Diabetes is a chronic disease that occurs when the pancreas is no longer able to produce insulin or when the body cannot make good use of the insulin it produces. Diabetes is the condition that occurs when the level of glucose in blood rises above the normal range. The term Diabetes Mellitus was derived from the Greek words meaning ‘passing through’ and ‘sweet as honey’. It was the English physician Thomas Willis (1675) who first used the words to describe this condition. In India the first mention of diabetes occurs in about500 B.C. The famous Ayurveda physicians of ancient India, Charaka and Susruta had noted this disease and named it as ‘Madhumeha’ meaning ‘rain of honey’.
Glucose – source of energy
Our body needs glucose to produce energy for our day to day activities. Energy is very essential for the normal functioning of all our organs. Energy is obtained mainly from carbohydrates, proteins and fat which is present in the food we consume. During the digestion process, they are broken down, ultimately producing glucose. Glucose is used as fuel for energy by the body. Normally when we consume food, it is converted within the body into glucose which is a form of energy. Cells use glucose as a source of energy. Insulin regulates the level of glucose in blood and also helps in utilizing and storing glucose in the body.
Insulin is a hormone which is secreted by the beta cells in the pancreas. As result of food consumption blood glucose level rises and it signals beta cells to secrete insulin. Insulin helps the glucose which has entered the blood in the intestines to reach the blood cells in the body and keeps the blood sugar at normal levels. Insulin is the hormone that functions as the key opening the door for the glucose to reach the cells. If for some reason insulin fails in functioning normally or if the amount produced is less, it results in glucose not reaching the cells, and remaining in the blood. This condition is known as diabetes. Diabetes develops from defects in insulin secretion, insulin action or both. In other words, body is unable to make appropriate use of foods consumed due to insufficient insulin.
The normal range of glucose in blood is between 70mg/dl and 100mg/dl. When tested in the mornings, on an empty stomach, a reading above 126 mg/dl indicates a diabetic condition.
Before developing diabetes many people will have “Pre Diabetes”. It is a stage where blood glucose levels are higher than normal, but not high enough to be diagnosed as diabetes. If the reading is between 100mg/dl and 126mg/dl it relates to a pre-diabetic condition. If a person has pre diabetes, he is at risk of eventually developing type 2 diabetes. He is also at risk of developing heart disease, even if he doesnt develop diabetes.
Risk Factors of Diabetes
Several risk factors have been associated with Diabetes which include:
Unhealthy dietary habits.
Physical inactivity and sedentary life.
Family history of Diabetes Mellitus.
Age above 40
Women who have given birth to infant weighing more than 4 Kg.
Severe mental stress.
History of gestational diabetes.
Poor nutrition associated with pregnancy.
Signs and Symptoms of Diabetes
Signs and symptoms of diabetes will be different in different persons and sometimes there may be no signs. Some of the signs commonly experienced include:
A tingling sensation or numbness in the hands or feet
Vaginal infection in women.
Vomiting and stomach pain
The development of type 1 diabetes is usually sudden and dramatic while the symptoms can often be mild or absent in people with type 2 diabetes, making this type of diabetes hard to detect.
Types of Diabetes
There are three main types of Diabetes.
Type 1 Diabetes
Used to be called juvenile-onset diabetes or as insulin dependent diabetes mellitus, it is usually caused by an auto-immune reaction where the body’s defence system attacks the cells that produce insulin. People with type 1 diabetes produce very little or no insulin. The disease may affect people of any age, but usually develops in children or young adults. Only 0.02% of people have type 1 diabetes in India. People with this form of diabetes need injections of insulin every day in order to control the levels of glucose in their blood. The only treatment for type-1 diabetes is insulin therapy and with insulin treatment the affected people can lead a normal life.
Type 2 Diabetes
Type 2 diabetes is the most common form of diabetes. Type 2 diabetes is also known as non insulin dependent Diabetes Mellitus or adult onset diabetes. In Type 2 diabetes either the body does not produce enough insulin or the cells do not use insulin properly. In the later case we say, it is insulin resistance .People can develop type 2 at any age, even during teenage.Being overweight and inactive also increases the chance of developing type 2 diabetes. Management include diet, exercise, medicine or insulin etc.Type 2 diabetes may remain undetected for many years and the diagnosis is often made when a complication appears or a routine blood or urine glucose test is done.
Many women develop diabetes during pregnancy and it is called Gestational Diabetes Mellitus (GDM). This form of diabetes usually gets normal after the baby is born. But a woman with GDM, is more likely to develop Type 2 diabetes, later in life. If a mother does not seek treatment and control this condition during pregnancy, the baby may have problems with excess body fat and insulin at birth, which can increase the risk of breathing problems and diabetes later in life.
Gestational diabetes is mainly caused by the hormones of pregnancy or due to shortage of insulin. GDM develops in one in 25 pregnancies worldwide and is associated with complications to both mother and child. Diagnosis of GDM does not mean that the person had diabetes before she conceived or she will have diabetes after the baby is born.
Screening for GDM is usually performed at 24 to 28 weeks of gestation. But it is agreed worldwide that it should be done at the time of first visit of the patient to the doctor. If a person is being tested for gestational diabetes, the doctor will consider the results of each blood glucose test. If two or more of the tests are higher than normal, the person will be diagnosed as having gestational diabetes.
Normal fasting blood glucose level is lower than 95 mg/dL (5.3 mmol/L).
One hour after drinking the glucose solution, normal blood glucose level is lower than 180 mg/dL (10 mmol/L).
Two hours after drinking the glucose solution, normal blood glucose level is lower than 155 mg/dL (8.6 mmol/L).
Three hours after drinking the glucose solution, normal blood glucose level is lower than 140 mg/dL (7.8 mmol/L).
Symptoms of GDM
Usually there won’t be symptoms or symptoms may be mild. Usual symptoms are:
Frequent infection in bladder, virgin and skin.
Increase thirst and urination.
Nausea and vomiting.
Weight loss in spite of increased appetite.
Diagnosis of Diabetes
Diabetes is usually diagnosed based on laboratory values. But it is usually recommended to repeat the test on the second day of diagnosis.
Laboratory tests for diagnosis of Diabetes
Fasting Blood Sugar:- Test measures blood glucose in a person after a fasting of at least 8 hours.
Normal -- Less than 100 mg/dl
Pre diabetes -- 100 – 125 mg/dl
Diabetes -- 200 mf/dl or Higher
Oral glucose tolerance test:- Measures blood glucose after a fasting of 8 hours and 2 hours after the person drinks 75 gram of glucose containing liquid.
Normal -- blood glucose level lower than 140 mg/dL (7.8 mmol/L)
Prediabetes -- between 140 mg/dL and 199 mg/dL (7.8 and 11 mmol/L)
Diabetes -- blood glucose level of 200 mg/dL (11.1 mmol/L) or higher
Random plasma glucose :- Measures blood glucose with out considering time of taking food.
Diabetes -- 200 mg/dl or Higher
Glycated hemoglobin ( HbA1c) measure your average blood glucose for the past 2 to 3 months.
Normal -- Less than 5.7 %
Pre diabetes -- 5.7 % to 6.4 %
Diabetes -- 6.5 % or Higher
Complication of diabetes
Complications of two types.
1. Short term complications and 2. Long term complications
Short term complications:
Hypoglycaemia (Low Blood Sugar)
When the sugar levels in blood drops it results in a condition called hypoglycaemia. Eating very less, not eating food, medicating oneself with high doses, too much of insulin, overwork, and over-exercising may cause a drop in blood sugar levels. The symptoms are quite sudden; fast and timely treatment is advisable.
Shivering, palpitation/ fast heart beat, Profuse sweating, tiredness, dizziness, hunger, diminishing eyesight, headaches.
Hyperglycaemia ( High Blood Sugar)
When the sugar levels in blood rises it leads to the condition called hyperglycaemia. Overeating, low intake of insulin, and not taking enough tablets. These are the reasons seen. This condition builds up slowly; and is alarming since it results in diabetic coma.
Acute thirst, tendency to urinate often; dry skin, extreme hunger, discomfort in stomach/ indigestion.
Diabetes, when uncontrolled, affects all the organs in the body.
Long term Complications:
Diabetes causes damage to the nerves throughout the body, when blood glucose and blood pressure are too high for long periods. Commonly affected areas are the extremities, especially the feet. Nerve damage in this areas is called peripheral neuropathy and can causes pain, tingling and lose of sensation.Patient with long run diabetes or uncontrolled diabetes may have altered vibration and sensation.
There are two type of Neuropathy.
Sensory neuropathy – leads of loss of pain and pressure sensation.
Autonomic neuropathy leads to increased dryness and fissuring of the skin.
Diabetes neuropathy is one of the commonest complications of type 2 diabetes. People with diabetes are twice likely to suffer a stroke than non diabetes. Peripheral neuropathy brings lots of risk for foot problems especially foot ulcer. Loss of feeling is particularly important because it can allow injuries to go unnoticed, leading to serious infections and possible amputations. People with diabetes carry a risk of amputation that may be more than 25 times greater than that of people without diabetes. However, with comprehensive management, a large proportion of amputations related to diabetes can be prevented. Even when amputation takes place, the remaining leg and the person’s life can be saved by good follow-up care from a multidisciplinary foot team. People with diabetes should regularly examine their feet.
Peripheral Vascular Diseases (PVD)
When the blood vessels carrying blood to the legs get narrow it leads to what we refer to as less blood flow or peripheral vascular disease. When this happens the area below the knee gets painful while walking, and such patients will tend to stop during their walks to rest their legs. Gradually the length of time of painless walking becomes lesser and lesser. Moreover, over time, even while sitting down the patient may experience pain. Uncontrolled blood sugar levels and smoking are the two main causes for peripheral vascular disease. This can contribute to poor or delayed wound healing and also may also cause gangrene. Such foot problem can result in amputations if not managed properly.
Most people with Diabetes will develop some form of eye problems causing reduced vision. The main complication to the eyes comes from diabetic retinopathy. The retina within our eyes is responsible for our sight. Problems relating to the blood flow and swelling and bleeding in the eye relate to diabetic retinopathy. To avoid this we should control the blood sugar levels in our bodies. In the beginning this goes undetected since the sight has not been affected yet. So the patients do not know and when the last stage arrives there will be bleeding and swelling within the eye. Blood clots occur and this affects eye sight; leading to blur in vision and even blindness.
The treatment for this is laser treatment. Laser treatment aims at preserving the eyesight we have now; and does not mean we regain our earlier eyesight. All diabetics should have their eye tested every year.
The other problem affecting diabetics is cataract. Diabetics are more prone to cataract. The remedy for this is surgery for the eye. Surgery can be done once the blood sugar levels are under control; and eyesight will be regained after the surgery.
Another complication is the pressure within the eye – referred to as intra-ocular pressure. When this increases it refers to the condition known as glaucoma. This can also be treated through medication and surgery. When the blood sugar is high it leads to the nerve in the eye – the optic nerve – getting swollen and this can lead to blur in one’s vision.
Micro albumin is considered as the early stage of Diabetic Nephropathy. About 20 % to 30 % people with Diabetes develop kidney damage. In a diabetic patient, kidney disease is clinically characterized by increased urine albumin excretion , which progress to micro albumin then macro albumin and finally the end stage is renal disease. It is caused by damage to small blood vessels in the kidneys leading to the kidneys becoming less efficient or end in total damage.
Maintaining near normal levels of blood glucose and blood pressure can greatly reduce the risk of kidney disease. The important fact for prevention of diabetic Nephropathy is early diagnosis and detection of risk factors and it management.
People with Diabetes have higher risk of heart attack or stroke. Coronary artery disease, also known as hardening of arteries, is due to narrowing of the blood vessels that supply blood to our heart muscles. Blood carries oxygen and other materials to our heart. If these vessels are partially or completely blocked by fatty deposits, then blood supply is affected. In this situation heart attack can happen. In heart failure the heart is unable to pump blood. In congestive heart failure, fluid, build up inside the body tissues such as lungs and the breathing is affected.
Cardiovascular diseases are most common cause of death in people with diabetes. High blood pressure, High cholesterol High blood glucose and other risk factors contribute to increasing the risk of cardiovascular complication.
Management of Diabetes
Diabetes is a lifestyle disease. So diabetes management demands lifestyle modification in one’s life. Diabetes management requires awareness regarding every aspects of diabetes and its complications.
Management of Diabetes
For proper control of blood sugar, a person should be aware of diabetes – the disease, its complications, how to monitor and how to keep blood sugar under control, the factors which raise blood sugar level, risks etc. For this patient education, group discussions, group counseling and individual counseling provided in hospitals are very helpful. Handbooks and pamphlets about various topics related to diabetes provided to patients from diabetes care centers are als very much helpful to the patients.
Healthy eating habits is the corner stone for healthy living. But people with diabetes should know how food affect their blood sugar levels. Following directions should be observed in this regard.
Meals should be balanced.
There should be moderation and portion control.
Understand healthy foods in diet.
Overall reduction in fat and salt in diet.
Have food at regular intervals.
Learn to eat slowly.
Physical inactivity or lack of exercise is one of the risk factors for diabetes. For diabetes control and management physical activity or exercise has as pivotal role. When we exercise our muscles use glucose for energy. Regular exercise also helps our body to use insulin more efficiently.
Blood sugar can be controlled by oral hypoglycemic agents as well as insulin. Your doctor prescribes you the best suitable medicine to control your diabetes. Once treatment is fixed follow the instructions strictly and adhere to follow up.
Regular monitoring as well as periodic follow up and recording is a must for proper diabetes control.
Positive attitude and mental strength can to do better control of diabetes. Sharing your frustrations and fears with people who can understand, or other support groups, can be of much help in this direction.
Inform your doctor about your stress, anxiety, anger etc. Otherwise it can lead on to depression. Yoga, regular exercise, breathing exercise, sharing etc. can do a lot in bringing back your mental health. Maintaining a healthy weight can also benefit diabetes better control.
Prevention of Diabetes
Peoples who are at risk of diabetes, can choose lifestyle modification and there by present diabetes in their future. There is a lot of evidence that lifestyle changes (achieving a healthy body weight and moderate physical activity) can help prevent the development of type 2 diabetes.
Always choose Healthy Foods
It is always better to select foods that are low in salt, fat, calories and high in fiber. In our daily foods, major portion should be whole grains and vegetables. Have plenty of water and also consume fruits instead of fried snacks or Jung foods.
Be Physically Active
Make physical activity a part of your life .Walk for 30 min or more daily whenever you get a chance or option, or physical activity, go for it. Use stairs instead of it, walk short distance instead of taking vehicle, plan for group exercise including family members etc.
Lose weight if you are overweight or obese: losing excess weight and maintaining normal or near normal weight, prevent diabetes.
Mental health is very important preventing diabetes. Controlling our emotions positively, positive talks and thought can do better for a healthy happy life. Yoga helps to coordinate our breath, mind and body to promote relaxation, develop breath awareness and provides a sense of inner strength or peace.There are many ‘asanas’- various body postures- breathing methods and meditation, which are all planned and designed to promote physical comfort and mental strength.
Many studies and researches confirm that yoga is help full in improving overall quality of life. Regular practice of yoga will help to reduce stress, lower blood pressure, lipids and improve overall wellbeing . It’s also supportive in weight lose programmes and also for maintaining normal weight
Smoking is a well-established risk factor for many chronic diseases, including diabetes and its complications. As well as other harmful effects, smoking increases abdominal fat accumulation and insulin resistance. All smokers should be encouraged to quit smoking. However, weight gain is common when quitting smoking and therefore dietary advice on avoiding weight gain should also be given.


