#Journal of Primary Care and Community Health

[tricitymonsters]

A long rambling post about US Healthcare

Alright so waiting didn't really help me parse out what I want to say but a big pillar of our online community passed away suddenly because of what amounts- frankly- to the gross negligence and cruelty of the US healthcare system.

For those of you who don't know Furaffinity is essentially THE cornerstone of the centralized furry and monsterlover community and the site was, for a long time, run by a guy named Dragoneer LARGELY by himself. This website hosted community ads, moderated its own content, and maintained a welcoming and corporation-free space for artists and other creatives to do their thing. My involvement in furaffinity has been pretty low key but I firmly believe that monsterfuckers and furries are only spitting distance apart at best so I feel a strong camaraderie and sense of kinship with them. As for how Dragoneer ran Furaffinity, what I can tell you personally is that FA was one of only TWO websites that will allow me to advertise TCM and when I emailed to get ads set up and configured, Dragoneer answered those emails personally.

Dragoneer had chronic issues that were difficult to diagnose for a while and reading his twitter/journal posts paints a really depressing, heartbreaking story of frustration, misdirection, and the banality of pure evil. Dragoneer was denied care he deserved because of the bureaucratic void that is our healthcare system here in America. He was charged tens of thousands of dollars for inconclusive tests, ordered to wait at home with minimal or no treatment, and this culminated in his rapid decline and sudden death last night.

Our healthcare system is traumatic and one incident, one accident, one sickness can financially ruin any of us permanently.

It's awful. One of the reasons this is difficult for me to talk about is because my dad died suddenly and horrifically to Covid in late 2020 because our for-profit hospitals refused to prepare for a pandemic while our executive administration pretended nothing was wrong. My dad died two weeks before vaccines began rolling out and when my mom and I had to make the choice to end his care we were only allowed to see him for 2 minutes at a time, separately. My husband was denied entry altogether because he wasn't "immediate" family.

Personally, I have chronic health issues that regularly get ignored. I have a mandatory medication (of several) that has no generic and costs over 300$ for a 30-day supply and my pharmacy (I'm not allowed to change) sometimes runs out and I gap for weeks at a time, sending my brain function into the toilet.

If you're American please help by keeping healthcare reform a primary voting issue in both Federal and State/Local elections. We need officials who see what this is doing to us, not more 1%ers who will never have to worry about what to do with a $25k hospital bill (one of Dragoneer's latest) or even a $250k one (my dad's bill for daring to die in ICU). I know it's a rough ask but for the financially stable, consider legal recourse for rights violations (some lawyers work pro bono for health stuff, the point is to always explore avenues to push back). We can't go on like this.

If you're not American, please help us by raising awareness in your own areas. Most of us look to more socialized countries like Canada and the EU for examples of how to improve our current system and of course, we know things aren't perfect but it's an embarrassment and a tragedy that Americans can't access the quality of care our system should VERY MUCH be able to provide.

Anyway.

This was really long-winded but it hurts a lot to know that there are so many cases like Dragoneer, like my dad. People with serious or even chronic issues can't get the smallest scrap of compassion in this system that reduces us to inconvenient numbers that our for-profit system can squeeze pocket change out of while murdering us.

I'll post links if a fundraiser goes up for Dragoneer's family to help cover the funds but until then, thanks for reading my long and winding thoughts. It's very hard to tame the emotion with this particular issue.

[kp777]

By Edward Carver

Common Dreams

July 25, 2024

"We have a duty to protect patients from greedy corporations that are prioritizing their bottom line over patient care," Rep. Pramila Jayapal said.

Sen. Ed Markey and Rep. Pramila Jayapal on Thursday introduced legislation that would tighten the rules on private equity firms in the healthcare industry.

The Health Over Wealth Act would increase the powers of the U.S. Department of Health and Human Services to monitor and block private equity deals in the healthcare industry. It would require private equity firms buying healthcare providers to set up escrow accounts large enough to fund five years of operations, and would require more transparency on debt, executive pay, and other financial data, while prohibiting the "stripping" of assets.

"Private equity firms and greedy corporate executives are using the healthcare system as a piggybank," Markey (D-Mass.), chair of the Health, Education, Labor, and Pensions (HELP) Subcommittee on Primary Health and Retirement Security, said in a statement. "Putting profit over patients' results in substandard care, while health workers suffer, and communities are left to clean up the mess."

Jayapal (D-Wash.), chair of the Congressional Progressive Caucus, emphasized the toll that the private equity approach has on patients.

"Private equity firms buying up health care systems are simply bad news for patients, leading to worse health outcomes and higher bills," said Jayapal, who had previously introduced narrower legislation on private equity in healthcare. "We have a duty to protect patients from greedy corporations that are prioritizing their bottom line over patient care."

The bill's introduction came as the Senate HELP Committee on Thursday voted to launch an investigation into profit-first practices at Steward Health Care, a for-profit system formerly owned by a private equity firm and now in bankruptcy.

HELP voted to subpoena Steward CEO Ralph de la Torre, whom CBS News, which has conducted a series of investigations into the negative impact of private equity firms on community hospitals, described as "reclusive." De la Torre bought a 190-foot megayacht even as Steward's hospitals failed to pay their bills and keep supplies of life-saving equipment available, CBSreported.

Sen. Bernie Sanders (I-Vt.), HELP's chair and a cosponsor of the Health Over Wealth Act, called out de la Torre on social media on Thursday.

"Private equity vultures are making a fortune by taking over hospitals and leaving them in shambles," he wrote. "It's time for the CEO of Steward Health Care to get off his yacht and explain to Congress how he got rich while bankrupting the hospitals he manages."

The other cosponsors of the new bill include only a handful of progressive senators and representatives, but concern about the role of private equity in healthcare goes beyond progressive circles. The HELP Committee, which includes 10 Republicans, voted 20-1 to launch the investigation into Steward. And a Bloomberg columnist on Thursday published an opinion piece entitled "Steward Health is a case study in executive greed" and subtitled: "Why is populism on the rise? The gutting of a community hospital system illustrates why so many Americans feel betrayed by big business."

The negative impact of private equity's role in the healthcare industry is significant. Researchers at Harvard Medical School found an "alarming increase in patient complications" at private equity-owned hospitals in a study published in December in JAMA, a leading medical journal.

The new bill, which Markey previewed at a field hearing in Massachusetts in April, may be a long-shot for passage, given corporate influence in Congress. Axios called it "more aspirational than legislative" at the time.

[maenvs3000w23]

Unit 9

Hi Everyone, 

It has been difficult to think of something that would excite me and my classmates. I do have a passion for health and welling being, so I wanted to pick a topic in that realm. 

