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But for new applications filed or approved in 2022, the 2022 https://www.msamentoring.com/buy-kamagra-100mg-generic-viagra/ limits can i buy viagra at walgreens will be used for non-MAGI. NEED TO KNOW PAST MEDICAID INCOME AND RESOURCE LEVELS?. WHAT IS THE HOUSEHOLD SIZE?.

See rules here can i buy viagra at walgreens. They are not intuitive!. !.

!. !. HOW TO READ THE HRA Medicaid Levels chart - Boxes 1 and 2 are NON-MAGI Income and Resource levels -- Age 65+, Blind or Disabled and other adults who need to use "spend-down" because they are over the MAGI income levels.

Box 11 are the MAGI income levels -- The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers. People in the "MAGI" category - those NOT on Medicare -- have expanded eligibility up to 138% of the Federal Poverty Line, so may now qualify for Medicaid even if they were not eligible before, or may now be eligible for Medicaid without a "spend-down." They have NO resource limit. Box 3 on page 1 is Spousal Impoverishment levels for Managed Long Term Care &.

Nursing Homes and Box 9 on page 5 has the Transfer Penalty rates for nursing home eligibility Box 5 has Medicaid Buy-In for Working People with Disabilities Under Age 65 Box 6 - Family Planning Benefit Program Box 7 are Medicare Savings Program levels Box 8 - annual Medicare figures Box 9 are monthly regional Nursing Home rates, used to calculate the transfer penalty for nursing home care. If and when the lookback begins for home care and Assisted Living Program, the same rates will be used for the transfer penalty. See this article Box 10 - Fair Market Regional Rates for Special Standard for Housing Expenses - an extra income disregard for people enrolled in MLTC when they return home after 30+ days in a nursing home or adult home.

See this article. Box 11 are the MAGI income levels -- for those under 65 NOT on Medicare (with some exceptions) -- have expanded eligibility up to 138% of the Federal Poverty Line. They have NO resource limit.B Box 12 - MAGI limits for children under 18 and pregnant women Box 13 - Child Health Plus limits for children under age 19 who are not Mediacid-eligible Box 14 - Disabled Adult Child (DAC) income limits Box 15 - Congregate Care Levels I, II, and III - these are the income limits used in the Assisted Living Program and in Adult Homes (adult care facilities) and other congregate facilties.

These levels are published by the NYS Office of Temporary &. Disability Assistance (OTDA) each year - most recently at 2022 Levels 21-INF-09 Attachment 1 - 2022 SSI and SSP Maximum Monthly Benefit Levels Chart. (IF this isn't updated, look at OTDA Policy Directives for recent INF directives.

Prior years in ARCHIVES link. MAGI INCOME LEVEL of 138% FPL applies to most adults who are not disabled and who do not have Medicare, AND MAGI can also apply to adults with Medicare if they have a dependent child/relative under age 18 or under 19 if in school. 42 C.F.R.

§ 435.4. Certain populations have an even higher income limit - 224% FPL for pregnant women and babies <. Age 1, 154% FPL for children age 1 - 19.

CAUTION. What is counted as income may not be what you think. For the NON-MAGI Disabled/Aged 65+/Blind, income will still be determined by the same rules as before, explained in this outline and these charts on income disregards.

However, for the MAGI population - which is virtually everyone under age 65 who is not on Medicare - their income will now be determined under new rules, based on federal income tax concepts - called "Modifed Adjusted Gross Income" (MAGI). There are good changes and bad changes. GOOD.

Veteran's benefits, Workers compensation, and gifts from family or others no longer count as income. BAD. There is no more "spousal" or parental refusal for this population (but there still is for the Disabled/Aged/Blind.) and some other rules.

For all of the rules see. ALSO SEE 2018 Manual on Lump Sums and Impact on Public Benefits - with resource rules HOW TO DETERMINE SIZE OF HOUSEHOLD TO IDENTIFY WHICH INCOME LIMIT APPLIES The income limits increase with the "household size." In other words, the income limit for a family of 5 may be higher than the income limit for a single person. HOWEVER, Medicaid rules about how to calculate the household size are not intuitive or even logical.

There are different rules depending on the "category" of the person seeking Medicaid. Here are the 2 basic categories and the rules for calculating their household size. People who are Disabled, Aged 65+ or Blind - "DAB" or "SSI-Related" Category -- NON-MAGI - See this chart for their household size.

These same rules apply to the Medicare Savings Program, with some exceptions explained in this article. Everyone else -- MAGI - All children and adults under age 65, including people with disabilities who are not yet on Medicare -- this is the new "MAGI" population. Their household size will be determined using federal income tax rules, which are very complicated.

New rule is explained in State's directive 13 ADM-03 - Medicaid Eligibility Changes under the Affordable Care Act (ACA) of 2010 (PDF) pp. 8-10 of the PDF, This PowerPoint by NYLAG on MAGI Budgeting attempts to explain the new MAGI budgeting, including how to determine the Household Size. See slides 28-49.

Also seeLegal Aid Society and Empire Justice Center materials OLD RULE used until end of 2013 -- Count the person(s) applying for Medicaid who live together, plus any of their legally responsible relatives who do not receive SNA, ADC, or SSI and reside with an applicant/recipient. Spouses or legally responsible for one another, and parents are legally responsible for their children under age 21 (though if the child is disabled, use the rule in the 1st "DAB" category. Under this rule, a child may be excluded from the household if that child's income causes other family members to lose Medicaid eligibility.

See 18 NYCRR 360-4.2, MRG p. 573, NYS GIS 2000 MA-007 CAUTION. Different people in the same household may be in different "categories" and hence have different household sizes AND Medicaid income and resource limits.

If a man is age 67 and has Medicare and his wife is age 62 and not disabled or blind, the husband's household size for Medicaid is determined under Category 1/ Non-MAGI above and his wife's is under Category 2/MAGI. The following programs were available prior to 2014, but are now discontinued because they are folded into MAGI Medicaid. Prenatal Care Assistance Program (PCAP) was Medicaid for pregnant women and children under age 19, with higher income limits for pregnant woman and infants under one year (200% FPL for pregnant women receiving perinatal coverage only not full Medicaid) than for children ages 1-18 (133% FPL).

Medicaid for adults between ages 21-65 who are not disabled and without children under 21 in the household. It was sometimes known as "S/CC" category for Singles and Childless Couples. This category had lower income limits than DAB/ADC-related, but had no asset limits.

It did not allow "spend down" of excess income. This category has now been subsumed under the new MAGI adult group whose limit is now raised to 138% FPL. Family Health Plus - this was an expansion of Medicaid to families with income up to 150% FPL and for childless adults up to 100% FPL.

This has now been folded into the new MAGI adult group whose limit is 138% FPL. For applicants between 138%-150% FPL, they will be eligible for a new program where Medicaid will subsidize their purchase of Qualified Health Plans on the Exchange. PAST INCOME &.

RESOURCE LEVELS -- Past Medicaid income and resource levels in NYS are shown on these oldNYC HRA charts for 2001 through 2021, in chronological order. These include Medicaid levels for MAGI and non-MAGI populations, Child Health Plus, MBI-WPD, Medicare Savings Programs and other public health programs in NYS. This article was authored by the Evelyn Frank Legal Resources Program of New York Legal Assistance Group.Starting January 1, 2022, there are new protections that prevent surprise medical bills under the federal No Surprises Act (NSA), Pub.

1182, Division BB § 109. If you have private health insurance, these new protections ban the most common types of surprise bills. If you’re uninsured or you decide not to use your health insurance for a service, under these protections, you can often get a good faith estimate of the cost of your care up front, before your visit.

