San Francisco Worries About Obamacare’s Financial Burdens County officials are considering helping residents pay for health insurance plans offered through Covered California, the state’s online marketplace. Meanwhile, a study confirms what many consumers already know — figuring out which doctors are in Obamacare plans is difficult. Los Angeles Times: In Ironic Twist, S.F. Is Worried Obamacare Could Hurt Its Most Vulnerable Residents The Philadelphia Inquirer: Finding Which Doctors Are in Obamacare Networks Is Difficult Nearly 10 years ago, this county by the bay known for its progressive political leaps became one of the first in the nation to offer residents universal access to healthcare. Now the federal Affordable Care Act has been rolled out nationwide with the same goal in mind. But in an ironic twist, officials in this city are worried the new law could adversely affect some of the most vulnerable San Franciscans. The local health program known as Healthy San Francisco, which has served as many as 60,000 patients annually since its creation in 2007, is almost free. Obamacare plans, however, are not. … County officials here are weighing ways to help residents pay for insurance plans offered through Covered California, the state’s health insurance exchange. (Karlamangla, 7/6) This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription. When economist Dan Polsky set out to study how many doctors were in the health-insurance networks available to Obamacare customers, he found out it was hard – even for him. How hard? “Nine out of 10,” said Polsky, executive director of the University of Pennsylvania’s Leonard Davis Institute of Health Economics. … Polsky said insurers need to do more to help shoppers determine who is in the network they are considering. Otherwise, he predicted, lawmakers may set specific limits on how narrow networks can be. (Burling, 7/7)
Da Costa claimed the honours for BMW for a second day in a row by setting the pace in the three-hour morning session with a 1m16.977s – the first lap below the 1m17s barrier so far in testing.Season four champion Jean-Eric Vergne ended the morning in second place, 0.421s slower than da Costa on a 1m17.398s, with Jerome D’Ambrosio completing the top three for Mahindra Racing.More Formula E News BMW Rookie Sims Leads Day 1 Of Formula E Testing Antonio Felix da Costa topped the times on the second day of 2018/19 Formula E testing, which was split between regular test running and a full race-length simulation session. Author Liberty Access TechnologiesPosted on October 17, 2018Categories Electric Vehicle News Lucas di Grassi was fourth for Audi, ahead of Venturi pair Felipe Massa and Edoardo Mortara.Pascal Wehrlein was seventh for Mahindra, with Jose Maria Lopez, Andre Lotterer and Daniel Abt rounding out the top 10 for Dragon Racing, DS Techeetah and Audi.Alexander Sims, who topped the first day of testing, was 11th.Stoffel Vandoorne completed 33 laps in the morning session after missing all of Tuesday afternoon’s running due to a battery problem, and he ended up 13th fastest for HWA.Sebastien Buemi was the only Nissan driver to take part in the running after Alexander Albon, recently linked with a 2019 Toro Rosso Formula 1 seat, again did not drive on Wednesday.Buemi finished 21st and last in the morning, but did top the 30-minute session that took place before the race simulation on a 1m17.773s, with only nine drivers completing timed laps.The race simulation, which was timetabled at the request of the teams to test FE’s new event format rules, took up most of the afternoon running and was heavily disrupted.The cars formed up at the end of the pitlane – ready to complete the full 45-minutes-plus-one-lap that will make up FE races in season five – to begin the simulation.Sims led the pack out, but the ‘race’ was stopped after just one lap due to Abt hitting the chicane three-quarters of the way down the main straight at the Circuit Ricardo Tormo and Vandoorne stopping on track.After a lengthy delay – Vandoorne’s car was declared ‘red’, meaning it was not safe to touch – the simulation resumed and was notionally won by di Grassi ahead of Sims.Only three cars took the chequered flag – with most pitting either the lap before the start of the 31st lap started by di Grassi or on the tour before, while Vandoorne did not reappear to take the restart.A 30-minuted session closed out the day and was topped by Vergne, who improved his best effort to a 1m17.342s – still second quickest in the overall order.Eight other drivers also went faster in this session – including Lotterer, Buemi and Sims – while Maximilian Gunther set the 22nd and slowest time of the day after taking over from Antonio Fuoco – 20th overall – who drove in the morning session for Dragon.Vandoorne, Gary Paffett and Mortara did not appear for the final session. Source: Electric Vehicle News Dillmann Joins Turvey At NIO For 2018/19 Formula E Season Formula E “Needs” A Japanese Driver, Says Agag
