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Archive for the ‘Preventative Medicine’ Category

Hospitals work hard to stay ahead of spike in COVID-19 cases across Western New York – WGRZ.com

Saturday, November 28th, 2020

Medical experts say preparation and additional materials are making it much easier for front line workers to manage the surge in daily hospitalizations.

NIAGARA COUNTY, N.Y. As the Western New York community continues to follow this trend of rapidly increasing COVID-19 cases and daily hospitalizations, concerns and worry over hospital capacity and lack of resources also continue to rise.

Despite the increasing rise in hospitalizations, local medical experts say the method of care during this surge is significantly different than last spring thanks to the abundance of knowledge, new drug treatments, necessary materials and, perhaps most importantly, a solidified and legitimate plan.

At the start of the pandemic everyone, from lawmakers and healthcare workers, to everyday citizens, was taken by surprise. There was no blueprint on how to a navigate and treat something like this virus, despite other historic pandemics, the novel coronavirus is unique in nature.

Joe Ruffolo is the CEO of Niagara Falls Memorial Medical Center and has been with his team on the front lines since early spring. Ruffolo says, things inside the medical center may look busier as of late, but things feel different.

We have more tools in the tool kit this time around, Ruffolo says.

Another differentiating factor this time around new trends.

We're seeing a lot of younger people being tested positive, where in March and April, there was a significant portion of elderly people that were impacted with the COVID virus, Ruffalo points out.

Ruffolo tells 2 On Your Side, while more patients are coming in, less of them need ventilators. Which frees up a significant amount of space for those high-risk patients in need of intensive care.

Right now, he says, the medical center is seeing (on average) four to eight COVID patients a day. More of them appear relatively healthy, between the ages of 25 and 50, and are responding well to drug therapies that enable them to transfer out of the hospital quicker than before.

Weve developed an outpatient setting where we can bring them in, in a safe environment, provide drug therapy, that would enable them to recover sooner, Ruffolo says.

Another benefit, Ruffolo says, is the abundance of materials. Unlike the first wave, Ruffolos team has more PPE, face masks, gowns, protective face wear and back up beds so theres no worry that hospital doors will be forced to close.

We have over fifty additional beds that we could put in place in various areas for designated COVID clusters or pods, he says.

Though Niagara Countys numbers are significantly lower in comparison to other parts of Western New York, Ruffolo says his entire team, top to bottom, is doing everything possible to stay ahead of the surge.

The best medicine, is always preventative medicine, he says.

Like many of his peers, Ruffolo encourages the public to continue following CDC guidelines and public safety measures. Because, while at the moment hospital systems are managing, its possible for the past to become the present, especially when dealing with fluid medical emergencies like this one.

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Hospitals work hard to stay ahead of spike in COVID-19 cases across Western New York - WGRZ.com

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Deep Longevity Adds Partnership with My Care Express in Merrillville To Add Biomarkers of Aging and Longevity – WFMZ Allentown

Saturday, November 28th, 2020

HONG KONG, Nov. 26, 2020 /PRNewswire/ -- Regent Pacific Group Limited ("Regent Pacific" or the "Company" and together with its subsidiaries, the "Group"; SEHK:0575.HK)'s Deep Longevity, Inc, a company subject to a conditional acquisition by the Group which is a pioneer in deep biomarkers of aging and longevity today announced a collaboration with My Care Express Merrillville to deploy an extensive range of AI-powered aging clocks. Deep Longevity is to develop and provide the customized predictors of human biological age to the network of My Care Express clinicians and to provide a training program in longevity medicine.

Deep Longevityaging clocks are supported by a number of academic publications summarized in a recent review titled "BioHorology and biomarkers of aging: Current state-of-the-art, challenges and opportunities"

My Care Express Merrillville has been a provider of preventative and total health care to its patients since it opened. My Care Express has a unique approach to wellness and longevity by helping patients establish wellness goals to live happier, healthier and longer lives. Deep Longevity and My Care Express will partner to see the impact that the utilization of aging clocks has on their patients. "We have always believed that the more information our patients have regarding their health, the better choices they will make. We believe that implementing aging clocks will give our patients a better understanding of their current health and help them achieve their wellness goals", said Dr. Faiz Shareef.

In the scope of the partnership My Care Express physicians will be trained in deep aging clocks and will be able to provide their customers with AgeMetric reports and engage in advanced research to assess the performance of aging clocks in the context of their wellness journey.

"The traditional approach to preventative medicine is focused on preventing disease by diagnosing the symptoms early or reducing the risks of disease. The AI-guided longevity medicine goes much further than that and is focusing on tracking the person's rates of aging at many levels, identification of longevity bottlenecks, and utilizing the latest advances in science and technology to slow down or reverse biological and psychological aging. We are very happy to have My Care Express join the rapidly growing network of our research and clinical partners focused on providing customers with extra years of productive and happy life", said Alex Zhavoronkov, Chief Longevity Officer of Deep Longevity Inc.

About Deep Longevity

Deep Longevity is subject to a conditional acquisition by Regent Pacific Group Limited (SEHK:0575.HK), a public company whose securities are listed on The Stock Exchange of Hong Kong Limited. Deep Longevity is developing explainable artificial intelligence systems to track the rate of aging at the molecular, cellular, tissue, organ, system, physiological, and psychological levels. It is also developing systems for the emerging field of longevity medicine enabling physicians to make better decisions on the interventions that may slow down, or reverse the aging processes. Deep Longevity developed Longevity as a Service (LaaS) solution to integrate multiple deep biomarkers of aging dubbed "deep aging clocks" to provide a universal multifactorial measure of human biological age. Originally incubated by Insilico Medicine, Deep Longevity started its independent journey in 2020 after securing a round of funding from the most credible venture capitalists specializing in biotechnology, longevity, and artificial intelligence. ETP Ventures, Human Longevity and Performance Impact Venture Fund, BOLD Capital Partners, Longevity Vision Fund, LongeVC, co-founder of Oculus, Michael Antonov, and other experts AI and biotechnology investors supported the company. Deep Longevity established a research partnership with one of the most prominent longevity organizations, Human Longevity, Inc. to provide a range of aging clocks to the network of advanced physicians and researchers.

http://longevity.ai/

About Regent Pacific (SEHK: 0575.HK)

Regent Pacific is a diversified investment group based in Hong Kong currently holding various corporate and strategic investments focusing on the healthcare, wellness, and life sciences sectors. The Group has a strong track record of investments and has returned approximately US$298 million to shareholders in the 21 years of financial reporting since its initial public offering.

http://www.regentpac.com/

About My Care Express Merrillville

My Care Express Merrillville is a clinic in Northwest Indiana that provides primary and urgent care with a focus on preventative medicine. My Care Express believes in a proactive approach to healthcare by providing its patients with tools that will help them live longer healthier lives. Located on the border of Indiana and Illinois, My Care Express has a dynamic and diverse practice. For more information visit mycareexpressclinic.com

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Deep Longevity Adds Partnership with My Care Express in Merrillville To Add Biomarkers of Aging and Longevity - WFMZ Allentown

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Getting a COVID-19 test ahead of Thanksgiving travel is ‘not as good as staying home: Doctor – Yahoo News

Saturday, November 28th, 2020

Dr. David Katz, Preventive Medicine Specialist & True Health Initiative President, joined Yahoo Finance Live to discuss the surging number of COVID-19 cases in the U.S. and how the Thanksgiving holiday may impact case numbers.

- We're also breaking records, but not in a good way, when it comes to COVID-19 and the pandemic. Let's invite into the stream, Dr. David Katz, preventative medicine specialist and True Health Initiative president. Good to have you here. We keep hearing the warnings from the Centers for Disease Control-- stay at home, don't travel for Thanksgiving. We see one million people going through TSA checkpoints at airports every day. It seems as if we're building up two weeks from now for something that could really, I'm going to use the word horrific-- something that could be horrific, especially for people who work in the medical profession.

DAVID KATZ: Well, good to be with you, Adam. Happy holiday in spite of it all. And I hope not. You know, in some sense, it's pretty horrific already. We have cases rising all around the country. And in those parts of the country that were not very hard hit already-- and I happen to be in one-- you are, as well, New York City, Connecticut, the Northeast-- we were pretty hard hit over the summer and in the spring. And we're not seeing quite a steeper rise in hospitalization here as many other parts of the country. But much of the country is. So it's pretty bad, already.

I think the question about the holiday is, how careful are people being? Are they getting tested? There's much more testing available than there was before. I think many people are testing before they get together with family. That's not as good as staying home, but it's certainly better than not taking any precautions. I've spoken to my extended social network to find out what are the different plants. I imagine you've done the same, right? Not everybody's doing the same thing.

Some people are staying home. Some are gathering, but in much smaller groups. Many modifications, right? Variations on the theme. So I think if people are suitably careful, then it may be there is no post-holiday surge in the surge that we already have. We're kind of already there. We're not going to know, though, until those couple of weeks roll by. And, you know, there's been so much unpredictability in the pandemic. It's a new pathogen. We're learning by going where we have to go.

Story continues

The best advice, of course, is to be very careful. The most carefully you can be is to stay put. The next most careful would be don't expose yourself to anybody who might transmit the virus to you. Don't expose yourself to anybody who might get the virus from you.

- Dr. Katz, how would you compare what we're seeing now to what we saw last spring? Are the numbers that we're seeing now and the extent of it more alarming?

DAVID KATZ: It's a very similar phenomenon, Seana. It's just more widespread around the country. It was highly concentrated in the Northeast, initially-- in Detroit, in and around Seattle. There are few parts of the country where the virus got a foothold, and it spread. And importantly, it spread across risk tiers. So what we're seeing now is a fairly massive level of transmission, much of it among people who are asymptomatic or minimally symptomatic.

This slight departure, perhaps, from some of my colleagues in public health-- that doesn't bother me all that much. What bothers me is when that group so young healthy people get together with people in higher risk tiers. People with diabetes, people with obesity, heart disease, people over 70, people over 80. Because when they get this virus. They're prone to get very sick. And when we see cases go up without hospitalization going up, that may be circulation among young healthy people-- that's not so dire.

When we see hospitalization go up, ICU populations go up, and death counts go up-- and we're seeing that in much of the country now-- that means we're transmitting the virus to a more vulnerable group. And that's very concerning. So it's not more concentrated than it was in New York, but it's now more widespread around the country. And frankly, similar phenomena in other parts of the world, too. Yeah, Adam, sorry.

- Dr. Katz, we have to wrap up, but really, this is a serious question, because you talked about prevention. Do you have advice here, Doctor? You wear masks all the time, we're all now wearing masks. Those of us who wear glasses, the dreaded fogging up of the glasses-- is there a trick for the mask? Because I know nobody who's been able to solve this.

DAVID KATZ: I wish I had one. It is so annoying, isn't it? Yeah, so listen, I think the best I can say is that you know given the consequences of transmitting this virus to people who are frail or elderly, the minor inconvenience of foggy glasses is something we just need to put up with. But no, actually, we'll have to talk later If either of us finds a solution, we'll share it with the other one. But I'd love to know one, too.

- I actually Scotch taped the top of the-- that worked until you start sweating if you're running or walking. And then--

DAVID KATZ: You know, I'm a skier. You know, we have goggles and anti fog wise. So maybe we should just wear-- we just go all in and wear goggles with our masks. Maybe that would work. I don't know, I haven't tried it.

