Month: December 2015

Fatigue – Declining Levels of Sleep and the Effects on Health and Productivity

It is certainly the case that in the developed world we are now sleeping considerably less than we did a generation ago. This comes as no surprise as the rise of technology means we can now entertain ourselves into the early hours.

However, the more I read the more I become convinced that a great many modern day ills could be cured if society understood the impact that not getting the correct amount of sleep has on us both in terms of performance at work (or school) and the impact on our health, especially the modern-day pandemic of obesity. It is all too easy to see sleep as a necessary sacrifice but thinking that reducing sleep will enable us to do more could not be further from the truth.

It is generally considered that we require between 7 and 8 hours of sleep a night and that getting less than six hours of sleep has negative consequences on productivity and health. It was with some concern that I came across the results of a 2006 GMTV poll that showed that 19% of us were getting the recommended 8 hours of sleep a night and that 42% of people in the South of England are getting less than 5 hours .

New parents and teenagers are typically the most sleep-deprived people in society. A study for Mother & Baby magazine of 3,000 mothers showed that mothers today average a mere 3.5 hours of sleep in the first 4 months of a child's life (versus 6 hours for their parents) and then just 5 hours after 18 months.

Another study by Actimel and Top Sante magazine in 2007 showed that 75% of women in their 30s are lucky to get 6 hours of sleep a night, 85% of 30-something women frequently feel tired and of those 59% feel tired all the time . These statistics are worrying for the health and productivity of our nation!

The US Government's National Health and Examination survey of March 2007 (18,000 people) showed that those who slept less than 6 hours a night were 23% more likely to be obese than those who slept between 7 and 9 hours. This rose to 50% for those who slept under 5 hours and 73% in those who slept under 4 hours. Boston School of Medicine also revealed that those who slept for less than 5 hours a night were 2.5x more likely to develop diabetes versus those who slept 7 to 8 hour a night.

The Harvard Business review found that a week of sleeping 4 or 5 hours a night induces performance impairment equivalent to a blood alcohol level of 0.1% (the UK drink driving limit is 0.08%). So whilst we applaud those who work long hours we would be less impressed if we saw our colleagues tucking in to a couple of pints of beer before work every day.

The problem is that fatigued people do not believe their performance is impaired even though objective scores …

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New Legislation to Affect Physical, Speech Therapy Benefits for Medicare Recipients

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Los Angeles, CA (PRWEB) April 24, 2009 –Legislation designed to remove Medicare’s annual benefit cap on outpatient rehabilitation services, including physical and speech therapy, could be acted on by Congress later this year.

“This is great for seniors on Medicare,” said Alan Weinstock, an insurance broker at MedicareSupplementPlans, who indicates that, if passed, the legislation could benefit seniors financially and improve their access to certain types of health care.

The Medicare Access to Rehabilitation Services (MARS) Act is designed to ease health care costs and improve health care access for seniors confronting age-related diseases, such as heart disease, strokes, or Parkinson’s. Currently seniors receiving outpatient rehabilitation services have an annual dollar limit of $1,840.00 for care. Once the dollar amount is reached, the care stops for the remaining calendar year, although that dollar amount resets every year on January 1. MARS will repeal the cap on therapy services for Medicare beneficiaries if Congress takes action by December 31, 2009.

Proponents of the cap removal argue that the current process disrupts continuity of health care services for Medicare recipients and requires beneficiaries reaching the therapy cap to choose between stopping their necessary care or continuing with the care and paying 100 percent of the cost. The concern is that the caps can preclude seniors from getting the care they need to maintain a healthy quality of life.

With the cap removed, seniors on Medicare and Medicare supplement insurance plans (also known as Medigap plans) will have far more freedom to continue receiving much needed therapy services.…

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CA Health Insurance Companies Pay Fine for Rescinding Health Insurance Policies

Health plan participants have the extra support of legal prosecutors if their health plan providers rescind their policies as a result of illness, thanks to a recent court decision. California health companies have already had to pay more than $13 million in fines to regulators as a result of having rescinded health policies for sick patience.

Health companies may have hoped that the fines would make the scrutiny over their practices go away, but, instead, legal experts expect the scrutiny to continue. The California state Court of Appeal ruled in December 2009 that prosecutors would be permitted to sue health insurance companies over the insurance companies treat consumers and their members.

The recent legal ruling is a result of a lawsuit against health giant Anthem Blue Cross of California. Prosecutors argued that Anthem violated state law by selling health plan members the promise of health insurance, but then later rescinding the health coverage after health insurance plan policy holders submitted their claims for medical care.