The current science of pharmacology-and its clinical applications-at your fingertips
Now in its 25th year of publication, Basic and Clinical Pharmacology is the most up-to-date and complete pharmacology textbook available. Through nine previous editions it has set the standard for concise and easy-to-read, yet comprehensive coverage of pharmacology. The text's integration of basic with clinical science makes it well suited for an integrated organ-system-based curricula as well as the more traditional curricula.
Features In-depth coverage of key pharmacology topics, from basic principles to pharmacologic considerations for autonomic, cardiovascular-renal, smooth muscle, CNS, endocrine, antimicrobial, and chemotherapeutic and immunotherapeutic drugs Updated with dozens of new, recently approved drugs, including monoclonal antibodiesDetailed review of the mechanism of action and toxicities of traditional and newer drugs Critical discussions of treatment strategies and recommended drugs for all major diseases Valuable section on toxicology that provides an introduction to occupational and environmental toxicology; heavy metal intoxication and chelators; and management of the poisoned patient Ready-to-use, study-enhancing features, including special interest boxes, lists of common preparations, and dosage information Unique evidence-based chapters on abused drugs; special aspects of perinatal, pediatric, and geriatric pharmacology; and over-the-counter drugs, herbal medications, and nutritional supplements More than 500 concept-clarifying illustrations and tables throughout


