’s office for the Central District of California, is the reason behind the filing of the case against Nwafor. Since it started in 2007, the agency has gone after more than 500 individuals who have scammed Medicare for a total of around $1.1 billion.…

Nutrition – The Required Resource Needed For Survival

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Also known as the nutrients and the nourishment it is basically the stipulation of the required resources needed for survival to the cells inside the body. Presence of these nutrients can assuage and bar the common ailments, whereas in contrast its absence can result in a condition called malnutrition, which is faced by numerous developing countries around the globe.

The meal that a person consumes is his diet. And people who have dedicated themselves to this field, give advices about the relative nutrition and its value are known as the dietitians. They extend their assistance in the setting up and the making of the meals. They are qualified nutritionists who work for the provision of secure and harmless psychiatric options to the individuals.

The absence of nutrition can result in many dietary disorders / ailments. Its deficiency can have an overall adverse effect on the mental and physical health. Several health ailments such as gum diseases, avitaminosis and fatness are caused by its insufficiency. Off the serious ailments heart problems, bone problems and diabetes are at the top of the list.

For this purpose the consumption of fresh fruits and vegetables should be maintained in contrast to a repetitive food territory. It results in the provision of increased levels of nutrients per calorie which historically lead to both the administration and preservation of the growth cells in the body and an improved sugar count in the blood.

Several researchers have been conducted in the past and several are still ongoing regarding this particular subject. These researches make comparisons in the individuals before and after the construction of the relative tests. This aids in the verification regarding the consumption of specific nutrients and their effects on the individuals. Carrying out such researches and gathering data involves a lot of time and money, which clarifies the gradual growth of the human nutrition. …

Wellness Tips for The Average Joe

Health & Fitness

How to Effectively Eliminate Bloating in Your Life

In addition to period cramps and the PMS, women were also taught to live with bloating. Digestive disorders and hormone changes are some of the things that can cause bloating. While you may have learned to stay with it, the discomfort that comes with it are just but unwelcome. Could there be things that you can do eliminate or reduce bloating? These tips are helpful and will overcome this challenge and allow you to be a happy woman.

One of these tricks is to keep a food diary. Keep a table where you record every food you eat and the feelings you get thereafter. Do this for two months or longer if need be. This period is adequate for you to observe some patterns. You will be able to conclude what you feel; after you eat a certain food. You will also observe that some food combinations don’t cause bloating but others cause bloating. You will find it easy to do away with foods that cause bloating and eat only foods that don’t cause bloating.

Giving a helping hand to the digestive system might help you. The cause for balloting could be that the digestive tract misses an important enzyme or the good bacteria. The performance of the digestive tract can be improved through the use of supplements such as probiotics for PBS.

Some people’s digestive system don’t like to be loaded with large volumes of food. In this case, eating small and frequent meals could be the answer. This minimizes the risk of bloating by keeping the tract clean. This solution works well for those who have less energy. Overloading the digestive tract can make you tired.

Some high fiber foods might have to be avoided. Some of these foods include beans and lettuce. You might experience a reduction in the instances of bloating when you replace these foods with low fiber foods.

Some people love taking wine frequently. Some little of it can help improve your digestion. If this is so, you have to cut down on alcohol consumption. High consumption of alcohol leads to execrated bloating. You might have to reduce the beer parties if you do frequently of them to reduce bloating.

You might have to visit your doctor is these tricks don’t work. The doctor will actually conduct a health lifestyle audit or the necessary medical checks to ascertain the cause of the frequent breaks. The doctor will then give you the right digestive treatment and advise you on the food to avoid to keep bloating at bay. These tips will not let you down as you focus on eliminating bloating.…

A Simple Plan For Researching Workouts

Health & Fitness

Getting Ripped on a Financial Plateau.

Although your financial situation should not limit your workout plans on occasion it will get on the way. The motivation to keep up with your weekly or daily workouts sometimes becomes hard with limited financial resources, depending on where you are with your fitness journey. Constant dedication to a workout plan is necessary to get that ripped body and this dedication may be not there if you have a demanding after which you just want to rest in your bed. If you hit this mental plateau, it is not easy getting back the motivation to constantly workout. Some simple solutions can be used to beat both the mental plateau and financial limitations.