If you disagree with your bill, you may be able to dispute the charges. Overview (see this CMS Fact Sheet for more information) What is a “Surprise Bill”?. Generally speaking, a Surprise Bill is a bill a patient receives from an out-of-network (OON) provider when the patient believed the service received was provided by an in-network (INN) provider and therefore covered at a greater rate by their health insurance.

NY FIN SERV § 603(h). What does it mean to be “balance billed”?. A patient is balance billed when they are billed by their medical provider for the balance remaining on a bill after the patient paid their expected cost-sharing (co-pay, coinsurance, and/or deductibles), and the patient’s insurance paid the most the plan agreed to pay for services the patient received.

If you get health coverage through your employer, a Health Insurance Marketplace, or an individual health insurance plan you purchase directly from an insurance company, these new rules will. Ban surprise bills for most emergency services, even if you get them out-of-network and without approval beforehand (prior authorization). Ban out-of-network cost-sharing (like out-of-network coinsurance or copayments) for most emergency and some non-emergency services.

You can’t be charged more than in-network cost-sharing for these services. Ban out-of-network charges and balance bills for certain additional services (like anesthesiology or radiology) furnished by out-of-network providers as part of a patient’s visit to an in-network facility. Require that health care providers and facilities give you an easy-to-understand notice explaining the applicable billing protections, who to contact if you have concerns that a provider or facility has violated the protections, and that patient consent is required to waive billing protections (i.e., you must receive notice of and consent to being balance billed by an out-of-network provider).

If you don’t have insurance or you self-pay for care, in most cases, these new rules make sure you can get a good faith estimate of how much your care will cost before you receive it. For services provided in 2022, you can dispute a medical bill if your final charges are at least $400 higher than your good faith estimate and you file your dispute claim within 120 days of the date on your bill. What if my state has a surprise billing law?.

The No Surprises Act supplements state surprise billing laws. It does not supplant them. The No Surprises Act instead creates a “floor” for consumer protections against surprise bills from out-of-network providers and related higher cost-sharing responsibility for patients.

So as a general matter, as long as a state’s surprise billing law provides at least the same level of consumer protections against surprise bills and higher cost-sharing as does the No Surprises Act and its implementing regulations, the state law generally will apply. For example, if your state operates its own patient-provider dispute resolution process that determines appropriate payment rates for self-pay consumers and Health and Human Services (HHS) has determined that the state’s process meets or exceeds the minimum requirements under the federal patient-provider dispute resolution process, then HHS will defer to the state process and would not accept such disputes into the federal process. As another example, if your state has an All-payer Model Agreement or another state law that determines payment amounts to out-of-network providers and facilities for a service, the All-payer Model Agreement or other state law will generally determine your cost-sharing amount and the out-of-network payment rate.

Other Protections -- consumers already benefit from the following protections. The No Surprises Act and The New York Surprise Bill Law The New York Surprise Bill Law and the NSA provide further protections for NY consumers, including those with private health insurance. The NSA sets a floor for consumer protections and will work in coordination with New York State’s existing health care consumer billing protections that became effective March 31, 2015 via the New York Surprise Bill Law, NY PUB HEALTH § 24;passed along with NY FIN SERV § 606.

The Department of Health (DOH) and the Department of Financial Services (DFS) will both be charged with ensuring consumers in NYS benefit from elements of the NSA that NYS’s laws do not already address. Prior to the NSA, the New York Surprise Bill law applied to consumers with “fully insured” plans that were therefore subject to NYS insurance law. Consumers with “self-insured” plans did not fully benefit from NYS insurance protections because self-insured plans are regulated by and subject to federal law, such as ERISA.

Now consumers with both types of coverage are protected from most surprise bills. If a consumer receives a surprise bill in the following situations the consumer will only be responsible for their in-network cost-sharing obligations. Treatment for Emergency Services and post-stabilization care Treatment by an out-of-network provider at an in-network hospital or ambulatory surgical center.

A consumer was treated by an out-of-network provider at an in-network hospital or ambulatory surgical center if an in-network provider was not available. Or an out-of-network provider provided services without the consumer’s knowledge. Or there were unforeseen medical services provided and done so by an out-of-network provider.

The NSA expanded the types of out-of-network provider services this protection applies to beyond only physicians. It now also applies to services provided by emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalists, or intensivist services. Referral to an out-of-network provider by one’s in-network provider.

A consumer did not sign a consent acknowledging that the services were out-of-network AND. An out-of-network provider treats the consumer during their visit with an in-network provider. OR a consumer’s in-network provider sends a specimen to an out-of-network lab or pathologist.

OR any other referrals by an in-network provider to an out-of-network provider when referrals are required by the insurer. Out-of-network air ambulance services NSA additional protections Continuity of Care. If an in-network provider leaves the consumer’s insurance network, consumers are entitled to 90 days of continued care from the provider at the in-network cost.

Health insurance identification card requirements. DFS implemented regulations in April 2021 that require NYS health insurance plans to print specific information on their consumer’s health insurance ID cards, such as plan name, consumer name and ID, coverage type, plan contact information, and specific cost-sharing amounts for primary care, specialists, urgent care, emergency care, and prescription drugs for 30-day supply. NSA requirements also include listing on the card the consumer’s annual deductible and annual maximum out of pocket expense.

Up-to-date In-Network Provider Directories. Providers are required under the NSA to keep health plans informed as to their network status and current provider directory information. Consumers who relied upon network misinformation from the provider directory or through phone queries, including when not receiving a response from the plan within 1 business day of reaching out for network information, must be reimbursed by the provider for any amount the consumer paid above their in-network cost-sharing.

NYS law requires health plans to maintain provider directories with specific enumerated provider information, with the written directory to be updated annually, and the online directory to be updated within 15 days of a provider changing a network or changing a hospital affiliation. The NSA provisions requiring directory updates are more stringent, but DFS is still evaluating whether changes might need to be made to current regulation https://www.dfs.ny.gov/industry_guidance/circular_letters/cl2021_12 Providers are required to ask consumers scheduling an appointment whether they have insurance, what kind, and if they do, whether they will be using their insurance for the appointment. When is a bill not a surprise bill?.

Consumers have the right to choose out-of-network providers. If a consumer agrees to see an out-of-network provider, then the consumer’s bill will not be a Surprise Bill. The NSA allows for consumers to agree, usually 3 days in advance and in writing, to balance billing in certain circumstances although consumers can never agree to out-of-pocket costs for certain specialists (i.e., emergency medicine, anesthesiology, laboratory, etc.).

The provider must provide a list of alternative in-network providers, and a “good faith estimate” of the service. An “advanced explanation of benefits”, as in advance of the service, will follow. If the fee ends up being $400 or more in excess of the good faith estimate, the consumer may dispute the bill.

Complaints may also be filed with CMS within 120 days of the date of your first bill. Https://www.cms.gov/nosurprises/consumers/complaints-about-medical-billing or by calling 1-800-985-3059. Providers are prohibited from assessing late fees or pursuing collections until the complaint is resolved.

Consumers who are uninsured or who choose self-pay are entitled to receive a “good faith estimate” of the charges within a certain timeframe prior to the appointment.

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College and high school students from a rural region walgreens viagra price with some of the highest cancer rates in the nation have a chance to participate directly in cancer-fighting research and treatment through online pharmacy viagra ACTION, Appalachian Center Training in Oncology. The program, which is based at the University of Kentucky’s Markey Cancer Center, offers Appalachian Kentucky students research, clinical, and education experiences to help them learn more about pursuing careers in fighting cancer. Two years ago the Markey Cancer Center published the Cancer Crisis in Appalachia. Kentucky Students Take ACTION (University Press of walgreens viagra price Kentucky, 2020). It’s a collection of essays written by high school and undergraduate students who have participated in the ACTION program.

