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The focus is on eligibility and application procedures for older persons and people with disabilities who need help paying the out-of-pocket http://www.erada.com/generic-cialis-cost/ costs cheap cialis pills for Medicare, and cannot afford services not covered by Medicare such as home care. This series does not include Medicaid eligibility for nursing home care or managed long term care in depth. Links to view the completed webinars and to download the materials FREE are posted in the table below.

CLICK HERE for MORE RECENT WEBINARS since 2016, including cheap cialis pills Lump Sums, the new Lookback 2020-21, etc. CLE. We are unable to offer CLE credit for those viewing the recorded webinars.

TOPICS Medicare Basics - Navigating Costs for Low-Income Beneficiaries Medicaid Overview – different categories of recipients Which “Bucket” or cheap cialis pills Category is client in – MAGI or Non-MAGI?. Who has a choice of category and “mixed” households Who is/is not covered by the Affordable Care Act?. Immigration &.

Residency Criteria How Client Accesses Medicaid Services – Click here to register Learn the different types of Managed Care plans and what services they provide Differences for people with and without Medicare- transitions for new Medicare beneficiaries Differences for people seeking Medicaid home care services Download PowerPoint presentation here View Webinar here Recorded April 27, 2016 Focus on Disabled/Age 65+/ Blind [“DAB”] Medicaid- Part 1 – cheap cialis pills financial eligibility Income &. Resource Rules for this “non-MAGI” category How Income is Budgeted –Singles vs. Couples, Spousal Refusal &.

Spousal Impoverishment Basics of cheap cialis pills Medicaid “Spend-down” and tips for reducing it Special rules for working people with disabilities <. 65 Click here to view the webinar Recorded May 6, 2016 Download the Powerpoint here. Download the DAB Household Size calculator chart here.

Focus on Disabled/Age 65+/ Blind [“DAB”] Medicaid- cheap cialis pills Part 2. Applications and procedures Click here to view the webinar - How and Where to Apply for Medicaid Tips for Requesting “Retroactive” eligibility to cover bills in 3 months preceding application Tips for people how people seeking Managed Long Term Care apply for Medicaid Download the Powerpoint here and the Sample Medicaid application here Recorded May 6, 2016 Medicare and Medicaid for People Age 65, Blind or Disabled and Access to Long Term Care) Services in the Community Click here to view the webinar Brief 1-hour overview Recorded July 6, 2016 Pooled Trusts and Medicaid in NYS Conducted by David Silva, former Asst. Director, Evelyn Frank Legal Resources Program Recorded July 16, 2013 (not part of the Borchard series) Download info on pooled trusts here WEBINARS &.

FACT SHEETS - Since 2016 Fact Sheets and Webinars on Managed Long Term Care and FIDA LUMP SUMS -- Using cheap cialis pills SNTs to Protect Medicaid and Other Strategies when Receiving A Lump Sum - View recordings of Parts 1 and 2 Nov. 2019 Part 1 • Basics – What is a Supplemental Needs Trust. Types of SNTs (pooled trusts vs.

Individual trusts, 3rd party trusts cheap cialis pills vs. Self-settled trusts) • Using SNTs to eliminate the Medicaid Spend-down – Basics of Pooled Income Trusts (NOT a detailed explanation of all of the steps to get trust approved by Medicaid - for more on that see this Step by Step guide • What expenses may be paid by an SNT?. Different rules for Medicaid, SSI, and other benefits • ABLE accounts – how are they different than SNTs?.

Part 2 -- Options when you receive cheap cialis pills a Lump Sum vary with different benefits. Learn rules on impact of “transferring” the lump sum, spending it or depositing it into an SNT for. €¢ MEDICAID – differences between “MAGI” and “Non-MAGI” Medicaid • SSI • Veteran’s Benefits (new penalties on transfers of assets since 10/2018) • SNAP/Food Stamps • Housing Subsidies (Section 8) Lookback and Home Care Changes Enacted in 2020 Budget NYLAG Evelyn Frank program conducted a webinar on September 9, 2020.

Please note that the webinar says the lookback will start Jan. 1, 2021. That has since changed to April 1, 2021.

NYLAG Is Grateful to the Borchard Foundation Center on Law &. Aging for Support for the 2016 ProgramSince 2010, the New York State Department of Health Medicaid application form is called the Access NY Application or form DOH-4220. Download the form at this link (As of January 2021, the form was last updated in March 2015).

For those age 65+ or who are disabled or blind, a second form is also required - Supplement A - As of Jan. 2021 the same Supplement A form is used statewide - DOH-5178A (English). NYC applicants should no longer use DOH-4220.