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by, Margaret StansburyTweetShareShareEmail0 SharesResearchers from the Rand Corporation recently published a study that found medical costs of treating dementia totaled $109 billion in 2010. This is more than was spent on heart disease or cancer! What can be done now to slow increases in expenses and improve care? The Wall Street JournalReal Time Economics Blog highlights the financial impact of The Green House model:RWJ and a nonprofit, NCB Capital Impact, have also funded the Green House Project. Each Green House accommodates 10 to 12 seniors with medical help provided by certified nursing assistants.David Farrell, The Green House Project director, says the small homes allow for less administrative costs and allows residents to remain ambulatory, even with a walker, rather than depending on wheelchairs.Plus, the nursing staff develop a closer relationship with a small number of [Elders]. “The [CNAs] can pick up on subtle changes in the elderly,” which leads to preemptive care rather than medical emergencies, Mr. Farrell says.In a Green House home more money is spent on care and less on administration. The Elder to staff ratio makes for better care and less hospitalization of Elders. To learn more, read about The Green House Project’s cost saving summary. Read the full Wall Street Journalarticle here or learn more about The Green House model.This article was originally published on The Green House Project blog.Related PostsSmart Money Blog, “The Kind of Thing Boomers Might Really Want.”Today’s Smart Money Blog, part of the Wall Street Journal Digital Network, wrote about a “New Kind of Nursing Home“, The Green House Project. The author highlighted key aspects of The Green House Project transformation, including the change in architecture, … Continue reading →The GREEN HOUSE® Project Announces New DirectorDavid Farrell, a prominent lifelong advocate for improving the quality and changing the culture of long-term care, has been named director of The Green House Project.Live Grow Thrive: Green House Model Promotes GrowthPosted without comment (nuff said): AARP Bulletin | January 10, 2011 By Sally Abrahms Jan Cassidy Wood and her siblings knew that if their older brother Jack Cassidy ever needed long-term nursing care, it would fall to them to find it. He was unmarried and lived alone, and since childhood…TweetShareShareEmail0 SharesTags: Alzheimers Dementia THE GREEN HOUSE Project
May 31 2018New research suggests that changes in the eye that occur during spaceflight may be related to how much an astronaut weighs. The study is published ahead of print in the American Journal of Physiology–Regulatory, Integrative and Comparative Physiology.Reduced gravity levels (microgravity) in space can lead to spaceflight-associated neuro-ocular syndrome (SANS) in some astronauts. SANS refers to structural changes in the eye that may impair vision, including swelling of the optic nerve (optic disc edema) and colored indentations (choroidal folds) in the blood vessel network at the back of the eye. Researchers now think that how much a person weighs may play a role in these ocular changes.Related StoriesEarly clinical trial of new treatment for severe dry eye disease shows promising resultsStudy reveals a revolutionary way to treat eye injuries, prevent blindnessStudy shows high incidence of herpes zoster ophthalmicus among older adultsOn Earth, the weight of the body’s tissues presses against other bodily structures (e.g., bones, muscles, organs, veins) creating compressive forces, which can affect pressures in blood vessels and in organs throughout the body. These compressive forces increase as body weight increases. In microgravity, body tissue is weightless, so compressive forces against the rest of the body are absent. People with more body tissue–and therefore a higher body weight–are proportionately more likely to experience physiological changes in a low-gravity environment because they experience a greater change in these compressive forces, the researchers hypothesized.The research team examined data collected by NASA from astronauts who had made long-duration space flights (averaging 165 days). The data included the astronauts’ sex and pre-flight height, weight, waist and chest size, as well as information about post-flight eye changes. The findings were related to body weight, not body mass index. They found that none of the female astronauts analyzed–who weighed less than the males–returned to Earth with symptoms of SANS. To rule out sex differences as a cause for the disparity, the researchers also examined the men’s data separately. “Pre-flight weight, waist circumference and chest circumference were all significantly greater in those who developed either disc edema or choroidal folds. This was still true when only the male cohort was analyzed,” the researchers wrote. “The results from this study show a strong relationship between body weight and the development of ocular changes in space.” Source:http://www.the-aps.org/mm/hp/Audiences/Public-Press/2018/28.html