The program is publishing a second edition of the book, which features firsthand accounts of growing up in a place with the nation’s highest rates of cancer. Nathan L walgreens viagra price. Vanderford, PhD, MBA, is director of ACTION and an editor of the new volume of student essays. He spoke with Tom Martin about the new book and the work of ACTION in bringing Appalachian young people into the field of cancer treatment and research. Listen to Tom Martin interview walgreens viagra price Nathan Vanderford on Eastern Standard, here.

Tom Martin, WEKU. Why is it important to the fight against cancer in Eastern Kentucky to encourage young people from the region to consider careers in oncology?. Nathan walgreens viagra price L. Vanderford. We truly do have a cancer crisis in Appalachian Kentucky.

The state continues to rate number one in overall cancer incidence and mortality rates walgreens viagra price. And so it’s critically important that we bring awareness to this fact across the state, and particularly in Eastern Kentucky. And then we are on a mission, and we think it’s really important to train the next generation of oncology professionals who are going to tackle the cancer problem in Appalachian Kentucky, and to have those be individuals who were born and raised and have a personal understanding of the issues that the area faces. And who best to do that than walgreens viagra price the youth of the region?. WEKU.

There are distance issues in coming from some parts of Southeastern Kentucky all the way up to Lexington [for treatment]. So it’s better to walgreens viagra price have an oncologist there. And also there is kind of a communications and trust issue, isn’t there?. NV. Absolutely.

I think about Pike County, Letcher County, these are three hours away [from Lexington], three hours plus. It takes me three and a half hours to get to these beautiful areas of our beautiful state, and there’s a barrier in terms of getting patients here. So we definitely need more practitioners in that immediate area to take care of our patients. But also in terms of the trust issue, I think all of us want to be able to connect with the people that take care of us, and I think rural Americans … and just people groups from all over would like to connect with people that understand who they are, where they come from, why they do the things they do. So I think that’s one of the reasons why this program and having the goal of getting these students back to their home areas is so important.

WEKU. How does this exercise of sitting down and writing an essay help these students?. What have you noticed?. NV. That’s a great question.

So in this program, we do activities where we get students engaged in cancer research and cancer education activities, where we sit them down in a classroom and teach them about cancer in general, from the basic biology of the disease, all the way to behavioral specs and epidemiology. They learn a lot about cancer. They start working on the problem through their research. And I didn’t even really envision this happening as much as it has. When they write these essays, they start to connect the dots between what they’re learning, which is a lot about cancer, and what they see in their homes and among their broader family and in their community.

And they start to see the things that we tell them that are driving the high cancer rates in Eastern Kentucky. They see that. They experience it firsthand. And many times we have students, they encounter these things and they think it’s normal. And to them, it is normal.

But the high smoking rates and things of that nature that really drive [cancer rates], and the transportation, the distance issue to places like Lexington to get the care that’s so greatly needed. It’s just normal to them. So their eyes start to become wide open in terms of what the causes of the crisis really are. Markey’s ACTION Program Hosts Successful Inaugural Summer Residential Program – YouTube WEKU. Do you hope to reach an audience beyond Eastern Kentucky?.

And if you do, why is that important to any success in reducing cancer in the region?. NV. Absolutely. And I think we’ve done that with the first edition [of student essays], certainly in Kentucky. We’ve had people throughout the state that have become more aware, and actually we partnered with a group in Chicago and they have a similar group as ours, and they had their students read our first edition of the book.

And so their students are urban students from Chicago and they read the book, and then we got on a Zoom call during the viagra with those students. We had some of our essay authors discuss their personal experiences with the students in Chicago. And it was eye-opening to the students in Chicago to learn about the ruralness of Eastern Kentucky and why cancer is so incredibly bad there. So I think it’s important for spreading the word and helping others understand why we have such a problem. And I think that as we shine more light on the issues, that can help us have more attention within Kentucky on the things that we need to do to help solve the problems.

WEKU. You and the editor of the second edition, Chris Pritchard, are going to work to get this book into the hands of people in the region. Tell us more about that. NV. We’ve already given our essay authors multiple copies of the book, and what I’ve told them is spread these far and wide.

And freely. We’re giving them away for free. We’re having the students place copies wherever think could be impactful, in local libraries, school libraries, wherever else. We’re giving away literally hundreds of copies all across Eastern Kentucky. We’ll do what we can to spread it far and wide beyond that also.

It’s also available for purchase. So others can buy the book and all the proceeds go back to the ACTION program so that we can continue doing programs, projects like this to help the students learn more and connect with the community. WEKU. Tell us what you have found to be rewarding about this work. NV.

I became really passionate about cancer and cancer disparities when I lost my dad to cancer. He died of lung cancer in 2010. And then just shortly thereafter, my mom was diagnosed with breast cancer, and luckily she was diagnosed early and went through some successful treatment and she’s OK today. So from a personal perspective, and again, I’m from rural Appalachia, so many of the issues I have seen in my own family. So I’m deeply passionate about this work because of that.

But in general, I just absolutely love working with students. It’s just so exciting to work with students, particularly students from Eastern Kentucky. We have amazing students in this state and they just need opportunities. In many of these rural areas, there’s fewer opportunities, outstanding students, and they can just excel when given opportunities like this to take the ball and run with it, so to speak. Appalachian Kentucky students who are interested in applying to participate in ACTION may find information on the Markey Cancer Center website.

The deadline for high school students apply is May 13. The deadline for undergraduate applications has passed for this year. This interview first appeared in Path Finders, a weekly email newsletter from the Daily Yonder. Each Monday, Path Finders features a Q&A with a rural thinker, creator, or doer buy viagra online. Join the mailing list today, to have these illuminating conversations delivered straight to your inbox.

Like this story?. Sign up for our newsletter. RelatedRepublish This StoryRepublish our articles for free, online or in print, under a Creative Commons license. Republish this articleYou may republish our stories for free, online or in print. Simply copy and paste the article contents from the box below.

Note, some images and interactive features may not be included here. Read our Republishing Guidelines for more information.by Tom Martin, The Daily Yonder April 8, 2022<h1>Q&A. The Region with the Nation’s Highest Cancer Rates Could be Home to the Generation that Ends this Statistic</h1><p class="byline">by Tom Martin, The Daily Yonder <br />April 8, 2022</p>. <p><em>Editor’s Note. This interview first appeared in <a href="https://dailyyonder.com/path-finders/">Path Finders</a>, an email newsletter from the Daily Yonder.

Each week, Path Finders features a Q&amp;A with a rural thinker, creator, or doer. Like what you see here?. You can <a href="#signup">join the mailing list at the bottom of this article</a>. And receive more conversations like this in your inbox each week.</em></p><hr class="wp-block-separator" /><p>College and high school students from a rural region with some of the highest cancer rates in the nation have a chance to participate directly in cancer-fighting research and treatment through <a href="https://ukhealthcare.uky.edu/markey-cancer-center/research/action">ACTION</a>, Appalachian Center Training in Oncology. </p><p>The program, which is based at the University of Kentucky’s Markey Cancer Center, offers Appalachian Kentucky students research, clinical, and education experiences to help them learn more about pursuing careers in fighting cancer.</p><p>Two years ago the Markey Cancer Center published the <a href="https://www.kentuckypress.com/9781950690039/the-cancer-crisis-in-appalachia/"><em>Cancer Crisis in Appalachia.