After the lawsuit was filed, Anthem Blue Cross argued that the company’s practice of rescinding health coverage fell under the jurisdiction of the California state Department of Managed Health Care; not the Los Angeles city attorney’s office. The city’s attorney’s office filed the lawsuit in 2008. Anthem Blue Shield and the state agency filed paperwork defending Blue Cross. Blue Shield is a competitor of Blue Cross of California and faces a similar law suit by the city’s attorney.

In response to Blue Cross’s argument, the appellate court said that the law was “unambiguous” and gave the city attorney the right to sue the insurance company. The ruling allows the city to not only pursue its current lawsuits against insurance companies, but it also gives the city more influence down the road in other areas.

“This puts new cops on the beat,” said Bryan Liang, director of the Institute of Health Law Studies at California Western School of Law in San Diego. “Lots of stuff in the standard operating practices of health plans is going to be affected by that decision.”

Additionally, Los Angeles City Atty. Carmen Trutanich said he agreed with the appellate court’s ruling. “I am committed 100% to pursuing our litigation against these insurers,” he said. “Illegally canceling people’s healthcare coverage after they get sick is unconscionable.”

Moreover, Los Angeles Assistant City Atty. James W. Colbert III suggested that the recent ruling against health insurance companies may encourage prosecutors in other cities to review the practices of health insurers in their areas. “This decision invites that kind of interest,” he said.

Anthem Blue Cross has yet to decide whether it will appeal the decision, but some believe that the company should be worried about the negative fallout of the unfair business practices.

However, the managed healthcare department said that prosecuting health insurance companies by local government offices is “duplicative regulation” that actually undermines process that has been made to “ensure quality, accessible healthcare.” As a result, some realize that health insurance companies will …

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Acupuncture – A Cure For Restless Leg Syndrome (RLS)?

BACKGROUND

I am 41, British, and have had Restless Leg Syndrome (RLS) all my adult life. I can not remember when I felt the first twinges, so it must have been gradual. My paternal grandmother suffered from RLS. I remember, when visiting my grandparents in Birmingham (United Kingdom) as a child, Nana would mention these mysterious 'fidgets' (as she called them), which kept her awake at night. I would remove her slippers and give her an inexpert foot massage, which she always said made her feel better. However, I suspect she was sparing my feelings, as in my experience a massage rarely brings relief. Indeed, whenever I have a particularly bad spell, I have to resist the urge to chop the wayward trotters off!

So what is Restless Leg Syndrome? Very briefly, it is an overpowering urge to move, in order to get rid of an exceedingly unpleasant feeling, described in turn as a crawling, itching, antsy sensation, to name but a few. As well as the legs, the condition can also affect the feet, ankles and / or wrists (and no doubt other areas as well) when they are at rest. So it can occur when you are trying to sleep, distract you when you are at the cinema, reading a book, on a plane, at a desk, or at the table having a meal. It disappears whenever you are active – walking, jogging, baking, hanging the clothes on the line, etc.

So in my case it is genetic – my father also suffers from Restless Leg Syndrome, as does my younger brother. My dad feels it in his ankles, my brother in his wrists and me in my feet. My dad only gets it when watching television, strangely enough. I get it at night, and when it is particularly bad, I get little or no sleep. Luckily my partner has not yet stomped out of the bedroom in search of a more restful bed companion. Oftentimes, though, I do move to the sofa for the night.

MY RLS SYMPTOMS WORSEN

I am currently in Chiang Mai, Thailand, and the Syndrome has got particularly bad during April, which is the hottest month of the year. Despite the air conditioning, I have also begun to feel it in my wrists. I tried reflexology (foot massages), but it was agony. To the massagers' consternation my feet would leap out of their hands as the crawling sensations caused by their kneading became unbearable. What was meant to be a relaxing hour routinely turned into an ordeal. I think the sessions did help at first, but I got to dread them and so I dropped them altogether. It was doubly off-putting to see my partner fall asleep during his reflexology sessions, wake and stretch an hour later, briskly strap his sandals back on and walk jauntily back out onto the bustling street, whistling through his teeth. I felt like a ragged doll. My only consolation was that my wretched feet now felt as …

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California Acute Care Hospital Beds on the Decline

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“Most people in California don’t even realize that this state has only 1.9 hospital beds per 1,000 people,” says Alan Weinstock an insurance broker at www.MedicareSupplementPlans.com. And he’s right according to a recently released report from the California HealthCare Foundation which indicates that California has 512 hospitals licensed to provide care in the state.