The facts about bunions and bunion treatment
A bunion is a hard, bony knob on the side of your big toe. Bunions are caused by uneven weight distribution on your toe joint. Over time, your toe joint becomes unstable and your body begins to mold the joint into a hard bump on the side of your toe.
Bunions are much more common in women; in fact, according to the American Academy of Orthopedic Surgeons, over half the women in America experience bunions at some point in their lives. Women often wear shoes that are too narrow and crush the toes. High heels add to the problem by pushing the toes forward.
Bunions can be caused by:
- Tight, narrow shoes and high heels
- Genetic bone deformity and foot type
- Foot trauma or injury
- Rheumatoid arthritis
- Occupational foot stress
Bunions can result in you not being able to put on your shoes. You may also have trouble walking and doing your daily activities without pain. There are some simple therapies you can try to get relief from your bunion, such as:
- Placing ice packs on your bunion for 15 minutes
- Taping your foot to support the bunion and cushion it
- Wearing shoe inserts or padding to cushion the bunion
- Changing to wide, supportive shoes or sandals
- Taking over-the-counter pain and anti-inflammatory medication
For large, painful bunions that don’t respond to conservative therapies, it’s best to see a podiatrist for additional treatment. The podiatrist can inject the area of your bunion with cortisone to reduce swelling and pain.
You may need surgery if your bunion pain gets severe and interferes with your life. The podiatrist may suggest one or more of these surgical procedures:
- Straightening your foot and big toe
- Removing swollen tissue around the joint in your toe
- Fusing your big toe joints together
- Removing some of the bone in your big toe
For more information about painful bunions and bunion treatment, call the experts at Advanced Foot & Ankle Of Indian River in Vero Beach, FL. Call today at (772) 299-7009 and get some relief from your bunion pain!


What Takes place After the Lasik Procedure?
After you are completely prepared, the Lasik procedure takes much less than fifteen minutes to finish for both eyes. This will certainly appear an incredibly brief time to have an irreversible adjustment to your vision, as well as here Lasik seems nearly also good to be true. In addition, most Lasik people discover enhanced vision promptly or within a few hours after the Lasik procedure has been performed.
This does not imply that you ought to anticipate to walk out of the Lasik clinic with perfect vision and also with no should treat your eyes very carefully for the next a number of days. It additionally suggests that some Lasik clients will certainly need even more time to see the overall outcomes for the Lasik procedure, in some cases as much as six months for their vision to stabilize permanently. Prepare for great vision, and also put in the time and also look after the operation to produce its ideal outcome.
Generally the Lasik medical professional will provide the post-procedure patient a safety shield for their eyes. He might also advise sunglasses during the day if you experience level of sensitivity to light after the Lasik treatment is done.
Lots of patients at the Lasik centers usually obtain eye goes down to keep their eyes moist for some time after the Lasik procedure is done. Once again, this differs by client and by physician, so ask about your specific circumstance, specifically if you are prone to eye dry skin on a periodic basis also before the Lasik procedure. Also, it may be handy to maintain any ceiling fans or other air circulation devices off look at here now in the household for the first few days.
Most customers could go back to function and typical daily tasks the day after the Lasik treatment is done, and also do not need any type of extra assistance from other good friends or relative. There is normally little to no post-operative discomfort after Lasik has been performed. It is recommended that individuals falling asleep as quickly as possible after the Lasik surgical procedure in order to lessen any type of post-operative pain. Upon waking, boosted vision from the Lasik corrections must already start to show up.
This improved vision could not be the final product of the Lasik treatment. The improvement to nearsightedness after Lasik is generally fast and remarkable, though there could be some troubles in reading quickly for the first couple of days after the Lasik procedure. This is perfectly normal, as well as must clear up prior to the week is out.
People that utilize Lasik to boost their farsightedness normally discover a remarkable renovation the day after the Lasik surgery. It might be that there is a short-term blurring of objects in the distance, yet this will fix itself. The Lasik physician could advise and also prescribe temporary glasses till vision is supported if this problem continues to be for even more than a few days.
These are all regular post-operative recommends for a Lasik individual, in order to really feel comfy with exactly what to anticipate after the Lasik treatment. As with any type of medical therapy, obtain every one of your questions answered by the personnel of your Lasik center for your private situation.
In addition, most Lasik patients notice enhanced vision instantly or within a few hrs after the Lasik procedure has actually been done.
It additionally suggests that some Lasik people will certainly require even more time to see the total outcomes for the Lasik procedure, sometimes as much as 6 months for their vision to maintain permanently. Numerous clients at the Lasik centers typically get eye drops to maintain navigate to these guys their eyes moist for some time after the Lasik procedure is done. Clients that make use of Lasik to improve their farsightedness typically locate a dramatic enhancement the day after the Lasik surgical treatment.


By Dr. Beers
Characterized by damaged or broken-down corneal tissue, keratoconus affects as many as 1 in 500 individuals. While many people remain unaware of this disorder and its prevalence today, keratoconus represents a problematic issue diagnosed and treated by ophthalmologists throughout the world. The first signs of keratoconus include corneal bulging, which results from pressure behind the eye tissue.
This pressure causes discomfort and changes the way the eye processes light. Eventually, this can lead to distorted eyesight and compounding vision problems. Unfortunately, this problem most commonly affects both eyes as a bilateral condition. Individuals may encounter signs of the disorder as early as childhood or as late as adulthood. Biological and hormonal variances that occur during pregnancy or puberty often serve as trigger points. While keratoconus usually progresses slowly, it is extremely important to consult with a doctor in order to receive proper ophthalmological treatment.
Patients who suffer from this condition generally have two options. The first involves custom-made rigid gas permeable (RGP) contact lenses, which allow patients with mild cases of keratoconus to enjoy improved overall vision. In the circumstance that these lenses prove to be uncomfortable and ineffective, corneal implants usually offer the best solution. This minimally invasive procedure takes approximately 40 to 60 minutes to complete and requires little or no maintenance. The implants work to modify the corneal structure, improving the patient’s eyesight and overall comfort.
About the Author: Dr. Beers operates out of Mountain View, California, at his own practice, Peninsula Laser Eye Medical Group, where he serves as a highly experienced ophthalmic surgeon specializing in LASIK procedures, among others. Focused on quality care and superior service, Dr. Beers works with state-of-the-art equipment and employs proven medical techniques to best serve his clients’ needs. In recent years, the Consumers’ Research Council of America has recognized Dr. Beers as one of America’s Top Ophthalmologists.