I find it very interesting that plants can be used for medicinal purposes. More specifically, cannabis plants can be used to treat multiple medical conditions. I have recently done research for a NEUR*4000 course that looked at the effects of cannabis on schizophrenia. Schizophrenia is a very interesting and complex disorder. Research has proven that antipsychotics that are prescribed to individuals with schizophrenia are ineffective. Cannabidiol, also known as CBD, is a naturally occurring and primary component in cannabis plants (Koleza et al., 2020). CBD differs from THC as it does not elicit psychomimetic effects, making it the non-psychoactive component in Cannabis Sativa (Boggs et al., 2018). In individuals with schizophrenia, the effects of THC can trigger amplified psychotic episodes, provoking relapse (Koleza et al., 2020). However, studies have been conducted to determine the possible therapeutic effects of CBD due to its antipsychotic profile (Peres et al., 2018). Multiple studies have proven that CBD reduces psychotic symptoms in schizophrenia (McGuire et al., 2018). 

Another way that nature is used to alleviate symptoms of schizophrenia is through interactions with animals. Currently, I am working in Caledon at a Ranch that houses individuals with schizophrenia. The ranch is not only home to the clients but some farm animals as well. There are 2 miniature ponies, 3 alpacas, 2 sheep, 5 goats, 16 chickens, and 3 peacocks. The ranch sits on 23 acres of land. The animals provide comfort and responsibility to the client. There is also a community garden on the property. The clients on the ranch and in the community learn to care for the animals and community gardens. The program aims to teach life skills to the clients. 

What other medical conditions could be treated or benefit from CBD? Research has shown that CBD can be used to ease chronic or neuropathic pain (Rapin et al., 2021). Furthermore, mental health conditions like anxiety and depression can be treated with CBD (Rapin et al., 2021). Findings have shown that CBD is effective when individuals experience moderate to severe symptoms (Rapin et al., 2021). 

I find it so amazing how nature can be used to help individuals with mental health issues and improve well-being. It is not a very nature-isc view but nature is involved to some level. 

I look forward to reading your blog post and find out what in nature interest you!

Thank you, 

Makayla 

Boggs, D. L., Surti, T., Gupta, A., Gupta, S., Niciu, M., Pittman, B., Schnakenberg Martin, A. M., Thurnauer, H., Davies, A., D’Souza, D. C., & Ranganathan, M. (2018). The effects of cannabidiol (CBD) on cognition and symptoms in outpatients with chronic schizophrenia a randomized placebo-controlled trial. Psychopharmacolog

Kozela, E., Krawczyk, M., Kos, T., Juknat, A., Vogel, Z., & Popik, P. (2020). Cannabidiol improves cognitive impairment and reverses cortical transcriptional changes induced by ketamine, in schizophrenia-like model in rats. Molecular Neurobiology, 57(3), 1733-1747.

McGuire, P., Robson, P., Cubala, W. J., Vasile, D., Morrison, P. D., Barron, R., ... & Wright, S. (2018). Cannabidiol (CBD) as an adjunctive therapy in schizophrenia: a multicenter randomized controlled trial. American Journal of Psychiatry, 175(3), 225-231.

 Rapin, L., Gamaoun, R., El Hage, C., Arboleda, M. F., & Prosk, E. (2021). Cannabidiol use and effectiveness: real-world evidence from a Canadian medical cannabis clinic. Journal of Cannabis Research, 3(1), 1–19. https://doi.org/10.1186/s42238-021-00078-w

[theculturedmarxist]

Postacute sequelae of COVID-19 (PASC), often referred to as Long COVID, has had a substantial and growing impact on the global population. Recent prevalence studies from the United States and the United Kingdom found that the complication has affected, on average, around 45 percent of survivors, regardless of hospitalization status. 

No accurate tally of the number of people affected and its real global impact has yet been made, but conservative estimates of several hundred million and trillions in economic devastation would hardly be an exaggeration. Even in China, after the lifting of the Zero COVID policy late last fall and the tsunami of infections that followed, social media threads are now widespread with people complaining of chronic debilitating fatigue, heart palpitations and brain fog.

Yet, more than three years into the “forever” COVID pandemic, with Long COVID producing more than 200 symptoms, impacting nearly every organ system and causing such vast health problems for a significant population across the globe, it remains undefined and somewhat arbitrary in the clinical diagnosis. Additionally, the assurances given to study potential therapeutic agents have remained unfulfilled.

In this regard, a new Long COVID observational study called the “RECOVER [researching COVID to enhance recovery] initiative,” was published last week in the Journal of the American Medical Association, with almost 10,000 participants across the US. Funded by the National Institutes of Health (NIH), it attempts to provide a working definition for Long COVID (PASC). 

While the study represents an advance from the standpoint of assessing the impact of Long COVID, and has been celebrated in media coverage, it must be viewed with several reservations and caveats. It is exclusively focused on describing the disease, rather than supporting efforts to alleviate its impact, let alone find a cure. And its definition, however preliminary, could well be misused by insurance companies and other profit-driven entities in the healthcare system to restrict diagnosis and care.

Comments by Dr. Leora Horwitz, one of the study authors and director of the Center for Healthcare Innovation and Delivery Science at New York University, give some sense of the misgivings felt by serious scientists. Horwitz stated, “This study is an important step toward defining Long COVID beyond any one individual symptom. This definition—which may evolve over time—will serve as a critical foundation for scientific discovery and treatment design.” 

Certainly, a working definition that medical communities can agree on is critical. But after three years and nearly all the $1.2 billion given to the NIH already spent, one must ask how much another observational study contributes to answering pressing questions affecting patients that have not already been addressed in more than 13,000 previous reports, as tallied by the LitCOVID search engine? 

Why have there been so many delays in conducting clinical trials studying potential treatments and preventative strategies in the acute phase of infection that could reduce or eliminate the post-acute sequelae? Where is the urgency at the NIH and in the Biden administration to expand funding and initiate an all-out drive to develop treatments for Long COVID like the $12.4 billion spent on the COVID vaccines? 

Scoring post-acute symptoms

The findings in the recent study, published on May 25, 2023, in JAMA, titled, “Development of a Definition of Postacute Sequelae of SARS-CoV-2 Infection,” are somewhat limited and problematic in their current formulation. The authors have identified 12 primary symptoms that distinguish COVID survivors with Long COVID from those without those aftereffects. These include loss of smell or taste (8 points), post-exertional malaise (7 points), chronic cough (4 points), brain fog (3 points), thirst, (3 points), heart palpitations (2 points), chest pain (2 points), fatigue (1 point), dizziness (1 point), gastrointestinal symptoms (1 point), issues with sexual desire or capacity (1 point), and abnormal movements (1 point).

Assigning points to each of the 12 symptoms and adding them up gives a cumulative total for each patient. Anyone scoring 12 or higher would be diagnosed as afflicted with PASC, accounting for 23 percent of the total. In general, the higher the score, the greater the disability in performing daily activities. 