Kentucky Students Take ACTION</em></a><em>. </em>(University Press of Kentucky, 2020). It's a collection of essays written by high school and undergraduate students who have participated in the ACTION program. The program is publishing a second edition of the book, which features firsthand accounts of growing up in a place with the nation's highest rates of cancer. </p><p>Nathan L.

Vanderford, PhD, MBA, is director of ACTION and an editor of the new volume of student essays. He spoke with Tom Martin about the new book and the work of ACTION in bringing Appalachian young people into the field of cancer treatment and research.</p><p><em>Listen to Tom Martin interview Nathan Vanderford on Eastern Standard, <a href="https://esweku.org/track/3034770/march-31-2022-full-length">here.</a></em></p><hr class="wp-block-separator" /><p><strong>Tom Martin, WEKU:</strong>. <strong>Why is it important to the fight against cancer in Eastern Kentucky to encourage young people from the region to consider careers in oncology?. </strong></p><p><strong>Nathan L. Vanderford:</strong>.

We truly do have a cancer crisis in Appalachian Kentucky. The state continues to rate number one in overall cancer incidence and mortality rates. And so it's critically important that we bring awareness to this fact across the state, and particularly in Eastern Kentucky. And then we are on a mission, and we think it's really important to train the next generation of oncology professionals who are going to tackle the cancer problem in Appalachian Kentucky, and to have those be individuals who were born and raised and have a personal understanding of the issues that the area faces. And who best to do that than the youth of the region?.

</p><p><strong>WEKU. There are distance issues in coming from some parts of Southeastern Kentucky all the way up to Lexington [for treatment]. So it’s better to have an oncologist there. And also there is kind of a communications and trust issue, isn't there?. </strong></p><p><strong>NV:</strong>.

Absolutely. I think about Pike County, Letcher County, these are three hours away [from Lexington], three hours plus. It takes me three and a half hours to get to these beautiful areas of our beautiful state, and there's a barrier in terms of getting patients here. So we definitely need more practitioners in that immediate area to take care of our patients. But also in terms of the trust issue, I think all of us want to be able to connect with the people that take care of us, and I think rural Americans … and just people groups from all over would like to connect with people that understand who they are, where they come from, why they do the things they do.

So I think that's one of the reasons why this program and having the goal of getting these students back to their home areas is so important.</p><p><strong>WEKU:</strong>. <strong>How does this exercise of sitting down and writing an essay help these students?. What have you noticed?. </strong></p><p><strong>NV:</strong>. That's a great question.

So in this program, we do activities where we get students engaged in cancer research and cancer education activities, where we sit them down in a classroom and teach them about cancer in general, from the basic biology of the disease, all the way to behavioral specs and epidemiology. They learn a lot about cancer. They start working on the problem through their research. And I didn't even really envision this happening as much as it has. When they write these essays, they start to connect the dots between what they're learning, which is a lot about cancer, and what they see in their homes and among their broader family and in their community.</p><p>And they start to see the things that we tell them that are driving the high cancer rates in Eastern Kentucky.

They see that. They experience it firsthand. And many times we have students, they encounter these things and they think it's normal. And to them, it is normal. But the high smoking rates and things of that nature that really drive [cancer rates], and the transportation, the distance issue to places like Lexington to get the care that's so greatly needed.

It's just normal to them. So their eyes start to become wide open in terms of what the causes of the crisis really are.</p><figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">https://www.youtube.com/watch?. V=zXu0hKJc5OQ&amp;t=88s</div><figcaption>Markey’s ACTION Program Hosts Successful Inaugural Summer Residential Program - YouTube</figcaption></figure><p><strong>WEKU. Do you hope to reach an audience beyond Eastern Kentucky?. And if you do, why is that important to any success in reducing cancer in the region?.

</strong></p><p><strong>NV. </strong>Absolutely. And I think we've done that with the first edition [of student essays], certainly in Kentucky. We've had people throughout the state that have become more aware, and actually we partnered with a group in Chicago and they have a similar group as ours, and they had their students read our first edition of the book. And so their students are urban students from Chicago and they read the book, and then we got on a Zoom call during the viagra with those students.

We had some of our essay authors discuss their personal experiences with the students in Chicago. And it was eye-opening to the students in Chicago to learn about the ruralness of Eastern Kentucky and why cancer is so incredibly bad there. So I think it's important for spreading the word and helping others understand why we have such a problem. And I think that as we shine more light on the issues, that can help us have more attention within Kentucky on the things that we need to do to help solve the problems.</p><p><strong>WEKU. You and the editor of the second edition, Chris Pritchard, are going to work to get this book into the hands of people in the region.

Tell us more about that.</strong></p><p><strong>NV. </strong>We've already given our essay authors multiple copies of the book, and what I've told them is spread these far and wide. And freely. We're giving them away for free. We're having the students place copies wherever think could be impactful, in local libraries, school libraries, wherever else.

We're giving away literally hundreds of copies all across Eastern Kentucky. We'll do what we can to spread it far and wide beyond that also. It's also available for purchase. So others can buy the book and all the proceeds go back to the ACTION program so that we can continue doing programs, projects like this to help the students learn more and connect with the community.</p><p><strong>WEKU. Tell us what you have found to be rewarding about this work.</strong></p><p><strong>NV:</strong>.

I became really passionate about cancer and cancer disparities when I lost my dad to cancer. He died of lung cancer in 2010. And then just shortly thereafter, my mom was diagnosed with breast cancer, and luckily she was diagnosed early and went through some successful treatment and she's OK today. So from a personal perspective, and again, I'm from rural Appalachia, so many of the issues I have seen in my own family. So I'm deeply passionate about this work because of that.

But in general, I just absolutely love working with students.

Vanderford can i buy viagra at walmart can i buy viagra at walgreens. We truly do have a cancer crisis in Appalachian Kentucky. The state continues to rate number one in overall cancer incidence and mortality rates.

And so can i buy viagra at walgreens it’s critically important that we bring awareness to this fact across the state, and particularly in Eastern Kentucky. And then we are on a mission, and we think it’s really important to train the next generation of oncology professionals who are going to tackle the cancer problem in Appalachian Kentucky, and to have those be individuals who were born and raised and have a personal understanding of the issues that the area faces. And who best to do that than the youth of the region?.

WEKU can i buy viagra at walgreens. There are distance issues in coming from some parts of Southeastern Kentucky all the way up to Lexington [for treatment]. So it’s better to have an oncologist there.

And also there is kind of a communications and trust issue, isn’t can i buy viagra at walgreens there?. NV. Absolutely.

I think about can i buy viagra at walgreens Pike County, Letcher County, these are three hours away [from Lexington], three hours plus. It takes me three and a half hours to get to these beautiful areas of our beautiful state, and there’s a barrier in terms of getting patients here. So we definitely need more practitioners in that immediate area to take care of our patients.

But also in terms of the trust issue, I think all of us want to be able can i buy viagra at walgreens to connect with the people that take care of us, and I think rural Americans … and just people groups from all over would like to connect with people that understand who they are, where they come from, why they do the things they do. So I think that’s one of the reasons why this program and having the goal of getting these students back to their home areas is so important. WEKU.

How does this exercise of sitting down and writing an essay can i buy viagra at walgreens help these students?. What have you noticed?. NV.

That’s a great question can i buy viagra at walgreens. So in this program, we do activities where we get students engaged in cancer research and cancer education activities, where we sit them down in a classroom and teach them about cancer in general, from the basic biology of the disease, all the way to behavioral specs and epidemiology. They learn a lot about cancer.

They start can i buy viagra at walgreens working on the problem through their research. And I didn’t even really envision this happening as much as it has. When they write these essays, they start to connect the dots between what they’re learning, which is a lot about cancer, and what they see in their homes and among their broader family and in their community.