It is more than the risk of high Blood Pressure and subsequent heart disease and stroke that prompted my mom to hide the shaker from my dad 20 years ago. Excessive sodium is now linked to other illness such as Cancer and kidney stones. The American Heart Association recommends no more than 2,300 milligrams (mg) a day (equivalent to 0.46 teaspoon) and moving toward an ideal limit of no more than 1,500 mg per day for most adults (0.3 teaspoon).
SALT ASSAULT; A SILENT KILER
Have you thought about where excess sodium is hiding and how it kills? Look again. We usually eat nearly twice the sodium we should, and this is normally done without touching the saltshaker.
WHY THE CONCERN?
ALL THE EXCESS SODIUM MAY:
WEAKEN THE BONES:
Salt breaks up into sodium and chloride when ingested. The kidney is responsible for removing chloride when we consume in excess, and when it can no longer keep up with the load, the body then stores it in the bone to maintain a balance. According to American Bone Health, this process results in a net loss of calcium from the body and contributes to osteoporosis, threatening bone density and strength, thus the more we limit sodium the less calcium we excrete and the weaker our bones become.
BE A CATALYST FOR STOMACH CANCER:
According to research, Stomach cancer is the fourth most common in the world but the second highest killer, with an estimated 776,000 deaths a year. People who consistently eat highly salted foods may double their risk of stomach cancer. A report from Japan found that men with the highest salt intakes had double the risk of stomach cancer. The study suggested that the risk of stomach cancer among men with low salt intake was one in 1,000 a year, doubling to one in 500 among those with high salt intake. The risk was one in 2,000 for women with low salt diets and one in 1,300 for those who ate a lot of salt.
Make a cautious effort to buy low salt versions of your favourite foods when shopping. This can be done by looking at product labels in store. Try also to stay away from adding more salt to food at the table.
MESS WITH DNA
Researcher from the National Heart lung and Blood institute found that as they increased salt levels in the laboratory cell’s DNA strands begin to break and cells pair mechanism shut down and when cell concentrations return to normal the cells begin to repair DNA again. Researchers found that the same DNA caused damage in the kidneys of mice. The next step is to see if these results hold true for human kidneys.
CAUSE KIDNEY DISEASE:
Unwanted fluids in the blood are removed from the body by filtering our blood through the kidney, via osmosis, to draw excess water out of your blood. A balance of sodium and potassium is required to pull the water across the wall from the bloodstream into a collecting channel in the kidney. This normal sodium balance is altered with a high salt diet, reducing the kidney function thus less water is removed resulting in higher blood pressure. This puts a strain on the kidneys and may lead to kidney disease.
High salt intake has been shown to increase the amount of protein in the urine which is a major risk factor for the decline of kidney function. There is also increasing evidence that high salt intake may increase deterioration of the kidney in people already suffering from kidney problems. In a 5-year study Italian Researchers found that limiting protein and salt may be more effective in preventing the recurrence of Calcium Oxalate kidney Stone than the more traditional calcium restricted diet. Salt intake increases the amount of urinary protein which is a major risk factor for developing kidney disease and cardiovascular disease.
If you are considered at risk of kidney disease or renal failure, ensure that you keep your salt intake below the recommended maximum of 2,300mg.
HOW TO REDUCE SALT INTAKE:
- Use less salt when cooking — try using a squeeze of lemon or small quantities of herbs and spices as an alternative
- Choose fresh foods where possible
- Choose foods with a lower salt content: food products that say “low sodium” on the package have 140mg of sodium or less per serving, while products marked “very low sodium” have no more than 35 milligrams
- Be leery of certain veggies. One stalk of celery contains 35.2 milligrams of sodium. Other vegetables to watch are beets, carrots, mustard greens, spinach, frozen peas, frozen lima beans, and tomato juice, sauce, paste or puree. The sodium values range from 35 to 155 milligrams for one cup cooked of any above vegetable. To my veggie lovers trying to cut down on sodium, try munching peppers (green, yellow, orange, or red), green onions, cauliflower, cabbage, or broccoli instead.
Sodium raises Blood Pressure. Reducing its intake by just 300mg, reduces systolic pressure significantly by 2 – 4 points and the diastolic by 2 – 4 points.
Be leery of salt substitutes, which mostly contain potassium chloride. Certain blood pressure medications or kidney problems may consider salt substitutes a bad choice. And keep in mind that “light salt” is still salt. So, I suggest you simply stay off salt all together.
To serve our clients better, we are in partnership with various clubs and gyms where we organize Boot camp courses and monthly fitness plans tailored (intense, medium, low intensity) to fit each Client.
Let us know how we can help you or request a call back!


The Catholic University of America will rename its nursing school as the Conway School of Nursing to honor Bill and Joanne Conway following the couple’s $20 million gift to the university’s nursing program.
This donation brings the Conway’s total support of Catholic University’s nursing program up to $40 million, which will continue to fund scholarships for students as well as contribute to the establishment of a new nursing and sciences building on campus.
“Our goal is to help educate 10,000 nurses in order to address our nation’s health care needs and the shortage of nurses in this country. The majority of our philanthropy has been directed toward this purpose,” Bill Conway said in a statement from Catholic University.
Bill Conway sits on the Board of Trustees at the university and is the co-founder and co-executive chairman of The Carlyle Group.
“We have been so pleased with the exceptional quality of the Catholic University nurses and can see the tremendous impact they will have on thousands of patients throughout their careers. While we have generally been very focused on scholarships, when we learned that the main obstacle to producing more of these great nurses was the university’s current facilities, we knew we had to invest in a new school building,” Bill Conway said.
Without the support of the Conway family, many of the scholarship recipients would not be able to attend college or nursing school, School of Nursing Dean Patricia McMullen said.
“The nursing profession owes a great debt of gratitude to Bill and Joanne,” she said. “It is a privilege that our School of Nursing will be named in their honor.”
According to CUA President John Garvey, the Conway’s gift will allow the school to double the size of its nursing program to more than 700 students.
“That means doubling the number of nurses we graduate each year after the new building has been opened,” he said.
A celebration for the Conway School of Nursing will be held in the fall.
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Images of health and disability
This striking photo gallery shows how people with different disabilities and health conditions live and work. The photographs make us challenge the very meaning of health. They are a reminder that many people experience some degree of disability at some point in their life.
WHO invited amateur and professional photographers around the world to take part in an international photographic contest with the theme "images of health and disability," and a special focus on disability and work. The contest was organized to demonstrate the implementation of the International Classification of Functioning, Disability and Health (ICF), which describes health conditions and how people live with them.
The 33 winning photographs in this gallery are a small fraction of the more than one thousand images received.
Many people at some time experience some sort of limitation in their functioning due to a health condition. The number of people experiencing disability is increasing due to the rise in chronic diseases, injuries, car crashes, falls, violence and other causes such as ageing. Most people in this situation live in poor conditions without access to basic needs, including rehabilitation services. To improve their lives, WHO is working to:
- assist countries in developing policies on disability which include community involvement and national rehabilitation programmes;
- better assess and recognize different health conditions using the International Classification of Functioning Disability and Health;
- ensure early identification and treatment of those with disabilities, including the provision of assistive devices and environmental modifications;
- ensure equal opportunities and promotion of human rights for people with disabilities, especially those who are poor.


