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Endurance training may have a protective effect on the heart !
Findings published in Experimental Physiology suggest that exercise could be just as important for your heart heath as cholesterol and a healthy diet.
Expression of genes used to repair damaged DNA increased in response to endurance exercise, even after just a single session, say scientists. The collaboration between the University of Maryland, the University of Texas Southwestern Medical Center, East Carolina University, the Catholic University of Brasilia and Southern Methodist University shows how physiological stressors like exercise can remodel heart tissue.
These findings are important for understanding how exercise provides a protective effect on the heart. The researchers hope that by understanding this process and basic heart biology, future research may lead to increased life expectancy and drug-free cures for chronic heart problems, including high blood pressure.
To read complete article click link below:
http://www.medicalnewstoday.com/releases/315704.php
Dear Marci,
Dear Marci,
While I am not anticipating any problems with my private insurance plan, I would like to be prepared for the worst. If difficulties arise, am I allowed to change plans at any time?
– Ronald (Bowman, ND)
Dear Ronald,
The short answer to your question is that it depends on the specific difficulties that you are facing with the plan. Under certain circumstances, you may be eligible for a Special Enrollment Period (SEP) to change your Medicare Advantage Plan and/or Part D prescription drug plan outside of the usual enrollment or disenrollment periods. If you get an SEP, your new coverage will usually start the first of the month after your sign up for or disenroll from your plan.
An SEP allows you to change your Medicare Advantage Plan or your stand-alone Part D plan that works with Original Medicare. Here are three common difficulties you might encounter with your plan to warrant an SEP:
1. Your plan violated its contract with Medicare. If you believe your plan did not follow Medicare’s rules, you may have the right to an SEP, which begins once Medicare determines if the violation occurred and extends for 90 days from the time you disenroll from your current plan. Examples of rule violations include not giving you information about your benefits in a timely manner, not providing benefits to you in a timely manner, the benefits your plan provided not meeting Medicare’s quality standards, or your plan giving you misleading marketing information to get you to enroll, such as promising a zero dollar premium for a plan that does have a premium. Call 1-800-MEDICARE and explain your situation. Be prepared to show how your plan broke Medicare’s rules, e.g., the name of the plan agent who told you wrong information about the plan.
2. Your plan ends coverage. If there is a plan termination (your plan decides to no longer offer Medicare coverage), you will have an SEP to enroll in a new plan starting two months before the plan ends through one month after the month that the plan ends. Your plan must give you 60 days notice before the date that the plan ends coverage. You can ask that your new plan coverage start the month after you get notice or up to two months after your old coverage ends. If your plan decides to end Medicare coverage at the end of the year, you will have an SEP to enroll in a new plan from December 8 of the current year until the last day of February of the next year. Your plan must notify you by October 1 that it will not offer coverage the following year. Note that this SEP is in addition to the Fall Open Enrollment Period, which runs October 15 through December 7 of each year. During Fall Open Enrollment, you can make any changes to your Medicare coverage. If Medicare ends your plan because the plan violates its contract, you will get an SEP to enroll in a new plan starting one month before the plan ends through one month after it ends. This can happen at any time during the year.
3. Your plan is under review by Medicare. If your plan is under sanction (Medicare has found a problem with your plan), such as if the plan does not meet Medicare requirements for handling appeals, you can use an SEP to choose a new plan if the sanction directly affects you. The start and length of your SEP is decided on a case-by-case basis. Learn more by reading the Medicare announcement that describes the sanction, or by calling 1-800-MEDICARE.
Ronald, check for Special Enrollment Periods that will help you determine whether or not you qualify for an SEP under these and other circumstances.
– Marci
Kids explain who to marry!
1. HOW DO YOU DECIDE WHOM TO MARRY? (written by kids)
You got to find somebody who likes the same stuff. Like, if you like sports, she should like it that you like sports, and she should keep the chips and dip coming.
— Alan, age 10
– No person really decides before they grow up who they’re going to marry. God decides it all way before, and you get to find out later who you’re stuck with.
— Kristen, age 10
2. WHAT IS THE RIGHT AGE TO GET MARRIED?
Twenty-three is the best age because you know the person FOREVER by then.
— Camille, age 10
3. HOW CAN A STRANGER TELL IF TWO PEOPLE ARE MARRIED?
You might have to guess, based on whether they seem to be yelling at the same kids.
— Derrick, age 8
4. WHAT DO YOU THINK YOUR MOM AND DAD HAVE IN COMMON?
Both don’t want any more kids.
— Lori, age 8
5. WHAT DO MOST PEOPLE DO ON A DATE?
-Dates are for having fun, and people should use them to get to know each other. Even boys have something to say if you listen long enough.
— Lynnette, age 8 (isn’t she a treasure)
-On the first date, they just tell each other lies and that usually gets them interested enough to go for a second date.
— Martin, age 10
6. WHEN IS IT OKAY TO KISS SOMEONE?
-When they’re rich.
— Pam, age 7
-The law says you have to be eighteen, so I wouldn’t want to mess with that.
– – Curt, age 7
-The rule goes like this: If you kiss someone, then you should marry them and have kids with them. It’s the right thing to do.
– – Howard, age 8
7. IS IT BETTER TO BE SINGLE OR MARRIED?
It’s better for girls to be single but not for boys. Boys need someone to clean up after them.
— Anita, age 9 (bless you child )
8. HOW WOULD THE WORLD BE DIFFERENT IF PEOPLE DIDN’T GET MARRIED?
There sure would be a lot of kids to explain, wouldn’t there?
— Kelvin, age 8
And the #1 Favorite is ……..
9. HOW WOULD YOU MAKE A MARRIAGE WORK?
Tell your wife that she looks pretty, even if she looks like a dump truck.
— Ricky, age 10
NIH Stroke Scale
Medical professionals and even the public have been trained to recognize basic signs of stroke. These include three features of stroke: slurred speech, drooping of one outstretched arm, and drooping of one side of the face when attempting to smile. When one of these signs is present it’s a fairly sensitive indicator of stroke. When all three are present, sensitivity for stroke is approximately 90%. However, when evaluating patients for inclusion in stroke protocols and prior to fibrinolytic stroke treatments, medical professionals use a slightly more sophisticated series of questions. They often use the NIH stroke scale.
The NIH offers training and certification in the administration and scoring of the stroke scale. An overview of the scale is listed below.
The stroke scale items should be presented in order and the score should be reported after each numbered category has been assessed. The score should be based on the patient’s actual performance and what is witnessed by the examiner. It should not be a reflection of what the examiner thinks the patient is able to do. Remember, the patient could be experiencing an acute stroke, so time is of the essence. The examiner should work quickly. On the other hand, the patient should not be coached or aided by anyone, including the examiner. If the patient cannot perform one of the items, indicate the corresponding score, and move onto the next item.
to iew the NIH Stroke Scale click link below:
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