- Well, you've helped clear the fog here for all of us today. Thank you very much. Dr. David Katz, preventative medicine specialist and True Health Initiative president. Thank you for joining us on Yahoo Finance Live.

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Getting a COVID-19 test ahead of Thanksgiving travel is 'not as good as staying home: Doctor - Yahoo News

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Real-Life Activities Lead to Happier Teens – Psychiatry Advisor

Saturday, November 28th, 2020

Teens who participate in in-person after-school activities such as sports, arts, and community programs show higher levels of life satisfaction and optimism, according to a study published in Preventative Medicine. The teens surveyed also reported lower screen time a habit associated with higher levels of anxiety and depression.

Teens tend to engage in both extracurricular activities and screen time. Therefore, the authors wanted to examine time use of both in relation to mental health indicators.

The study included self-reported data from more than 28,000 7th grade students in British Columbia, Canada, who completed a survey in 2014/2015 and 2017/2018.

Of the teens surveyed, 14.47% did not participate in extracurricular activities. For screen time, 48% reported less than 2 hours a day and 47.52% reported 2 hours or more per day.

Extracurricular participation was negatively related to screen time (2 = 573.37, df = 1, P < .001); nonparticipants were more likely to report higher levels of screen time than participants. Among nonparticipants, 66.63% reported longer screen time. Among the teens who participated in extracurricular activities, the number who participated in longer screen time dropped to 46.28%.

Extracurricular participation (est. = 0.23, 99% CI [0.17, 0.28]) and shorter screen time (est. = 0.29, 99% CI [0.20, 0.37]) were associated with higher levels of satisfaction with life. Extracurricular participation (est. = 0.25, 99% CI [0.20, 0.30]) and shorter screen time (est. = 0.31, 99% CI [0.23, 0.40]) were positively associated with optimism.

The teens who did not participate in extracurricular activities and who reported longer screen time also reported higher negative mental health scores.

This study had some limitations. Data were cross-sectional and causality cannot be implied. Mental health measures were not diagnostic or clinical screening measures. And, screen time did not distinguish between forms of screen use, such as smartphone and computer, or type, such as social media.

The researchers also found differences between boys and girls. Longer hours of screen time were consistently more detrimental for the mental health of girls than for boys in this study. In other words, the protective nature of shorter screen time was more important for girls than for boys mental health, the authors concluded.

This finding is consistent with previous research suggesting that long hours of internet use was more common among girls (but not boys) with major depressive symptomatology compared to girls with no or minor depressive symptomatology.

Reference

Oberle E, Ji XR, Kerai S, Guhn M, Schonert-Reichl KA, Gadermann AM. Screen time and extracurricular activities as risk and protective factors for mental health in adolescence: A population-level study. Prev Med. 2020 Oct 16;141:106291. doi: 10.1016/j.ypmed.2020.106291

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Health care bills already slated for 2021 session – State of Reform – State of Reform

Saturday, November 28th, 2020

Shawna De La Rosa | Nov 23, 2020

Several health care bills are slated for consideration when Virginia legislative sessions resume Jan. 13. Some of the highlights are listed below.

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HB188: Health care service estimates

Health care services and payment estimates will be considered in HB188. The bill would require hospitals and practitioners licensed by the Board of Medicine to allow a patient to receive an estimate for a nonemergency procedure or test no later than week after scheduling the procedure. Currently, only hospitals are required to provide those estimates.

HB526 Reproductive health coverage

The HB526 would require health benefit plans to cover the costs of specified health care services, drugs, devices, products and procedures related to reproductive health, including well women preventative visits, counseling for sexually transmitted infections, screenings for certain conditions, folic acid supplements, breastfeeding support, breast cancer chemoprevention counseling, contraception, voluntary sterilization and all other treatments that must be covered under federal law as of Jan. 1, 2019.

HB530 Health plans

The Department of Medical Assistance Services, in collaboration with the State Corporation Commission, will be required to contract with health carriers to offer qualified health plans on the health benefit exchange beginning Jan. 1, 2022, if HB 530 passes.

HB579 Mammogram coverage

House Bill 579 would require health insurers to provide coverage for low-dose screening mammograms after Jan. 1, 2021, if the individual has a family history of breast cancer. If an individual has a family history of breast cancer, insurers would have to cover annual mammograms from age 30 to 49 and biannual mammograms starting at age 50.

HB1036 Preventative mental health screenings

Preventative mental health screenings will be covered for outpatient mental health patients if HB 1036 passes. It would require a health carrier to provide coverage as a preventative service for at least six annual therapy or counseling outpatient screenings or visits with a licensed mental health professional for the early detection or prevention of mental illness. Health carriers would be prohibited from imposing cost-sharing requirements for mandated preventative services.

HB1331 Provider contract provisions

House Bill 1331 would prohibit a health carrier that offers a managed care plan from entering into, extending or renewing a provider contract with a facility unless the provider contract contains certain provisions. Each health provider that provides emergency services at the facility of an in-network provider has agreed to have the reimbursement from the health carrier included as part of the health carriers payment to the facility. It also requires that the health carrier cant be billed separately for emergency or ancillary services provided at the facility. This applies to any laboratory or diagnostic service provided at the facility which is in-network or for the referral to an in-network provider.

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The New You: How to have a healthier Thanksgiving meal – WKYC.com

Saturday, November 28th, 2020

Even if you're downsizing your dinner, here are some easy swaps to make the traditional holiday recipes healthier

OHIO, USA All year long I have been counting down to Thanksgiving. The turkey, the dressing and we cant forget about the desserts! Oh, and we cant forget about the real reason for the holiday - getting together with friends and family.

And though some of us are downsizing our dinner tables, or moving to a virtual celebration, most of us are still preparing those traditional recipes.

But this year, I have a new perspective thanks to this "The New You" journey, and Im learning that behind all of that love of family and food can be something thats a danger to your health. So, I went back to my new friend Jim Perko, Executive Chef of Cleveland Clinic's Wellness & Preventative Medicine.

"Studies show everybody will consume between 3-5,000 calories between the food and drinks at holiday thanksgiving meal. Yeah, thats a lot," Jim told me.

But, Jim says it is possible to survive this holiday without gaining weight.

"Some of the pitfalls are, you dont want to starve before the meal because youre just going to overeat. You want to make sure you eat slowly, chew your food well. Give your brain time to catch up with your stomach."

Studies have shown that our overeating can stretch our stomachs leading to weight gain.

And when it comes to the meal, it starts with the turkey. Jim says, stick with the white meat, because there is much more saturated fat in the skin, leg and thigh.

But how you cook the turkey can make a big difference too.

"If you put the dressing between the skin and the breast of the meat, the flesh what happens is the dressing isnt going to overcook. It Is going to protect the jewel that solid muscle of white meat. By the time the white meat is done, it helps it keep it moist," Jim said.

He also suggests that instead of using a gravy or sugar - try adding fruit instead.

"Pears and apples. Try moistening that dressing with the fruit and its adding flavors I dont have to pour a lot of gravy and roux on top of it," Jim explained.

Last week, I tried Jims Mac and Cheese-less recipe, another great option to add to the meal - trust me, it's actually good!

"It is totally plant based. The thickening agent is sweet potatoes and cashews and 100% whole grain pasta. There was no cheese added. No saturated fat," Jim reminded me.

Another staple in my family is ham, but Jim says, it's not the best choice.

"When you have ham its cured with nitrates and salts so its better to just avoid anything cured salty," he explained.

And, if you still have room for dessert at the end of the meal, Jim said, try to just have a taste.

"Maple syrup makes you want more maple syrup. Sweet wants more. So trying to go to make less it will be just enough to let you satisfy your sweet tooth."

Jim was kind enough to share some of his favorite holiday recipes from "The What to Eat When Cookbook."

INGREDIENTS: Four cups water, one cup (5 ounces) raw cashews, 12 ounces 100% whole wheat short elbow pasta, 6 cups (about 28 ounces)sweet potato, peeled, cut into 1/2 to 3/4 inch cubes, 2 teaspoons (or more) mild hot sauce such as Cholula, 1 teaspoon Dijon mustard , 3/4 tablespoon kosher salt, 1/4 teaspoon freshly ground black pepper, 1/4 teaspoon ground nutmeg, 1 pinch cayenne pepper.

VEGAN HOLIDAY DRESSING/STUFFING

MAKES: Fourteen cup serving

INGREDIENTS: 8 cups - 100% Whole Grain Dried Bread, dice, 3 tablespoon Parsley chopped, 2 tablespoon Extra Virgin Olive Oil, teaspoon Salt, 1/8 teaspoon Pepper, 1 teaspoon Poultry Seasoning, 1 teaspoon Sage, 2 cups Vegetable Stock, 1 cup Leeks small dice, 1 cup Onion small dice, cup Celery small dice, cup Carrot small dice, cup Toasted Pecans, cup Toasted Walnuts, 1 cup Unsweetened Pineapple Juice, 1 cup Apples small dice, 1 cup Pears small dice

Wash and small dice the apple placing them in a bowl of pineapple juice to prevent browning. Drain the apples, reserving the liquid. Wash pears and small dice placing and toss them in the reserved pineapple juice to prevent browning, add apples to bowl and set aside. Heat a non-stick skillet and add oil, then add onions season with salt, pepper and cook on medium heat until onions just turn transparent. Add celery, carrots and cook until tender. Add the leeks, cook for 5 minutes, then turn off heat and set pan aside. In a large mixing bowl, combine bread with sauted vegetables, add parsley, poultry seasoning, and sage - mix well.

Add vegetable stock and mix well. Add cut fruit in pineapple juice, nuts and mix well. Use a 2 quart casserole dish that has been wiped with a light film of extra virgin olive oil to prevent sticking; add dressing. Cover with plastic wrap then aluminum foil. Bake for 30 minutes in a pre-heated 400 degree oven.

RUTABAGA, CARROT AND SWEET POTATO MASH

MAKES: 6 Servings Serving Size:cup

INGREDIENTS:1 cups rutabaga - peeled and diced, 1 cups carrot - peeled and diced, 1 cups sweet potatoes - peeled and diced, 32 ounces water, teaspoon salt, teaspoon black pepper

In large saucepan combine rutabaga with vegetable broth and simmer until tender, about 30 minutes. Add carrots and continue simmering until carrots are almost tender, about 5 minutes. Add sweet potatoes and simmer until all vegetables are tender, about another 10 minutes.

Drain the vegetables into a bowl while reserving the liquid. Place liquid back in saucepan, reduce to cup. Turn off heat and add vegetables from bowl back to sauce pan along with salt and pepper. With a potato masher, mash vegetables with reduced liquid until a coarse consistency. If mash needs to be heated more, just heat in saucepan until desired temperature. Remove and serve.

NUTRITIONAL INFORMATION PER SERVING:

For increased flavor, cook vegetables in vegetable broth instead of water.

CULINARY MEDICINE HEALTH TIP:

This recipe shows how to create intensely flavorful cooking liquid by using a vegetable skimmer to remove vegetables after cooking. One can retain and reduce cooking liquid for a 100% natural and extremely flavorful broth that can be added back to the vegetables or used in another application.