And they start to see the things that we tell them that are driving can i buy viagra at walgreens the high cancer rates in Eastern Kentucky. They see that. They experience it firsthand.

And many times we have students, they encounter these things can i buy viagra at walgreens and they think it’s normal. And to them, it is normal. But the high smoking rates and things of that nature that really drive [cancer rates], and the transportation, the distance issue to places like Lexington to get the care that’s so greatly needed.

It’s just normal to them can i buy viagra at walgreens. So their eyes start to become wide open in terms of what the causes of the crisis really are. Markey’s ACTION Program Hosts Successful Inaugural Summer Residential Program – YouTube WEKU.

Do you hope can i buy viagra at walgreens to reach an audience beyond Eastern Kentucky?. And if you do, why is that important to any success in reducing cancer in the region?. NV.

Absolutely. And I think we’ve done that with the first edition [of student essays], certainly in Kentucky. We’ve had people throughout the state that have become more aware, and actually we partnered with a group in Chicago and they have a similar group as ours, and they had their students read our first edition of the book.

And so their students are urban students from Chicago and they read the book, and then we got on a Zoom call during the viagra with those students. We had some of our essay authors discuss their personal experiences with the students in Chicago. And it was eye-opening to the students in Chicago to learn about the ruralness of Eastern Kentucky and why cancer is so incredibly bad there.

So I think it’s important for spreading the word and helping others understand why we have such a problem. And I think that as we shine more light on the issues, that can help us have more attention within Kentucky on the things that we need to do to help solve the problems. WEKU.

You and the editor of the second edition, Chris Pritchard, are going to work to get this book into the hands of people in the region. Tell us more about that. NV.

We’ve already given our essay authors multiple copies of the book, and what I’ve told them is spread these far and wide. And freely. We’re giving them away for free.

We’re having the students place copies wherever think could be impactful, in local libraries, school libraries, wherever else. We’re giving away literally hundreds of copies all across Eastern Kentucky. We’ll do what we can to spread it far and wide beyond that also.

It’s also available for purchase. So others can buy the book and all the proceeds go back to the ACTION program so that we can continue doing programs, projects like this to help the students learn more and connect with the community. WEKU.

Tell us what you have found to be rewarding about this work. NV. I became really passionate about cancer and cancer disparities when I lost my dad to cancer.

He died of lung cancer in 2010. And then just shortly thereafter, my mom was diagnosed with breast cancer, and luckily she was diagnosed early and went through some successful treatment and she’s OK today. So from a personal perspective, and again, I’m from rural Appalachia, so many of the issues I have seen in my own family.

So I’m deeply passionate about this work because of that. But in general, I just absolutely love working with students. It’s just so exciting to work with students, particularly students from Eastern Kentucky.

We have amazing students in this state and they just need opportunities. In many of these rural areas, there’s fewer opportunities, outstanding students, and they can just excel when given opportunities like this to take the ball and run with it, so to speak. Appalachian Kentucky students who are interested in applying to participate in ACTION may find information on the Markey Cancer Center website.

The deadline for high school students apply is May 13. The deadline for undergraduate applications has passed for this year. This interview first appeared in Path Finders, a weekly email newsletter from the Daily Yonder.

Each Monday, Path Finders features a Q&A with a rural thinker, creator, or doer. Join the mailing list today, to have these illuminating conversations delivered straight to your inbox. Like this story?.

Sign up for our newsletter. RelatedRepublish This StoryRepublish our articles for free, online or in print, under a Creative Commons license. Republish this articleYou may republish our stories for free, online or in print.

Simply copy and paste the article contents from the box below. Note, some images and interactive features may not be included here. Read our Republishing Guidelines for more information.by Tom Martin, The Daily Yonder April 8, 2022<h1>Q&A.

The Region with the Nation’s Highest Cancer Rates Could be Home to the Generation that Ends this Statistic</h1><p class="byline">by Tom Martin, The Daily Yonder <br />April 8, 2022</p>. <p><em>Editor’s Note. This interview first appeared in <a href="https://dailyyonder.com/path-finders/">Path Finders</a>, an email newsletter from the Daily Yonder.

Each week, Path Finders features a Q&amp;A with a rural thinker, creator, or doer. Like what you see here?. You can <a href="#signup">join the mailing list at the bottom of this article</a>.

And receive more conversations like this in your inbox each week.</em></p><hr class="wp-block-separator" /><p>College and high school students from a rural region with some of the highest cancer rates in the nation have a chance to participate directly in cancer-fighting research and treatment through <a href="https://ukhealthcare.uky.edu/markey-cancer-center/research/action">ACTION</a>, Appalachian Center Training in Oncology. </p><p>The program, which is based at the University of Kentucky’s Markey Cancer Center, offers Appalachian Kentucky students research, clinical, and education experiences to help them learn more about pursuing careers in fighting cancer.</p><p>Two years ago the Markey Cancer Center published the <a href="https://www.kentuckypress.com/9781950690039/the-cancer-crisis-in-appalachia/"><em>Cancer Crisis in Appalachia. Kentucky Students Take ACTION</em></a><em>.

</em>(University Press of Kentucky, 2020). It's a collection of essays written by high school and undergraduate students who have participated in the ACTION program. The program is publishing a second edition of the book, which features firsthand accounts of growing up in a place with the nation's highest rates of cancer.

</p><p>Nathan L. Vanderford, PhD, MBA, is director of ACTION and an editor of the new volume of student essays. He spoke with Tom Martin about the new book and the work of ACTION in bringing Appalachian young people into the field of cancer treatment and research.</p><p><em>Listen to Tom Martin interview Nathan Vanderford on Eastern Standard, <a href="https://esweku.org/track/3034770/march-31-2022-full-length">here.</a></em></p><hr class="wp-block-separator" /><p><strong>Tom Martin, WEKU:</strong>.

<strong>Why is it important to the fight against cancer in Eastern Kentucky to encourage young people from the region to consider careers in oncology?. </strong></p><p><strong>Nathan L. Vanderford:</strong>.

We truly do have a cancer crisis in Appalachian Kentucky. The state continues to rate number one in overall cancer incidence and mortality rates. And so it's critically important that we bring awareness to this fact across the state, and particularly in Eastern Kentucky.

And then we are on a mission, and we think it's really important to train the next generation of oncology professionals who are going to tackle the cancer problem in Appalachian Kentucky, and to have those be individuals who were born and raised and have a personal understanding of the issues that the area faces. And who best to do that than the youth of the region?. </p><p><strong>WEKU.

There are distance issues in coming from some parts of Southeastern Kentucky all the way up to Lexington [for treatment]. So it’s better to have an oncologist there. And also there is kind of a communications and trust issue, isn't there?.

</strong></p><p><strong>NV:</strong>. Absolutely. I think about Pike County, Letcher County, these are three hours away [from Lexington], three hours plus.

It takes me three and a half hours to get to these beautiful areas of our beautiful state, and there's a barrier in terms of getting patients here. So we definitely need more practitioners in that immediate area to take care of our patients. But also in terms of the trust issue, I think all of us want to be able to connect with the people that take care of us, and I think rural Americans … and just people groups from all over would like to connect with people that understand who they are, where they come from, why they do the things they do.

So I think that's one of the reasons why this program and having the goal of getting these students back to their home areas is so important.</p><p><strong>WEKU:</strong>. <strong>How does this exercise of sitting down and writing an essay help these students?. What have you noticed?.

</strong></p><p><strong>NV:</strong>. That's a great question. So in this program, we do activities where we get students engaged in cancer research and cancer education activities, where we sit them down in a classroom and teach them about cancer in general, from the basic biology of the disease, all the way to behavioral specs and epidemiology.