The report which examines the state’s general acute care (GAC) hospitals shows that the number of hospitals and beds decreased between 2001 and 2007 while the state’s population grew. Californians who are 80 and older, Medicare beneficiaries or not, use the hospital services the most.

In fact of the ten most populous states, California is in the worst shape. Two of the most populous states – New York and Pennsylvania – have 3.2 beds per 1,000 people. While the seven others – Ohio, Florida, Georgia, Illinois, North Carolina, Michigan and Texas – have between 2.4 and 2.9 beds per 1,000 people.

Unfortunately some of the difficulty has been the number of hospitals that have closed in California over the last ten years. Over 50 emergency rooms closed in California between 1998 and 2007 (Los Angeles Times). And many hospitals lament that due to the large volume of Medicare and Medi-Cal patients, patients on managed care or the indigent who don’t pay it is difficult to stay financially solvent.

Another reason for California hospital closure and, therefore, fewer hospital beds, is the number of hospital projects statewide that have been delayed due to issues with compliance with state seismic regulations. However, there are positive reasons for the lower bed-to-patient ratio in the state.

First, the California HealthCare Foundation report notes that California has fewer admissions per 1,000 people compared with the rest of the nation. In fact, while the national admission rate dropped from 119 to 117 between 2001 and 2007, in California admission rates dropped from 98 to 90.

“The report also noted that there has been a shift to more outpatient care which helped slow the growth in inpatient utilization,” notes Alan. “That’s especially good news for Medicare beneficiaries who have Medicare Part B as it may be an indication of a decline in serious illnesses.” Medicare Part B pays for outpatient services like X-rays, emergency room visits, partial hospitalization services in hospital outpatient departments and community mental health centers.

For California seniors who are looking for the best Medicare supplement plan for their current needs, there are answers at http://www.MedicareSupplementPlans.com, a website designed to provide seniors with the opportunity to compare rates, plans and benefits from several prominent insurance companies.…

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How To Build Muscle Naturally – Smart Way To Build Muscle

Learning how to build muscle naturally is obviously the preferred way to grow muscles yet many choose shortcuts which at times can be dangerous. While some of these shortcuts are okay under supervision you need to understand the long term effects which can result.

Did you know that building muscle is a natural process anyway. In any type of exercise or work out you are tearing microscopic fibers. The muscle building occurs when these fibers repair and this is a natural process. Can you understand why pumping unnatural stuff into your body can work short term but is suspect over the long run.

In this article, we’ll take a look at building natural muscle and some important tips on how diet can help you achieve the growth you’re looking for.

Natural Muscle Building

It is important that you follow a strict schedule of weight training so that you can build natural muscle. Many people believe that if you lift heavier weights you will gain muscle faster. This is not always the case as people may think.

If you work out the correct way each and every time you only need to do weight training once or twice a week. If you want to you can pay a professional so they can tell you exactly what you should be doing on a weekly basis. This way you are sure that you are not overworking your muscles.

It is very important that you give your muscles ample time to rest this way they have time to rebuild. The period of time that you are resting during workouts is important to give your muscles the ability to regenerate. It is extremely important that you work your muscles to the point of exhaustion each and every day when you visit the gym so you are sure you build new muscle.

Diet Tips

#1.
Watching your diet is one of the best ways to build muscle and burn fat at the same time. Getting the right amount of vitamins and minerals is important because it will help you maintain a healthy lifestyle.

#2. It is important that you do not starve yourself because you need to eat food in order to lose weight. The reason for this is that it takes calories to burn calories. A great thing that you can do is to cut sugary and fatty foods from your diet completely. Sticking to vegetables, meat, and chicken is a great way to start eating healthier.

#3. In general most people need to eat around 2,000 calories or day, but this can vary based on your activity level. If you are working hard every day and you are already at the proper weight then you may need to eat extra calories every day. These extra calories are not bad for you because you are burning them up when you exercise.

#4. Drinking water is also a very important part of building muscle naturally and in a healthy manner. Most doctors recommend that you drink …

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Los Angeles Workers’ Compensation Lawyer Referral 661-310-7999

Chiropractors are notorious for “keeping their patients coming back.” Many advise everyone to have their spine checked for “subluxations” and “adjusted” throughout life. Many chiropractors advise people whose symptoms have stopped to keep coming back for “preventative maintenance. Some chiropractors are networked with attorneys (and even medical doctors) to provide unnecessary tests and treatment to injured works and auto accident victims. Partly as a result, in many states, workers’ compensation programs has become so expensive that employers have asked their state legislature to limit the amount of chiropractic coverage.