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A new American Medical Association study finds highly concentrated health insurance markets have grown even more so over the past five cost of cialis 5mg years, a trend the trade group said can harm consumers and providers alike. Health insurance markets were highly concentrated in 74% of the country's metropolitan statistical areas in 2019, up from 71% in 2014. More than half cost of cialis 5mg of markets experienced upticks in health insurer consolidation during that time, according to the report, the 19th edition of the AMA's research on the subject.

"For many of the 70 million Americans who live in highly concentrated health insurance markets, a lack of competition is a problem that keeps getting worse as consumers have more limited health insurance options to choose," AMA President Dr. Susan Bailey said in a statement. The report used a measure cost of cialis 5mg called the Herfindahl-Hirschman Index to determine market concentration.

An HHI of greater than 2,500 indicates a highly concentrated market. Out of all 384 MSAs in 50 states cost of cialis 5mg plus Washington, D.C., the report found the average market HHI was highly concentrated, at 3,473. The median HHI was 3,176.

Between 2014 and 2019, the report found an average HHI increase of 151 points. Seventeen percent of markets experienced HHI increases of cost of cialis 5mg at least 500 points. Of markets that were not highly concentrated in 2014, one-quarter experienced HHI upticks large enough to deem them highly concentrated by 2019.

The study cost of cialis 5mg broke down its results by the type of insurance product, including health insurance exchanges created by the Affordable Care Act. Leemore Dafny, a Harvard Business School professor of business administration, said those findings square with those in her own research finding less competition in health insurance marketplaces, which are subsidized by the federal government. The average HHI in the exchanges was 6,623, and 99% of them are considered highly concentrated, according to the report."The exchange markets look especially concentrated," Dafny said, "and when they're less competitive, premiums go up." The AMA did not comment beyond its report, which encouraged a dialogue among regulators, policymakers, lawmakers and others about the need for a "better, more open and competitive marketplace." "These markets are ripe for the exercise of health insurer market power, which harms consumers and providers of care," the report said.

"Our findings should prompt federal and state antitrust authorities to vigorously examine the competitive effects of proposed mergers between health insurers." The report said that 57% of physicians providing patient care are cost of cialis 5mg in practices with 10 or fewer physicians. Under antitrust law, independent physicians can't negotiate collectively with insurers, an imbalance that leaves most physicians with weak bargaining positions relative to commercial insurers, the report said. The report cited Elizabethtown-Fort Knox, cost of cialis 5mg Ky.

As an example of an already highly concentrated market that has gotten even more concentrated over the past five years. In 2014, the market had an HHI of 3,534. By 2019, cost of cialis 5mg that had grown to 5,159.

That's because Anthem's market share went from 45% to 70% in that time. Anthem did not cost of cialis 5mg return a request for comment. The report pointed out that health insurance mergers went largely unchallenged before the proposed 2007 merger of Independence Blue Cross and Highmark.

That deal was ultimately called off because the Pennsylvania Insurance Department added a condition that one of them drop its Blues brand. Three years cost of cialis 5mg later, Blue Cross and Blue Shield of Michigan called off its acquisition of Physicians Health Plan of Mid-Michigan after the Department of Justice said it would sue to block it. In 2015, Anthem attempted to acquire Cigna and Aetna sought to acquire Humana.

Both deals were ultimately cost of cialis 5mg abandoned after lawsuits from the DOJ and multiple attorneys general. America's Health Insurance Plans, a prominent industry trade group, did not respond to a request for comment on the report. AHIP has for years highlighted reports on rising healthcare costs that result from vertical provider consolidation.

The AMA report focused on insurers, but Dafny said providers aren't off the hook for their role in driving cost of cialis 5mg up healthcare costs. "Provider prices are high and climbing," she said. "There is finger pointing going on in both directions and I feel like the consumers end up being the losers because both provider prices and premiums are going.".

A new American Medical Association study finds highly concentrated health insurance markets have grown even more so over the past five years, a trend the trade group said can harm consumers cheap cialis pills and http://www.wordsandbones.uni-tuebingen.de/symposium2016/?page_id=55 providers alike. Health insurance markets were highly concentrated in 74% of the country's metropolitan statistical areas in 2019, up from 71% in 2014. More than half of markets experienced upticks in health insurer consolidation during that time, according to the report, the 19th edition of the AMA's research cheap cialis pills on the subject. "For many of the 70 million Americans who live in highly concentrated health insurance markets, a lack of competition is a problem that keeps getting worse as consumers have more limited health insurance options to choose," AMA President Dr. Susan Bailey said in a statement.