PAPAS PUMPKIN PIE-LESS

PREP: 25 minutes, plus overnight soaking

INGREDIENTS:1 cup raw cashews, 4 cups water, 1 sweet potato (14 to 16 ounces), 1 large ripe banana broken into chunks, cup pure unsweetened almond butter, 6 tablespoons raisin reduction, cup unsweetened almond milk, 2 teaspoons vanilla extract, 1 can (15-ounce) pure pumpkin, 5 teaspoons pure maple syrup, 1 teaspoons ground cinnamon, teaspoon ground ginger, teaspoon ground nutmeg

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Eighth Symposium on COVID-19: What Have We Learned? How Can We Use What We Have Learned? – Touro College News

Saturday, November 28th, 2020

An online webinar, the eighth Coronavirus (COVID-19) Symposium is sponsored byNew York Medical College of the Touro College and University System. Continuing Education credits are available upon request.

A presentation by the Center for Disaster Medicine of New York Medical College of the Touro College and University System.

Alan Kadish, M.D.Cardiologist | President, Touro College and University System | President, New York Medical College

Edward C. Halperin, M.D., M.A.Chancellor and CEO, Professor of Radiation Oncology, Pediatrics and History, New York Medical College | Provost for Biomedical Affairs, Touro College and University System

by Robert Amler, M.D., MBADean, School of Health Sciences and Practice, Vice President for Government Affairs, New York Medical College | Former Regional Health Administrator, U.S. Department of Health and Human Services | Former Medical Epidemiologist, Centers for Disease Control and Prevention (CDC)

by Sherlita Amler, M.D., M.S., FAAPCommissioner of Health, Westchester County, NY

by Mill Etienne, M.D., M.P.H., FAAN, FAESAssociate Dean for Student Affairs, Associate Professor of Neurology, School of Medicine House Advisory Dean, New York Medical College

by Kathleen DiCaprio, Ph.D.Assistant Professor of Medical Microbiology and Immunology, Touro College of Osteopathic Medicine

by Tami Hendriksz, DOProfessor and Associate Dean of Academic Affairs, Touro University California College of Osteopathic Medicine

by Marisa A. Montecalvo, M.D. Medical Director, Health Services, Professor of Medicine, New York Medical College | Infectious Disease Specialist

by Neil Schluger, M.D. Barbara and William Rosenthal Chair of the Department of Medicine, School of Medicine, New York Medical College | Director of Medicine, Westchester Medical Center

by Edward C. Halperin, M.D., M.A.Chancellor and CEO, New York Medical College | Provost for Biomedical Affairs, Touro College and University System

Hosted by Alan Kadish, M.D.Cardiologist | President, Touro College and University System | President, New York Medical College

Responses will be provided to the questions submitted in advance of the webinar. Questions may be submitted to covid19updates@touro.edu

Register in advance for this webinar

This meeting has been approved for 1.5 CME credits by the Office of Continuing Medical Education, New York Medical College free of charge as a community service to our Healthcare Providers.

Accreditation Statement: New York Medical College is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

New York Medical College designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support: There is no outside funding for this activity.

Disclosures: All activity faculty and planners participating in continuing medical education activities provided by New York Medical College are expected to disclose to the audience any significant support or substantial relationship(s) with commercial entities whose products are discussed in their presentation and/or with any commercial supporters of the activity.

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Thanks & Giving: Mental Health and the Outdoors Tillamook County Pioneer – Tillamook County Pioneer

Saturday, November 28th, 2020

EDITORS NOTE: During this season of Thanksgiving, we are reaching out to our writers and readers for inspiration. I dont need to repeat the theme of this years trials and tribulations we plan to provide you with thoughtful, uplifting reading over the next few weeks and throughout the holidays. Lets celebrate thanks and giving. What are you thankful for? Give thanks, and lets all be thankful that we live in this very special corner of the world in a community that cares for EVERYONE. Pioneer contributor Julie Chick shares her love for the outdoors and the science behind the connection to our well-being, and introduces us to another gifted healer in our backyard and the benefits of connecting outside. Share your Thanks & Giving to editor@tillamookcountypioneer.net. Watch for more about La Vida Pacifica and more thanks & giving.

By Sarah Reese and Julie Chick

She says she experienced severe depression at age 13 until she developed a strong love for the mountains through snowboarding a few of years later. Ultimately, without exaggeration, she credits this love of the outdoors for saving her life and setting her on a lifelong course of healing and transformation.As I recently walked a fall dappled trail with Nehalem resident and licensed Acupuncturist and Herbalist, Sarah Reese, LAc, we continued the discussion about the role the outdoors can play on our overall and mental health. Throughout college Sarah cultivated her passion for being in nature through outdoor recreation, and now as an adult says, Being active in the wilderness brings me home within myself and affords me enhanced joy, confidence, peacefulness, and personal empowerment. It has aligned me with my souls purpose and generally made me more comfortable in my own skin. Being in nature allows me to be me to let the soft animal of [my] body love what it loves as Mary Oliver puts it in her poem Wild Geese .

Sarahs educational background is in Classical Chinese Medicine and her interest in the Healing Arts began initially through Transpersonal Counseling Psychology, but ultimately, she received her formal training in East Asian medicine because of her affinity for Holistic medicine and the way it addresses the body, mind and Spirit. The way that she practices medicine is rooted in Daoist philosophy which expresses our intrinsic connection to nature and its cycles, and elucidates the concept that we are as much in the universe as the universe is within us. We are not only affected by nature and its cycles, but we are nature and its cycles. We cannot be separated from our ecology.

Sarah sees the current times we are in as an opportunity to utilize preventative medicine to fortify the immune system, and also to employ natural medicine to combat illness when our bodies are out of balance. For example, simple strategies like getting enough rest, reducing stress, practicing conscious breathing and mindfulness, and moving our bodies in nature all restore balance to our lives and create a state of wellbeing in our bodies that makes it exponentially less likely to become ill. A commitment to self-care now significantly reduces our recovery time if we do become ill. Numerous studies in the US and all over the world have proven the health benefits of being outdoors in green spaces, theres no questions that we can affect and improve our general health profile just by simply being outdoors. Additionally, there is mounting research making the connection between our internal biome (gut bacteria) and mental health.The best way to enjoy the healing powers of nature is to find your own sources of joy and prioritize those. Something as simple as a walk on the beach or around the block, or simply just getting outdoors, can boost your mood, reduce stress and set you on a path of wellness. For the sake of the world and our collective wellness add time outdoors to the list, or if you already know you enjoy time in nature, move that to the top of the list.According to Why green spaces are good for grey matter,* walking between busy urban environments and green spaces triggers changes in levels of excitement, engagement and frustration in the brain, a study of older people has found. Sarah suggests, Now more than ever, its vitally important to reconnect with nature and get ourselves outdoors when we can.Sarahs healing practice is called La Vida Pacifica, which means The Peaceful Life in Spanish, and is also an homage to the beautiful North Pacific Coast that we all love. Through La Vida Pacifica she offers mentorship for people searching for guidance, support, and accountability as they navigate their path of wellbeing. Since there is no one size fits all in Holistic wellness, it has always been her mission to connect with people wherever they are on their healing journey and help them realign with their personal Truth. She serves those answering the call for soul-level work who want to develop their intuition in order to live their lives with more creativity, authenticity and vitality. She does private sessions and consultations (over the phone) with an emphasis on Spirit, Mind, Body integration, and incorporates the outdoors when she can. Sarahs email: lavidapacifica@gmail.com

*University of York. Why green spaces are good for grey matter. ScienceDaily. ScienceDaily, 10 April 2017. Related Post

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Thanks & Giving: Mental Health and the Outdoors Tillamook County Pioneer - Tillamook County Pioneer

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What is Herd Immunity? Can It End the Coronavirus Pandemic? – Parade

Saturday, November 28th, 2020

The phrase herd immunity comes up often in coronavirus discussions. Those who toss around the term, including some politicians, say its a way to potentially end the pandemic. But herd immunity is actually a complex concept that health experts say is often misunderstoodand, focusing on hand washing, social distancing and mask wearing remains the best way to stop the spread of COVID-19.

But what is herd immunity? In simple terms, population (aka herd immunity) is one that works through achieving a threshold immunity at the population level that is able to cut the transmission chain and cycle of a given infectious disease, explains Kamran Kadkhoda, PhD, with the Laboratory Medicine Department at Cleveland Clinic.

In herd immunity, an individual might not be fully protected from the coronavirus or other illness, but the overall population immunity is high enough to protect most of the population, he says, It would very much depend on the duration of immunity either obtained through natural infection or vaccination.

Theres so much talk about herd immunity these days because people are tired of COVID and looking for a way out, Kadkhoda added, but, most people dont quite get the concept because of a lack of public education and lots of misinformation.

So, we asked Kadkhoda and other experts to get into the details about herd immunity, its relationship to a potential COVID-19 vaccine and more.

Herd immunity is the idea that the infection can no longer spread within the population once a certain percentage of the population is immune to infection, says James Wantuck, chief medical officer of telehealth company PlushCare. The thinking is that even though not 100% of the population is immune, there arent enough people left to spread it for the infection to sustain itself, meaning it simply disappears from the population over time, he adds. This is how we have eradicated some infections, like smallpox, through a mass vaccination program.

The idea is popular because it offers a light at the end of the tunnel, Wantuck says, The important point here is that herd immunity requires the vast majority of the population to be immuneand, this means that people either had the infection and survived or that they received a vaccine.

Herd immunity conversations too often center on letting enough people get infected and not waiting for a safe, effective vaccine. This view can be harmful, though, says Kim Kilby, a family and preventative medicine physician and regional medical director of MVP Health Care, It misses the problem that with millions of people infected, we strain our medical resources and create potential rationing, while guaranteeing that many more people will die from the disease.

Scientists are learning new things about the coronavirus every day. And, still too little is known about immunity and COVID-19, Kilby says, We do not know if natural infection results in long-term or even short-term protection from future illness; we do not know if a person who recovers from COVID-19 can get infected again later and spread the virus without showing illness.

Most studies on coronavirus and immunity have been small and not produced consistent results. Though, there are reports of people getting re-infected after having coronavirus.

Related: Does a Negative COVID-19 Test Mean You Can Hang Out with Family and Friends?

Generally, scientists believe the virus that causes COVID-19 acts like many other viruses that have been studied extensively, Wantuck explains. So, once infected, your body produces antibodies that fight off the virus and prevent re-infection. The antibodies wane as the virus leaves your body, but the immune system remembers and could produce a defense if youre exposed to the virus again. But, no one is sure how long immunity could last.

Recently, Pfizer and BioNTech applied for emergency authorization from the FDA for their coronavirus vaccine. And, other drug companies have reported that their vaccines have efficacy rates above 90%.

Safe, effective vaccines are a must to achieve herd immunity. Theyll help the immune system generate a protective response to coronavirus, without serious disease consequences, like long-term disability or death, Kilby says.

Related: Everything You Need to Know About a Possible COVID-19 Vaccine

But a vaccine alone isnt enough. People need to actually get vaccinated when one is available. When people choose not to get vaccinated for a serious infectious disease, they put themselves, their familiesespecially those most vulnerable like children and grandparentsand their communities at risk, which puts an additional strain on medical resources, Kilby adds.