They learn a lot about cancer. They start working on the problem through their research. And I didn't even really envision this happening as much as it has.

When they write these essays, they start to connect the dots between what they're learning, which is a lot about cancer, and what they see in their homes and among their broader family and in their community.</p><p>And they start to see the things that we tell them that are driving the high cancer rates in Eastern Kentucky. They see that. They experience it firsthand.

And many times we have students, they encounter these things and they think it's normal. And to them, it is normal. But the high smoking rates and things of that nature that really drive [cancer rates], and the transportation, the distance issue to places like Lexington to get the care that's so greatly needed.

It's just normal to them. So their eyes start to become wide open in terms of what the causes of the crisis really are.</p><figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">https://www.youtube.com/watch?. V=zXu0hKJc5OQ&amp;t=88s</div><figcaption>Markey’s ACTION Program Hosts Successful Inaugural Summer Residential Program - YouTube</figcaption></figure><p><strong>WEKU.

Do you hope to reach an audience beyond Eastern Kentucky?. And if you do, why is that important to any success in reducing cancer in the region?. </strong></p><p><strong>NV.

</strong>Absolutely. And I think we've done that with the first edition [of student essays], certainly in Kentucky. We've had people throughout the state that have become more aware, and actually we partnered with a group in Chicago and they have a similar group as ours, and they had their students read our first edition of the book.

And so their students are urban students from Chicago and they read the book, and then we got on a Zoom call during the viagra with those students. We had some of our essay authors discuss their personal experiences with the students in Chicago. And it was eye-opening to the students in Chicago to learn about the ruralness of Eastern Kentucky and why cancer is so incredibly bad there.

So I think it's important for spreading the word and helping others understand why we have such a problem. And I think that as we shine more light on the issues, that can help us have more attention within Kentucky on the things that we need to do to help solve the problems.</p><p><strong>WEKU. You and the editor of the second edition, Chris Pritchard, are going to work to get this book into the hands of people in the region.

Tell us more about that.</strong></p><p><strong>NV. </strong>We've already given our essay authors multiple copies of the book, and what I've told them is spread these far and wide. And freely.

We're giving them away for free. We're having the students place copies wherever think could be impactful, in local libraries, school libraries, wherever else. We're giving away literally hundreds of copies all across Eastern Kentucky.

We'll do what we can to spread it far and wide beyond that also. It's also available for purchase. So others can buy the book and all the proceeds go back to the ACTION program so that we can continue doing programs, projects like this to help the students learn more and connect with the community.</p><p><strong>WEKU.

Tell us what you have found to be rewarding about this work.</strong></p><p><strong>NV:</strong>. I became really passionate about cancer and cancer disparities when I lost my dad to cancer. He died of lung cancer in 2010.

And then just shortly thereafter, my mom was diagnosed with breast cancer, and luckily she was diagnosed early and went through some successful treatment and she's OK today. So from a personal perspective, and again, I'm from rural Appalachia, so many of the issues I have seen in my own family. So I'm deeply passionate about this work because of that.

But in general, I just absolutely love working with students. It's just so exciting to work with students, particularly students from Eastern Kentucky. We have amazing students in this state and they just need opportunities.

In many of these rural areas, there's fewer opportunities, outstanding students, and they can just excel when given opportunities like this to take the ball and run with it, so to speak.</p><p><em>Appalachian Kentucky students who are interested in </em><a href="https://ukhealthcare.uky.edu/markey-cancer-center/research/action"><em>applying to participate in ACTION may find information on the Markey Cancer Center website</em></a><em>. The deadline for high school students apply is May 13. The deadline for undergraduate applications has passed for this year</em>.</p><hr class="wp-block-separator" /><div id="signup" class="wp-block-group has-light-gray-background-color has-background"><div style="height:1px" aria-hidden="true" class="wp-block-spacer"></div><div class="wp-block-columns"><div class="wp-block-column" style="flex-basis:33.33%"><figure class="wp-block-image size-large is-resized"><a href="https://dailyyonder.com/contact-us/subscribe-daily-yonder/#path-finders"><img src="https://dailyyonder.com/wp-content/uploads/2021/03/path-finders-icon-edited-1296x1296.png" alt="" class="wp-image-70866" width="226" height="226" /></a></figure></p></div><div class="wp-block-column" style="flex-basis:66.66%"><p>This interview first appeared in <strong>Path Finders</strong>, a weekly email newsletter from the Daily Yonder.

Each Monday, Path Finders features a Q&amp;A with a rural thinker, creator, or doer. Join the mailing list today, to have these illuminating conversations delivered straight to your inbox. </p></p></div></p></div></p></div><hr class="wp-block-separator is-style-dots" />.

<p>This <a target="_blank" href="https://dailyyonder.com/qa-the-region-with-the-nations-highest-cancer-rates-could-be-home-to-the-generation-that-ends-this-statistic/2022/04/08/">article</a>. First appeared on <a target="_blank" href="https://dailyyonder.com">The Daily Yonder</a>. And is republished here under a Creative Commons license.<img src="https://i0.wp.com/dailyyonder.com/wp-content/uploads/2021/03/cropped-dy-wordmark-favicon.png?.

Fit=150%2C150&amp;ssl=1" style="width:1em;height:1em;margin-left:10px;"><img id="republication-tracker-tool-source" src="https://dailyyonder.com/?. Republication-pixel=true&post=91792&ga=UA-6858528-1" style="width:1px;height:1px;"></p>1.

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People who add extra salt to their food at the table are at higher risk of dying prematurely from how much viagra should i take for fun any cause, according to a study of more than 500,000 people, published in the European Heart Journal today (Monday).Compared to those who never or rarely added salt, those who always added salt to their food had a 28% increased risk of dying prematurely. In the general population about three in every hundred people aged between 40 and 69 die prematurely. The increased risk from always adding salt to food seen in the current study suggests that one more person in every hundred may die prematurely in this age group.In addition, the study found a lower life expectancy among people who always how much viagra should i take for fun added salt compared to those who never, or rarely added salt. At the age of 50, 1.5 years and 2.28 years were knocked off the life expectancy of women and men, respectively, who always added salt to their food compared to those who never, or rarely, did.The researchers, led by Professor Lu Qi, of Tulane University School of Public Health and Tropical Medicine, New Orleans, USA, say their findings have several public health implications."To my knowledge, our study is the first to assess the relation between adding salt to foods and premature death," he said.

"It provides novel evidence to support recommendations to modify how much viagra should i take for fun eating behaviours for improving health. Even a modest reduction in sodium intake, by adding less or no salt to food at the table, is likely to result in substantial health benefits, especially when it is achieved in the general population."Assessing overall sodium intake is notoriously difficult as many foods, particularly pre-prepared and processed foods, have high levels of salt added before they even reach the table. Studies assessing salt intake by how much viagra should i take for fun means of urine tests often only take one urine test and so do not necessarily reflect usual behaviour. In addition, foods that are high in salt are often accompanied by foods rich in potassium, such as fruit and vegetables, which is good for us [1].

Potassium is known to protect against the risk of heart diseases and metabolic diseases such as diabetes, whereas sodium increases the risk of how much viagra should i take for fun conditions such as cancer, high blood pressure and stroke. advertisement For these reasons, the researchers chose to look at whether or not people added salt to their foods at the table, independent of any salt added during cooking."Adding salt to foods at the table is a common eating behaviour that is directly related to an individual's long-term preference for salty-tasting foods and habitual salt intake," said Prof. Qi. "In the Western diet, adding salt at the table accounts for 6-20% of total salt intake and provides a unique way to evaluate the association between habitual sodium intake and the risk of death."The researchers analysed data from 501,379 people taking part in the UK Biobank study.