The researchers also noted that certain symptom combinations occurred at higher rates in certain groups, leading to identifying four clusters of Long COVID based on symptomology patterns, ranging from least severe to most severe in terms of impact on quality of life. Why such clusters were seen remains uncertain.

Some symptoms were more common than others, and this did not correspond to the severity of the symptoms as measured approximately by the points. Symptoms of post-exertional malaise (87 percent), brain fog (64 percent), palpitations (57 percent), fatigue (85 percent), dizziness (62 percent), and gastrointestinal disturbances (59 percent) were most common.

The study’s lead author, Tanayott Thaweethai from Massachusetts General Hospital and Harvard Medical School, explained, “This offers a unifying framework for thinking about Long COVID, and it gives us a quantitative score we can use to understand whether people get better or worse over time.”

Andrea Foulkes, the corresponding author and principal investigator of the RECOVER Data Resource Core and professor at Harvard Medical School, said, “Now that we’re able to identify people with Long COVID, we can begin doing more in-depth studies to understand the mechanisms at play. These findings set the stage for identifying effective treatment strategies for people with Long COVID—understanding the biological underpinnings is going to be critical to that endeavor.”

The currently evolving definition could have significant implications, and not just medically. For instance, if people suffer only brain fog and post-exertional malaise and score less than 12 on their symptomology, they would not be construed as having PASC. Under such a construct, the definition could be used by employers and health insurers to deny compensation or treatment by telling people they don’t have a recognized Long COVID complication. Additionally, it is not clear how long these symptoms have to be present before the diagnosis is accepted.

Lisa McCorkell, one of the authors of the study, explained on her social media account, “If people didn’t meet the scoring threshold for PASC+, that doesn’t mean they don’t have PASC! It means they are unspecified. Unspecified includes people with Long COVID. Future iterations of the model will aim to refine this—that will include doing analysis using the updated RECOVER symptoms survey, adding in tests/clinical features and ultimately biomarkers. That is also why this isn’t meant to be an official prevalence study. The sample is not fully representative, but also, we know that there are people in the unspecified groups that have PASC.”

She continued, “It is very clear throughout the paper that in order for this to be actionable at all, iterative refinement is needed. In presenting this to NIH leadership, they are fully aware of that. But the press is not fully understanding the paper which could have dangerous downstream effects. Since the beginning of working on this paper I’ve done everything I could to ensure the model presented in this paper is not used clinically.” 

Unfortunately, in the world of capitalism, such things take on a life of their own. The definitions will influence how health systems will choose to view these patients and demand their clinicians abide by prescribed diagnostic codes. This has the potential to dismiss millions with Long COVID symptoms and deny them access to potential treatments if and when they materialize. 

The concerns of Elisa Perego

Dr. Elisa Perego, who suffers from Long COVID and coined the term, offered the following important observations. 

In response to the publication, she wrote, “Presenting a salad of 12 symptoms, (many of which many patients might not even experience) as the most significant in #LongCOVID is also detrimental to new patients, who might be joining the community now, and might not recognize themselves in the symptom list.”

She added, “We are also in 2023. There are thousands and thousands of publications from across the world that discuss imaging, tests, clinical signs (=objective measurements), biomarkers, etc. related to acute and #LongCOVID. We have many insights into the pathophysiology already. The #LongCOVID and chronic illness community deserve more. Other diseases, including diseases linked to infections, have sadly been reduced to a checklist of symptoms in the past. This has made research, recognition, and a quest for treatment much more difficult.”

There are additional findings in the report worth underscoring as they provide a glimpse into the ever-growing crisis caused by forcing the world’s population to “live with the virus.”

Hannah Davis, a Long COVID advocate and researcher, with Dr. Eric Topol, Lisa McCorkell, and Julia Moore Vogel, wrote an important review on Long COVID in March, which was published in Nature. She said of the RECOVER study, “The overall prevalence of #LongCOVID is ten percent at six months. The prevalence for those who got Omicron (or later) AND were vaccinated is also ten percent … [However] reinfections had significantly higher levels of #LongCOVID. Even in those who had Omicron (or later) as their first infection, 9.7 percent with those infected once, but 20 percent of those who were reinfected had Long COVID at six months after infection.”

Furthermore, she said, “Reinfections also increased the severity of #LongCOVID. Twenty-seven percent of first infections were in cluster four (worst) versus 31 percent of reinfections.” These facts have considerable implications. 

Immunologist and COVID advocate Dr. Anthony Leonardi wrote on these findings, “If Omicron reinfections average six months [based on current global patterns of infection], and Long COVID rates for reinfection remain 10 to 20 percent, the rate of long COVID in the USA per lifetime will be over 99.9 percent. In fact, the average person would have different manifestations of Long COVID at different times many times over. Some things reverse—like anosmia [loss of smell]. Others, like [lung] fibrosis don’t reverse so well.”

The work done by these authors deserves credit and support. Every effort to bring answers to these critical questions is vital. The criticism to be made is not directed at the researchers who work diligently putting in overtime to see the research is conducted with the utmost care and obligation it merits. Rather, it should be directed at the very institutions that have adopted “living with the virus” as a positive good for of public health.

The Biden administration neglects Long COVID

In a recent scathing critique of the Biden administration and the NIH by STAT News, Rachel Cohrs and Betsy Ladyzhets place the issue front and center. In their opening remarks, they write, “The federal government has burned through more than $1 billion to study Long COVID, an effort to help the millions of Americans who experience brain fog, fatigue, and other symptoms after recovering from a coronavirus infection. There’s basically nothing to show for it.”

They continue, “The NIH hasn’t signed up a single patient to test any potential treatments—despite a clear mandate from Congress to study them. And the few trials it is planning have already drawn a firestorm of criticism, especially one intervention that experts and advocates say may actually make some patients’ Long COVID symptoms worse.” This is in reference to a planned study where Long COVID patients would be asked to exercise as much as possible, when it has clearly been shown that such activities have exacerbated the symptoms of Long COVID patients. 

As the report in STAT News explains, there has been a complete lack of accountability in how the NIH funds were used. Much of the work to run the RECOVER trial has been outsourced to major universities. 

Michael Sieverts, a member of the Long COVID Patient-led Research Collaborative with expertise in federal budgeting for scientific research, told STAT, “Many of the research projects associated with RECOVER have been funded through these organizations rather than directly from the NIH. This process makes it hard to track how decisions are made or how money is spent through public databases.” 

In April the Biden administration announced they were launching “Project Next Gen,” which is like the Trump-era COVID vaccine “Warp Speed Operation.” It has promised $5 billion to fund the development of the next iteration of vaccines through partnership with private-sector companies, monies freed up from prior coronavirus aid packages. Incredibly, it has left Long COVID out of the plan.  