When your finances are limited or you are on a mental plateau, setting up a home gym is the best solution. From a perspective of hygiene, a home gym is better for you. It is common for the owners of communal gyms not to clean up the machines and equipment after they have been used. You can either work out with dirty machines or you may have to clean them yourself before you start your session. This does not only waste your time but also exposes you to health hazards. Consider how much time you will save every week by not having to get into the car to drive to the gym. Most of the equipment such as squat rack, bench and adjustable weights will cost you some good money but it will be cheaper in the long-run. What’s more, you can keep on adding barbells, treadmills and pull-up bars to your home gym. With a free gym in your home, the motivation to work out will automatically present itself.

Makeshift workout is another great solution to working out especially if you are on a financial plateau or if you do not have a space to set up a home gym. Without visiting the local gym or setting up a home gym, you can still get that ripped body. Use whatever item is available to you just like people did hundreds years ago when there were not gym machines. A backpack filled with heavy items such as books can serve as a great weight for doing squats. Doing inverted push-ups on a staircase increases the angle just like doing pull ups from a tree branch. A good workout is about the basics of using your bodyweight and carrying heavy items like backpacks just like they do in army training. With these, you will be able to keep your motivation high and keep fit on a budget.

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The Beginner’s Guide to Tips

Health & Fitness

Irritable Bowel Syndrome 101: The Best Ways on How to Travel Effectively

It is always a challenge having irritable bowel syndrome (IBS) in your everyday life. Can you imagine traveling with IBS pain or other IBS symptoms? Being out of your comfort zone is not easy. If it is only possible to bring your toilet with you when you travel, you will do it just to avoid the IBS pain and other IBS symptoms. When you are going to an unfamiliar place, traveling must be planned at least a month before to enjoy a hassle-free travel. You will find it useful when traveling all the best tips that will be mentioned in this article.

Here are the following best tips that you can check first before going for a vacation or a business trip.

Preparation plans. To pick a specific destination where you can relax is vital when you travel. We all know that stress can irritate IBS. To avoid being disturbed by any form of IBS pain and other symptoms it is best to be always ready for it. To lessen the chances of these symptoms from occurring again, it is vital to choose the best place. An important preparation tip here is to call your insurance company before you travel for any unexpected emergencies as a preemptive measure. If you can just check with your insurance if they can cover any kind of procedure or treatment for you if the IBS pain attacks, you can avoid unnecessary medical bills. To check the best medical centers that can help you is another important thing to remember whenever you go for a travel. Over the internet, you can find and search for possible places that can provide help for you. To receive high quality treatment for your case when an attack strikes, it is best to check online for possible medical centers around the vicinity of your destination.

Traveling plans. During your travel whether you are using a plane, car, or even a passenger ship, it is a must for you to bring your emergency kit. All your prescribed medications to treat your IBS pain and other symptoms must be part of your kit. It should include clean water, fiber, snacks, baby wipes or toilet wipes, change of clothes, and a plastic bag. To travel in your own car instead of taking public transport is advisable. To find a place for a pull over, or find a restroom to tend to your needs is much easier. Smoothing out the details is very helpful.

Food and Medications. Early in the morning, you can choose to eat something that will not upset your stomach for the whole day. You can also preemptively prevent it by taking a loperamide before going for a trip.

Your IBS symptoms can be controlled or avoided during travels if you will just follow all these helpful tips.…

The Beginners Guide To Supplements (Getting Started 101)

Health & Fitness

The Necessary Supplements for Teenagers

Growing up can be stressing. There are a lot of changes in a teenagers body that you can notice. As the body undergo with puberty, indications such as hair growth are visible in a teenager’s body. Also, they will begin to observe enlargement in some body parts; their muscles and body structure will start reaching its peak. While, on the other hand, a teenager can experience various mood swings on high level when entering adulthood.