- Committee Chair – Kimberly Conrad-Junius
- Committee Vice-Chairs – Keri Zaleski and Ellen L. Genrich
- Board Member Liaison- Barbara Jeffers
The Communications Committee consists of Public Information Officers (PIOs) from NIPHC and surrounding health departments. These representatives coordinate and collaborate on the development and sharing of press releases, educational messages, communication strategies, tools, and other public information for public health prevention campaigns. They also coordinate their statements to ensure consistent messaging during regional public health emergencies and events.
- Responsible for the media component of NIPHC’s campaign to increase vaccination rates in northern Illinois.
- Updating NIPHC communication guidance documents to help ensure prompt and standardized communication during emergency public health regional events.
- Developing additional public health key messages to incorporate into NIPHC’s resource book of message maps for PIOs.


Half of all British business managers are getting by on less than five hours’ sleep a night, according to new research.
The study, carried out by the University of Leeds and bed manufacturer Silentnight, also found that almost a quarter (21 per cent) of those surveyed work more than 40 hours a week, and 30 per cent said their work negatively affects their sleep.
People who have what they consider to be stressful jobs were significantly more likely to take longer to fall asleep, get less sleep and be unhappy with their sleep.
Both lack of sleep and work-related stress had an effect on quality of life and health, with associated problems including weight gain, stroke, heart attack and a compromised immune system.
Dr Anna Weighall from the University of Leeds, said: “Poor sleep has been implicated in a range of negative health outcomes and emotional problems such as stress, anxiety and depression, as well as poor daytime functioning which can even lead to accidents.
“Lack of sleep can result in poor day time performance, affecting our memories and our ability to learn and store new information which is crucial in the workplace.”
Top tips for a good night’s sleep
Sleep expert at Silentnight, Dr Nerina Ramlakhan, has the following tips to help business owners to get their eight hours per night:
- Take regular breaks during the day
- Follow a regular wind-down routine
- Manage the boundaries between work and home
- Maintain good time management
- Exercise regularly
- Remove stimulants, such as caffeine
- If you wake during the night, resist the urge to check the time and breathe deeply
- Learn how to power nap for between five and 15 minutes
- Keep your sleep environment cool and free of clutter
- Don’t put pressure on yourself to sleep
- Get plenty of vitamin B6 and tryptophan – found in chicken, cheese, tofu, tuna, eggs, nuts, seeds and milk.


At Ocean Atlantic Dental, our mission is to create a fun, positive and personal experience for our patients.
Our team is committed to delivering quality dental care to every patient every day.
Our goal is to give you the opportunity to achieve and maintain a healthy and happy smile — that is why we strive to make dental care easy, affordable and stress-free.
We thank you for your referrals and appreciate the confidence you have in our team. Allowing us the privilege of serving your family and friends is the best compliment we can receive.
Give us a call today at (757) 498-1663 to schedule your appointment with Dr. David Throckmorton, our experienced dentist in Virginia Beach, Virginia, and find out more about complete dental care!


GDC NUMBER 77595,
BDS (Glas) 2000 | MFDS RCS (Eng) 2002 | FDS (Rest. Dent.)RCS 2008 | MPhil (Bham) 2009
Khalid is a registered specialist in Restorative Dentistry, Periodontics, Endodontics and Prosthodontics. He qualified from Glasgow University, having won the class medal in prosthodontics in 2000. He is a Fellow of the Faculty of Dental Surgery of the Royal College of Surgeons. Following accreditation, Khalid gained consultant posts in restorative dentistry in Birmingham and Peterborough in 2008 where the majority of patients under his care require a multi-disciplinary management with surgeons and orthodontic colleagues for their oral rehabilitation.
Khalid has delivered practical courses and provided lectures to undergraduate and postgraduate colleagues within the region and nationally in all 4 specialist areas.
At Treetops Dental Surgery, Khalid provides a specialist service in periodontal (gum) problems both to patients of the Practice and to those outside on referral. This includes non-surgical and surgical aspects of periodontal management, crown lengthening, gingival grafting and guided tissue regeneration and to replace lost gum and bone around the teeth and dental implants.


When it comes to health care specialists, few are as near and dear to my heart as Concierge medicine. As a long time sufferer of congestive heart failure, I’ve developed a rather unique affinity for them. Not only are their methods of treatment comforting and effective, but their very nature makes sure you never have to feel alone or uncomfortable when they’re with you. This article will detail the many ways they make life so much easier for me.
When I wake up in the morning I know that by getting the proper amount of sleep I can function properly for the remainder of the day. That’s why I always try to schedule my days around when I get the best sleep, and what better way to schedule that than by having a round-table discussion with my medical care provider and the concierge? We can discuss what works best for me from a geographic, psychological, and even medical perspective. I’m able to ask for advice and suggestions from them, which in turn helps me to make the most efficient use of the time I have available.
Another reason why I love concierge services is that they provide me with access to a wealth of knowledge on the medical front. There are literally thousands of books, journals, and articles that I can refer to whenever I need a little information about congestive heart failure, for example. Additionally, the doctors themselves are so knowledgeable, I don’t even have to read the research for everything I need. The fact that the doctors are so open and honest about the condition they’re treating makes them far superior to regular “generic” medical specialists. The specialists near me have also become experts in various other fields that I could benefit from knowing more about, such as natural treatments and nutrition.
When you find yourself in need of medical care, no matter what the problem, you want to know that the person who is going to be handling your case is not only qualified, but experienced and committed to making sure you are fully recovered in as timely a fashion as possible. By choosing a specialist who has experience in dealing with people with similar conditions, such as congestive heart failure, you ensure that your health care will be as high-quality as possible. This is paramount to your recovery and can sometimes mean the difference between life and death.
Conventional health care is fast, convenient, and usually very expensive. This is especially true when it comes to emergency care or surgery, where hospitals and medical facilities are simply not available at all times, and emergency room care can be even more expensive. By choosing an individual who has expertise in dealing with all different types of conditions, including those that affect the heart, lungs, stomach, and more, you are receiving the highest quality care possible at the lowest possible cost. The reason I love concierge services so much is because their expertise allows them to help me in ways that regular health care providers simply can’t. When I’m having problems with my children, or I have to cancel a holiday to take care of a sick relative, it’s very convenient for me to have the specialists I need there with me at any time. Rather than me having to spend a long period of time in the waiting room, waiting to see if someone gets in touch with someone, it’s always possible to walk in, and being immediately connected with someone who can get the care that I need.
This same type of convenience and direct connections are also available at my office, and I’ve benefited a lot from the knowledge and experience that these professionals have. Rather than spending my day driving around trying to find places to see and talking to people, I can set up appointments with these concierge medicine specialists near me. They can make sure I’m getting the best possible medical care, and that everyone is happy with their care, instead of spending the entire day worrying about whether or not I’ll be able to get somewhere. It’s been a real advantage for me and has saved me a lot of time. If you’re thinking about looking for medicine specialists near you, consider hiring one of them today!