Indeed, this diverting of money back into the hands of the pharmaceuticals and selling it as the Biden administration’s continued proactive response to the ongoing pandemic, while divesting all interest in preventing or curing Long COVID, is on par with every effort the administration has made to peddle the myth that “the pandemic is really over.” Long COVID is one of the central elements of the worst public health threat in a century, in a pandemic that is far from ended. 

[krill-joy]

Medical Masks Versus N95 Respirators for Preventing COVID-19 Among Health Care Workers

Abstract

Background: It is uncertain if medical masks offer similar protection against COVID-19 compared with N95 respirators.

Objective: To determine whether medical masks are noninferior to N95 respirators to prevent COVID-19 in health care workers providing routine care.

Design: Multicenter, randomized, noninferiority trial. (ClinicalTrials.gov: NCT04296643).

Setting: 29 health care facilities in Canada, Israel, Pakistan, and Egypt from 4 May 2020 to 29 March 2022.

Participants: 1009 health care workers who provided direct care to patients with suspected or confirmed COVID-19.

Intervention: Use of medical masks versus fit-tested N95 respirators for 10 weeks, plus universal masking, which was the policy implemented at each site.

Measurements: The primary outcome was confirmed COVID-19 on reverse transcriptase polymerase chain reaction (RT-PCR) test.

Results: In the intention-to-treat analysis, RT-PCR–confirmed COVID-19 occurred in 52 of 497 (10.46%) participants in the medical mask group versus 47 of 507 (9.27%) in the N95 respirator group (hazard ratio [HR], 1.14 [95% CI, 0.77 to 1.69]). An unplanned subgroup analysis by country found that in the medical mask group versus the N95 respirator group RT-PCR–confirmed COVID-19 occurred in 8 of 131 (6.11%) versus 3 of 135 (2.22%) in Canada (HR, 2.83 [CI, 0.75 to 10.72]), 6 of 17 (35.29%) versus 4 of 17 (23.53%) in Israel (HR, 1.54 [CI, 0.43 to 5.49]), 3 of 92 (3.26%) versus 2 of 94 (2.13%) in Pakistan (HR, 1.50 [CI, 0.25 to 8.98]), and 35 of 257 (13.62%) versus 38 of 261 (14.56%) in Egypt (HR, 0.95 [CI, 0.60 to 1.50]). There were 47 (10.8%) adverse events related to the intervention reported in the medical mask group and 59 (13.6%) in the N95 respirator group.

Limitation: Potential acquisition of SARS-CoV-2 through household and community exposure, heterogeneity between countries, uncertainty in the estimates of effect, differences in self-reported adherence, differences in baseline antibodies, and between-country differences in circulating variants and vaccination.

Conclusion: Among health care workers who provided routine care to patients with COVID-19, the overall estimates rule out a doubling in hazard of RT-PCR–confirmed COVID-19 for medical masks when compared with HRs of RT-PCR–confirmed COVID-19 for N95 respirators. The subgroup results varied by country, and the overall estimates may not be applicable to individual countries because of treatment effect heterogeneity.

Primary Funding Source: Canadian Institutes of Health Research, World Health Organization, and Juravinski Research Institute.

[academicstrive]

Advanced nursing & patient care international journal is an open access online journal published by Academic Strive. ANPCIJ contributes to the advanced evidence-base nursing, midwifery and patient care by disseminating high quality research and advance knowledge on current on-going clinical practice and research for nurses and healthcare professionals. ANPCIJ publish research, review, short communications, mini reviews, case studies, editorials and clinical images, etc., of nursing and healthcare topics like, chronic illness management, acute & critical care, rehabilitation, healthcare chaplaincy, care of chronic and long-term conditions, primary care, secondary care, health promotion, health education, palliative care and including end-of-life care, family care giving, etc.

ISSN: 2642-0147

Email: nursing@academicstrive.com (OR) nursing@academicstrive.org

Journal Name: Advanced Nursing & Patient Care International Journal

Journal Link: https://academicstrive.com/ANPCIJ/

Manuscript: https://academicstrive.com/submit-manuscript.php

Website Link: https://academicstrive.com/

For more details about ANPCIJ Journal, visit Academic Strive website or send mail to info@academicstrive.com. As soon as possible we will answer for your queries. Academic Strive is Open Access Journal Publishing Organization

[cygnoir]

2024 Week 36 Notes: Planners Gotta Plan

The new 2024-25 COVID vaccines are available, so FunkyPlaid and I got ours on Friday. Because we went to a pharmacy, my health insurance didn’t cover them, so I had to use funds from my HRA. (We could have waited until our medical provider had appointments, but that would have been late September or early October — and with travel coming up soon, I was unwilling to wait.)

It is bizarre and enraging to see how agencies supposedly dedicated to public health are flailing in this moment. I’m extremely fortunate to have a job that provides health insurance, an HRA, and sick leave, and I can afford KN95 masks and rapid antigen tests. What about people who are uninsured or underinsured?

I know it’s a bummer to read this, but it’s a bigger bummer to try to survive during yet another COVID surge. Let’s take care of our health, for ourselves and for our communities.

Concentrating on

This time of year is Planner Season, when the 2025 planners are released and people like me (and maybe you too) gobble them up and then spend the rest of this year hoping that next year we have lives exciting enough to plan.

Ever the optimist, my planner line-up for 2025 is:

For my personal planner, daily log, habit tracker, reading journal, and commonplace book, I’ll be trying the Sterling Ink Common Planner in their new N1 size, which fits inside a Traveler’s Notebook. I’m currently using a Hobonichi Weeks, which is 95mm x 186mm; the N1 size is 110mm x 210mm.

For my work planner, the Wonderland 222 A5 Weekly Planner has been working well for me this year, so I’ll try it again in 2025.

Cultivating

✍🏻 Drafting two stories, one for performance (I hope 🤞🏻) and one for a collection.

🧶 Still knitting that gift for someone.

🥘 Food I made that was yummy:

Peperonata with peppers from a coworker’s CSA box, plus peppers from our own CSA box. CSA boxes are great!

Gluten-free vegan apple crisp. I am not a huge fan of apples in their primary form; I prefer them as a cinnamon delivery device. So this recipe from Minimalist Baker, apples chopped up and baked with oats and sugar? That works.

Sliced heirloom tomatoes on toast spread thinly with mayonnaise. Truffle salt if you’re feeling fancy. (I was.)

🇮🇹 Learning Italian with Duolingo.

💼 The workweek was short because of the holiday on Monday, but also long because of everything. I’m still trying to create better boundaries around that.

Consuming

🖋️ One of my planner pals shared a sample of Bungukan Kobayashi’s Yagentoshiro Reflex Violet, a dusky blue with iridescent purple shimmer.

🎧 “girlfriend” by Hemlocke Springs is on repeat on my brain radio.

🎙 You don’t need to be a Rolling Stones fan to enjoy the “I Can’t Get No Legal Action” episode of the Judge John Hodgman podcast.