To a parent, you will also start to notice many changes in your child’s behavior. They might be a little grumpy and easily annoyed. Perhaps, there are visible changes in their entire body structure. To your daughters their body will start to shape up while boys will start to grow some beard and mustache. All these things you noticed from them are only a natural part of their adolescence. However, sometimes changes like in emotions can be a result of a bad diet your child has. The generation of teenagers nowadays are more a junk-eater than a health-eater, may youth prefers junk foods that organic foods as their diet. Negative results can sprung from a bad healthy habit especially to many young adolescents. A bad diet can result to a bad life. And of course, as a parent you wouldn’t want your children to suffer from a bad health. Therefore, you need to knowledgeable and well aware of the many alternatives you and your child can try to attain a healthier lifestyle.

Nowadays, you can enjoy a lot of alternatives for a good diet. Because, sometimes forcing your children to eat foods and vegetables can be a very difficult thing to do. Good thing to know is that there are several new medical aid such as food supplements and vitamins that will provide your child a good health. But the question is are you full aware of all the necessary food supplements your child needs. There are several list of vital nutrients that will help your child to maintain and reach an optimal level of health. For an instance your child’s body may have needed different fatty acids. These fatty acids are ]omega 3, 6 and 9 and other vitamins such as vitamin A, D and minerals like calcium that they needed for their bodies.

But of course the question is how are you going to ensure your child will get all of these? The easy answer is to purchase a good and complete food supplement that will provide your child all the necessary vitamins he or she needs. You can easily find all of these food supplements at many drug store and pharmacies. All you have to do is to conduct a research and settle to the supplement that you think best fits your child’s health.…

Positron Emission Tomography (PET) – Nuclear Medicine Imaging Technology

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Positron emission tomography (PET) is another approach to nuclear medicine imaging that has several advantages over SPECT. PET uses positron-emitting radionuclides that result in the emission of collinear pairs of 511-keV annihilation photons. The coincidence detection of the annihilation photons obviates the need for collimation and makes PET far more efficient than SPECT for detecting radioactivity. Even more importantly, there are positron-emitting radionuclides for oxygen, carbon, nitrogen, and fluorine, which allows a wide range of molecules to be labeled as diagnostic agents. Many of these radionuclides have short half-lives and require an on-site cyclotron. However, 18F has a long long half-life that it can be (and is) regionally provided, and there is no populated area of ​​the United States where it is unavailable. Several others such as 82Rb and 68Ga are available from radionuclide generators that provide the radionuclides on demand despite their short half-lives.

Coincidence detection provides spatial resolution without the need for lead collimation by taking advantage of the fact that the annihilation photons resulting from positron emission are approximately colinear. Events are only counted if they are simultaneously detected by two opposed detectors. The sensitive volume defined by the coincidence detectors is called a line of response (LOR). Two single detection systems are used with an additional coincidence module. Each individual system will generate a logic pulse when they detect an event that falls in the selected energy window. If the two logic pulses overlap in time at the coincidence module, a coincidence event is recorded. PET systems use a large number (> 10,000) of detectors arranged as multiple rings to form a cylinder. Since any one detector can be in coincidence with other detectors in the cylinder, the resulting LORs provide sufficient sampling to collect the projection information required for tomography.

The intrinsic detection efficiency for a singles detector depends on the atomic number, density, and thickness of the detector. Ideally, the intrinsic detection efficiency should be 1, but at 511 keV that is difficult to achieve, although intrinsic efficiency for some of the detectors is greater than 0.8. Coincidence detection requires that both detectors register an event. Since the interactions at the two detectors are independent, the consistency intrinsic efficiency depends on the product of the intrinsic efficiency at each detector. As a result, collision detection efficiency is always less than that for a single detector, and that difference gets magnified for low-efficiency detectors. Because of the need for high intrinsic efficiency, scintillators are naturally the only materials currently used as detectors in PET imaging systems.

A coincidence event is recorded when there is an overlap of the singles logic outputs at the coincidence modules. The time width of the overlap depends on the scintillation characteristics of the detectors. For current PET scanners, that width ranges from 6 to 12 ns. Although that is a very short time compared to most human activities, it is fairly long compared to distances covered by photons traveling at the speed of light. Light travels approximately 30 cm / …

A Quick Overlook of Options – Your Cheatsheet

Health & Fitness

How to Lose Weight the Healthy Way

Permanent weight loss depends on the healthy alterations you make when it comes to your lifestyle and food choices. Keep in mind that sustainable weight loss does not happen overnight – and if it does, it is most likely self-destructive. If you want to lose weight due to a good reason, make sure that you take the time to enhance your diet, streamline your workouts, and lose weight the healthy way. Always remember that being obese will increase your risk of getting various diseases such as heart disease and cancer. Below are some of best tips you need to remember if you want to lose weight quickly the healthy way.