Source:https://www.camh.ca/en/camh-news-and-stories/stress-affects-people-with-schizophrenia-differently-camh-study-shows Jul 11 2018Stressful situations affect the brain and body differently in people with schizophrenia compared to people without the mental illness or individuals at high risk for developing psychosis, a new CAMH study shows. The relationship between two chemicals released when people experienced stress – one released in the brain and the other in saliva – differs in people with schizophrenia. The discovery, recently published in the journal Brain, may provide clues into how to act early to prevent schizophrenia.”We found a disrupted stress response in people with schizophrenia, which did not occur in either healthy individuals or people at clinical high risk for developing psychosis,” says Dr. Christin Schifani, Postdoctoral Research Fellow in the Research Imaging Centre in CAMH’s Campbell Family Mental Health Research Institute, and lead author of the study.As most people with schizophrenia experience psychosis, identifying differences between people at high risk for psychosis and those with schizophrenia may shed light on how schizophrenia develops and ways to prevent its onset.”The fact we see this disrupted stress response in people with schizophrenia, but not in people at high risk for psychosis, suggests an opportunity to intervene to prevent schizophrenia,” says Dr. Romina Mizrahi, Clinician Scientist in the Campbell Institute at CAMH, and senior author of the study. “Developing strategies to cope with stress and build resilience may be the opportunity.”Dr. Mizrahi leads the Focus on Youth Psychosis Prevention (FYPP) Clinic and research program at CAMH, which is dedicated to the early identification and treatment of people aged 16 to 35 who are at high risk of developing psychosis. Helping people to identify sources of stress and adopt coping strategies is a key focus of the clinic’s work. Assessing the impact of stress management strategies to reduce psychosis and schizophrenia risks will be a goal of future research.In the current study, these new insights come from examining two important chemical messengers — dopamine and cortisol — in people under stress. Dopamine is a neurotransmitter, a chemical that carries signals from one brain cell, or neuron, to another. In this study, the researchers focused on dopamine released in the prefrontal cortex, the region at the front of the brain involved in complex functions, including regulating emotions. Cortisol is a hormone, released from the adrenal glands to help the body handle stressful situations.Related StoriesDogs and cats relieve academic stress and lift students’ mood, according to a new studyResearchers attempt to solve PTSD puzzleOxidative stress could play key role in the spreading of aberrant proteins in Parkinson’s diseaseIn healthy individuals, both dopamine and cortisol levels typically increase when people experience stress. This link between dopamine release and cortisol release did not appear in people with schizophrenia. “Cortisol is the main stress hormone, so this suggests a disrupted stress regulatory system in people with schizophrenia,” says Dr. Mizrahi.To investigate responses to stress, the researchers used a math test. In the first stage of the study, participants answered math questions on a computer screen without any time limit while a positron emission tomography (PET) scanner produced an image of dopamine in their brain as they completed the task. In the second stage — the stress test — participants answered math questions under time constraints and while receiving negative verbal feedback, also in the PET scanner. Saliva samples were collected during both stages to measure cortisol levels. The study included 14 people with schizophrenia, 14 people at clinical high risk for psychosis and 12 people without mental illness.The findings build on Dr. Mizrahi’s earlier research in another region of the brain, the striatum. “Our previous research had shown that people at high risk for psychosis and those experiencing a first episode of psychosis have abnormal, or increased dopamine release in response to stress in the striatum,” says Dr. Mizrahi. “Since the prefrontal cortex is involved in regulating striatal dopamine release, we wanted to understand what was happening in the step before the striatum.”But, contrary to what they had expected, the researchers did not find significant differences in dopamine release in the prefrontal cortex among the three groups of participants. “Our findings of an increase in dopamine release in the striatum, but not in the cortex, show the complex brain regulatory systems in both people at high risk for psychosis and people with schizophrenia,” says Dr. Mizrahi.
Neandertals arose in Europe and Asia as early as 250,000 years ago, and for most of that time they had Eurasia to themselves—until, that is, modern humans came in and replaced them. Just how long Neandertals hung on after the arrival of Homo sapiens about 45,000 years ago has been a matter of fierce debate among researchers, some of whom argue that they hardly overlapped at all. A new study published online today in Nature, led by dating experts at the University of Oxford in the United Kingdom (two of whom, Thomas Higham and Katerina Douka, are pictured here taking radiocarbon samples at the site of Chagyrskaya in Russia), concludes that Neandertals were entirely extinct by 39,000 years ago. The study, which included 40 sites from Spain to Russia and employed the most recent sample preparation and statistical techniques to increase dating accuracy, found that Neandertals and modern humans did overlap for 2600 to 5400 years, depending on the exact region they inhabited. Although the authors do not speculate on why Neandertals went extinct, their findings would tend to support the hypothesis that they lost out to competition with modern humans, rather than disappeared on their own due to climate change or other factors. The authors also suggest that some late Neandertal innovations, such as sophisticated personal ornaments and stone tools, were actually the result of “acculturation”; that is, these behaviors were either copied from, or inspired by, their modern human cousins.