Depending on how effective the vaccine is and how long it protects you, there are different thresholds of the population that need to be immunized, Wantuck says, Mass immunization and diligent public health work in contact tracing and outbreak containment would be needed to make herd immunity a possibility.

It depends on how you look at it, Kadkhoda says. Herd immunity is based on the idea that once a certain percentage of the population is immune to infection, it can no longer spread. So, does that mean purposefully infecting people could achieve herd immunity? Most experts agree: thats a bad idea.

Creating herd immunity through natural infection is very dangerous, as it risks the health and well-being of individuals, communities, and puts a dangerous strain on our medical resources, Kilby explains. Frontline health care workers are already facing burnout and fatigue from the effects of the virus.

Millions of people could die and others would unnecessarily suffer from the virus were trying to protect against, Wantuck adds, and most of herd immunitys biggest supporters are misinformed or misguided about the concept.

Related: How Long is Coronavirus Contagious?

A recent article published in the Journal of the American Medical Association and co-authored by Dr. Anthony Fauci said low-tech interventions, like wearing masks, social distancing, hand hygiene, limiting crowds and gatherings, testing and contract tracing are still the most effective ways of fighting COVID-19.

It could take a while for a vaccine to be rolled out. When it does, it should be viewed as an additional measure for stopping the spread of the coronavirus, not a replacement for these low-tech tools, Kilby explains.

When safe and effective vaccines become available, people should embrace their use and get vaccinated as soon as possible, she says.

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For now, the best approach is to worry less about herd immunity and focus more on the advice that health officials keep emphasizing, Kadkhoda says. Social distancing, mask-wearing, and frequent hand washing are common sense and tried and true scientific ways of protecting us from germs, COVID, among others at least until we have a vaccine that works effectively and durably, he explains.

Next, read about the risks of hanging out indoors without wearing a mask.

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Dr. Katie Flynn promoted to Kentucky State Vet position – ABC 36 News – WTVQ

Saturday, November 28th, 2020

Dr. Flynn joined KDA as the Deputy State Veterinarian earlier this year.

Dr. Alex Hagan, a veterinarian in Shelbyville, has been approved by the SBOA to serve as Deputy State Veterinarian, taking Flynns vacated post.

Todays announcement is the result of the most transparent and thorough hiring process the State Board of Agriculture has ever undertaken, said Agriculture Commissioner Dr. Ryan Quarles, who serves as SBOA chairman. With Dr. Flynns regulatory animal health background and Dr. Hagans on-the-farm experience, we have a top-notch team to lead our Office of State Veterinarian.

The State Veterinarian and Deputy State Veterinarian are the chief executive officers of the State Board of Agriculture and lead the KDAs Office of State Veterinarian in its statutory and regulatory activities to prevent, control, and eradicate communicable diseases in the agricultural animal health sector.

A search committee approved by the board recommended Drs. Flynn and Hagan to the State Board of Agriculture. Dr. Flynn replaces Dr. Robert Stout, who announced his intention to retire from the department in December of 2020. Prior to joining the KDA as the Homeland Security Coordinator in 2003, Dr. Stout had served as an equine and large animal veterinarian since 1973. He was appointed Kentucky State Veterinarian by the SBOA in February 2004.

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Meet Dr. Ashley Roxanne Peterson, The Youngest Black Woman To Graduate As An Osteopathic Physician In America – Because of Them We Can

Saturday, November 28th, 2020

She's living our ancestor's wildest dreams!

Meet Dr. Ashley Roxanne Peterson, the youngest Black female to graduate as an osteopathic physician in America,The Bay State Bannerreports.

Peterson began her studies at the Philadelphia College of Osteopathic Medicine at the age of 19, inspired by Dr. Andrew Taylor Still, the American School of Osteopathy founder. Still was critical to coining the name in 1892 and growing the practice during a time when osteopathic medicine was thought to be a farce, but he was also an abolitionist who allowed both women and Black students to partake in his classes during the time.

Osteopathic medicine looks at the body as one interconnected system, focusing more on prevention and external factors impacting one's health. Peterson felt like this branch of treatment was more in line with her beliefs, choosing to pursue it after learning more about her family history.

"One of the biggest things you can do for your health is to take accountability, by doing some preventative things, such as exercise, lowering your stress levels, taking your medication, vaccines and having screenings like colonoscopies," Peterson said.

During her studies, Peterson discovered that her "ancestors had been unwilling participants in the infamous Tuskegee Study." The 40-year study conducted in 1932 by the United States Public Health Service and Tuskegee University in Alabama involved knowingly infecting 600 Black men with syphilis without their consent to observe the natural history of the disease.

"I always want to make sure people know that my history and legacy is rooted in the poor and oftentimes hurtful history of American slaves. Sometimes, people are ashamed to say their ancestors were slaves. Quite frankly, I'm not ashamed. My ancestors worked so I can have this dream, and I am their wildest dream," Peterson said.

Peterson graduated at age 26, making history as the youngest Black female osteopathic physician in the nation. Only 5% of practicing physicians in the U.S. identify as Black or African American. Peterson hopes that she can inspire more Black students and young girls to follow in her footsteps.

"I've had so many people reach out to me, especially young Black women. There was actually a little girl who, this year, was me for Black History Month. That just made me cry because I guess my story is really inspirational to people. I want to see someone else be the youngest Black osteopathic doctor in the country when they graduate. I want to see someone else break records, be they a young black woman or man or whichever race," said Peterson.

Congratulations, Dr. Peterson!

Photo Courtesy ofVoyageATL

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ViacomCBS CEO Bob Bakish to Participate in the Virtual UBS Conference – Global Banking And Finance Review

Saturday, November 28th, 2020

SINGAPOREMedia OutReach24 November 2020 In the midst of a global pandemic and economic crisis, MDRT has made strategic moves to ensure financial professionals and their clients are well supported. The association announced its Productivity Action Plan, developed to help financial professionals qualify for membership in 2021, and equip them with proven strategies to drive their businesses and clients towards next-level success in the current climate and beyond.

A relief package for advisors

The MDRT Productivity Action Plan acknowledges the challenging business conditions financial professionals have faced in 2020. To provide its current and aspiring members with more opportunities to join, MDRT announced it has no plans to increase dues in 2021, and waived 2021 production requirements for 2019 and 2020 members, allowing those members to reapply for membership without submitting their production requirements. Considering the economic impacts on the industry, MDRT has also adjusted the production requirements for prior-to-2019 members and new members.

An e-Hub for career progression

Though the pandemic has changed the way many financial professionals do business, MDRT is focused on providing them with the innovative ideas they need to continue succeeding. As part of the Productivity Action Plan, the association developed the MDRT Focus on Resources hub. Available to both members and non-members, the site is updated regularly with timely, top-tier content from industry professionals around the globe, built to help advisors navigate current challenges so they can continue to grow their business, protect their clients and guide both towards a successful future. From how to host productive virtual meetings to managing client emotions, advisors can find the proven strategies they need to adapt, innovate and persevere. MDRT members have exclusive access to even more top-tier ideas via MDRT Resource Zone, Round the Table Magazine, MDRT podcast and more.

My MDRT membership is a big part of what got me to where I am today. Its the innovative ideas and supportive global community that have helped me propel my business to greater levels of success year after year, said Ian Green Dip PFS, 95th MDRT President. MDRT Singapore currently has more than 2,000 members. With this plan, we foresee welcoming more advisors to our network and aim to ensure that advisors can become or stay members, to continue accessing the insightful strategies from leaders of our profession around the world, and most importantly guide their clients towards greater financial security and success.

An online mentorship program for aspiring members

MDRT continues to push boundaries and innovate in ways that help financial professionals at all stages of their career succeed. Future-focused financial advisors who do not yet qualify for MDRT in 2021 can join the MDRT Academy to receive real-time insights and personalized coaching that fast-tracks them to premier status. Newly launched and open for applications, the MDRT Academy is a new kind of association with gold-standard content that is either MDRT-original or MDRT-approved available anytime, anywhere.

As a young financial advisor aspiring to get to the next level, the MDRT Academy app was the perfect tool, said Brandon Heckert, former MDRT Academy member and current MDRT member. It allowed me to keep track of my goals and obtain the resources I needed to conduct my practice in a tech-focused world.

The Productivity Action Plan is just one of the forward-thinking ways that MDRT has leveraged to support its members and help them thrive in 2020 and beyond. In August, the association adapted its quintessential MDRT Annual Meeting and recently established 2019 Global Conference into a singular Virtual Event. Members collaborated on fresh ideas for virtual practice management, social media marketing and more. On-Demand content was released the following weeks, diving deeper into dynamic strategies for ways to avoid burn out and help clients readjust their portfolios to thrive amid the current crisis.

2021 MDRT membership application is open from now through March 1, 2021. To learn more about the MDRT Productivity Action Plan and becoming an MDRT member, visit mdrt.org.

Founded in 1927, Million Dollar Round Table (MDRT), The Premier Association of Financial Professionals, is a global, independent association of more than 65,000 of the worlds leading life insurance and financial services professionals from more than 500 companies in 70 nations and territories. MDRT members demonstrate exceptional professional knowledge, strict ethical conduct and outstanding client service. MDRT membership is recognized internationally as the standard of excellence in the life insurance and financial services business. For more information, please visit http://www.mdrt.org and follow them on Twitter [View Image]@MDRtweet.

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Hundreds of Southern Illinoisans are required to register as sex offenders. But are we any safer? – The Southern

Saturday, November 28th, 2020

SPRINGFIELD Illinois sex offender registry, which now includes more than 32,000 people most of them men, though some women, as well has rapidly expanded since its first iteration in 1986.

Then, it included four qualifying crimes. Today, there are more than 30 crimes that trigger mandatory registration, including some repeat misdemeanor offenses.

In recent years, policy makers and advocates, both for offenders as well as victims, have been raising questions as to whether the registry, and the ever-increasing rules around it, really makes the public safer, or causes more societal harm than it does good.

In 2018, a bipartisan task force recommended Illinois take a far more nuanced approach to its registry, providing for risk assessments that allow law enforcement to focus limited resources on monitoring and more robust treatment options for people who are at high risk of re-offending.

The task force also recommended that those who pose less risk automatically fall off the registry after a set period of time. In fact, one of the key findings of the group is that the registry has not lived up to its mission.

While public opinion surveys show that the public favors a freely available sex offender registry research has not established that registries have any effect on the sexual crime rate, the task force wrote in its final report.

The General Assembly has not taken any significant action on the recommendations in the two years since.

In the coming months, The Lee Enterprises Midwest reporting team, which includes The Southern Illinoisan, will examine the government systems established to protect children from abuse, specifically sexual abuse, including complex registry laws and residency restrictions.

Registry rules run amok?

About one out of every 200 adult men who live in Illinois is required to register.

There are hundreds of people on the registry across Southern Illinois.

Some registrants are homeless. Others languish in Illinois prisons long after their eligible parole date because they cant find a place to live that meets stringent residency restrictions.

Most people with a sex offense conviction on their record are prohibited from living within 500 feet of a school, day care, park or other child-based facilities.

Rural areas of the state, including many Southern Illinois counties, are home to a disproportionate share of people on the registry, though a large percentage of the people who live here were convicted in other counties, an analysis of the registry shows.

That may be, in part, because residency restrictions severely limit housing options in non-rural areas.

