Tag Archives: 上海楼凤419论坛

CMS ignores federal judge ruling to approve Medicaid work rules in Utah

first_imgReviewed by Kate Anderton, B.Sc. (Editor)Mar 29 2019Less than 48 hours after a federal judge struck down Medicaid work requirements, the Centers for Medicare & Medicaid Services on Friday gave Utah permission to use those mandates.CMS Administrator Seema Verma said in her approval letter that requiring Medicaid enrollees to work was allowed because it helps make them healthier.”Therefore we believe an objective of the Medicaid program, in addition to paying for services, is to advance the health and wellness needs of its beneficiaries, and that it is appropriate for the state to structure its demonstration project in a manner that prioritizes meeting those needs,” she wrote.Verma’s stance runs directly counter to U.S. District Court Judge James Boasberg, who in twin rulings Wednesday said work requirements in Arkansas and Kentucky are illegal under the 1965 Medicaid law. Boasberg said several times that promoting health was not the objective of Medicaid, despite that opinion from Verma and Health and Human Services Secretary Alex Azar.In his Kentucky ruling, Boasberg wrote that using health as an objective would be “arbitrary and capricious.”Promoting health, he added, is “far afield of the basic purpose of Medicaid: ‘reimbursing certain costs of medical treatment for needy persons.'”Verma noted that Utah is structuring its program somewhat differently than other states.Sara Rosenbaum, professor of health law and policy at George Washington University in Washington, D.C., said the Trump administration is “doubling down” by allowing a state to add work requirements.”This is such a remarkable example of sticking a finger in the eye of the court,” Rosenbaum said. “We will see what happens. Because when you disrespect a court, it can backfire.”CMS’ approval also allows Utah to cap enrollment if the state runs out of money.Health experts said Utah’s letter clearly shows that the Trump administration plans to appeal Boasberg’s decision.In addition to Kentucky, Arkansas and Utah, CMA has approved Medicaid work requirements in Arizona, Indiana, Michigan, New Hampshire, Ohio and Wisconsin.Verma’s approval was for an application that Utah made in 2018. It will partly expand Medicaid to cover all adults under the poverty level ($12,490 for an individual this year). Enrollees will be asked to make some job searches but they will not be required to report a certain number of hours of work.In November, Utah voters approved a ballot measure calling for the expansion to 138 percent of the federal poverty level (about $17,200) as allowed under the Affordable Care Act.Related StoriesMedicare going in ‘right direction’ on opioid epidemicPodcast: KHN’s ‘What the Health?’ Is ‘Medicare for All’ losing steam?Persistent poverty endangers health in 20% of UK childrenState officials expect about 90,000 people to gain coverage under the expansion approved Friday. About 150,000 people would have been covered under the plan approved by voters.The plan approved Friday will require Utah to pay a bigger portion of the costs for the new enrollees because they will enter Medicaid under the traditional program and the state will get a 70 percent contribution from the federal government to cover their care. If the state had expanded to 138 percent of poverty, the federal government would have paid 90 percent of the costs.November’s vote raised concerns among state officials, who have opposed Medicaid expansion for years. They have opted instead to prepare another request to CMS that seeks the full 90 percent funding for the new enrollees. But to secure that, Utah is offering to accept unprecedented annual limits on federal and state spending.Allison Hoffman, a law professor at the University of Pennsylvania, said getting a federal judge to accept the premise that Medicaid is improving health is vital to getting work requirements through the courts. Federal officials “need a judge to buy that,” Hoffman said. “They are going to fish for a different jurisdiction to push this opinion.”What’s most compelling about the Utah approval, Hoffman said, is how the state legislature ignored the will of voters who approved the referendum. “The legislature is blocking what people voted for … and it appears to be an anti-democratic move.” This article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.last_img read more