Find Motivation

Social support is very crucial. Some programs utilize group support to generate a positive impact on weight loss and healthy diet choices. Be sure that you have the support you need in your weight loss journey – no matter if they are your family, friends, or a support group. This will give you the drive you need. Smartphone apps, fitness trackers, or just having a journal can help you keep track of your weight loss plan such as the food you eat, the calories you burn, and the weight you lose. Getting to see the results as you go throughout your journey can help you stay motivated. You should always remember that short-term goals, such as desiring to fit into a bikini, typically are not as good as wanting to feel more self-confident or be healthier for your children’s sakes. When you are thinking about giving up, concentrate on your long-term vision and the reasons you got started in the first place.

Eat Nutritious Foods

Stop obsessing over the numbers and select foods that are great for your body. You should always remember that a meal of fat-free, sugar-free, refined processed foods is also completely free of nutrients. In addition to this, it will not ensure that you feel full for long when compared to a meal of nutrient-dense whole foods such as vegetables, lean meats, whole grains, and healthy fat. When you start eating healthier foods and getting more physical exercise, your body will arrive at a natural and healthy weight.

Exercise More

Applying yourself to doing something healthy like exercising each day is not easy, but it becomes more doable and fun when you have the proper tools and mental strategies. There are various ways to remain active, you only have to be resolute and do it. Physical exertion is an amazing way of boosting the energy (calories) you spend daily and it will make you feel better.…

The Best Advice About Resources I’ve Ever Written

Health & Fitness

Getting a Healthy Eating Plan to Start Making That Change

So you have made the decision to make changes in your life and the diet is at the top of the list. Good for you but are you aware about where you should begin? Know that changing the diet for the reason of healthy eating is definitely easier said than done. It would take time to make those adjustments that really work. You won’t get to see the results overnight. However, this will make you healthier and not to mention, this will help you look great when you age. Perhaps, you don’t know how you should start. When such is the case, then these are the tips that you have to follow to help you learn how you can eat well and also improve the diet, whatever is the starting point.

You should go for more whole-grain carbohydrates. You have to know that carbs are quite essential to have a healthy diet. Also, you must be aware that not all carbs are actually equal. For the beginners, it would benefit you to avoid those simple sugars as much as you can, this is commonly found in the junk foods as well as sodas.

It is also very important that you substitute such carb options with the whole grain alternatives. This means that whole-wheat flour must be used rather than white and whole-wheat bread instead of the regular kind. You must also know that oatmeal is one stable carbohydrate that you can depend on. This must also not be the type that contains added sugars.

You should also consume more vegetables and fruits. Know that the fruits and the vegetables are actually the first foods that a lot of people think when they are able to hear the words healthy eating and for a fantastic reason. They are actually nutrient powerhouses while becoming a great source of the essential fiber. When you find it difficult to eat 6 to 8 servings everyday, then you must start juicing them. Actually, there is nothing more nutritious and also refreshing than drinking many fruits and vegetables.

Moreover, you shouldn’t forget about protein. You have to know that protein is not just for those who like to exercise. Such are very essential macronutrients that you should know. You must also remember that eating more protein won’t help with satiety. The portion of rice won’t satisfy you in the same manner as the equal amount of the turkey breast. You must know that protein sources can really help you feel full for a longer time while offering the nutrients that can’t be found in many vegetables and fruits.

When you are not going to eat meat, then you could be focusing on dairy. Milk and yogurt are also fantastic sources for many people.…

Clinical Ladder Success for Nurses

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Does your hospital have a clinical ladder? Should you get involved? Hospitals usually have them so they can reward their staff for excellence in nursing. Starting and keeping up your clinical ladder means increasing your knowledge, professionalism, teamwork, and getting financially rewarded for it. Nurses can advance their career from RN Category 1 up to Category 4. They can do this by demonstrating clinical expertise and completing continuing education courses, advancing their professional certifications, and conducting research. RN program participants are reviewed and approved by their peers.