🎲 Still working my way through the crossword puzzle books I’ve hoarded and enjoying the daily Cross|word on Puzzmo. Also, Minute Cryptic is quite humbling.

📺 One last episode of “Fargo” to go, then we’ll start the latest season of “Slow Horses”.

📚 What I’m reading and quoting:

“The Mountain in the Sea” by Ray Nayler: “The great and terrible thing about humankind is simply this: we will always do what we are capable of.”

Some links

From “What would an adequate COVID response look like?” by Julia Doubleday:

Right now, state representatives are deliberately avoiding mention of COVID, while propagandizing the safety of infection and/or the end of the pandemic by refusing to mask. It is hard to imagine how successful a pandemic response might be if public officials were actually trying to end the pandemic. We quite literally have public health and political and media figures working to hide three pieces of critical information: public knowledge of the virus, public knowledge of mitigation measures that would reduce viral spread, and public knowledge of the severity of the virus (which would motivate desire to reduce viral spread).

Other links:

NaNoWriMo Shits The Bed On Artificial Intelligence (Chuck Wendig)

Why Goblin Mode Is the New Self-Care Routine (Cleveland Clinic)

2024 Winners of the 17th Annual iPhone Photography Awards

One more thing

Today I’m journaling about this quote from Seneca: “Life, if well lived, is long enough.”

[awesome-luciano-blog]

Embracing the Harsh Reality: Navigating a Violent and Chaotic World with Caution and Awareness

PLEASE SHARE!!! The world we live in is a complex and multifaceted place, full of contradictions and paradoxes. On one hand, it is a realm of breathtaking beauty, filled with vibrant cultures, stunning landscapes, and incredible achievements. On the other hand, it is also a domain of darkness, plagued by violence, chaos, and destruction. It is this latter aspect that we often try to ignore or downplay, but it is essential that we acknowledge and accept it as a fundamental truth.

Recognizing the violent and chaotic nature of the world is not about being pessimistic or nihilistic; it is about being realistic and aware. By acknowledging the potential dangers and uncertainties that surround us, we can take steps to protect ourselves, our loved ones, and our mental health. This awareness is crucial in today's world, where anxiety, depression, and other mental health issues are increasingly prevalent.

One of the primary reasons we need to accept the harsh reality of the world is that it allows us to approach our passions and pursuits with caution. When we are aware of the potential risks and challenges that lie ahead, we can prepare ourselves accordingly, taking steps to mitigate those risks and ensure our safety. This is particularly important for individuals who are pursuing careers or activities that involve a high level of risk, such as journalism, activism, or emergency response.

Moreover, acknowledging the violent and chaotic nature of the world can help us develop a greater sense of empathy and compassion for others. When we recognize that everyone around us is struggling with their own challenges and fears, we can approach them with kindness, understanding, and patience. This, in turn, can foster a sense of community and connection, which is essential for our mental health and well-being.

So, how can we move forward with caution and awareness in a violent and chaotic world? Here are a few strategies that may help:

Stay informed, but don't obsess: Stay up-to-date with current events, but avoid excessive exposure to news and social media, which can perpetuate anxiety and fear.

Develop a growth mindset: View challenges and setbacks as opportunities for growth and learning, rather than as threats to your ego or well-being.

Prioritize self-care: Take care of your physical, emotional, and mental health by engaging in activities that bring you joy, practicing mindfulness, and seeking support from loved ones.

Build a support network: Surround yourself with people who are supportive, understanding, and empathetic, and don't be afraid to reach out for help when you need it.

Focus on what you can control: Instead of worrying about things that are outside of your control, focus on what you can control, such as your own actions, attitudes, and reactions.

In conclusion, the world is indeed a violent and chaotic place, but by acknowledging and accepting this reality, we can move forward with caution and awareness. By prioritizing our mental health, developing a growth mindset, and building a support network, we can navigate the challenges of the world with greater ease and resilience. Remember, it is only by facing the truth that we can begin to create a better, more compassionate, and more just world for all.

[nectarblog]

The other side of paradise : health vulnerability in Thailand 

assessing regional health disparities

When the health system in your country fails to meet the demands of the people, a disparity of healthcare and access to healthcare across socioeconomic groups arises. As a developing country, the rapid population aging in Thailand has caused worry towards the health of older Thais especially those living in urban areas.The geographic inequity in healthcare utilization for rural-urban parts continues to create a wider gap and will not be solved until we citizens take action to take care of our people.

Health disparities are the differences in health status when compared to the overall population, Indicators such as higher prevalence of chronic risk of illness pain, mortality, lower life expectancies, and higher disability are often used to characterize health disparities. According to Sritart, H (2022), Thai seniors often experience greater susceptibility to health disparities and often encounter many barriers for timely and adequate healthcare, especially for those living in rural areas with socioeconomic disadvantages and mobility constraints. This causes seniors to become less independent and they would need more help and care. 

In these situations, the role of family support has a big influence in going through this aging process. Having a support system allows for a better quality of life.  

In a variety of age-related problems and cumulative socioeconomic disadvantages, the public health system in Thailand faces difficulties as a result of the health disparities among our elderly population, particularly in meeting their healthcare needs despite their financial situation.  The primary issue Thailand faces is the lack of adequate healthcare for the elderly. “The elderly are at higher risk of disease and its consequent outcomes, like disability, frailty and dependency.” (Sasiwongsaroj & Burasit, 2019) In cases where there are accessible health facilities, some do not want to and choose not to go to healthcare professions because of fear of the price of healthcare, particularly those who do not have insurance and do not want to pass down depts to their children. Similarly, rural and low-income communities typically have fewer health care professionals per capita than urban and high-income areas. 

To conclude, healthcare in Thailand is only accessible for the wealthier group and the less fortunate are left with improper healthcare and lower life expectancy.

(Cracknell, 2022)

​The people of our country deserve good healthcare and support systems to have a longer life and happier life. All of us must come up with a strategy to minimize inequality in healthcare services. 

Call for action!

government funded healthcare for those who cannot afford it 

providing more resources

raising awareness for education 

mobile health clinic

Bibliography 

Sasiwongsaroj, K., & Burasit, Y. (2019). Managing Thailand’s Ageing Population. 

‌Cracknell, C. (2022, May 11). Shifting Demographics: The Hidden Derailer of the Thai Economy. Grant Thornton Thailand. 

Sritart, H., Tuntiwong, K., Miyazaki, H., & Taertulakarn, S. (2021). Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand. International Journal of Environmental Research and Public Health.

[sanketlife]

What Do You Need to Know Before Trying an ECG at Home? 

The rise of home-based ECG devices has captured the public's interest in India. A recent study by the Indian Institute of Public Health suggests a surge in demand, particularly among those concerned about heart health. But for cardiologists and general physicians, questions remain.  