Canadian maple syrup can be used as energy source during endurance exercise

first_imgAt QMSP, we have developed an International Maple Research and Innovation Network of renowned scientists dedicated to learning more about maple from Canada. Consumers love the taste of Canadian maple syrup and there is a growing body of evidence supporting the wider benefits of maple products for human health and exercise regimes.We are proud to be supporting the second Chemistry and Biological Effects of Maple Food Products Symposium at the largest gathering of the scientific community in the world.” Scientists from the University of Montreal studied cyclists for a clinical trial examining the effect of consuming maple products when exercising.It found maple water or syrup, with an equivalent carbohydrate content found in commercial sports drinks (60 g/L), can readily be used as a source of energy during endurance exercise.The study, the first maple human clinical trial, comprised 76 active males aged 18-45 during two hours of cycling immediately followed by a 20-km time trial. Supported by the Québec Maple Syrup Producers (QMSP) and Canadian Federal Government, the study also compared maple products’ sensory characteristics, including taste of maple water and diluted maple syrup during exercise, to those of a commercial sports drink. Results showed maple syrup to have less of an acidic taste than a commercial sports drink.Dr Jonathan Tremblay, Associate Professor at the University of Montreal, School of Kinesiology and Exercise Science, said: Source:https://maplescience.org/ Apr 3 2019Canadian maple syrup provides a pure energy source for endurance athletes and can help fight inflammation, according to new research published today.center_img Using a natural product that athletes enjoy and are inclined to drink more of during exercise can be key to maintaining fluid balance. Maple syrup beverages offer an excellent alternative to commercial beverages. Sports beverages made with pure maple syrup do not contain any processed sugars, are gluten-free, vegan and free of any coloring or additives.” The study was one of several into the potential positive impact of maple products on health-related issues and exercise endurance announced at the American Chemical Society (ACS) National Meeting and Expo in Orlando, Florida.Related StoriesA short bout of exercise improves brain function, study revealsIt’s never too late to take up exercise, advise researchersRegular physical activity can be effective in reducing pain from arthritisIn a separate study, researchers discovered bioactive compounds that naturally exist in maple syrup protect the body from some negative effects linked to inflammation.A diet including foods with polyphenols, such as pure Canadian maple syrup, green tea, red wine, and fruits and vegetables may help support a healthy immune system. Inflammation is a normal part of a healthy immune response. Uncontrolled, however, inflammation can contribute to tissue damage and has been linked to several pathological conditions. There are several ways to help prevent and fight chronic inflammation, like eating foods rich in polyphenols and maintaining healthy habits such as exercise.Dr Angela Slitt, professor at University of Rhode Island, College of Pharmacy and her team found a maple syrup extract enriched with polyphenols exerts anti-inflammatory activity.Serge Beaulieu, President of Québec Maple Syrup Producers (QMSP), said:last_img read more