People with a sex offense conviction on their records must register either for 10 years or a lifetime. Most people on the list have been labeled sexual predators and must register annually for their natural life.

With the exception of some juvenile cases, and other than death, there is no mechanism by which the majority of registrants can have their names removed.

On the whole, criminal justice policy has moved in the opposite direction: toward shorter sentences, an attempt to mitigate factors that contribute to crime, and a heavier emphasis on treatment and rehabilitation. Meanwhile, Illinois registry has grown by more than 20% in the past decade.

Theres really a national conversation, and its happening in Illinois as well, thats really about rethinking the fundamental nature of criminal justice systems, and what we want them to be and to do, said Ed Yohnka, spokesman for the American Civil Liberties Union of Illinois. But when it comes to people with sex offense convictions, this is an area where we havent been able to move the needle.

Local law enforcement agencies dedicate countless hours to upkeep of the database, including making sure people on the registry live where they say they do. But treatment providers, especially in rural areas, are far and few between. Only a small percentage of people serving time for sex-related convictions receive specialized treatment while in prison.

More importantly, advocates for reform say, the state has done little to remove barriers that allow people with sex convictions to reenter society as they leave prison, even while taking great strides to do so for people who have committed other categories of offenses.

Housing stability is one of the biggest barriers to a successful reentry, as well as longer-term success for people who have served time for any offense. People with past sex offenses often face the greatest challenges to securing stable housing, said Laurie Jo Reynolds, an organizer with the Chicago 400 Alliance, an alliance of victim, criminal justice and housing advocates working to address homelessness and housing instability resulting from state residency restrictions.

The extensive restrictions on where people can live effectively banish people from legally living within many cities and towns, Reynolds said. Further, there are no transitional housing facilities for people with sex convictions licensed by the Illinois Department of Corrections.

People with a past sex conviction are not allowed to rent government-subsidized housing. A person on parole for a sex-related crime cannot rent a place at an apartment complex that houses any other individual on the registry.

"Housing is the foundation for a stable, productive life, but Illinois laws force people into homeless even when they have homes," Reynolds said. "It also causes 1,400 people to be detained in prison after their release dates. Its difficult to re-enter society if you cant leave prison and if we banish you from all housing."

Further, it does nothing to advance public safety, and may have the opposite effect, she added.

Criminal justice research has consistently held that stable housing, work and social standing are among the most important factors to reducing crime all of which registry and residency laws make challenging to attain.

People with past sex offense convictions face high rates of homelessness.

In Chicago, one in five people on the registry are homeless. That means they have to report their whereabouts to law enforcement on a weekly, rather than annual, basis. Of those who are homeless in Chicago, 80% are Black men who live on the citys west and south sides, according to the Chicago 400 Alliance. In Illinois, a Black man is more than three times as likely to have to register than a white man.

Origins of a complex law

When Terry Parke, a state representative from Pittsfield, the chief sponsor of the Habitual Child Sex Offender Registration Act, discussed his 1986 bill, the origins of Illinois registry, he described it as one of the most important laws the legislature would consider that year.

We are having an epidemic in Illinois of sex crimes against our children. Parke said in pleading his case for the bill.

Another lawmaker, Rep. Robert Regan, a Republican from the south suburbs of Chicago, implored his colleagues to remember that pedophiles are compulsive and repetitive.

The law required habitual child sex offenders to register with police within 30 days of their release from prison and remain registered for 10 years.

This first registry was only for law enforcement use, and included people who were released from state custody and had been convicted of criminal sexual assault, aggravated criminal sexual assault, criminal sexual abuse or aggravated criminal sexual abuse.

In the decade that followed, numerous states passed similar laws. Many of them were prompted by Congress 1994 passage of the Jacob Wetterling Crimes Against Children and Sexually Violent Offender Registration Act. The law was named for an 11-year-old boy from Minnesota kidnapped in 1989 by a stranger. It required states to establish registration systems for law enforcement to quickly identify people convicted of offenses against children and sex-related crimes.

The goal was to help law enforcement with investigations before technological advances made it possible for them to easily and quickly view previous convictions to vet suspects.

Two years later, Congress moved to make state registries available to the public with the passage of Megans Law. The legislation was inspired by a 7-year-old girl from New Jersey who was raped and murdered by a man who had previously been convicted of sexually assaulting two other young girls.

When state registries first came into being, there was a sense on the part of many that the intended target was the worst of the worst repeat offenders who repeatedly preyed on children, said Yohnka, of the ACLU.

Instead, its burgeoned into this thing that no longer reflects that, he said. Im not certain it is in any way fulfilling the goal, the original intent of the list themselves.

Abusers most often known to victims

Decades of secrecy, especially around child sexual abuse, limiting disclosure and prosecution, coupled with tough-on-crime political rhetoric, has fueled numerous public misconceptions on this issue.

For instance, though the term was referenced during the 1986 debate for the state's initial registry, most people on the registry today do not have pedophilic disorder, which is a psychosexual disorder characterized by sexual attraction to prepubescent children, according to experts.

In 2010, during floor debate in the Illinois House concerning a bill to restrict people with past sex convictions from parks and forest preserves, then-Rep. Dennis Reboletti, a Republican from Elmhurst, argued that these people recidivate at 40 or 50 or 60 percent of the time.

Indeed, a May 2019 Department of Justice study found that half of released sex offenders had a subsequent arrest that led to a conviction. However, the study found these convictions were far more likely to be for a non-sex-related offense, such as a property crime, drug offense or parole violation. Further, the recidivism rate of people with sex offense convictions over a nine-year period, from 2005 to 2014, was lower than that of people with other types of convictions.

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A 2015 report from the Justice Department found that the rate at which people with past sex convictions commit a repeat sex offense range from 1% to 22%, depending on their risk level.

Although sex offenders are often viewed as a homogenous group by the public, the report noted, in reality they have committed an array of illegal acts, ranging from noncontact offenses such as exhibitionism to violent sexual assaults.

According to the Justice Department report, the recidivism rate for high-risk offenders is 22% from the time of release. For those who have lived 10 years in the community offense free, the rate decreases to 4.2%. The recidivism rates of low-risk offenders are consistently low, at 1% to 5%, the study found.

Among the thousands of people on Illinois registry, the details of their cases and crimes vary greatly, even though most in Illinois share the label sexual predator. No risk assessment information is included.

A complicating factor in determining recidivism rates is that most incidences of sexual abuse are not reported. Children, especially, are known to wait years to disclose what happened to them.

Thats because they are far more likely to be abused by someone they know, and oftentimes love and trust, than by a person unknown to them regardless of whether they are on a registry.

According to RAINN (Rape, Abuse & Incest National Network), the largest anti-sexual violence organization in the U.S., children and teens who are sexually abused know the perpetrator in more than 90% of cases. In just over a third of cases, perpetrators are family members; they are acquaintances to the child or family in about 60% of cases.

Child victim advocates support changes

Even some of the most strident defenders of child victims say it is time for a reexamination of the registry.

Dr. Kathy Swafford speaks at a Child Abuse Prevention event.

Dr. Kathy Swafford, executive director of the Childrens Medical and Mental Health Resource Network, a division of the Southern Illinois University School of Medicine, works with child sex abuse victims across downstate Illinois. She said a registry does serve a purpose for victims, families and advocates, but believes it should be more targeted and specific.

Swafford said a risk-assessment component that distinguishes those who are repeat offenders or otherwise deemed high risk from low-risk offenders is an approach that makes sense.

If youre on the lower level, the lower tier whatever we decide those crimes might be then as far as affecting your employment or being held against you forever, I dont know that thats correct, she said.

Victor Vieth, with the Zero Abuse Project, an organization that aims to end sexual abuse against children, said the issue of registries is a complex topic that deserves additional debate and more study. He opposes any efforts to quickly relax standards during the pandemic, saying children, many of whom are out of school, are at increased risk right now. But, Vieth said there is room to improve registries to make them more effective.

Once we come out on the other side of the pandemic we can revisit the border issues of registration, he said. Probably some people need to be on the registry for life, and we need to monitor them closely. There are probably others who are not as much of a danger who we could relax the standards on.

Some Illinois prosecutors and law enforcement officers have a different take on it.

Having tried cases involving horrific crimes against children, Williamson County States Attorney Brandon Zanotti said he doesnt think lifetime registry is too long for those crimes that mandate it. As a caveat, he added that the law already includes the ability for people whose mandated life registration stems from a crime they committed as a juvenile to petition the court for review of their status.

Zanotti said some investigations start because a member of the public reports suspicious or illegal behavior by a registrant. For instance, Zanotti said his office received a complaint a few weeks ago that a person on the registry had signed up to serve as an election judge, which the law doesnt allow. The individual was notified he could not serve prior to election day and a replacement was found.

New laws added annually

During floor debate in 1986, some lawmakers pushed back on creation of what, in hindsight, was a relatively conservative approach to a state registry intended to aid law enforcement in investigations.

Then-Rep. Larry Hicks, a Mount Vernon Democrat, said it was inappropriate to tell those who served their time for a conviction that were going to then register them and try to brand them for years to come.

But the bill easily earned the approval of the chamber and then sailed through the Senate without dissent, according to a legal examination of the registry in a 2010 article published by the Northwestern Journal of Law & Social Policy.

While the atmosphere under the dome in Springfield is often divisive and partisan, Republican and Democratic lawmakers have largely stood united in support of increasingly harsh punishments for people who commit sex crimes. By the same token, theyve shied away from taking up any significant reforms to the registry.

Since the laws passage, lawmakers have passed in excess of 100 new rules and restrictions targeting people with past sex convictions.

In fact, each year seems to usher in a host of new laws sometimes one by one.

Seven years after passage of the initial law, lawmakers extended the registration requirement to those whose victims on a first offense were under 18. In 1996, they took it a step further, requiring everyone convicted of a sex offense, regardless of victim age, to register. It applied retroactively to anyone convicted of a sex offense in the previous decade.

That same year, the General Assembly moved to make the registrys names, addresses and offenses available to the public, rather than only law enforcement the easily searchable Illinois State Police Sex Offender website launched three years later.

In 1998, passage of a new law prohibited those with sex offense convictions from loitering within 1,000 feet of a school or playground. And in 2000, lawmakers passed a law prohibiting those with child sex convictions from living or being within 500 feet of schools, playgrounds, child care institutions, daycares and other facilities that primarily serve children.

Though many states have since passed residency restrictions, it was one of the most restrictive laws of its kind at the time.

Only three other states preceded Illinois in adopting similar rules.

Additional registry-related rules and restrictions followed passage of the federal 2006 Adam Walsh Child Protection and Child Safety Act, championed by a father whose 6-year-old son was kidnapped and murdered in 1981. The most significant portion of the law sought to establish uniform and comprehensive sex offender registration and notification requirements across the states.

For instance, it sought to increase the amount of information collected on registries and expand crimes that require registration. As well, it sought to make states require registration of juveniles who are at least 14 years old when adjudicated delinquent for certain sexual offenses, and make registries retroactive by requiring all people convicted of sex offenses to register regardless of date of conviction.

Tough-on-crime politics

While many different events prompted the layers of legislation, people who work inside the Capitol building and track criminal justice legislation observe that even-numbered election years seem to bring about the most changes to the registry and restrictions.