If you’re looking for a Medical Billing Specialist position, your timing couldn’t be better. According to the U.S. Bureau of Labor Statistics, the medical records and health information technician field, which medical billing is a part of, is growing fast. Between 2012 and 2022, demand is expected to increase by as much as 22%, much faster than the average occupation. An aging population and the Affordable Care Act (ACA) are just two of the reasons for this increased opportunity.
Staffers, Inc in Jackson, Mississippi specializes in filling medical support staff positions like medical administrative assistant, medical billing/coding specialist, medical check-in/out clerk, medical records clerk and patient account representative.
Right now, one of our employers is looking for a skilled, experienced medical billing specialist for a temporary position. The position pays $12.88 per hour.
Medical Billing Specialist Job Description
- Extensive experience in AR follow-up, collections, claims.
- Extensive experience/knowledge in payer rules, regulations, policies and guidelines.
- Knowledge of medical terminology/billing (CPT, DRG, ICD-9, HMO, etc.).
- Knowledge of various Medical billing forms.
- Claim Resolution including, but not limited to, resubmission of claims, account adjustments, account reconciliation.
- Knowledge of Medicare and Medicaid.
- Excellent Computer skills.
- Great interpersonal skills.
- Great written/verbal communication.
- MUST HAVE 3+ years of Medical Billing experience.
- MUST HAVE multi-tasking abilities.
- Minimum Associates degree.
If this sounds like the kind of position you are looking for, please contact Anna Robertson. Anna may be reached by phone at (601) 362-1010 or email your resume to email@example.com.
If you’d like to learn more about this or any other opportunity at Staffers, including corporate support staff, accounting staff, non-medical support staff, legal support staff or human resources support staff, contact the experts at Staffers. As Jackson’s staffing partner, businesses and job seekers count on us to provide resources for mutual success. We’re here to help, so just give us a call!


Navigating the world of health insurance can be both intimidating and overwhelming, given its intricate nuances and the profound implications it carries for our well-being. “Find Your Perfect Health Insurance Coverage Today” aims to simplify this journey, ensuring you’re equipped to make the most informed decisions. From understanding the foundational concepts of health insurance to optimizing the myriad benefits your plan offers, this guide is your comprehensive resource. Whether you’re newly venturing into health coverage or reassessing your current plan, the insights herein promise clarity, empowerment, and, most importantly, peace of mind. Let’s embark on this exploration together, ensuring your health—and finances—are safeguarded.
Understanding the Basics of Health Insurance
Dive into the foundational concepts of health insurance. This section breaks down the primary components of insurance plans, from policyholders to providers. Whether you’re new to health insurance or looking to refresh your knowledge, this segment offers a clear and concise overview, ensuring you’re well-equipped to make informed decisions about your health coverage. Grasp key terminologies, understand the roles of various stakeholders, and get a holistic picture of how insurance functions in the healthcare realm.
Types of Health Insurance Plans: Which Suits You?
Navigating the myriad health insurance options can be daunting. In this segment, we’ll delineate the main types of health insurance plans available, such as HMOs, PPOs, HDHPs, and more. Understand the distinct features, benefits, and potential drawbacks of each plan type. With illustrated examples and key insights, you’ll gain the clarity needed to discern which plan aligns best with your healthcare needs, lifestyle, and financial situation. By the end, you’ll be empowered to select a plan that truly complements your unique circumstances.
Evaluating Your Health Coverage Needs
Choosing the right health insurance isn’t just about understanding plan types; it’s also about introspection. This section delves into the pivotal factors one should contemplate when assessing individual or family health coverage needs. Are you planning a family? Do you have a chronic condition? How frequently do you visit specialists? We’ll guide you through a systematic evaluation, emphasizing aspects like age, health history, anticipated medical events, and lifestyle choices. By pinpointing your specific requirements, you can ensure the chosen insurance doesn’t just cover you, but truly protects you.
The Cost Factor
Finances play an undeniable role in the health insurance decision-making process. This section delves deep into the monetary elements of insurance. Learn how premiums are determined, the significance of deductibles, and the implications of reaching your out-of-pocket limit. We’ll also explore the balance between monthly payments and the cost at the point of care. With practical scenarios and expert advice, this segment aims to equip you with the knowledge to make cost-effective decisions, ensuring you get optimal coverage without straining your wallet.
Benefits and Exclusions: What to Look Out For
Every health insurance plan comes with its set of covered benefits and notable exclusions. In this portion, we’ll shed light on the crucial services typically covered, from preventive care to hospitalizations, and discuss the often-overlooked exclusions that might affect your healthcare journey. Recognizing the nuances between “covered with conditions” and “not covered at all” can save you from unexpected financial surprises. By understanding these distinctions and reading the fine print, you’ll be better prepared to select a plan that aligns with your medical needs and minimizes out-of-pocket expenditures.
Network Restrictions: HMO, PPO, EPO, and POS Explained
The realm of health insurance is rife with acronyms that denote different plan structures, each dictating how you can access medical care. In this section, we demystify these network types—HMO (Health Maintenance Organization), PPO (Preferred Provider Organization), EPO (Exclusive Provider Organization), and POS (Point of Service). Learn the differences in flexibility, referral requirements, out-of-network coverage, and cost implications of each. With easy-to-follow comparisons and illustrative examples, you’ll gain a clear perspective, allowing you to choose a plan that aligns with your preferences for care accessibility and provider freedom.
Making the Switch: Changing Your Current Health Plan
There comes a time when your existing health insurance might no longer serve your evolving needs. This section guides you through the process of transitioning from one health plan to another. Understand the ideal times to make a switch, the steps involved in evaluating new plans, and the potential pitfalls to avoid during the transition. Whether you’re driven by a change in personal circumstances, financial considerations, or service dissatisfaction, we’ll provide insights and tips to ensure a seamless changeover. With this roadmap, you can confidently make modifications to your coverage, ensuring continuous protection for your health.
Tips and Tricks to Maximize Your Health Insurance Benefits
Maximizing the value of your health insurance goes beyond just having coverage; it’s about optimizing its benefits. This section unveils insider strategies to get the most out of your plan. Discover how to leverage preventative care services, understand the importance of annual reviews, and find out how to appeal denied claims. We’ll also discuss ways to manage health costs through tools like Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). By tapping into these insights, you’ll not only enjoy peace of mind but also ensure you’re harnessing the full potential of your health insurance investment.
- What are the primary differences between HMO and PPO plans?
- HMOs require you to select a primary care physician and get referrals for specialists. PPOs offer more flexibility with no need for referrals and broader provider options, but often at a higher cost.
- How often should I reassess my health insurance needs?
- It’s advisable to review your health insurance annually, especially during open enrollment periods, or after significant life events like marriage, childbirth, or job change.
- Are preventative services usually covered by health insurance?
- Most plans, especially after the Affordable Care Act, cover preventive services at no extra cost. This encompasses immunizations, health screenings, and yearly examinations.
- What’s the importance of out-of-pocket limits in my plan?
- The out-of-pocket limit is the maximum amount you’ll pay for covered services in a plan year. After reaching this limit, your insurance covers 100% of the allowed amount for covered services.
- Is it possible to change my health insurance plan outside the designated enrollment window?
- Typically, you can only switch during open enrollment. Exceptions are made for qualifying life events like marriage, childbirth, or loss of other coverage.
Selecting the ideal health insurance is a significant decision with long-term implications on both your health and finances. With the right knowledge and proactive measures, you can ensure you’re availing the maximum benefits your plan offers. Always remember, insurance isn’t just about dealing with illnesses but also about maintaining good health. Stay informed, make timely assessments, and never hesitate to ask questions or seek clarifications. Your health is your most prized possession; ensure it’s backed by the best possible coverage.