Cancer Research UK urges Government action to tackle obesity

first_imgThe charity wants the Government to act on its ambition to halve childhood obesity rates by 2030 and introduce a 9 pm watershed for junk food adverts on TV and online, alongside other measures such as restricting promotional offers on unhealthy food and drinks.Professor Linda Bauld, Cancer Research UK’s prevention expert, commented: There isn’t a silver bullet to reduce obesity, but the huge fall in smoking over the years – partly thanks to advertising and environmental bans – shows that Government-led change works. It was needed to tackle sky-high smoking rates, and now the same is true for obesity.The world we live in doesn’t make it easy to be healthy and we need Government action to fix that, but people can also make changes themselves; small things like swapping junk food for healthier options and keeping active can all add up to help reduce cancer risk.” As smoking rates fall and obesity rates rise, we can clearly see the impact on a national health crisis when the Government puts policies in place – and when it puts its head in the sand.Our children could be a smoke-free generation, but we’ve hit a devastating record high for childhood obesity, and now we need urgent Government intervention to end the epidemic. They still have a chance to save lives.Scientists have so far identified that obesity causes 13 types of cancer but the mechanisms aren’t fully understood. So further research is needed to find out more about the ways extra body fat can lead to cancer.” Reviewed by James Ives, M.Psych. (Editor)Jul 3 2019New figures from Cancer Research UK show that people who are obese now outnumber people who smoke two to one in the UK, and excess weight causes more cases of certain cancers than smoking, as the charity urges Government action to tackle obesity.Almost a third of UK adults are obese and, while smoking is still the nation’s biggest preventable cause of cancer and carries a much higher risk of the disease than obesity, Cancer Research UK’s analysis revealed that being overweight or obese trumps smoking as the leading cause of four different types of cancer.Excess weight causes around 1,900 more cases of bowel cancer than smoking in the UK each year. The same worrying pattern is true of cancer in the kidneys (1,400 more cases caused by excess weight than by smoking each year in the UK), ovaries (460) and liver (180).Related StoriesLiving with advanced breast cancerResearch sheds light on sun-induced DNA damage and repairSpecial blood test may predict relapse risk for breast cancer patientsCancer Research UK launched a nationwide campaign this week to increase awareness of the link between obesity and cancer. Extra body fat sends out signals that can tell cells to divide more often and can cause damage that builds up over time and raises the risk of cancer.The campaign compares smoking and obesity to show how policy change can help people form healthier habits, not to compare tobacco with food.Michelle Mitchell, Cancer Research UK’s chief executive, said: Source:Cancer Research UKlast_img read more

Protein found in the eye can protect against diabetic retinopathy

first_imgPeople with diabetes have a high risk of developing complications due to extended periods of elevated glucose levels. These complications could include nerve damage, kidney disease, and eye disease. But a rare subset of people who have had insulin-dependent diabetes for more than 50 years have avoided such complications. For 15 years, Joslin researchers have tracked these individuals as part of the Medalist Study. They noted that 35 percent of patients avoided retinopathy, even when they had elevated glucose levels.Dr. King and his team deduced that these patients must have something endogenous-;or created by their own body that are neutralizing the toxic effects of high glucose levels. This new study aimed to build on this observation, to determine which molecules could be responsible for the protection of the eye.They took biosamples from the eyes of Medalists -; both from living patients during surgery and from people who had donated their eyes postmortem. They then characterized the many proteins that were present, to determine if any proteins were elevated more in the protected eyes than in eyes of people who developed retinopathy.They