In 1992, Florida Trend magazine published a cover story on “why chiropractors get blamed for fueling the cost of workers’ compensation.” The author concluded that, “Workers’ compensation is fraught with abuse, but no other players in the system rile business more than the chiropractors.” A spokesman for the American Insurance Association even said that, “Sometimes I think of workers’ comp as the chiropractic full-employment act.” Some health-insurance companies called for limits on chiropractic treatment, and some wanted chiropractors out of the WC system altogether. The main complaints were about exaggerated diagnoses, overtreatment, and aggressive marketing aimed at patient retention from cradle to grave. The author also noted:

Less scrupulous attorneys turn to chiropractors, hoping they will give injured workers the highest impairment rating and extend treatment for as long as possible. The chiropractors who play the game are then rewarded with a steady stream of clients provided by their unspoken lawyer/partners.

The payback for a lawyer comes in the medical expenses: The larger the expenses, the more the lawyer can expect, with legal fees paid by the insurer. . . . If a carrier disputes a claim . . . the lawyer can rack up hefty costs for time-consuming depositions and pre-trial appearances. Meanwhile, the chiropractor continues to provide treatment [1].

Two studies have focused attention on the problem in California. The first one, published by the Workers Compensation Research Institute of Cambridge, Massachusetts, analyzed 28,539 workers’ compensation cases involving back strains and sprains in California and four other states and concluded:

  • Chiropractic care could achieve the same outcome at lower costs if the number of visits were limited (see Figure A).
  • Chiropractor-directed physical medicine care costs 30% more than physician-directed care and achieved the same outcomes as measured by duration of temporary disability.
  • The higher number of visits that chiropractors use per case is the major driver behind the higher physical medicine payments.
  • In Florida, chiropractic care achieved the same outcome at lower cost than physician-directed physical medicine care in Florida where reimbursement rules place strict limits on the number of chiropractic visits per case that will be reimbursed by workers’ compensation payors. The fact that treatment and billing practices by Florida chiropractors result in lower medical costs while achieving a similar duration of disability as physician-directed care may provide lessons that other states can draw from.
  • Physical medicine services are most often used for back injuries, representing 41% of all injuries that receive such services. This is not surprising
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Top 3 bodybuilding routine lies…

Hey! Have you heard the top bodybuilding lies that most people don’t know or even thought of? If you want to be from the few that know then I suggest that you keep on reading…

Did you know that, Most of the people are in total blackout from the lies most EXPERTS depend on. Experts make people buy bodybuilding products and supplements which they have a profit referring you in.

The First Lie:

“Train like a bodybuilder and become a bodybuilder…”

How many of us heard the so-called experts say that if you have the super bodybuilders exercise video you will have a bulk body like them in no time. That is a big fat lie, they only gained their muscles mass by using steroids and dangerous drugs.

If the average person like you and I follow this lie, It will only give us back pain and gain few pounds we wanted to lose.

The Second Lie:

“If you want the perfect body and Muscle growth you always wanted, just follow the Magazines…”

This is something most of the bodybuilding Beginner mistakenly fall into in the beginning of their program. They just follow the herd and do what the magazine says and try to achieve their perfect body goal. Another big fat lie,

The magazines are just a way of keeping people to come back and buy the new issue every month for the rest of their lives and just keep needing the magazines to have the perfect simple routine or exercise to have the body of their dreams. The so-called experts advices in the magazines are made to keep you away from the real easy simple secret of bodybuilding that only a small percentage of people now of inside the bodybuilding world that could bring even the major sport and fitness magazines to close the doors of their magazine.

The Third Lie:

“The body of your dreams is in locked in this Powder … or in this Liquid … or these Pills”

You might have heard experts or even read about them in the magazines when they advise you to use specific supplement or training schedules to follow. Well, to tell you the truth, the so-called experts are only upgraded salesmen and when do you know that the salesman is lying to you? RIGHT, when his lips move.

If the supplement that the experts advise you to buy or follow is the best of all other ways out there to build muscles and gain strength. Then, why do they change it every couple of months. It is simple as that, the perfect sweet-talk salesman for the perfect crushed souls and desperate audience.

Who owns the Magazin1es and the so-called experts?

Why does the magazines push certain supplements for certain companies?

Have you ever wondered why!!   It is simply because the majority of the magazines are owned by the supplement companies it self.

I mean look at these major magazine names and the company that owns it :

* …

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Wisconsin Early Autism Project Leads The Way In Aba Treatment

Wisconsin autism activists felt years of effort pay off last year when Gov. Jim Doyle issued an emergency rule requiring insurance coverage of autism spectrum disorders.