Because there is little, if any, organized opposition to these and other sex offender bills, there has been little political debate about the long-term effects of Illinois regulatory scheme, read the 2010 Northwestern Journal of Law report, Putting the Brakes on the Preventative State: Challenging Residency Restrictions on Child Sex Offenders in Illinois under the Ex Post Facto Clause.

Michelle Olson was a young Northwestern law school student when she wrote the article. Ten years later, she works for a private law firm in Chicago, and hasnt kept up with the policy discussions on the topic. She stressed that shes not an expert on the current best practices regarding registries.

But she remembers her motivation to write about it at the time.

Prior to beginning law school in 2007, she spent four years working for both the Illinois House Democrats, a government job, and the Illinois Democratic Party.

During campaign season, she would go on leave from her government work and party leaders would assign her to work the campaigns of lawmakers facing tough reelections. Year after year in her government job, she witnessed lawmakers introducing new legislation concerning people who commit sex offenses, and pass the bills with little substantive debate. Later, those votes would turn up in campaign material.

You probably see if you look back then, and even now, there are a lot of mail pieces from both parties about being tough on crime and cracking down on sex offenders, she said. It was sort of a standard talking point for a long time. But I came out of that process just wondering, is this really effective? Is this really solving the problem? Are we actually damaging some peoples lives beyond repair for a talking point?

Lawmakers have long hesitated to vote or speak against any legislation that could be perceived as going easy on those who commit crimes against children. During debate, they preface questions by first stating their disapproval of those who commit sex crimes.

"None of us ... would do anything that's going to even give the appearance of coddling a sex offender," former Rep. Ken Dunkin, a Chicago Democrat, said before asking why lawmakers were not advocating a more comprehensive approach to managing people with sex offense convictions.

He was speaking during the 2010 floor debate about disallowing people with past sex offense convictions in parks or forest preserves, whether or not children are present.

Former Rep. John Fritchey, also a Chicago Democrat, took it a step further and admonished his colleagues for bringing up this and similar bills, one after another. So many of these people are going to vote for this bill for political cover and to avoid a hit, and to avoid a mail piece, not because it affects a policy , he said.

Kevin Barlow of The (Bloomington) Pantagraph contributed.

molly.parker@thesouthern.com

618-351-5079

On Twitter: @MollyParkerSI

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Lilly and the Government of Canada sign an agreement for the supply of bamlanivimab to treat COVID-19 in Canada – Benzinga

Saturday, November 28th, 2020

Bamlanivimab is a SARS-CoV-2-neutralizing antibody that emerged from the collaboration between Lilly and Vancouver-based AbCellera

TORONTO, Nov. 24, 2020 /CNW/ -Eli Lilly Canada announced today that Lilly and the Government of Canada have signed an agreement for the supply of bamlanivimab to Canada. Lilly will supply Canada with an initial quantity of 26,000 doses of bamlanivimab over the three-month period between December 2020 and February 2021, for US$32.5 million. Lilly is taking a data-driven approach to the worldwide allocation of bamlanivimab according to our guiding principlesthat prioritize countries according to their medical need. Additional doses will be supplied to Canada on a monthly basis according to the medical need in Canada and the availability of supply.

The Government of Canada will be working with provincial and territorial partners to equitably allocate supply, while recognizing the need for flexibility based on COVID-19 activity across the country.

Bamlanivimab received authorization for its use as a treatment of adults and pediatric patients 12 years of age or older with mild to moderate COVID-19 who weigh at least 40 kg and are at high risk of progressing to severe COVID-19 illness and/or hospitalization on November 20, 2020 under the Interim Order Respecting the Importation, Sale and Advertising of Drugs for Use in Relation to COVID-19.

"From the beginning of our collaboration with AbCellera in March, through the interim authorization for the use of bamlanivimab in November, to an agreement on supply just days later, Lilly is bringing the full force of our expertise to meeting the challenge of COVID-19 in Canada, and around the world," said Rhonda Pacheco, President and General Manager, Lilly Canada. "We're grateful to the Government of Canada for their collaboration in working to quickly make this medicine available for Canadians."

About bamlanivimabBamlanivimab is a recombinant, neutralizing human IgG1 monoclonal antibody (mAb) directed against the spike protein of SARS-CoV-2. It is designed to block viral attachment and entry into human cells, thus neutralizing the virus, potentially treating COVID-19. Bamlanivimab emerged from the collaboration between Lilly and AbCellera to create antibody therapies for the prevention and treatment of COVID-19. Lilly scientists rapidly developed the antibody in less than three months after it was discovered by AbCellera and the scientists at the National Institute of Allergy and Infectious Diseases (NIAID) Vaccine Research Center. It was identified from a blood sample taken from one of the first U.S. patients who recovered from COVID-19.

Lilly has successfully completed a Phase 1 study of bamlanivimabin hospitalized patients with COVID-19 (NCT04411628).A Phase 2 study in people recently diagnosed with COVID-19 in the ambulatory setting (BLAZE-1, NCT04427501) is ongoing. A Phase 3 study of bamlanivimab for the prevention of COVID-19 in residents and staff at long-term care facilities (BLAZE-2, NCT04497987) is also ongoing. In addition, bamlanivimab is being tested in the National Institutes of Health-led ACTIV-2 study in ambulatory COVID-19 patients.

About BLAZE-1BLAZE-1 (NCT04427501) is arandomized, double-blind, placebo-controlled Phase 2 study designed to assess the efficacy and safety of bamlanivimab alone or in combination with a second antibody for the treatment of symptomatic COVID-19 in the outpatient setting. To be eligible, patients were required to have mild or moderate symptoms of COVID-19 as well as a positive SARS-CoV-2 test based on a sample collected no more than three days prior to drug infusion.

The monotherapy arms of the trial enrolled mild to moderate recently diagnosed COVID-19 patients, studying three doses of bamlanivimab (700 mg, 2800 mg, and 7000 mg) versus placebo. The primary outcome measure for the completed arms of the BLAZE-1 trial was change from baseline to day 11 in SARS-CoV-2 viral load. Additional endpoints include the percentage of participants who experience COVID-related hospitalization, ER visit or death from baseline through day 29, as well as safety.

The study is ongoing with additional treatment arms. Across all treatment arms, the trial will enroll over 800 participants.

Data from the monotherapy arms of BLAZE-1 were published in the New England Journal of Medicine.

About Lilly's COVID-19 EffortsLilly is bringing the full force of its scientific and medical expertise to attack the coronavirus pandemic around the world. Existing Lilly medicines are being studied to understand their potential in treating complications of COVID-19, and the company is collaborating with partner companies to discover novel antibody treatments for COVID-19. Lilly is testing both single antibody therapy as well as combinations of antibodies as potential therapeutics for COVID-19. Click herefor resources related to Lilly's COVID-19 efforts.

About Lilly CanadaEli Lilly and Company is a global healthcare leader that unites caring with discovery to make life better for people around the world. We were founded more than a century ago by Colonel Eli Lilly, who was committed to creating high quality medicines that meet people's needs, and today we remain true to that mission in all our work. Lilly employees work to discover and bring life-changing medicines to people who need them, improve the understanding and management of disease, and contribute to our communities through philanthropy and volunteerism.

Eli Lilly Canada was established in 1938, the result of a research collaboration with scientists at the University of Toronto which eventually produced the world's first commercially available insulin. Our work focuses on oncology, diabetes, autoimmunity, neurodegeneration, and pain. To learn more about Lilly Canada, please visit us at http://www.lilly.ca.

For our perspective on issues in healthcare and innovation, follow us on twitter @LillyPadCA

Lilly Cautionary Statement Regarding Forward-Looking Statements

This press release contains forward-looking statements (as that term is defined in the Private Securities Litigation Reform Act of 1995) about bamlanivimab (LY-CoV555) as a potential treatment for patients with or at risk of infection from COVID-19, as well as its supply, and reflects Lilly's current beliefs. However, as with any such undertaking, there are substantial risks and uncertainties in the process of drug development and commercialization.Among other things, there can be no guarantee thatfuture study results will be consistent with the results to date, that bamlanivimab will prove to be a safe and effective treatment or preventative for COVID-19, that bamlanivimab will receive regulatory approvals or additional authorizations, or that we can provide an adequate supply of bamlanivimab in all circumstances.For a further discussion of these and other risks and uncertainties that could cause actual results to differ from Lilly's expectations, please see Lilly's most recent Forms 10-K and 10-Q filed with the U.S. Securities and Exchange Commission. Lilly undertakes no duty to update forward-looking statements.

SOURCE Eli Lilly Canada Inc.

View original content to download multimedia: http://www.newswire.ca/en/releases/archive/November2020/24/c2478.html

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Lilly and the Government of Canada sign an agreement for the supply of bamlanivimab to treat COVID-19 in Canada - Benzinga

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Lessons from the pandemic: density may be the best policy – The Pacer

Saturday, November 28th, 2020

In the last hundred years, the name of the game in housing and work has been density.

Since 2007, more people globally live in the worlds urban centers than outside of them. In America specifically, that number goes up to 80%. Higher density urban development has come with some costs, like increases in rent across the board relative to wages. The move to cities may, however, have given us a surprising benefit: making us more resistant to pandemics.

At first, such a statement would seem strange, paradoxical even. The idea of heading for the hills to escape a pandemic has been with us at least as long as Boccaccios Decameron, a 14th century work that has a troupe of ten young nobles hiding out in the Italian countryside to escape the Black Death.

How could living closer together make us more resistant to outbreaks of disease?

Thats precisely what I thought, but as the research bears out, one unlikely key to fighting off diseases like Coronavirus may very well be our greater density of settlement.

Lets compare, for example, the Coronavirus outbreak of 2019-2020 with its most obvious historical parallel: the 1918 Spanish Flu pandemic. The case-mortality rate, that is the rate at which infected people die from the disease, is surprisingly comparable for the two diseases. The Spanish flus was somewhere north of 2.5% (although sources disagree on the actual death toll and, thus, the mortality rate), whereas COVID sits at a respectable 2.2%. Its not exactly an apples-to-apples comparison, but remarkable when you look at the disparities in impact.

Whereas Spanish Flu killed around 675 thousand Americans out of a population of 103.2 million (0.65%), Coronaviruss death toll is 248 thousand (as of the writing of this article) of a population of 331 million (0.0007%). Even if Spanish Flu were a full 1% deadlier than Coronavirus, something would have to account for the dramatic drop in mortality.

Now, some obvious explanations would be hygiene practices, knowledge of disease and access to medicine and treatment. Of these, only the third actually makes any real sense. Allow me to explain.

The Spanish Flu pandemic was over a century ago, yes, but hand-washing had been an understood method of preventing communicable disease spread since the 1850s. Even today, with our myriad of disinfecting sanitizers, the Centers for Disease Control (CDC) still recommends washing ones hands thoroughly with soap and water above any other preventative hygiene measure. True, they didnt bathe as much, but having itchy skin and oily hair wont give someone the flu.

I would argue the average person in 1918 knew about as much as the average person in 2020 does about disease. They knew it was spread by sick people, through fluids and breath droplets, and that they should wear masks and keep their distance from people. Masking and social distancing are nothing new, they were tried and true measures imposed during the 1918 pandemic. True, the average American in 1918 wouldnt really have had a firm grasp of the germ theory of disease, but its worth pointing out that you dont really need that information to keep yourself healthy. There might have been other unhygienic practices that were making them sick in other ways, but as for communicable diseases, they understood what they needed to.