recognized that RBP3, a protein only made in the retina/eye, was elevated. To determine if this was indeed the protective factor they were looking for, they constructed experiments to compare normal versus increased expression of RBP3 in mouse models. Mice with increased RBP3 expression were protected from developing diabetic retinopathy.Next, the researchers injected pure RBP3 into the vitreous of the eyes of mice in the early stages of retinopathy. The infusion of RBP3 reversed the damages done by early eye disease. They also discovered that diabetes seems to reduce the expression of RBP3 in eye in many subjects, which could explain why its protective effects are limited to only some patients.Related StoriesEye research charity funds development of ‘organ-on-a-chip’ to fight glaucomaStudy reveals a revolutionary way to treat eye injuries, prevent blindness’Eye-in-a-dish’ model helps scientists to uncover ‘surprising’ AMD gene variant”If we could find out what’s causing the decrease of RBP3 in the retina in the first place, we could design some kind of treatment to maintain its production, allowing all diabetic patients to have an endogenous protection against eye disease,” says Dr. King.RBP3 is found in all eyes. Normally, it is used to regenerate a certain type of vitamin A in the eye that powers sight-giving rods and cones. But when the eye is exposed to high glucose levels, RBP3 changes its role.”It appears to decrease the toxic effects of high glucose levels that exist in diabetes by reducing the entering of glucose into several important retinal cells by inhibiting the actions of a glucose transporter, GLUT-1.” says Dr. King.Understanding these mechanisms may allow researchers to develop a targeted treatment to fight early-stage retinopathy. Currently, severe retinopathy can be addressed by the Joslin-developed treatments of either laser photocoagulation or VEGF inhibitor injections.”We are interested in how we can treat diabetic eye disease at its earliest stages before it gets to the severe forms,” says Dr. King.One surprising finding from this study showed that RBP3, while it mainly resides in the eye, can also be detected to some degree in the bloodstream. Dr. King and team have planned follow-up studies to determine if RBP3 levels in the bloodstream correlate with severity of diabetic retinopathy. If they do, this circulating RBP3 could become a biomarker that doctors can use to screen for retinopathy during regular lab tests.”That could be a very important screening tool for family or internal medicine doctors who are not experts at examining the eye,” says Dr. King. “Right now, all people with diabetes have to be sent to ophthalmologists to really give us a sense of the status of their eyes with regard to diabetes. So, if this could be a general screen, we may be able to catch more cases of retinopathy earlier in the disease course.”Joslin and its Beetham Eye Institute have a strong history of developing treatments for retinopathy. This discovery brings them a step closer to prevention of the devastating complication.”This has the potential to become equally as important as our previous discovery of VEGF as critical for diabetic proliferative disease or severe diabetic eye disease,” King says. Source:Joslin Diabetes Center Reviewed by James Ives, M.Psych. (Editor)Jul 4 2019Researchers at Joslin Diabetes Center have shown that a protein found in the eye can protect against and potentially treat diabetic eye disease. At high enough levels, Retinol Binding Protein 3 (or RBP3) prevents the development of diabetic retinopathy. If introduced early enough in the development of the disease, RBP3 was shown to reverse the effects of the complication in rodent models of diabetes. These results are reported today in Science Translational Medicine. The level of RBP3 in the eye’s vitreous and retina are higher in people who don’t progress to diabetic eye disease than in those who do. Building on that observation, we saw that if you overexpress RBP3 by molecular methods [in animal models], you can prevent the onset of diabetic eye disease. And when we injected RBP3 itself into the vitreous of diabetic rats, we reversed some of the early changes of diabetic eye disease.”George King, Chief Scientific Officer at Joslin Diabetes Center and senior author on the paperlast_img read more