The emergency rule, which went into effect Nov. 1, mandates autism coverage for health insurance policies issued by an insurer. The rule does not apply to employers with self-funded health plans. The rule lasts for a year while the Office of the Commissioner of Insurance comes up with a permanent rule.

The law requires a minimum of $50,000 a year for intensive evidence-based treatment, and $25,000 annually for non-intensive services.

As autism diagnoses grew in the 1990s and first decade of this century, so did the variety of treatments, everything from diet change to psycho-educational interventions. But “evidence-based treatment” at the moment refers to Applied Behavioral Analysis, an intensive intervention method developed by clinical psychologist Dr. O. Ivar Lovaas.

Lovaas, his staff and students trained in his method worked one-on-one with autistic children aged two to four. The work – 40 hours a week of structured training – was conducted in the children’s homes, with parents participating so they could continue the behavioral training on their own.

After studying three groups of children through age 7 – the experimental group receiving the Lovaas Technique, a control group that received some behavioral training and other treatments, and a third group that received no behavioral treatment – Lovaas published his results in 1987 and reported that 47% of the children in the group that received intensive behavioral therapy were functioning normally.

His results caused a stir in the then relatively small autism community, especially when other studies were unable to replicate Lovaas’ results.

“People were starting to say about Lovaas’ treatment, ‘It can’t be true. He’s faking his data.’ That caused a war in literature between camps for years,” said Dr. Glen Sallows, president and co-founder of the Wisconsin Early Autism Project, a program and clinic with treatment based on Lovaas’ work.

“Lovaas’ study came out in ’87 and he updated it in ’93, but no was ever been able to replicate it,” Sallows said. “There were several attempts to replicate it. In my mind, there were good reasons why those didn’t work as well. They didn’t have enough hours. By and large they were at universities and didn’t have access to much money so they didn’t have the hours. They didn’t do it long enough to bring about the changes. And I don’t think people understood how much supervision and training you have to give your line staff.”

Sallows, originally from Los Angeles, had Lovaas as an instructor when he was an undergraduate at UCLA in the 1960s. He went on to the behavior-oriented graduate school at the University of Oregon. Upon graduation, Sallows’ first job was as a psychologist for a children’s mental health clinic in New Jersey. In 1979 he joined the staff at the Mendota Mental Health Institute in Madison, and in 1981 led the autism unit there.

Sallows had read about …

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Nursing Informatics – Combining Technology With Care

Nursing informatics is the blend of clinical nursing skills with some computer processes and high level information management. Nursing informatics is a completely new aspect in the health care industry and functions with the combination of nursing skills and technological expertise. The specialists in this field are required to maintain nursing data. They are also expected to communicate any information that can improvise and pace decision making by patients, nurses and other consumers and health care providers.

The process of nursing involves four different steps. These are planning, execution, observation and assessment. However, since information management is combined with the process of nursing and also with its practice, a few nursing communities have added a new step in the process that is known as documentation. When studied deeply, the documentation and specific patient-centered care have been identified as the main role players in nursing processes. Automated documentation is very essential, and not only for nursing, but for every patient care system. Updated and precise information about the patient at every level of nursing can be the way to secure and better quality patient care.

There are a few things that need to be done in health care and nursing facilities for the successful execution of the information system. Primarily, it is essential to have good, specifically designed systems that can handle the nursing system in an organization. Secondly, but of equal importance, is the acceptance and proper integration of the newly installed information system into the normal workflow. Finally, the organization should also have suitable resources that can maintain the above mentioned two factors. Nurse informatics specialists are the best that a nursing facility or a hospital can get when it comes to control nursing informatics.

What are nursing informatics specialists?

These specialists can be considered as expert clinicians that have an extensive background in clinical practices. Nursing informatics specialists are experienced professionals who have utilized and implemented the nursing process. These nurses possess critical thinking skills as well as high analytical skills. The nurses are also capable to understand the delivery workflow of patient care and thus can find better integration points for the process of automated documentation. Hence, it can be said that nursing informatics specialists are the best project managers since they are the link between the nursing process and project management process.

To gain excellence in the field of nurse informatics, one should know about relational databases and also be skilled in Microsoft Office, more importantly with Excel, Visio and Access.

Reasons why these jobs are essential to healthcare The successful implementation of nursing informatics can bring fruitful results to health care systems as well as to patients. Some instances in which they prove to be valuable are mentioned below:

Manual work cannot be always accurate and there is always a possibility of errors. Nurse informatics can provide automated support to nursing processes by technological means. Since it is automated, it can very effectively provide accurate results and thus minimizes the risks of getting errors.

All …

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