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Out of Town Market Halted in Nimba, Even GB No Longer Swallowed Together

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first_imgNow that there is little doubt about the existence of Ebola as it continues to claim more lives with thousands of confirmed, suspected and probable cases across the sub-region, authorities in Nimba County have halted daily marketing activities that take marketers from one town to the other.It is customary for sellers in rural areas in Liberia to attend market days during the week in designated towns.Marketers board trucks with their goods either in the early morning hours to get to market on time, or leave a day to in advance to sleep in the town in order to sell the next day.With the rapid rise in the Ebola death toll, however, the City Mayor of Sanniquellie, Mary Gonlepah,  last week warned marketers via community radio stations not to go to Sanniquellie market until otherwise ordered.Mayor Gonlepah said it was her personal view that the virus gets transmitted through bodily contact; and the convergence of people in such a manner as “market day” has the propensity to spread the virus exponentially.“This is not to say people should not travel to Sanniquellie or marketing activity is totally stopped.  We do not want marketers sit together on vehicles to come to the Saturday market as had been done in the past until the Ebola crisis subsides,” Mayor Gonlepah explained.At the same time, the City Mayor of Bahn (another town in Nimba), Angie Dopoe,  has stopped the Wednesday market of that municipality, warning that any group going there for marketing purpose will face the consequences.In Saclepea, marketers residing there only go to the daily market, but people, without caution from the city authority, have resolved to stay away from the larger Tuesday market. As Ebola rages, many people are fearful and have taken precautionary measures of their own volition.In fact, marketers there no longer gather in the market building situated along the Ganta highway, but spread outside where wide spaces are provided so that people do not touch one another during transactions.However, out of town marketers in Ganta are not content with the decision by the city mayors although the evidence is clear.According to a footwear seller, who spoke on the local community broadcaster, the decision is hampering them as most of them do not have selling spots in the Ganta Market.The seller, who was later joined by other callers on the radio, claim that the decision by the city mayors is preventing them from conducting their businesses, making it difficult for them to feed their families.  They are, therefore, calling on the Nimba authorities to reconsider their  decisions.Meanwhile, villagers in the county are not taking the Ebola awareness for granted,  now that so many have died due to denial.Reports gathered from local villages indicate that before a stranger or even a citizen of a village who has been away can be accepted back in that village, he/she must undergo a 21-day observation period, a community-instigated quarantine, before being allowed to interact with the community.Nimbaians swallow grinded cassava root (otherwise known as Gaygba or GB) as their second staple food, and they use their hands to dip it into the sauce to swallow.This is done together with other family members or friends and they all use the same sauce to dip their GB (gaekpa or bayekpo), but because of the message that Ebola gets transmitted through bodily contact, this custom is now halted, and each individual is only entitled to his/her own sauce, each eating from his/her own bowl.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)last_img read more

I Am in Your Hands Relationships Can Help or Hinder Growth

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first_imgby, NamarahTweet6Share11ShareEmail17 SharesDr. Bill Thomas’ signature non-fiction theater performance Life’s Most Dangerous Game debuts a concept that Bill calls ‘M.E.S.H.’ This four-pillared guide on how to live a healthy and happy life stands for Move, Eat, Sleep, and Heal.Within each of these mantras Bill gives a revelation on how we can replicate a M.E.S.H. lifestyle. For example, he recommends for the letter ‘E’ we all should partake in ‘convivium,’ which he defines as “eating good food in good company.” Eating, it turns out, is about more than calories and nutrition. You have to nourish your relationships as well as your body. So I wondered, how do you define “good” company?Sure, we all want to hang with people who make us feel great but, there is something intrinsically different between people that are good fun and those that are good for you. On the surface, friends look the same and we might not recognize which good a person has brought to the relationship. I find myself evaluating this distinction more as I grow older. I have always been skilled at making friends and connecting with people, so I found that there was a variety of people within my social circles. Some peers were perfect for hanging out and others held the potential for a deeper connection. That person could have been exactly what I needed; someone who was able to rally with me or take a pause when times were low. Unlike the friends who always were down for a good time, these individuals I considered to be a part of my journey with life, and my journey towards growth.I’d like to ask readers, how often do you reflect on the inevitable changes in your relationship to others? We humans are anything but stagnant. It can take many years to learn that who we allow into our lives affects how we behave and think over time. Let’s explore relationships using rock-climbing as a metaphor:You and your partner are at the local gym training for a sport rock climbing competition. The goal is for both partners to get to the top as quickly as possibly. Consider two scenarios:Scenario One:The two of you climb up the wall on your own paces. You regularly check in with the other and encourage the other to not look down, to keep pushing forward and that it’s okay how sweaty you both are getting. Your friend ends up getting to the top before you and by reaching down and out to you has to pull you up. The momentum is literally dependent on the strength and support of the person who is holding you. It’s tough but you’ve both made it.Scenario Two:You are climbing the same wall and your partner is below you, grappling onto your ankle. They’re focused on the wall, they’re wondering why they even agreed to this in the first place, and they keep asking you what to do next. Where is the energy going? Will you even make it to the top of this rock wall? After all, you’re carrying more than your weight.A close friendship allows another person entirely into our world – this is a truth that I am beginning to understand and observe in my own life: Relationships affect our direction. When we align ourselves with these individuals it is crucial that they are in a growth mindset. Connections become that much more powerful when both members, regardless of place in life, are motivated to push forward in who they are and what they’d like to achieve. Reflect on the above scenarios, both partners were engaged but there was a difference in how the second partner responded to the situation. There was a shift in how each person continued to reach the top. If you want to continue to grow, protect yourself by choosing which relationships you will keep close. That way, when it’s time for the next convivium you know you are, indeed, in the midst of good (for you) company.Related PostsNew Podcast: Life Extension QuackeryBill Thomas and Nate Silas Richardson take on the age old question of mortality as well as a deep dive into caregiver stress when your spouse or partner lives with dementia. They also share a behind-the-scenes look at the latest swing of the Age of Disruption Tour, including how the…Beating BurnoutThe common understanding is that burnout happens when we push too hard for too long. By this definition, the solution is to not push as hard or for as long. Thinking of burnout as avoidable by making the choice to stop pushing so hard for so long puts us in…Elder Wisdom CircleThe Elder Wisdom Circle always makes interesting reading.  Here is a taste… FAMILY: Dad makes fun of my boyfriend around me My main problem is an issue I’m having with my dad. He dislikes my boyfriend to the highest level just because of his skin color which is black. My…Tweet6Share11ShareEmail17 SharesTags: friendship relationshipslast_img read more