Ethiopian Airlines says analysis of flight recorders begins

first_imgAnalysis of the flight recorders of the crashed Ethiopian Airlines plane has begun, the airline said Friday, and The New York Times reported that the pilot requested permission “in a panicky voice” to return to the airport shortly after takeoff as the plane dipped up and down sharply and appeared to gain startling speed. © 2019 The Associated Press. All rights reserved. Investigators looking into the Indonesian crash are examining whether the software automatically pushed the plane’s nose down repeatedly, and whether the Lion Air pilots knew how to solve that problem. Ethiopian Airlines says its pilots received special training on the software.At the crash site in Hejere, about 50 kilometers (31 miles) from Addis Ababa, searchers continued to pick through the debris. Blue plastic sheeting covered the wreckage of the plane. Students from an elementary school walked an hour and a half to the site to pay respects.Anxious family members began giving DNA samples and waited for news on the identification of remains. Members of Israel’s ZAKA emergency response team were granted access to the site for forensic work.Canada’s ambassador to Ethiopia, Antione Chevrier, told The Associated Press that discussions on repatriating remains would begin once the identification process begins to yield results. “The next steps will take some time,” he said. Canada lost 18 people.”We are not told what they have found so far,” Ethiopian citizen Faysal Hussein, whose cousin was killed, told the AP. “We are sitting here like forever. We were taken to the crash site on Wednesday but not allowed to get a closer look.”One relative collected soil in a plastic bag, perhaps for lack of anything else .A Kenyan citizen, Pauline Gathu, lost a brother. Thirty-two Kenyans were killed.”We were expecting that we will have our body well-kept but we are amazed to hear that there is nothing, totally nothing,” she said. “And people are waiting for us to give them reports of what we have found but we don’t have words, we don’t know what to do.” Ethiopian relatives of crash victims mourn and grieve at the scene where the Ethiopian Airlines Boeing 737 Max 8 crashed shortly after takeoff on Sunday killing all 157 on board, near Bishoftu, south-east of Addis Ababa, in Ethiopia Thursday, March 14, 2019. About 200 family members of people who died on the crashed jet stormed out of a briefing with Ethiopian Airlines officials in Addis Ababa on Thursday, complaining that the airline has not given them adequate information. (AP Photo/Mulugeta Ayene) Ethiopian Airlines crash: What is the MCAS system on the Boeing 737 Max 8? Citation: Ethiopian Airlines says analysis of flight recorders begins (2019, March 15) retrieved 17 July 2019 from https://phys.org/news/2019-03-ethiopian-airlines-analysis-flight.html The Max is the latest upgrade to the Boeing 737s. Because its engines are larger and heavier, they are placed higher and farther forward on the wings. That created concern that the plane might be slightly more prone to an aerodynamic stall if not flown properly, so Boeing developed software to prevent that. The report cited “a person who reviewed air traffic communications” from Sunday’s flight saying controllers noticed the plane was moving up and down by hundreds of feet.An airline spokesman has said the pilot was given permission to return. But the plane crashed minutes later outside Addis Ababa, killing all 157 on board.French authorities now have the plane’s flight data and voice recorders for analysis. They have said it was unclear whether data could be retrieved. The data recorder appeared to show damage. Ethiopian Airlines said an Ethiopian delegation led by its chief accident investigator had arrived in Paris.In Ethiopia, officials started taking DNA samples from victims’ family members to assist in identifying remains. The dead came from 35 countries.Countries including the United States have grounded the Boeing 737 Max 8 as the U.S.-based company faces the challenge of proving the jets are safe to fly amid suspicions that faulty software might have contributed to two crashes that killed 346 people in less than six months.The decision to send the flight recorders to France was seen as a rebuke to the United States, which held out longer than most other countries in grounding the jets. The U.S. National Transportation Safety Board sent three investigators to help French authorities.The U.S. Federal Aviation Administration said regulators had new data from the satellite-based tracking that showed the movements of Ethiopian Airlines Flight 302 were similar to those of Lion Air Flight 610. That flight crashed into the Java Sea off Indonesia in October, killing 189 people.The data show both planes flew with erratic altitude changes that could indicate the pilots struggled to control the aircraft. Both crews tried to return to the airport.Boeing said it supports the grounding of its planes as a precautionary step, while reiterating its “full confidence” in the safety of the 737 Max. Engineers are making changes to the system designed to prevent an aerodynamic stall if sensors detect that the jet’s nose is pointed too high and its speed is too slow.Boeing also announced it had paused delivery of the Max, although the company planned to continue building the jets. This photo provided by by the French air accident investigation authority BEA on Thursday, March 14, 2019, shows one of the black box flight recorder from the crashed Ethiopian Airlines jet, in le Bourget, north of Paris. The French air accident investigation agency has released a photo of the data recorder from the crashed Ethiopian Airlines jet. The agency, known by its French acronym BEA, received the flight’s data recorder and voice recorder Thursday. (BEA via AP) Explore further This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.last_img read more

Silence period to kick in from 6 pm today in Delhi

first_imgRELATED SHARE SHARE EMAIL File Photo Published on May 10, 2019 COMMENT Microphones will fall silent and high-octane poll campaigning will end on Friday evening in the national capital as the 48-hour silence period kicks in from 6 pm ahead of the Lok Sabha elections. All seven parliamentary constituencies in Delhi will vote on May 12 as part of the sixth phase of the polls. “The campaigning will end this evening as the 48-hour silence period will kick in at 6 pm today which would stay till 6 pm on Sunday,” Ranbir Singh, Delhi CEO, told reporters. As many as 523 polling locations have been identified till date as critical, he said. “Special paramilitary forces will be deployed there, besides webcasting and CCTV facilities. Micro-observers would also be there. We have made all arrangements for smooth polling,” he said. No campaigning shall be allowed beyond the 6 pm limit, including on social media, Singh said. “All print ads need to be pre-certified for any publication in newspapers,” he added. As many as 164 candidates are in fray in the polls, which are largely been seen as a three-way contest among the BJP, Congress and AAP. COMMENTS political campaigns SHARE The political war goes online last_img read more