No, the only real explanation lies in access to medicine and treatment. First off, there is the quality of therapeutic medicine. In 1918, doctors and nurses had few options for treating influenza patients. Once someone had contracted the disease, they merely had to treat the symptoms and wait for it to pass. Cold compresses to the head, aspirin, water, food and oxygen administered through a mask were the extent of what most patients would have gotten while ill. Add to this the fact that many patients were cared for at home, thus not only spreading the disease throughout the household but also unable to receive professional medical care.

This is where we return to COVID-19. Not only do we now have better treatments available, but we also have better access to those treatments. How exactly? More people now live closer to a hospital or clinic with high quality care.

According to a June, 2020 study from Johns Hopkins, the density of an area had no statistically significant effect on Coronavirus infection rates (in other words, your likelihood of infection didnt vary by population density of your county) and that mortality rates in highly dense counties were lower, sometimes by as much as 11.3%. The researchers theorized this had to do with greater access to medical care and a higher quality of that care.

Now, that doesnt get American cities off the hook just yet. The researchers also found, higher coronavirus infection and COVID-19 mortality rates in counties are more related to the larger context of metropolitan size in which counties are located. Large metropolitan areas with a higher number of counties tightly linked together through economic, social and commuting relationships are the most vulnerable to the pandemic outbreaks.

In other words, its not the density and high population of urban areas that makes them vulnerable, but the high degree of traffic between urban areas and their suburbs and exurbs. If anything, the results advocate against low density suburban housing, from a purely disease-prevention standpoint.

I personally am not a fan of city-living, but I must admit that if housing was more dense and relied less on commuting, America would likely be more resistant to disease outbreaks.

In a strange twist, running off into the countryside like Boccaccios young storytellers might not make you any safer from the plague.

Photo Credit / Star Tribune

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Early detection of breast cancer saves lives | State | sidneyherald.com – Sidney Herald Leader

Thursday, October 15th, 2020

The drive from Big Sandy to Great Falls is awfully familiar to our family. Jon drives those 70-some miles twice a week as he travels between our farm and the Senate. Often we drive together for farm parts, haircuts, you name it. The drive is second nature. But lately, it has taken on a new meaning.

Because in early spring of this year, I was diagnosed with breast cancer.

I found the cancer as many women do, with a lump. But I had a bit of a head start: breast cancer runs in my family both my grandmothers had breast cancer, and my grandmother on my mothers side, my mother, my sister, myself, and my daughter all have the same breast cancer gene. The knowledge that its genetic has helped serve as preventative medicine for our family once I knew I was likely to get it, it empowered me to know what to look for and get screened regularly.

Cancer doesnt discriminate between gender or age, and breast cancer is no exception.

Men get it too, and it isnt shameful to talk about it, because men need to be aware of their own risk factors.

When it comes to breast cancer, monthly self-examinations are critical, because if caught early, it can save your life.

I knew from the beginning that my prognosis was good, and was lucky to feel full mostly of hope, not fear. This month, I completed my final round of chemotherapy, and I have been very lucky to have few side effects. My husband and kids have been a remarkable support system.

The love and support of my family gave me the strength to face the uncertainties of cancer head-on. And at the end of the day, I know that Im fortunate. Fortunate to have been blessed by the doctors, nurses, and health care workers at Benefis Sletten Cancer Institute in Great Falls that have given me top-notch care every step of the way. They were both professional, and personal, and made sure that every time I walked in those doors I never felt a sense of doom and gloom. And I feel more fortunate, still, that in a state where some folks have to travel for hundreds of miles to receive care, our 70-some mile drive was a pretty short hop.

And when youre counting your blessings, its hard not to consider those that arent as fortunate.

How many Montanans face the fear of cancer diagnosis without the security of affordable health care? How many folks skip cancer screenings or go without treatment because a trip to the doctor would mean the choice between paying a medical bill or putting food on the table?

Its only fitting that I received the last of my treatment during Breast Cancer Awareness Month. I encourage everyone, women and men alike, to use this month as a reminder to take precautionary steps. Check yourself often. Get regular screenings. Early detection can save your life.

Now that my treatment is finished, the drive to Great Falls will be easier again. I still have work in front of me and the outlook is promising. But the many cancer patients with a tough road ahead will still be on my mind and in my prayers.

I am not fighting my battle alone, and no Montanan ever should.

Sharla Tester is a farmer living and working in Big Sandy. She is married to U.S. Senator Jon Tester.

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Early detection of breast cancer saves lives | State | sidneyherald.com - Sidney Herald Leader

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WellQor Launches Game Changing End-To-End Solution for the Proactive Management of Emotional Health in Senior Living Communities – Benzinga

Thursday, October 15th, 2020

MELVILLE, N.Y., Oct. 15, 2020 /PRNewswire-PRWeb/ --The global pandemic has senior living communities seeking ways to rebuild public confidence in their ability to care for their residents. Vacancy rates have skyrocketed while new communities are opening across the country, giving seniors and their families more choices than ever. With anxiety surrounding senior living at an all-time high, there's an urgent need for innovative ways to reassure family members that their loved ones will be happy, safe, and secure in their community. WellQor, the nation's leader in senior behavioral health, today announced the launch of two new programs: Transitions and Peace of Mind which, when deployed in conjunction with their existing clinical services, provide a complete behavioral health solution for communities that wish to fully understand and meet the emotional needs of their residents.

"Community staff members are often overwhelmed by their day-to-day responsibilities and unable to focus on individual resident needs that aren't acute. By partnering with third party healthcare providers like WellQor, staff members can take advantage of deep expertise in identifying and addressing the myriad of health issues that seniors face" said David Schwam, CEO of WellQor. "These overlooked needs far too often result in move-outs that could have been prevented".

WellQor's new Transitions program was designed to ensure that new residents and their families are sufficiently prepared for the move to senior living. For approximately thirty days, WellQor's licensed professionals work closely with each incoming resident and family in order to help them overcome challenges which can result in an unsuccessful move. Sources of stress and anxiety are identified, the definition of a successful move is established, and realistic expectations for the transition process are set. In communities using the Transitions program, the findings from this process are discussed at length with the care team in order to facilitate an ongoing, comprehensive and collaborative approach to care.

WellQor's Peace of Mind program gives communities the ability to proactively monitor "how every resident is actually doing". After gathering information from a family member and completing a quarterly assessment of a resident's emotional and cognitive health, WellQor generates their proprietary "Wellness Report'' for each resident. This report uses an easy to understand scoring system and provides valuable insight and suggestions for the improvement of their emotional health. The Wellness Report is shared with staff and family members to be used as the basis for planning and collaboration in order to improve the residents' overall well being. WellQor's sophisticated reporting capabilities allow communities to understand, both at an individual and aggregate level, issues that may be impacting resident outcomes, duration of stay, and caregiver stress and turnover.

By deploying the Transitions and Peace of Mind Programs, communities now have the ability to proactively identify issues long before they become significant problems that require staff attention. When professional intervention is required, WellQor's clinical team of licensed Psychologists and Clinical Social Workers can immediately engage using either telehealth or in-person sessions in order to help move past the issue prior to it becoming a crisis. In this spirit, WellQor offers a one of a kind solution that makes emotional healthcare more accessible and proactive than ever before.

Increasingly, communities are leveraging preventative medicine as a way to define care and set themselves apart from those who simply react to issues as they are discovered. By helping to implement a collaborative and comprehensive approach to care, WellQor can help these communities reestablish trust and confidence with seniors and their families and rebuild their census.

SOURCE WellQor Management Services, Inc.

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WellQor Launches Game Changing End-To-End Solution for the Proactive Management of Emotional Health in Senior Living Communities - Benzinga

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Life Sciences – a year to remember – Lexology

Thursday, October 15th, 2020

The Life Sciences sector has not been as newsworthy, pressured and flush with investors in living memory. The arrival of COVID-19 in 2020 has suddenly and emphatically focused attention on Life Sciences. The perception of the sector, and the reality of how it operates, has shifted. But in truth, Pharma was already changing.

Trends unrelated to the pandemic began with the shift away from searching for big-earning blockbuster drugs treating broad indications. Cost-effective opportunities in this type of market are dwindling, in the face of ever-increasing R&D and approval costs. Meanwhile, the shift to precision medicine has accelerated. Digital technology and biotechnology continue to make deeper inroads and stronger interconnections in how treatments are researched, developed and consumed. And those are just some of the developments.

Back in the distant, pre-COVID world of 2019, the Pharma industry was being dogged by the competing pricing concerns of payers and producers, with increasing pressure against companies seen to be benefiting from a monopoly on human health. Calls for tighter regulation on prices were particularly prevalent in the US, becoming a major theme of political debates.

A change in perception

Then along came COVID. Much as a global conflict usually sees major advances in weaponry, this global pandemic has seen a rapid boost in life science technology, collaboration and funding, as pharma companies, research organisations, SMEs and universities collectively search for a vaccine. The perception of Big Pharma has shifted correspondingly, from profiteers to potential saviours. It is probably true to say that never has so much been known about the sector by so many, in such a short space of time.

The growth of interest in Life Sciences has included investors; funding in 2020 has been incredibly strong. Biotech companies comprised 80% of all US IPOs in the first quarter and the US Nasdaq Biotechnology Index neared a five-year high in late April.

The US is the leader for investment by a big margin, but China has also seen some large investment rounds. Investors apparently see the sector as economy-proof and this is underpinned by a stronger public perception.

Tech advances

What of the technology? It has changed the R&D landscape, significantly reducing costs. Closer ties between tech and biotech are driving speedier, more targeted drug development, replacing the previous time-consuming trial and error required to prove theories. Interaction simulations can be run at the click of a button and clinical trials can progress more rapidly and cost-effectively through technology-aided efficiencies.

As R&D expense reduces and the remaining available blockbuster indications diminish, addressing smaller markets and niche illnesses has become more commercially viable alongside the long-standing medical needs. AI is invaluable in finding links in the rapidly accumulating global data resources. It is also creating more platform plays and modular business plans designed for biotech companies to bolt onto. And it is assisting clinicians by enabling faster, accurate reviews, such as analysing scans for breast cancer.

Enabling better prevention

Technology is also improving the quality of preventative medicine. Apps are helping doctors carry out remote diagnosis and secure more real-time, comprehensive feedback. Taking advantage of the Internet of Things, devices such as smart toilets can collect and analyse samples, and provide early warning of kidney or gastro-intestinal diseases. Spotting problems before they develop has physical, emotional and financial benefits for individuals, and the use of virtual coaches can support this by guiding patients through a healthier, preventative lifestyle.

More effective therapies

At the leading edge of life sciences, tech is helping new therapies to be better understood and utilised. Cell therapy is identifying and developing stem cells suitable for specialised uses, such as dopamine producers that could combat Parkinsons disease. Better gene editing tools are delivering improvements in gene therapy, while next-generation genome sequencing is allowing the development of precision medicines to previously unattainable levels.

The race for a vaccine

Crucially, and taking us back to where we started, vaccines can be constructed differently a point more pertinent than ever as science attempts to race towards an effective COVID-19 cure.