By Mitch LeslieMar. 16, 2017 , 12:00 PM Glass shield may protect water bears from dehydration Unfazed by extreme heat, radiation, and being blasted into space, the pudgy microscopic predators known as tardigrades (pictured) are champion survivors. Now, researchers may have uncovered the trick behind one of their most impressive feats: their ability to survive droughts by drying up and then rehydrating years or maybe even decades later. Also known as water bears and moss piglets, tardigrades live in aquatic habitats all over the world, so this ability comes in handy when their liquid home evaporates. During the process, they essentially lose all the water in their body and cells. The creatures also start pumping out unique, amorphous proteins that form a glasslike material inside of their cells, researchers report today in Molecular Cell. The material may encase and shelter vital molecules, such as other proteins, until the dry spell is over. The scientists say we might be able to borrow the protective proteins to improve the drought tolerance of crops and to preserve vaccines so that they don’t need to remain frozen or refrigerated.
ShareTweetSharePinTrinidad pannist Johann Chuckaree in action More pictures from the Jazz’n Creole event at Fort Shirley in the Cabrits National Park. All photos courtesy Cecil Clarke.Popular performer Mel (formerly Mel C) was called back to the stage to perform by the crowd (which the organizers allowed) Johann Chuckaree received similar calls but was unable to do so possibly due to time constraints
Rickey Jackson May 21, 2018 Rickey Jackson appointed to interim position at NPC Northern Arizona native and long-time Winslow resident Rickey Jackson has been appointed Northland Pioneer College’s interim Vice President for Learning and Student Services for the upcoming academic year. He will take over the position previouslySubscribe or log in to read the rest of this content. Bottom Ad
Ivan Golunov, 36, was reportedly beaten and denied a lawyer for more than 12 hours a week ago following drug-dealing charges he rejected as shamThe arrest provoked public outrage, and the interior ministry dropped all charges against Golunov Tuesday and asked Putin to dismiss two police generals On Thursday, the Kremlin announced the firing of Moscow police’s anti-drugs chief, Yuri Devyatkin, and head of the police department for western Moscow, Andrei Puchkov.Their dismissal comes a day after hundreds of people were arrested at an unsanctioned rally in Golunov’s support in Moscow. By AP |Moscow | Published: June 13, 2019 11:42:37 pm Explained: Trump pressure? Why OPEC embraced Putin A lawyer comforts Russian investigative journalist Ivan Golunov, who was detained by police and accused of drug offences, during a court hearing in Moscow, Russia June 8, 2019. The writing on the T-shirt reads “Editorial desk demands blood”. Russian President Vladimir Putin has dismissed two senior police officers involved in the arrest of an investigative journalist on drug charges that later were dropped when the government admitted there was no evidence he committed a crime Advertising Related News Explained: Western fears about fire accident aboard a Russian submarine After successfully hosting World Cup, nobody has questions about Russia: Smertin Post Comment(s)
Best Of Express Related News Boeing in talks for more 737 MAX orders after International Airlines Group Virat Kohli won’t have a say in choosing new coach Advertising The meeting, organized by industry trade group the International Air Transport Association (IATA), comes as airlines grapple with the financial impact of a global grounding of nearly 400 737 MAX jets that has lasted three months.Boeing, the world’s largest planemaker, has yet to formally submit proposed 737 MAX software and training updates to the US Federal Aviation Administration (FAA), which will kick-start a re-certification process that could take weeks.IATA Director General Alexandre de Juniac has said “shoring up trust among regulators and improving coordination” within an industry that grounded the MAX planes on different dates in March would be priorities at Wednesday’s summit.It is the second such meeting organized by IATA. After Masood Azhar blacklisting, more isolation for Pakistan Boeing chief admits ‘mistake’ in handling 737 Max jets’ warning-system problem Advertising Man whose family died in Boeing 737 Max crash: Scrap the jet Boeing is the world’s largest planemaker. (File)Airlines and regulators are gathering at a closed-door summit in Montreal on Wednesday to exchange views on steps needed for a safe and coordinated return of Boeing Co’s grounded 737 MAX jets to the skies following two deadly crashes. China was first to ground the MAX after a March 10 crash in Ethiopia within five months of a similar crash off Indonesia, killing a combined 346 people, while the United States and Canada were the last.Regulators including Transport Canada, the Civil Aviation Authority of Singapore and the FAA will join airlines at the meeting, representatives from the authorities told Reuters.Once regulators