Alliance Bank to undergo streamlining

first_imgTHE spotlight is on the country’s smallest lender, Alliance Bank Malaysia Bhd, which could be looking at paring down its stake in its wholly-owned subsidiary, Alliance Investment Bank Bhd (AIBB).The move, if it materialises, will come amid an extremely competitive time for the investment banking scene both here and globally where it is becoming increasingly difficult to survive without a strong niche.IPO deals have dried up in recent years not only here but regionally while other deal-making activities in Asia have had their worst start to this year since about five years ago due mostly to a global economic slowdown. A source says that advisers have already been hired to start off the process of Alliance Bank selling its majority interest in AIBB. AdChoices广告When asked, Alliance Bank neither confirmed nor denied the matter.Unlock exclusive insights, analyses, and curated news on the economy on The Star Online’s Business section with Starbiz Premium.SubscribeLog In Corporate News13 Jul 2019IJM contract termination likely due to deadline issueCorporate News13 Jul 2019Yinson continues to draw interestProperty13 Jul 2019Pioneering the wellness concept for offices in Malaysia More Stories Tags / Keywords:center_img Economy13 Jul 2019Much to benefit from Malaysia-China tiesBanking12 Jul 2019Fed’s Williams joins with other officials leaning toward rate cutsOil & Gas11 Jul 2019OPEC action and trade truce may give oil the lift it needs Corporate Newslast_img read more

Varanasi Girl alleges discrimination at BHU administration denies

first_img Next Asian News International VaranasiJuly 12, 2019UPDATED: July 12, 2019 13:05 IST BHU Student Archana Kumari alleges of discrimination by security guard.Photo: ANIA girl from Banaras Hindu University on Friday alleged discrimination by a security guard while trying to use a toilet in one of the colleges in the varsity campus.Archana Kumari told ANI, “I am a second-year student here. I am in charge of the BHU Bahujan help-desk which we place near Mahila Maha Vidyalaya (MMV) for helping students in the admission process. Yesterday when I was trying to get inside MMV to use the toilet, they refused to allow me to enter inside the college. He also misbehaved with me.”She also alleged that misbehaviour by security guards is common at the university and said, “Security guards often misbehave with women in BHU. Today also they have done the same and there anti-women behaviour is intolerable.”One of Archana’s associates, Ravindra Prakash Bharti said, “We put-up help desk at different places in BHU with due permission from the administration. This behaviour by security guard reeks of the social menace of untouchability. We demand the necessary action from authorities.”College administration, however, refuted the allegations and claimed that the girl was only barred from using a toilet meant for men.OP Rai, Chief Proctor, BHU said, “I have received the information about the incident and also sent a concerned official to the spot. After visiting the place of the incident he informed me that the girl was seeking to access a toilet meant for males for which she was prohibited. However, she was allowed to enter the college and use the designated washroom for girls.”The girl had also written a letter to Vice-Chancellor and proctor of the university seeking justice.Also read: BHU student shot dead outside hostel, tension on campusALSO WATCH| VC claims plot to defame BHU: Do you agree?For the latest World Cup news, live scores and fixtures for World Cup 2019, log on to indiatoday.in/sports. Like us on Facebook or follow us on Twitter for World Cup news, scores and updates.Get real-time alerts and all the news on your phone with the all-new India Today app. Download from Post your comment Do You Like This Story? Awesome! Now share the story Too bad. Tell us what you didn’t like in the comments Posted byIram Ara Ibrahim Varanasi: Girl alleges discrimination at BHU, administration deniesCollege administration, however, refuted the allegations and claimed that the girl was only barred from using a toilet meant for men.advertisementlast_img read more