When joining the study between 2006 and 2010, the participants were asked, via a touch-screen questionnaire, whether they added salt to their foods (i) never/rarely, (ii) sometimes, (iii) usually, (iv) always, or (v) prefer not to answer. Those who preferred not to answer were not included in the analysis. The researchers adjusted their analyses to take account of factors that could affect outcomes, such as age, sex, race, deprivation, body mass index (BMI), smoking, alcohol intake, physical activity, diet and medical conditions such as diabetes, cancer and heart and blood vessel diseases. They followed the participants for a median (average) of nine years.

Premature death was defined as death before the age of 75 years.As well as finding that always adding salt to foods was linked to a higher risk of premature death from all causes and a reduction in life expectancy, the researchers found that these risks tended to be reduced slightly in people who consumed the highest amounts of fruit and vegetables, although these results were not statistically significant."We were not surprised by this finding as fruits and vegetables are major sources of potassium, which has protective effects and is associated with a lower risk of premature death," said Prof. Qi. advertisement He added. "Because our study is the first to report a relation between adding salt to foods and mortality, further studies are needed to validate the findings before making recommendations."In an editorial to accompany the paper [2], Professor Annika Rosengren, a senior researcher and professor of medicine at the Sahlgrenska Academy, University of Gothenburg, Sweden, who was not involved with the research, writes that the net effect of a drastic reduction in salt intake for individuals remains controversial."Given the various indications that a very low intake of sodium may not be beneficial, or even harmful, it is important to distinguish between recommendations on an individual basis and actions on a population level," she writes.She concludes.

"Classic epidemiology argues that a greater net benefit is achieved by the population-wide approach (achieving a small effect in many people) than from targeting high-risk individuals (a large effect but only achieved in a small number of people). The obvious and evidence-based strategy with respect to preventing cardiovascular disease in individuals is early detection and treatment of hypertension, including lifestyle modifications, while salt-reduction strategies at the societal level will lower population mean blood pressure levels, resulting in fewer people developing hypertension, needing treatment, and becoming sick. Not adding extra salt to food is unlikely to be harmful and could contribute to strategies to lower population blood pressure levels."A strength of Prof. Qi's study is the large number of people included.

It also has some limitations, which include. The possibility that adding salt to food is an indication of an unhealthy lifestyle and lower socio-economic status, although analyses attempted to adjust for this. There was no information on the quantity of salt added. Adding salt may be related to total energy intake and intertwined with intake of other foods.

Participation in UK Biobank is voluntary and therefore the results are not representative of the general population, so further studies are needed to confirm the findings in other populations.Prof. Qi and his colleagues will be carrying out further studies on the relation between adding salt to foods and various chronic diseases such as cardiovascular disease and diabetes. They also expect potential clinical trials to test the effects of a reduction in adding salt on health outcomes.[1] An example of a typically salty food that also contains vegetables are tacos, which are often filled with beans and vegetables.[2] "Salt -- the sweet spot?. ," by Annika Rosengren.

European Heart Journal. Doi:10.1093/eurheartj/ehac336For centuries, people have been using mindfulness meditation to try to relieve their pain, but neuroscientists have only recently been able to test if and how this actually works. In the latest of these efforts, researchers at University of California San Diego School of Medicine measured the effects of mindfulness on pain perception and brain activity.The study, published July 7, 2022 in PAIN, showed that mindfulness meditation interrupted the communication between brain areas involved in pain sensation and those that produce the sense of self. In the proposed mechanism, pain signals still move from the body to the brain, but the individual does not feel as much ownership over those pain sensations, so their pain and suffering are reduced."One of the central tenets of mindfulness is the principle that you are not your experiences," said senior author Fadel Zeidan, PhD, associate professor of anesthesiology at UC San Diego School of Medicine.

"You train yourself to experience thoughts and sensations without attaching your ego or sense of self to them, and we're now finally seeing how this plays out in the brain during the experience of acute pain."On the first day of the study, 40 participants had their brains scanned while painful heat was applied to their leg. After experiencing a series of these heat stimuli, participants had to rate their average pain levels during the experiment.Participants were then split into two groups. Members of the mindfulness group completed four separate 20-minute mindfulness training sessions. During these visits, they were instructed to focus on their breath and reduce self-referential processing by first acknowledging their thoughts, sensations and emotions but then letting them go without judging or reacting to them.

Members of the control group spent their four sessions listening to an audio book.On the final day of the study, both groups had their brain activity measured again, but participants in the mindfulness group were now instructed to meditate during the painful heat, while the control group rested with their eyes closed. advertisement Researchers found that participants who were actively meditating reported a 32 percent reduction in pain intensity and a 33 percent reduction in pain unpleasantness."We were really excited to confirm that you don't have to be an expert meditator to experience these analgesic effects," said Zeidan. "This is a really important finding for the millions of people looking for a fast-acting and non-pharmacological treatment for pain."When the team analyzed participants' brain activity during the task, they found that mindfulness-induced pain relief was associated with reduced synchronization between the thalamus (a brain area that relays incoming sensory information to the rest of the brain) and parts of the default mode network (a collection of brain areas most active while a person is mind-wandering or processing their own thoughts and feelings as opposed to the outside world).One of these default mode regions is the precuneus, a brain area involved in fundamental features of self-awareness, and one of the first regions to go offline when a person loses consciousness. Another is the ventromedial prefrontal cortex, which includes several sub regions that work together to process how you relate to or place value on your experiences.

The more these areas were decoupled or deactivated, the more pain relief the participant reported."For many people struggling with chronic pain, what often affects their quality of life most is not the pain itself, but the mental suffering and frustration that comes along with it," said Zeidan. "Their pain becomes a part of who they are as individuals -- something they can't escape -- and this exacerbates their suffering."By relinquishing the self-referential appraisal of pain, mindfulness meditation may provide a new method for pain treatment. Mindfulness meditation is also free and can be practiced anywhere. Still, Zeidan said he hopes trainings can be made even more accessible and integrated into standard outpatient procedures."We feel like we are on the verge of discovering a novel non-opioid-based pain mechanism in which the default mode network plays a critical role in producing analgesia.

We are excited to continue exploring the neurobiology of mindfulness and its clinical potential across various disorders."Co-authors include. Gabriel Riegner, Valeria Oliva and William Mobley at UC San Diego, as well as Grace Posey at Tulane University and Youngkyoo Jung at University of California Davis..

People who add extra can i buy viagra at walgreens salt to their food at the table are at higher risk of dying prematurely from any cause, according to a study of more than 500,000 people, published in the European Heart Journal today (Monday).Compared to those who never or rarely added salt, those who always added salt to their food had a 28% increased risk of dying prematurely. In the general population about three in every hundred people aged between 40 and 69 die prematurely. The increased risk can i buy viagra at walgreens from always adding salt to food seen in the current study suggests that one more person in every hundred may die prematurely in this age group.In addition, the study found a lower life expectancy among people who always added salt compared to those who never, or rarely added salt.

At the age of 50, 1.5 years and 2.28 years were knocked off the life expectancy of women and men, respectively, who always added salt to their food compared to those who never, or rarely, did.The researchers, led by Professor Lu Qi, of Tulane University School of Public Health and Tropical Medicine, New Orleans, USA, say their findings have several public health implications."To my knowledge, our study is the first to assess the relation between adding salt to foods and premature death," he said. "It provides novel evidence to support recommendations can i buy viagra at walgreens to modify eating behaviours for improving health. Even a modest reduction in sodium intake, by adding less or no salt to food at the table, is likely to result in substantial health benefits, especially when it is achieved in the general population."Assessing overall sodium intake is notoriously difficult as many foods, particularly pre-prepared and processed foods, have high levels of salt added before they even reach the table.