All you need to do to get started is to get the information packet that explains your hospital’s program. Then look at those requirements and see what is an obtainable goal that you feel you can realistically achieve.

The clinical ladder is different in every institution. Some hospitals will not let you drop down to a lower category if you do not complete the higher category that you signed-up for. For example, if you sign-up to complete Category 2, and do not finish it within the time allocated, the hospital might not allow you to drop you down to Category 1. The nursing managers, or nursing education department, will typically be the ones to help you with setting-up your program and guiding you through all the rules.

Reasons a Hospital Has a Clinical Ladder:

  1. To promote excellence in practice to assure quality patient care;
  2. To recognize nurses who show leadership within their unit;
  3. Maintain expert nurses at the bedside;
  4. Encourage ongoing personal and professional development;
  5. Facilitate career advancement;
  6. Support recognition and retention of the nursing staff;
  7. To foster self-growth in leadership;
  8. To promote exceptional customer service and team collaboration;
  9. To provide a clear delineation of nursing competence levels;
  10. Promote participation in volunteer community and health nursing service;
  11. Many institutions need to prepare for Magnet designation.

Popular Clinical Ladder Choices:

  1. Certification in your nursing field;
  2. A higher college degree such as BSN, or MSN;
  3. CEU’s or contact hours that can be obtained at a live conference;
  4. On-line or web-cast learning programs offer convenient way to get contact hours;
  5. ACLS, PALS, NRP certifications may be part of the clinical ladder options;
  6. College credits (healthcare related) are a great way to get clinical ladder credits;
  7. Volunteer at a community health fair;
  8. Precept or mentor a new nurse;
  9. Be the charge nurse;
  10. Be active in hospital committees (this usually has a minimum of hours required);
  11. Offer a journal club, or semi-formal in-service to your peers on a patient-care topic.
  12. Be a champion (wound care, pain, magnet, pathway to excellence, P.I., etc.)

The Beginners Guide To Health (Chapter 1)

Health & Fitness

How Eating Too Much Sugar Can Rise Your Risk of Getting Cancer

Cancer is definitely one of the most highly dangerous diseases all over the planet, due to the fact that cancer cells can potentially spread all over your body most especially if you just let it grow and you do not deal with it sooner. The worst factor about getting cancer is that it is actually potent in regards to growing in your body without any prior knowledge and it would also be terribly hard to detect as well. Moreover, the most critical aspect about cancer is that almost any single thing or element in the world can cause you cancer, whether it started due to your food choice or way of living, there is basically no one who is safe from getting cancer. But the thing is that you can easily lower the risk of you getting cancer for a significant amount as well, and one of the best ways to lower that risk is by not eating too much sugary products.

Everyone of us in this present modern day love eating sugar products and would definitely have a very hard time to give up eating sugar products as well, since sugar is like the nectar of life that can give us endorphins to our brains due to its sweet and amazing taste that we just simply do not want to miss. But the fact about sugary goods is that after its innocent and sweet addicting flavor, what is hiding behind its mask is that it carries a lot of potential health risk at the same time. Sugar is definitely the main root of dangerous diseases such as obesity and diabetes and the worst thing about this is that there are studies that has popped up which signifies sugar as also the main root of cancer as well. This is due to the scientific fact undergone by experts that they have discovered the link between sugar and cancer cells, because whenever we consume sugar it would start to attach its sugar molecules to protein cells in our body which is basically how cancer starts as well.

Although this may be the case, it is still true that our body would highly require sugar in its system so that it can be able to manage doing every vital tasks and functions as well. Therefore it is definitely a very good choice for people to stop eating too much sugar product in a daily basis and start controlling how much sugar they eat as well. The best benefit about eating less sugar is that you will lose weight, which would net you with the advantage of lowering your risk of getting cancer or any heart diseases as well. It is essential for you to also learn more about sugars that are hidden in specific products that you can find on your local market as well, which would probably make you exceed your sugar consumption limit if you are not too …