Can these devices offer reliable data when taking ECG at home? How can we integrate them effectively into patient care? Through the medium of this informative piece, we'll sneak peek into the latest research, explore the potential benefits and limitations of home ECGs, discussing how to best utilize them for optimal patient outcomes. 

Examining the ECG at Home Trend from a Doctor's Perspective 

The convenience and accessibility of devices to take ECG at home are undeniable. Patients with suspected heart conditions, particularly those in remote areas or facing mobility challenges, can now monitor their heart rhythm with greater ease. It empowers them to take a more active role in their health and potentially detect arrhythmias earlier. 

However, for doctors, integrating home ECG devices requires a critical assessment. Here are some key considerations: 

Accuracy and Interpretation 

While home devices have improved significantly, concerns remain regarding their accuracy compared to clinical-grade ECGs. A 2023 study published in the Journal of the American College of Cardiology found that single-lead devices might miss certain arrhythmias. 

Additionally, proper interpretation of ECG results requires expertise. False positives can lead to unnecessary anxiety for patients and increased workload for doctors. 

Optimizing Patient Care 

To leverage home ECGs effectively, clear communication with patients is crucial. Doctors need to educate patients on proper device use, potential limitations, and the importance of not relying solely on home ECGs for diagnosis. 

Establishing protocols for interpreting data and flagging abnormal results is essential. This might involve using telemedicine platforms for remote consultations or setting thresholds for triggering in-person follow-ups. 

Collaboration and Future Directions 

Devices that allow you to take an ECG at home are a valuable tool, but they shouldn't replace traditional consultations and diagnostic procedures. Collaboration between patients, doctors, and potentially, AI-powered analysis platforms can optimize their use. 

Further research is needed to explore the accuracy of multi-lead devices and the development of user-friendly interpretation tools for patients and doctors alike. 

Benefits Beyond Arrhythmia Detection 

While arrhythmia detection remains a primary focus, home ECGs offer broader potential. They can be used for: 

Monitoring the Effectiveness of Heart Medications. This allows for timely adjustments and potentially reduces the need for frequent clinic visits. 

Pre- and Post-Operative Cardiac Care. Home ECGs can provide valuable data for managing patients undergoing heart surgery or procedures. 

Screening High-risk Populations. Individuals with a family history of heart disease or those with pre-existing conditions like diabetes might benefit from regular home ECG monitoring. 

A Balanced Approach with SanketLife Portable ECG Device-

Devices to take ECG at home offer a promising avenue for empowering patients and enhancing cardiac care delivery. However, navigating the complexities of accuracy, interpretation, and integration into existing workflows remains crucial. 

The SanketLife portable wireless ECG device, developed by Agatsa, stands out for its innovative touch-based technology. This user-friendly approach simplifies data collection and eliminates the need for cumbersome electrode placement. Moreover, SanketLife's AI-powered analysis provides real-time insights and facilitates doctor consultations through the integrated app. 

While further research is necessary to solidify the role of home ECGs in clinical practice, devices like SanketLife demonstrate the potential to bridge the gap between patient convenience and physician oversight. As the technology matures and integrates seamlessly into healthcare ecosystems, home ECGs have the potential to revolutionize the way we monitor and manage heart health in India. 

[ayurintegrativemed]

How to find cancer alternative treatments?

Finding alternative treatments for cancer can be a daunting task, but there are several steps you can take to explore your options:

Consult with Healthcare Providers: Start by consulting with your oncologist or primary care physician. They can provide guidance on cancer alternative treatments that may complement your conventional cancer treatments. Additionally, they can help you understand the potential risks and benefits of alternative therapies and any potential interactions with your current treatment plan.

Research Alternative Therapies: Take the time to research alternative therapies that are commonly used in cancer care. This may include therapies such as acupuncture, herbal supplements, dietary changes, mind-body practices, massage therapy, and energy healing. Look for reputable sources of information, such as peer-reviewed medical journals, academic institutions, and trusted healthcare organizations.

Seek Recommendations: Ask for recommendations from your healthcare team, friends, family members, or support groups. They may be able to recommend alternative treatments or practitioners who specialize in integrative oncology or complementary therapies for cancer care.

Find Qualified Practitioners: Look for healthcare providers who specialize in alternative or complementary therapies for cancer care. This may include naturopathic doctors, integrative oncologists, acupuncturists, herbalists, nutritionists, massage therapists, and mind-body practitioners. Make sure to research their credentials, experience, and expertise in treating cancer patients.

Consider Clinical Trials: Explore the option of participating in clinical trials that investigate alternative or complementary therapies for cancer treatment. Clinical trials are research studies that evaluate the safety and efficacy of new treatments or treatment combinations. Your oncologist or healthcare team can help you find clinical trials that may be appropriate for your specific type of cancer.

Evaluate Safety and Effectiveness: Before starting any alternative treatment, carefully evaluate its safety and effectiveness. Consider factors such as potential side effects, risks, evidence-based research, and regulatory oversight. Be cautious of treatments that promise miraculous cures or lack scientific evidence to support their use.

Stay Open-minded and Informed: Keep an open mind as you explore alternative treatments for cancer, but also remain vigilant and informed. Stay up-to-date on the latest research and developments in integrative oncology, and continue to communicate openly with your healthcare team about your treatment preferences and decisions.

Remember that alternative treatments should not replace conventional cancer treatments recommended by your healthcare team. Instead, they should be considered as complementary additions to your overall treatment plan. Always consult with your oncologist or healthcare provider before starting any new alternative therapy, especially if you are currently undergoing cancer treatment or have any underlying health conditions. Working collaboratively with your healthcare team will help ensure that you receive safe and effective care tailored to your individual needs and goals.

[anuj1985]

What would a cardiologist do

A cardiologist is a medical doctor who specializes in diagnosing, treating, and preventing diseases and conditions of the cardiovascular system, which includes the heart and blood vessels. The role of a cardiologist is multifaceted, requiring a deep understanding of the cardiovascular system, its diseases, and the various methods used to treat them.

The primary function of a cardiologist is to assess the heart's health. This begins with patient consultations where they take detailed medical histories, perform physical examinations, and review symptoms. Common symptoms that might prompt a visit to a cardiologist include chest pain, shortness of breath, palpitations, dizziness, and fatigue. Based on these initial assessments, cardiologists may order a variety of diagnostic tests to gather more information about the patient's heart health. These tests can include electrocardiograms (EKGs), echocardiograms, stress tests, and cardiac catheterizations. Each test provides different insights; for example, EKGs measure the heart's electrical activity, while echocardiograms use ultrasound to visualize the heart's structure and function.