CMS policy had insignificant impact on reducing healthcareassociated infections

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first_img Source:https://www.shea-online.org/index.php/journal-news/press-room/press-release-archives/608-cms-policy-to-reduce-hospital-acquired-conditions-had-minimal-impact Jul 2 2018Hospitals may have avoided financial penalties by billing hospital-associated conditions (HAC) as present at the time of the patient’s admission, supporting prior work that showed that a Medicare policy designed to monetarily penalize hospitals for preventable complications had an insignificant impact on reducing healthcare-associated infections. The new research was published today in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America. In addition, the targeted billing codes were rarely used by hospitals, far less than expected based on national estimates; and even when hospitals billed for HACs during a hospitalization, this infrequently affected the diagnosis-related group (DRG) assignment, impacting hospital reimbursement.”With this policy, CMS was hoping to see more attention paid to improving quality care, but it appears that the original HAC policy mostly led to changes in coding practices,” said Michael S. Calderwood, MD, MPH, regional hospital epidemiologist at Dartmouth-Hitchcock Medical Center and lead author of the study. “It’s worth further investigation to determine whether Medicare reimbursement codes are being incorrectly used, or if there is now a greater effort to document conditions at the time of the patient’s admission.”In 2008, the Centers for Medicare & Medicaid Services’ (CMS) Hospital Inpatient Prospective Payment System ceased reimbursement for HACs not present on admission (POA) – putting the cost of infections acquired in a health system on the provider – with the intent to encourage hospitals to adopt or strengthen infection prevention measures. Prior research discovered that this change in policy did not have an impact on rates of HACs – rather, providers were coding these HACs as present on admission.Related StoriesRaw meat can act as reservoir for bacteria associated with hospital infections’Traffic light’ food labels associated with reduction in calories purchased by hospital employeesIt is okay for women with lupus to get pregnant with proper care, says new studyTo understand why this trend was happening, researchers analyzed over 65 million Medicare fee-for-service hospitalizations from 2007 to 2011 in acute care facilities. They specifically looked at documentation for central line-associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) and whether the codes for those HACs were submitted with a POA designation, which are not counted against a hospital as a preventable complication.They found that CLABSI and CAUTI affected 0.23 percent and 0.06 percent of hospitalizations, respectively, and in the three years immediately after the 2008 CMS policy implementation, 82 percent of the CLABSI codes and 91 percent of CAUTI codes were marked as POA – which researchers noted was a significant increase in the use of the present-on-admission designation compared with prior to the CMS HAC Policy.Diagnosis coding for CAUTI and CLABSI that was not present on admission (POA=No) from 2007 to 2011 showed a dramatic decrease. For example, in 2007 hospitals discharged 6,172 patients with a CAUTI diagnosis code, 99.8 percent of whom had a POA=No designation. This compares to 2011 when 6,448 patients were coded as having a CAUTI, only 10.7 percent of whom had the POA=No designation.For discharges that were subject to penalty, there was a financial impact on only 0.4 percent of the hospitalizations with a CLABSI code and 5.7 percent with a CAUTI code. These penalties infrequently impacted hospital reimbursement and the researchers suggest that this is partly to blame for the lack of impact from the policy.last_img read more