And its side effects

Is there a downside to all this? Yes. COVID has understandably monopolised attention and pushed back most other drug trials. Around half of non-COVID trials have been delayed this year, with critical developments put on hold and many biotech firms effectively in hibernation.

Whilst the true impact of these delays remains uncertain, there have nevertheless been a number of positives for the life sciences sector in 2020.

Positives for life sciences

Public and investor perception of pharma and life sciences has improved, with a resultant increase in funding and greater interest in careers in the sector. More specialised, precision medicine is giving fresh hope to those facing currently untreatable illnesses. Advances in tech-enabled diagnosis, drug development, dosing and monitoring have accelerated progress, with the spotlight on vaccines, genetic testing and monitoring leading to greater prominence on prevention.

Many of us are getting accustomed to the new normal acknowledging that post-COVID life will never be quite the same as it was before. The pandemic has resulted in a new normal emerging for life sciences too: greater collaboration, potentially faster trials and approval, and more integration of technology leading to more targeted and effective prevention and treatment.

Memories are often short, so how long life science advances will stay in the limelight is open to conjecture. But at this point in our state of the nation review, the life sciences sector is looking encouragingly healthy.

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Life Sciences - a year to remember - Lexology

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People with disabilities growing sicker in poverty with no election promises to give them hope – News 1130

Thursday, October 15th, 2020

VANCOUVER (NEWS 1130) People on disability assistance say they are getting sicker because of a Grand-Canyon-sized-gap in provincial medical coverage and all three main political parties have failed to offer them hope during the provincial election campaign.

NEWS 1130 has spoken with four people who have complex disabilities and say they pay out-of-pocket for both basic and life-altering treatments they cannot afford.

So youre in a situation where youre choosing between food and medicine or youre going into debt. Eventually you end up not being able to do or afford the things that support your health at all, says one person, who has been steadily growing more sick over 25 years of what she considers inhumanely low coverage.

Lawyer Andrew Robb with Disability Alliance BC says his clients experience deteriorating health and believes the government should be challenged to uphold human rights.

I think that people do have a right to healthcare and a right to be well and I think the way that the Ministry of Social Development and Poverty Reduction administers the Persons with Disability program, right now, is not consistent with those rights, he says.

He says B.C.s regulations list very specific services and fees that are covered and bureaucrats generally will not stray from that list, unlike in other provinces, where more discretion is allowed.

It has certainly been our experience that people very frequently need and require more assistance, more services, more treatments than are covered by the regulations, he says.

The ministry covers $23.50 for each extended health visit, to a maximum of 10 visits each year.

That means a person with disabilities (PWD) only receives $230.50 annually to spend between practitioners such as physiotherapists, registered massage therapists, naturopathic doctors and acupuncturists.

Many people with complex health needs believe their situation has deteriorated because of this dearth of coverage, as they have been forced to forgo preventative treatments.

One person NEWS 1130 spoke with is moving forward with her request to seek assisted dying as she can no longer afford the care required to keep her pain within a tolerable window.

She says she does not believe the current NDP government, or any other party that could take power after this election, will change the law in time to save her life.

Dr. Rebecca Handford is the president of the BC Naturopathic Association. She says the previous provincial Liberal administration cut MSP funding to extended health, including naturopathy, which many people with complex disabilities report finding relief with.

It kind of speaks to a larger problem which is funding prevention versus emergency care Overall, as a society, we dont value prevention as a means of keeping people healthy, says Handford.

She says prevention is always cheaper than emergent care and cheaper than allowing people to descend into more painful, more complex situations because of an out-of-date approach to medicine.

The overall perspective that we need to change is to spend a little money now to prevent a larger expense later on, she argues, adding its difficult to prove the value of prevention.

When you prevent further problems, they dont happen, and how do you prove that they didnt happen? she says.

Handford says naturopathy and other extended health deserves more coverage because people with complex care needs require in-depth assessment and understanding of their conditions, as well as a holistic approach to healthcare.

If you went to see a regular medical doctor for nutrition advice, that would be outside of what is paid for by MSP, she points out, highlighting how essential diet is to overall health.

One person explained how naturopathic IV treatments have given her a quality of life she hasnt been able to achieve through any other means.

However, the total annual MSP coverage amounts to less than the cost of two visits, or one weeks worth of care.

Using the 10 visits per year on one treatment or modality means she cannot seek out other preventative and pain-relieving care, such as physiotherapy or massage.

As a result shes had to ask for charity from providers, who have been kind enough to take the hit to their income, for her benefit.

She wants to see more discretion for the government to support individuals needs when they require more than traditional Western medicine.

So that you dont end up in this fully emergent situation where youve got a patient falling off the edge of a cliff and you dont know what the hell to do because the more illnesses you have, the harder it is to manage deterioration, she says.

The DABCs Robb says his clients often stop their treatments out of necessity.

And they end up needing emergency medical care instead of receiving preventative care that might have kept them from this situation in the first place, he says.

Robb also wants to see the Ministry of Social Development and Poverty Reduction loosen up regulations about what medical treatments, devices and supports can be approved.

Were talking extremely rigid, he says of current regulations.

He blames the Employment and Assistance for Persons with Disabilities Regulation, which bureaucrats and ministry staff must adhere to.

He says PWD and their advocates, who have been trying to make the case for any needs outside of the rigid legislation, have been shut down in every case hes witnessed.

Theres no room for flexibility or discretion about that, he says.

Anti-poverty advocates argue that disability tax credits, low assistance payments and a lack of medical support are the wrong way to approach this issue.

A recent pilot project showed giving people direct cash transfers helped them find a path to better lives and out of poverty.

Claire Willaims is the co-founder and CEO of Foundations for Social Change and has a complex disability herself.

The cost of living is incredibly high, she says, outlining rent for a one-bedroom apartment in Vancouver costs double the total maximum monthly payment a PWD currently receives.

I think its incredibly unrealistic to expect people to subsist on that kind of money, never mind thrive, she says, pointing out emergency payments for employees amounted to more than double many PWD payments.

I think there is a general mistrust around people going on disability. Any situation or circumstance that ultimately puts somebody in a place where they require some kind of cash support, for whatever reason, inherently generates a sense of mistrust, she says.

The recent New Leaf pilot project showed that mistrust and stigma is unnecessary, she argues, invoking the philosophy of Dutch historian and economic equality advocate, Rutger Bregman.

He says living in poverty is not a lack of character, its a lack of cash so I think we need to start looking at more meaningful risk taking in the space of social policy to support Canadians that need that extra help.

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University Hospitals Cleveland Medical Center Joins the Cardiometabolic Center Alliance as a Key Strategic Partner and Charter Member – Newswise

Thursday, October 15th, 2020

Newswise Kansas City, Missouri & Cleveland, Ohio--The Cardiometabolic Center Alliance (CMCA), founded by Saint Lukes Mid America Heart Institute is pleased to announce the addition of University Hospitals Cleveland Medical Center as Key Strategic Partner and Charter Member.

As a coalition that seeks to establish Cardiometabolic Centers of Excellence nationwide aimed at transforming the treatment of type 2 diabetes (T2D) and related cardiovascular (CV) and renal comorbidities, the CMCA considers University Hospitals (UH) a large integrated health system based in Cleveland, Ohio a key member of the Alliance.

The goal of the Cardiometabolic Center Alliance is building on our existing success in Kansas City by working collaboratively with our member organizations to replicate and refine our novel clinical care delivery model, with the overarching objective of lessening the adverse impact of diabetes and its most common and morbid complications cardiovascular and kidney disease - on patients lives, said Dr. Mikhail Kosiborod, Cardiometabolic Center Alliance Executive Director. The addition of UH as a Strategic Partner and Charter Member of the CMCA is an essential step in meeting our mission of improving the quality of care and outcomes of patients with cardiometabolic disease, so they can live longer, healthier, and more active lives, no matter where they live.

Founded in 1866, University Hospitals serves the needs of patients through an integrated network of 18 hospitals, more than 50 health centers and outpatient facilities, and 200 physician offices in 16 counties throughout northern Ohio.The systems flagship academic medical center, University Hospitals Cleveland Medical Center, located in Clevelands University Circle, is affiliated with Case Western Reserve University School of Medicine.

We are excited to be a part of this national alliance that will pave the way for new treatments and approaches to manage patients with cardiometabolic disorders, said Sanjay Rajagopalan, MD, Chief of Cardiovascular Medicine at UH Harrington Heart & Vascular Institute. Cardiologists are uniquely positioned to assist with the seismic shift occurring in the landscape of care for diabetes and cardiovascular complications. However, these diseases require a large degree of collaboration with other specialties. In order to provide the highest quality of care for patients, its important that we take a multidisciplinary team approach and intervene early.

Through personalized medicine and research collaborations, such as UH and CMCA, enhancements can be made for detecting disease early, developing therapeutics for treatment, and refining technology-based approaches to improve patients lives.

At UH, we are focused on providing the best value for our patients, said Peter Pronovost, MD, PhD, Chief Clinical Transformation Officer at UH. This unique alliance will help us track treatment patterns and quality of care, and will help us transform care delivery for patients at risk for future complications.

###

Alliance members will adopt and implement a novel care model designed and successfully implemented bySaint Lukes Michael & Marlys Haverty Cardiometabolic Center of Excellencein Kansas City, MO. Based on the initial data, under this model the rates of optimal guideline-directed medical therapy substantially increased over the national average, ensuring that patients with T2D receive care that is aimed at both optimizing diabetes management and providing comprehensive cardiovascular risk reduction with therapies proven to improve outcomes. These results are made possible by a unified team of clinicians from across the disease continuum, who focus on holistic, guideline-directed preventative care. Through their participation, Alliance members will also contribute to a national registry that will track treatment patterns and quality of care. As the Alliance enhances its capabilities, improves processes, and expands research opportunities on a national scale, the ultimate goal is improved patient outcomes.

About University Hospitals / Cleveland, OhioUniversity Hospitals also includes University Hospitals Rainbow Babies & Children's Hospital, ranked among the top childrens hospitals in the nation; University Hospitals MacDonald Women's Hospital, Ohio's only hospital for women; University Hospitals Harrington Heart & Vascular Institute, a high-volume national referral center for complex cardiovascular procedures; and University Hospitals Seidman Cancer Center, part of the NCI-designated Case Comprehensive Cancer Center. UH is home to some of the most prestigious clinical and research programs in the nation, including cancer, pediatrics, women's health, orthopedics, radiology, neuroscience, cardiology and cardiovascular surgery, digestive health, transplantation and urology. UH Cleveland Medical Center is perennially among the highest performers in national ranking surveys, including Americas Best Hospitals from U.S. News & World Report. UH is also home to Harrington Discovery Institute at University Hospitals part of The Harrington Project for Discovery & Development. UH isone of the largest employers in Northeast Ohio with 28,000 physicians and employees. Advancing the Science of Health and the Art of Compassion is UHs vision for benefitting its patients into the future, and the organizations unwavering mission is To Heal. To Teach. To Discover.Follow UH on LinkedIn, Facebook @UniversityHospitalsand Twitter @UHhospitals. For more information, visitUHhospitals.org.

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University Hospitals Cleveland Medical Center Joins the Cardiometabolic Center Alliance as a Key Strategic Partner and Charter Member - Newswise

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