Cardiologists are also skilled in interpreting the results of these diagnostic tests. They analyze the data to identify abnormalities such as arrhythmias, heart valve problems, or blockages in the coronary arteries. Once a diagnosis is made, the cardiologist develops a treatment plan tailored to the patient's specific condition. Treatment plans may include lifestyle changes, medications, or more invasive procedures if necessary. Lifestyle changes often involve recommendations for diet, exercise, and smoking cessation, which are critical for managing cardiovascular health. Medications can range from antihypertensives to control blood pressure, statins to lower cholesterol, or anticoagulants to prevent blood clots.

In addition to non-invasive treatments, cardiologists are also trained in performing and interpreting the results of more invasive procedures. For instance, they may conduct angioplasties, where blocked arteries are widened using a balloon, or insert stents to keep arteries open. Some cardiologists specialize further in interventional cardiology, focusing on procedures such as angioplasty and stenting, or electrophysiology, dealing with heart rhythm disorders and performing procedures like ablations to correct abnormal heart rhythms.

Preventive care is another crucial aspect of a cardiologist's work. They often work with patients to manage risk factors for heart disease, such as high blood pressure, high cholesterol, diabetes, and obesity. By helping patients understand and mitigate these risks, cardiologists aim to prevent the development or progression of cardiovascular diseases. This preventive approach often involves regular monitoring and follow-up appointments to ensure that patients adhere to their treatment plans and to make any necessary adjustments.

Furthermore, Best Cardiologist in Gurgaon play a vital role in managing chronic heart conditions. Patients with conditions like heart failure, coronary artery disease, or cardiomyopathy require ongoing care to manage their symptoms and improve their quality of life. Cardiologists monitor these patients closely, adjusting treatments as needed and providing education on how to manage their conditions effectively at home. This ongoing management is critical for preventing complications and hospitalizations.

Research and education are also integral to the field of cardiology. Many cardiologists are involved in clinical research to advance understanding of cardiovascular diseases and to develop new treatments. This research can range from clinical trials of new medications to studies on the genetic factors of heart disease. Cardiologists often publish their findings in medical journals and present at conferences, contributing to the broader medical community's knowledge. Additionally, they may teach medical students, residents, and fellows, passing on their expertise to the next generation of doctors.

Collaboration is essential in cardiology. Cardiologists frequently work with other healthcare professionals, including primary care doctors, surgeons, nurses, and other specialists. This team-based approach ensures comprehensive care for patients, especially those with complex conditions requiring multidisciplinary management. For instance, a cardiologist might collaborate with a cardiac surgeon for a patient who needs bypass surgery or with an endocrinologist to manage a patient with diabetes and heart disease.

In summary, the role of a cardiologist is comprehensive and varied, encompassing patient assessment, diagnosis, treatment, and preventive care for cardiovascular diseases. Heart Specialist in Gurgaon who embraces innovation can help improve existing treatments and develop new strategies for managing cardiovascular diseases. They perform and interpret diagnostic tests, develop personalized treatment plans, conduct invasive procedures, and manage chronic heart conditions. Their work extends beyond patient care to include research, education, and collaboration with other healthcare professionals. Through their expertise and dedication, cardiologists play a crucial role in improving the heart health and overall well-being of their patients.

[ies10]

Lady Hardinge Medical College: A Legacy of Medical Education Excellence

Located in the heart of New Delhi, Lady Hardinge Medical College (LHMC) is a beacon of medical education and healthcare in India. Founded in 1916, the college has a rich history and an enduring tradition of producing the best doctors in the country. Over the years, LHMC has grown into one of the premier medical institutions known for its academic excellence, outstanding faculty, and comprehensive medical facilities.

A look back at history:

Lady Hardinge Medical College was founded by Lady Hardinge, wife of the then Viceroy of India, Lord Hardinge. Her vision was to set up a medical facility exclusively for women and allow them to make a meaningful contribution to the medical field. The college started with just 16 students but has since expanded to accommodate hundreds of students from various medical disciplines. LHMC was originally affiliated with the University of Delhi and continues to maintain that affiliation to this day, upholding the high standards of the college.

Academic Excellence:

LHMC offers undergraduate (MBBS) and postgraduate (MD/MS) courses in a variety of disciplines, as well as diploma and specialization courses. The curriculum is designed to provide a strong foundation in medicine, complemented by practical training and hands-on experience. The college follows a rigorous selection process to ensure that only the most dedicated and talented students are admitted. 

The faculty at LHMC is made up of experienced professors, many of whom are leaders in their fields. They are committed to educating the next generation of medical professionals by combining traditional teaching methods with modern educational tools. The university places a strong emphasis on research and encourages students to get involved in innovative projects that address current medical challenges.

State-of-the-art Facilities: 

One of the outstanding features of LHMC is its state-of-the-art infrastructure. The university campus has well-equipped lecture halls, modern laboratories, and a comprehensive library with a vast collection of medical literature and research journals. Lady Hardinge Medical College and its associated hospitals (Kasturba Hospital and Smt. S.K. Hospital) provide numerous opportunities for students to gain clinical experience. These hospitals serve as primary health centers for a large population and provide students with the opportunity to learn from a wide range of cases.

Emphasis on Research and Innovation:

Research is fundamental to LHMC's academic philosophy. The College encourages both students and faculty to undertake research projects that contribute to the advancement of medical science. It has numerous institutes and centers specializing in various fields such as oncology, cardiology, infectious diseases, etc. The university regularly publishes research papers in nationally and internationally reputed journals, highlighting the immense contributions of its students and faculty.

Public Relations and Health Services:

LHMC is more than just an educational institution. It is an important part of the local community, providing vital healthcare services to thousands of patients every year. The affiliated hospitals provide a wide range of services from primary to specialty care, ensuring that everyone has access to quality healthcare. The college also regularly organizes health camps, vaccination drives, and awareness programs to reach the underserved and promote public health.

Student Life and Extracurricular Activities: 

Life at LHMC is not just about studying. The college has a vibrant student community with numerous clubs and societies covering a wide range of interests. From cultural festivals and sporting events to debates and literary activities, there are numerous opportunities for students to pursue their passions and develop a well-rounded character. The annual college festival, Pulse, is a much-anticipated event attended by medical colleges across the country.

Alumni Network:

LHMC's graduates are a testament to its tradition of excellence. Many of our graduates have become leading physicians, researchers, and healthcare administrators in India and abroad. The college maintains a strong alumni network that enables mentoring opportunities, knowledge sharing, and professional collaboration.

Conclusion:

Lady Hardinge Medical College is recognized as a premier institution of medical education and health care services. His commitment to academic excellence, research, and community service has earned him a respected reputation in the medical community. LHMC offers aspiring medical professionals a nurturing environment that encourages growth, innovation, and a deep sense of social responsibility. As it evolves and expands, Lady Hardinge Medical College remains true to its mission of producing skilled, compassionate healthcare providers capable of making a meaningful impact on society.

[trailing-petunia]

Transform Your Garden with Plant Tags: How to Use Them and Reap the Benefits!