approve the MAX for flight, airlines must remove the jets from storage and implement new pilot training, a process that will differ for each airline but that US carriers have said will take at least one month.Some airlines and regulators have argued that pilots should be trained in a MAX simulator before flying, though Boeing’s minimum training requirements do not call for flight simulators, according to draft proposals. Karnataka trust vote today: Speaker’s call on resignations, says SC, but gives rebel MLAs a shield “Training is up to each regulator. When the MAX returns to the skies, with the updated software and required training, it will be one of the safest airplanes ever to fly,” Boeing spokesman Paul Bergman said.Boeing’s software fix is meant to make a system known as MCAS, which played a role in both crashes, less powerful.Still, Air Canada has said its 400 MAX pilots, about 10 percent of its pilot force, will train in the simulator. Air Canada is the only North American carrier that currently owns the MAX simulator.US carriers have discussed putting pilots in scenarios similar to the 737 MAX crashes as part of recurring training. By Reuters |Montreal | Published: June 26, 2019 5:37:18 pm Post Comment(s)
Vietnam tops list of biggest winners from US-China trade war Taking stock of monsoon rain “Without these materials, which South Korean chipmakers rely on mostly from Japan, the whole process of semiconductor manufacturing can be in trouble,” the source said, asking for anonymity due to the sensitivity of the matter. The dispute is the latest flashpoint in a quarrel over South Korean efforts to seek compensation for Japan’s use of forced wartime labour, which got fresh impetus from South Korean court rulings last year.South Korea may retaliate against Japan’s latest export limits on high-tech materials, it said on Thursday, as a row over forced wartime labour threatened to disrupt global supplies of memory chips and smartphones. Cabinet asks finance panel to consider securing funds for defence China issues travel alerts, slams US ‘interference’: All that has happened today Advertising After Masood Azhar blacklisting, more isolation for Pakistan Nintendo says to shift part of Switch console production out of China The dispute is the latest flashpoint in a quarrel over South Korean efforts to seek compensation for Japan’s use of forced wartime labour, which got fresh impetus from South Korean court rulings last year.The curbs on exports of three materials used in South Korean chips and smartphone displays, which Japan had announced on Monday, will disrupt the global supply chain, South Korea’s trade minister said.Japan accounts for 70%-90% of the production of the three materials, Japanese media have said, making it difficult for South Korean chipmakers to find alternative sources of supply.“It will pose a huge uncertainty and threat to the global economy by shaking up the global supply chain,” Trade Minister Yoo Myung-hee told a meeting of industry groups on Thursday. Related News Advertising Samsung Electronics Co and SK Hynix Inc – the world’s top memory chipmakers and suppliers to Apple and China’s Huawei Technologies – could face delays if the measures that took effect on Thursday drag on.“Implementing corresponding measures against Japan cannot be ruled out,” said Finance Minister Hong Nam-ki, adding it would take a long time for a World Trade Organization ruling on the dispute.Hong told South Korea radio the trade row could cause “unfortunate damage to both Korean and Japanese economies”. By Reuters |Seoul | Published: July 4, 2019 5:44:42 pm Karnataka trust vote today: Speaker’s call on resignations, says SC, but gives rebel MLAs a shield Best Of Express More Explained The row exploded late last year when South Korean court rulings ordered Japan’s Nippon Steel & Sumitomo Metal Corp. and Mitsubishi Heavy Industries Ltd. to pay hundreds of thousands of dollars to South Korean plaintiffs.Japan denounced the court verdicts as “unthinkable”.The two countries share a bitter history that includes Japan’s 1910-45 colonization of the Korean peninsula and the use of comfort women, Japan’s euphemism for girls and women, many of them Korean, forced to work in its wartime brothels.FIGHT JUST STARTING Both sides showed no signs of backing down in the trade dispute.Kyodo News Agency reported on Tuesday that Japan was considering expanding its export controls to more items bound for South Korea. Advertising The leader of South Korea’s ruling Democratic Party, Lee Hae-chan, said: “This fight is just in the beginning, not the end”.The items affected by Japan’s curbs include photoresists and hydrogen fluoride, both essential materials in the chipmaking process at Samsung and SK Hynix.Samsung was reviewing measures to minimize the impact on its production, the company told Reuters.SK Hynix declined to comment. The company sent a letter to its clients on Tuesday saying it could handle the current situation in the short term, but there would be problems if the curbs dragged on, a source with knowledge of the matter said. Post Comment(s)