Studies assessing salt intake by means of urine tests often only take one urine test and so do can i buy viagra at walgreens not necessarily reflect usual behaviour. In addition, foods that are high in salt are often accompanied by foods rich in potassium, such as fruit and vegetables, which is good for us [1]. Potassium is known to protect can i buy viagra at walgreens against the risk of heart diseases and metabolic diseases such as diabetes, whereas sodium increases the risk of conditions such as cancer, high blood pressure and stroke.

advertisement For these reasons, the researchers chose to look at whether or not people added salt to their foods at the table, independent of any salt added during cooking."Adding salt to foods at the table is a common eating behaviour that is directly related to an individual's long-term preference for salty-tasting foods and habitual salt intake," said Prof. Qi. "In the Western diet, adding salt at the table accounts for 6-20% of total salt intake and provides a unique way to evaluate the association between habitual sodium intake and the risk of death."The researchers analysed data from 501,379 people taking part in the UK Biobank study.

When joining the study between 2006 and 2010, the participants were asked, via a touch-screen questionnaire, whether they added salt to their foods (i) never/rarely, (ii) sometimes, (iii) usually, (iv) always, or (v) prefer not to answer. Those who preferred not to answer were not included in the analysis. The researchers adjusted their analyses to take account of factors that could affect outcomes, such as age, sex, race, deprivation, body mass index (BMI), smoking, alcohol intake, physical activity, diet and medical conditions such as diabetes, cancer and heart and blood vessel diseases.

They followed the participants for a median (average) of nine years. Premature death was defined as death before the age of 75 years.As well as finding that always adding salt to foods was linked to a higher risk of premature death from all causes and a reduction in life expectancy, the researchers found that these risks tended to be reduced slightly in people who consumed the highest amounts of fruit and vegetables, although these results were not statistically significant."We were not surprised by this finding as fruits and vegetables are major sources of potassium, which has protective effects and is associated with a lower risk of premature death," said Prof. Qi.

advertisement He added. "Because our study is the first to report a relation between adding salt to foods and mortality, further studies are needed to validate the findings before making recommendations."In an editorial to accompany the paper [2], Professor Annika Rosengren, a senior researcher and professor of medicine at the Sahlgrenska Academy, University of Gothenburg, Sweden, who was not involved with the research, writes that the net effect of a drastic reduction in salt intake for individuals remains controversial."Given the various indications that a very low intake of sodium may not be beneficial, or even harmful, it is important to distinguish between recommendations on an individual basis and actions on a population level," she writes.She concludes. "Classic epidemiology argues that a greater net benefit is achieved by the population-wide approach (achieving a small effect in many people) than from targeting high-risk individuals (a large effect but only achieved in a small number of people).

The obvious and evidence-based strategy with respect to preventing cardiovascular disease in individuals is early detection and treatment of hypertension, including lifestyle modifications, while salt-reduction strategies at the societal level will lower population mean blood pressure levels, resulting in fewer people developing hypertension, needing treatment, and becoming sick. Not adding extra salt to food is unlikely to be harmful and could contribute to strategies to lower population blood pressure levels."A strength of Prof. Qi's study is the large number of people included.

It also has some limitations, which include. The possibility that adding salt to food is an indication of an unhealthy lifestyle and lower socio-economic status, although analyses attempted to adjust for this. There was no information on the quantity of salt added.

Adding salt may be related to total energy intake and intertwined with intake of other foods. Participation in UK Biobank is voluntary and therefore the results are not representative of the general population, so further studies are needed to confirm the findings in other populations.Prof. Qi and his colleagues will be carrying out further studies on the relation between adding salt to foods and various chronic diseases such as cardiovascular disease and diabetes.

They also expect potential clinical trials to test the effects of a reduction in adding salt on health outcomes.[1] An example of a typically salty food that also contains vegetables are tacos, which are often filled with beans and vegetables.[2] "Salt -- the sweet spot?. ," by Annika Rosengren. European Heart Journal.

Doi:10.1093/eurheartj/ehac336For centuries, people have been using mindfulness meditation to try to relieve their pain, but neuroscientists have only recently been able to test if and how this actually works. In the latest of these efforts, researchers at University of California San Diego School of Medicine measured the effects of mindfulness on pain perception and brain activity.The study, published July 7, 2022 in PAIN, showed that mindfulness meditation interrupted the communication between brain areas involved in pain sensation and those that produce the sense of self. In the proposed mechanism, pain signals still move from the body to the brain, but the individual does not feel as much ownership over those pain sensations, so their pain and suffering are reduced."One of the central tenets of mindfulness is the principle that you are not your experiences," said senior author Fadel Zeidan, PhD, associate professor of anesthesiology at UC San Diego School of Medicine.

"You train yourself to experience thoughts and sensations without attaching your ego or sense of self to them, and we're now finally seeing how this plays out in the brain during the experience of acute pain."On the first day of the study, 40 participants had their brains scanned while painful heat was applied to their leg. After experiencing a series of these heat stimuli, participants had to rate their average pain levels during the experiment.Participants were then split into two groups. Members of the mindfulness group completed four separate 20-minute mindfulness training sessions.

During these visits, they were instructed to focus on their breath and reduce self-referential processing by first acknowledging their thoughts, sensations and emotions but then letting them go without judging or reacting to them. Members of the control group spent their four sessions listening to an audio book.On the final day of the study, both groups had their brain activity measured again, but participants in the mindfulness group were now instructed to meditate during the painful heat, while the control group rested with their eyes closed. advertisement Researchers found that participants who were actively meditating reported a 32 percent reduction in pain intensity and a 33 percent reduction in pain unpleasantness."We were really excited to confirm that you don't have to be an expert meditator to experience these analgesic effects," said Zeidan.

"This is a really important finding for the millions of people looking for a fast-acting and non-pharmacological treatment for pain."When the team analyzed participants' brain activity during the task, they found that mindfulness-induced pain relief was associated with reduced synchronization between the thalamus (a brain area that relays incoming sensory information to the rest of the brain) and parts of the default mode network (a collection of brain areas most active while a person is mind-wandering or processing their own thoughts and feelings as opposed to the outside world).One of these default mode regions is the precuneus, a brain area involved in fundamental features of self-awareness, and one of the first regions to go offline when a person loses consciousness. Another is the ventromedial prefrontal cortex, which includes several sub regions that work together to process how you relate to or place value on your experiences. The more these areas were decoupled or deactivated, the more pain relief the participant reported."For many people struggling with chronic pain, what often affects their quality of life most is not the pain itself, but the mental suffering and frustration that comes along with it," said Zeidan.

"Their pain becomes a part of who they are as individuals -- something they can't escape -- and this exacerbates their suffering."By relinquishing the self-referential appraisal of pain, mindfulness meditation may provide a new method for pain treatment. Mindfulness meditation is also free and can be practiced anywhere. Still, Zeidan said he hopes trainings can be made even more accessible and integrated into standard outpatient procedures."We feel like we are on the verge of discovering a novel non-opioid-based pain mechanism in which the default mode network plays a critical role in producing analgesia.

We are excited to continue exploring the neurobiology of mindfulness and its clinical potential across various disorders."Co-authors include. Gabriel Riegner, Valeria Oliva and William Mobley at UC San Diego, as well as Grace Posey at Tulane University and Youngkyoo Jung at University of California Davis..