Gardening is a fulfilling hobby, bringing life and color to our surroundings. Whether you're a novice planting your first seeds or a seasoned green thumb cultivating a lush garden, organization is key to success. This is where plant tags come into play. These small but mighty tools can transform your gardening experience, making it more efficient and enjoyable. Let's dive into what plant tags are, how to use them, and the myriad benefits they offer.

What Are Plant Tags?

Plant tags are labels used to identify plants in a garden or nursery. They can be made from various materials such as plastic, metal, wood, or even biodegradable materials. At Trailing Petunia, we offer a range of plant picture tags, which not only display the plant's name but also feature a photograph of the plant, making identification a breeze.

How to Use Plant Tags

Using plant tags is straightforward, but a few tips can ensure you get the most out of them:

Label Before Planting: Write the plant's name, variety, and planting date on the tag before you start planting. This way, you won't forget which tag belongs to which plant.

Placement: Place the tag at the base of the plant or along the edge of the garden bed. Ensure it's visible but not intrusive. For larger gardens, you might consider using different colors or shapes to categorize plant types.

Maintenance: Check your tags periodically to ensure they are still legible and in place. Exposure to the elements can sometimes wear them down, so a quick refresh every season might be necessary.

Customization: Use waterproof markers or paint pens to ensure the writing doesn’t fade. If you're using Trailing Petunia's plant picture tags, take advantage of the visual aid to make identification even easier.

Benefits of Using Plant Tags

1. Organization and Identification

One of the primary benefits of plant tags is organization. They help you keep track of what you’ve planted and where, which is especially useful if you have a large or diverse garden. No more guessing games – you’ll always know exactly what’s growing in each spot.

2. Education and Learning

Plant tags are excellent educational tools. For new gardeners, they offer a simple way to learn plant names and characteristics. For experienced gardeners, they help keep track of different varieties and hybrids, which can be particularly useful for breeding or research purposes.

3. Gardening Efficiency

By clearly labeling your plants, you can streamline your gardening tasks. Whether it’s watering, fertilizing, or pruning, knowing which plant is which helps you provide the right care at the right time. This targeted care ensures your plants thrive, leading to a more beautiful and productive garden.

4. Aesthetic Appeal

Trailing Petunia's plant picture tags add a touch of aesthetic appeal to your garden. The vibrant images not only help with identification but also enhance the visual charm of your garden space. They can be a lovely way to introduce guests to your garden, making it more interactive and engaging.

5. Record Keeping

For serious gardeners, keeping detailed records of plant growth, health, and productivity is crucial. Plant tags can be a part of this record-keeping system, providing a physical reference that complements your gardening journal or digital records.

6. Community Sharing

Plant tags are also great for community gardens or plant swaps. They make it easy to share plants with others, ensuring that everyone knows what they’re getting. This fosters a sense of community and shared knowledge among gardeners.

Conclusion

Plant tags might seem like a small detail in the grand scheme of gardening, but their impact is significant. They bring order, efficiency, and beauty to your gardening efforts. At Trailing Petunia, our plant picture tags go a step further by adding a visual element that enhances both functionality and aesthetics. So, why not take your garden to the next level? Explore our collection and discover how plant tags can make a world of difference in your gardening journey. Happy planting!

For more gardening tips and to browse our selection of plant picture tags, visit Trailing Petunia.

[academicstrive]

Advanced Nursing & Patient Care International Journal (ANPCIJ)

AcademicStrive #AdvancedNursing #PatientCare #Journal

Advanced nursing & patient care international journal is an open access online journal published by Academic Strive. ANPCIJ contributes to the advanced evidence-base nursing, midwifery and patient care by disseminating high quality research and advance knowledge on current on-going clinical practice and research for nurses and healthcare professionals. ANPCIJ publish research, review, short communications, mini reviews, case studies, editorials and clinical images, etc., of nursing and healthcare topics like, chronic illness management, acute & critical care, rehabilitation, healthcare chaplaincy, care of chronic and long-term conditions, primary care, secondary care, health promotion, health education, palliative care and including end-of-life care, family care giving, etc.

Academic Strive is an Open Access Publication. For more details about to submit your manuscript, we advise to visit the official website https://academicstrive.com/ANPCIJ/ and submit your manuscript or send a email to the given mail id.

Email: nursing@academicstrive.com (OR) nursing@academicstrive.org

[sidshrek6]

How Women Should Maintain Their Health

Women have been known to be the backbone of society, taking on various roles and responsibilities. However, amidst all these tasks, women tend to neglect their health. It's time for women to prioritize their well-being and make sure they stay in good shape physically and mentally. In this blog post, we will discuss some essential tips on how women can maintain their health consistently. From doctor visits to getting enough sleep, you'll learn everything you need to know about female primary care and why it matters. So ladies, let's dive right in!

Maintaining good health is essential for women of all ages. There are various ways to achieve this, and it all starts with making small but meaningful changes to one's lifestyle. Eating a balanced diet that includes plenty of fruits and vegetables is crucial for maintaining overall health. Exercising regularly can also have significant benefits such as improving cardiovascular health, reducing stress levels, and promoting better sleep quality. Women should aim to get at least 30 minutes of physical activity every day. Proper hydration is another important aspect of female primary care. Drinking enough water throughout the day can help flush out toxins from the body while keeping skin looking healthy and radiant. It's equally important for women to prioritize their mental health by practicing self-care activities such as mindfulness meditation, journaling or taking relaxing baths that will reduce anxiety levels and improve mood swings. Ensuring adequate restful nights' sleep is critical in aiding muscle recovery after exercise or workdays' long hours while enhancing cognitive function during waking hours leading to happier healthier lives!

How often women should go to the doctor

Regular check-ups with a doctors for women health are essential. This is because regular medical examinations can help identify potential health problems early, when they are more treatable or preventable. But how often should a woman go to the doctor? The frequency of visits to the doctor depends on several factors, including age, overall health status, and risk factors for certain diseases. For example, younger women who are generally healthy may only need to see their doctor once a year for preventive care. Women over 50 years old or those with underlying conditions such as diabetes or high blood pressure should visit their primary care provider more frequently – typically every three to six months – to monitor their condition and make any necessary adjustments in treatment plans. It's also important for women of all ages to schedule an appointment whenever they experience changes in their health that concern them. Symptoms like persistent fatigue, unexplained weight loss or gain, abnormal bleeding from anywhere (vagina/breast/rectum), constant headaches etc., require immediate attention irrespective of your previous appointments. There is no one-size-fits-all answer when it comes to how often women should see their doctors but scheduling annual exams at least once per year could be beneficial for most women. Women must pay close attention to any symptoms that arise outside routine checkups and seek medical advice promptly if needed. Regular communication with healthcare providers helps ensure optimal health throughout life!