Pet Dental Care in Cambridge, MA
Do you ever wonder if your pet needs dental care?
They do! Over 75% of our cats and dogs have signs of periodontal disease by the time they reach 3 years of age. Periodontal disease is caused by the response to plaque accumulation on our pet’s teeth. If this build-up is not addressed, it can cause many problems that affect your pet.
What problems can dental disease cause for my pet?
- Infection of internal organs
- Loose or missing teeth
- Painful mouths, awing at the face
- drooling or dropping food
- Halitosis (bad breath)
The dentistry services at Cambridge Veterinary Care are here to protect your pet’s smile. We offer routine cleanings and preventative care, as well as advanced treatment for any dental issues. Our highly skilled team provides individualized care from the time your pet is dropped off for a procedure until they are fully recovered and ready to go home.
Contact us today to schedule an exam for your furry family. Together we can ensure they have a healthy smile their entire life.


Meet Our Doctors
The obstetricians and gynecologists at Atlanta Women’s Specialists work with you to understand your unique needs and determine the best, evidence-based care that leads to your best health and self.
Atlanta Women’s Specialists have more than 50 years of experience serving women’s healthcare needs in the Atlanta area. Our physicians’ experience makes your experience a better one.
Get to know our team of exceptional OB-GYNs!
Need Help Finding The Right Doctor?
Get helpful information on what’s important to you when choosing your OB-GYN.


-Works Monday-Friday, 830am-5:00pm
-Works in a clinic setting in either Eureka or Fortuna
-Customer Base is all Geriatric. Program serves seniors only.
-Part-time of Full-time available; minimum 3 days/week
-Pay Range: $35.43-$38.71/hour depending on experience
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Conducts initial participant assessment and reassessments to identify overt problems/needs and sets nursing priorities. Records participant assessments, reassessments, and care delivered in the medical record.
2. Conducts and provides comprehensive nursing assessments for potential enrollees and ensures Nursing Level of Care documentation is completed for submission to the California Department of Health Care Services (DHCS).
3. Provides treatment and or interventions which address problems requiring immediate referral and/or follow-up; interprets and records latest diagnostic results.
4. In coordination with the Interdisciplinary Team, develops a Plan of Care based on a nursing process that incorporates immediate and continuing care needs, including the participant and family perspective to reflect goals for the participant in the Day Center.
5. Provides care that conforms to accepted nursing practice standards and age related characteristics and needs of participants. Functions within nursing scope of practice.
6. Provides direct care including, but is not limited to, wound care, IV therapy, blood sugar checks, IM injections, vital sign checks, and/or follow-up on an episodic problem previously identified by Primary Care Providers. Performs nursing treatments and interventions in the Clinic, as appropriate.
7. Actively participates in daily morning and Interdisciplinary Team (IDT) meetings providing updates on changes in the condition of participants and regarding movement between home, supportive housing, nursing home, hospital, and other residential settings.
8. Ensures the information regarding participant health problems, daily schedules, planned tests, appointments, and Medical Specialist appointments, are communicated to the IDT to ensure coordination.
9. Consults with and educates participants, family members, and/or caregivers regarding the disease process, self-care techniques, prevention strategies, and medical interventions.
10. Provides the appropriate Primary Care Provider with a summary of health findings and any changes in a participant’s health condition.
11. Ensures that all tests, lab work, and diagnostic studies ordered by the Primary Care Provider have been executed.
12. Coordinates all medication management for Redwood Coast PACE participants with Clinic team members. This may include communication regarding the stocking of non-prescription medications, the ordering of prescription medications, the administering of medication in the Day Center, and the monitoring of participant compliance. Arranges for delivery of needed medications and supplies to the participant’s home.
13. Actively monitors participants in the Day Center during mealtime to assess whether participants have adequate food intake. Coordinates with the Registered Dietitian to remedy any problems and provide nutritional counseling.
14. Collaborates with Primary Care Providers to ensure that protocols are in place and standing orders are carried out (e.g., bowel care, foot care, skin care, urinary tract infection, vital signs and weight, and wound care). Provides self-care education and training to participants, family members, and caregivers as needed to ensure continuity of care.
15. Delegates tasks for the personal care needs of participants to Day Center team members. Provides leadership and/or oversight to CarePartners in the execution of Plans of Care. Provides education, training and competency validation for tasks, skills, and/or interventions assigned to CarePartners. Communicates priorities for care delivery.
16. Ensures adherence to policies and procedures regarding the use of restraints, including general safety and wandering (in the Day Center).
a. Conducts appropriate assessment(s) and documentation in the medical record that participant restraint alternatives have been attempted and obtains a Primary Care Provider order for restraints.
b. Obtains family consent or refusal for restraint use.
c. Monitors and documents when participants have specific medical symptoms that cannot be addressed by other, less restrictive interventions. Notes when a restraint is required to treat the medical symptom, protect the participant’s safety, and help the participant achieve his/her highest level of physical or psychological well-being.
17. Supports the Infection Control function in coordination with the Quality Assurance Coordinator, Medical Director, and Nurse Practitioner.
18. Actively participates in Quality Assessment and Performance Improvement (QAPI) for processes, structures, policies, workflow, and procedures which directly affect the care of participants. Takes immediate action to correct, report, and follow-up on participant health and safety issues and concerns.
19. Works collaboratively with the IDT and co-workers to ensure the meeting or exceeding of Redwood Coast PACE quality assessment and performance improvement targets.
20. Participates in on-call coverage in conjunction with Primary Care Providers.
21. Continually seeks better ways for delivering services and communicating with participants.
22. Complies with safety policies and procedures. Identifies and immediately reports any potential or actual unsafe acts or conditions to the Center Manager. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors, and others.
23. Identifies emergency situations and takes appropriate action.
24. Understands and demonstrates respect for participant rights and refers ethical issues to the Redwood Coast PACE Ethics Committee.
25. Demonstrates respect for and promotes participant rights including dignity, self determination, access to care, confidentiality, and independence.
26. Coordinates with the Home Care Coordinator and Home Care Manager to support participant care at home.
27. Consistently meets or exceeds Redwood Coast PACE targets for productivity. 28. Consistently meets or exceeds Redwood Coast PACE service targets.
29. Understands the importance of community involvement and participates as appropriate in activities that link Redwood Coast PACE to the community.
30. Effectively collaborates with employees, co-workers, and contractors to meet Redwood Coast PACE goals and further success.
31. Complies with all policies and procedures.
32. Demonstrates proficiency in delivering age-specific care.
33. Participates in the process of teaching, training, and mentoring student interns and volunteers working within the program area.
34. Acts in a manner consistent with agency values.
35. Other duties as assigned.
EDUCATION &/or EXPERIENCE:
1. Must be a graduate of an accredited school of professional nursing.
2. One (1) year working with a frail or elderly population preferred, preferably with a background in public health nursing.
LICENSES OR CERTIFICATES:
1. Must be a current Registered Nurse licensed by the California Board of Registered Nursing, in good standing.
2. Current CPR and First Aid certification within six (6) months of hire.
3. Valid California Driver’s License, good driving record, and personal auto liability insurance required. Must have a personal vehicle in good driving/operating condition and insured for State minimum liability requirements that can be used for the applicable job functions.
1. Requires clearance of a DOJ and FBI criminal history background check, pre-employment physical, and PPD skin test.
1. Nursing knowledge and skills necessary to treat participants and manage complex clinical situations.
2. Ability to provide care for the frail and elderly.
3. Ability to work independently and within an Interdisciplinary Team.
4. Good organizational skills.
5. Ability to handle complex interpersonal and clinical situations; excellent interpersonal interactions that result in team building.
6. Ability to complete duties within an agreed upon time frame and to adjust personal schedule if required.
7. Ability to adapt appropriately to changes of priorities and workload.
8. Sound verbal and written communication skills to convey information effectively.
9. Positive attitude and balance in relationships with others in complex interpersonal situations.
10. Understanding of detailed requirements in work activities.
11. Ability to collect and analyze program data.
12. Proficiency in Microsoft Office and relevant computer programs/software.
1. This position has no supervisory requirements.
1. Physical abilities sufficient to move between different staff work areas, communicate with staff and the public, operate a computer, produce reports, talk on the telephone, and travel to other worksites or participant homes.


Welcome to the California Vaccination Sign-Up
This site is used for providers to do sign up for flu and COVID vaccination clinics. For COVID, all clinics are closed at this time. Please visit the following website : https://covid19.ca.gov/vaccines/
This site is not for providers to enroll in the California COVID-19 Enrollment Portal. For information on enrollment, please go to : https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/COVIDVaccineEnrollment.aspx
Questions? Contact 1-833-422-4255 (Business hours: M-F 8AM-8PM, Sa-Su 8AM-5PM) or visit us at : https://covid19.ca.gov/vaccines/
The Department of Health recommends that all residents get vaccinated against the flu and other diseases.


Sep 10, 2020
On the morning of 9/10/20, Curry County Public Health received notification of a new case of COVID-19. This current case has been verified and confirmed by the Health Officer through lab results.
Public Health has made contact with the individual, who is a Curry County resident and is at home self-isolating, monitoring symptoms.
Curry County Public Health is conducting case investigating and contact tracing of this case and will reach out to anyone suspected of exposure to COVID-19.
As of September 10th, 2020, the total verified number of positive cases in Curry County is currently 25, with 20 recovered cases, 5 active cases, zero hospitalizations and zero deaths.
Read the Press Release.
Sep 09, 2020
Health officials urge residents to take the following steps to avoid the health effects of smoke exposure:
- Be aware of smoke concentrations in your area. Avoid the places with highest concentrations. Residents can check the current air quality conditions on the Oregon Smoke blog: http://oregonsmoke.blogspot.com/. Avoid outdoor activities when air quality is unhealthy to hazardous.
- To avoid smoke, either leave the area or protect yourself by staying indoors.
- Keep indoor air cleaner by closing as many windows and doors as possible without letting your home overheat. Consider using a HEPA room air cleaner.
- Avoid strenuous outdoor activity in smoky conditions.
- People with chronic lung or heart conditions, the elderly, and children are more sensitive to the health effects of wildfire smoke. People who suffer from asthma or other respiratory conditions should follow their breathing management plans, keep medications on hand, and contact their health care provider if necessary.
Key LinksCOVID-19 Updates Curry County Government on Facebook Budget Calendar 2020-2021 Proposed Curry County Budget 2020-2021 Curry County Strategic Plan Web Maps and GIS Sheriff & Jail Emergency Management Emergency Operations Plan Notify Me Title VI Plan Employee Directory Public Health Directory Public Records Request What Is A Special District?


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What is Gum Disease?
Gum Disease is an infection of the gums – the tissue surrounding and supporting your teeth.
It will usually start with a buildup of plaque. This sticky film forms when the bacteria naturally found in our mouths interacts with the starches and sugars in our food. When not removed by regular twice-daily brushing and once-daily flossing, plaque can harden into tartar. Tartar is going to be much more difficult to remove than plaque. When built up below the gum line, it can cause irritation and inflammation of the gums around the base of the teeth. This first, mildest form of gum disease is known as Gingivitis. Continued and chronic inflammation of the gums can eventually lead to advanced gum disease or Periodontitis. At this stage, it can lead to the loss of tissue and bone supporting your teeth, causing the teeth to feel loose and move around in your mouth.
Periodontitis can cause additional health complications, including tooth loss. The bacteria causing Periodontitis can also enter the bloodstream through your inflamed gums and possibly affect other parts of the body.
Gum disease – both early-stage Gingivitis and advanced stage Periodontitis – is, unfortunately, one of the major causes of tooth loss in adults. And it is more common than you might think. According to data from the Centers for Disease Control and Prevention, almost 50% of adults in the United States over 30 suffer from chronic Periodontitis and over 70% of those 65 and older.
What are some warning signs that might suggest a bigger problem?
- Red or purplish gums
- Swollen or tender gums
- Receding gums – when the gums pull away, exposing more of your tooth, including part of the root
- Gums that bleed easily
- A lingering bad taste in your mouth or persistent bad breath
- Permanent teeth that are loose, separating, or otherwise moving
- Changes to how your teeth fit together when biting or closing your mouth
- Changes in the fit of partial dentures, if you have them
Your gums should be pale pink in color, firm, and fit snugly around your teeth.
If you are suffering from any of these symptoms or otherwise suspect you may have signs of gum disease, please contact us to make an appointment to check your teeth and mouth. The sooner these symptoms are treated, the better. Gum disease is usually reversible when caught in its early stages. Gingivitis can typically be eliminated with a combination of professional teeth cleaning in the office to remove the buildup of tartar followed by regular brushing and flossing by you at home. How often you need in-office teeth cleanings will depend on any risk factors you may have that increase your chance of developing Periodontitis, such as dry mouth, smoking, or certain medications or diseases. However, usually, you should come in for dental visits every six to twelve months.
Treatment Methods/What to Expect
Early treatment is vital for stopping gum disease in its tracks before more severe damage to the tissue and bone supporting your teeth and to your teeth themselves can occur. For the best chance at a successful outcome, it is crucial to adopt or maintain a daily routine at home of brushing and flossing, in addition to an in-office treatment that your periodontist, dentist, or dental hygienist may perform.
If your Periodontitis is in the earlier stages, treatment non-surgical, less invasive treatments may be all that is needed. These may include:
Scaling: Removing the tartar and bacteria from the surface of your teeth and below your gums.
Root Planing: Smoothing the surface of your roots to remove buildup that may be causing inflammation or delaying the healing and reattachment of your gums to your teeth.
Antibiotics: Either topical antibiotics, in the form of mouth rinses or gels applied between your teeth and gums after deep cleaning, or oral antibiotics prescribed to you.
Advanced and chronic periodontitis may require more invasive dental surgery procedures by a periodontist, such as:
Flap or Pocket Reduction Surgery: Small incisions are made in your gum to allow for more effective scaling and root planing, and if necessary, recontouring of the underlying bone. This will allow your gums to heal and make it easier to clean your teeth to maintain healthy gums going forward.
Soft Tissue or Bone Grafts: A soft tissue graft will help to reinforce the damaged soft tissue of your gums, covering exposed roots and preventing further receding of the gums. This is usually done using either a small amount of tissue from the roof of your mouth or from a donor source. A bone graft will help prevent tooth loss when Periodontitis has progressed so far that the bone surrounding your tooth root has been destroyed. This is usually done using small fragments of your own bone or synthetic or donated bone fragments.
Guided Tissue Regeneration: When the bone surrounding and supporting your tooth root has been destroyed, a special type of fabric placed between the remaining bone and your tooth will help prevent any healing complications. This will prevent the soft tissue of the gums from entering the area and preventing the bone from growing back where it is needed.
Gum Disease Prevention
Good oral hygiene really is the key to good oral health and the basis for gum disease prevention.
Brush your teeth twice and floss once daily. Brushing after meals and snacks is also good. These are essential for removing plaque and minimizing the buildup of tartar.
Schedule in to get regular in-office teeth cleaning to remove tartar and keep your teeth and gums healthy. Regular dental cleanings will help break the plaque → tartar → gum disease progression.
Contact us today to schedule an appointment to help you keep your teeth and gums healthy for years to come. At New York Dental Solutions, our practice includes a team of dentists, including a periodontist and orthodontist, and a dental hygienist. As a result, we can offer a full range of coordinated dental care, both preventative and curative, in a compassionate and caring setting.