The report used a measure cheap cialis pills called the Herfindahl-Hirschman Index to determine market concentration. An HHI of greater than 2,500 indicates a highly concentrated market. Out of all 384 MSAs in 50 states plus Washington, D.C., the report found the average market HHI was highly concentrated, at 3,473 cheap cialis pills. The median HHI was 3,176. Between 2014 and 2019, the report found an average HHI increase of 151 points.

Seventeen percent of markets experienced cheap cialis pills HHI increases of at least 500 points. Of markets that were not highly concentrated in 2014, one-quarter experienced HHI upticks large enough to deem them highly concentrated by 2019. The study broke down its results by the cheap cialis pills type of insurance product, including health insurance exchanges created by the Affordable Care Act. Leemore Dafny, a Harvard Business School professor of business administration, said those findings square with those in her own research finding less competition in health insurance marketplaces, which are subsidized by the federal government. The average HHI in the exchanges was 6,623, and 99% of them are considered highly concentrated, according to the report."The exchange markets look especially concentrated," Dafny said, "and when they're less competitive, premiums go up." The AMA did not comment beyond its report, which encouraged a dialogue among regulators, policymakers, lawmakers and others about the need for a "better, more open and competitive marketplace." "These markets are ripe for the exercise of health insurer market power, which harms consumers and providers of care," the report said.

"Our findings should prompt federal and state antitrust authorities to vigorously examine the competitive effects of proposed mergers between health insurers." The report said that 57% of physicians providing patient care are in practices with 10 or cheap cialis pills fewer physicians. Under antitrust law, independent physicians can't negotiate collectively with insurers, an imbalance that leaves most physicians with weak bargaining cialis online visa positions relative to commercial insurers, the report said. The report cheap cialis pills cited Elizabethtown-Fort Knox, Ky. As an example of an already highly concentrated market that has gotten even more concentrated over the past five years. In 2014, the market had an HHI of 3,534.

By 2019, that had cheap cialis pills grown to 5,159. That's because Anthem's market share went from 45% to 70% in that time. Anthem did not return a request for comment cheap cialis pills. The report pointed out that health insurance mergers went largely unchallenged before the proposed 2007 merger of Independence Blue Cross and Highmark. That deal was ultimately called off because the Pennsylvania Insurance Department added a condition that one of them drop its Blues brand.

Three years later, Blue Cross and Blue Shield of Michigan called off its acquisition cheap cialis pills of Physicians Health Plan of Mid-Michigan after the Department of Justice said it would sue to block it. In 2015, Anthem attempted to acquire Cigna and Aetna sought to acquire Humana. Both deals were ultimately abandoned after cheap cialis pills lawsuits from the DOJ and multiple attorneys general. America's Health Insurance Plans, a prominent industry trade group, did not respond to a request for comment on the report. AHIP has for years highlighted reports on rising healthcare costs that result from vertical provider consolidation.

The AMA cheap cialis pills report focused on insurers, but Dafny said providers aren't off the hook for their role in driving up healthcare costs. "Provider prices are high and climbing," she said. "There is finger pointing going on in both directions and I feel like the consumers end up being the losers because both provider prices and premiums are going.".

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Latest erectile dysfunction News By Alan Mozes HealthDay ReporterWEDNESDAY, Nov how to get cialis without prescription. 18, 2020 (HealthDay News)Patients who survive severe erectile dysfunction treatment how to get cialis without prescription after being hospitalized are not necessarily home-free upon discharge, new research warns.After tracking outcomes among 1,250 erectile dysfunction treatment patients for two months after being released from the hospital, investigators found that nearly 7% ultimately died in the weeks following their release, while 15% ended up being readmitted to the hospital. Many others said they continued to struggle with symptoms and were unable to resume their usual lifestyle or return to work."erectile dysfunction treatment is not a 'one-and-done' disease," said study author Dr. Vineet Chopra, chief of how to get cialis without prescription the division of hospital medicine with Michigan Medicine at the University of Michigan in Ann Arbor. "Rather, there are many complications and consequences that patients continued to struggle with," he said."Our findings suggest that we need to approach post-hospitalization erectile dysfunction treatment care differently," Chopra said.

"Yes, there how to get cialis without prescription are medical needs. But there are also more pressing needs in terms how to get cialis without prescription of mental well-being, financial and emotional stress, being able to regain independence, [and] return to work. We need policy and programmatic approaches to help with these issues."Among an initial pool of about 1,650 seriously ill erectile dysfunction treatment patients, nearly one-quarter died while undergoing treatment in 38 hospitals across the United States. Investigators focused on the remaining 75% who were discharged at some point between March and July 2020.On average, released patients were 62 years of age how to get cialis without prescription. A little more than half were Black and just over one-third were white.

While hospitalized, about 13% had spent how to get cialis without prescription part of their time in the intensive care unit (ICU), 6% had been on a ventilator and 70% had been treated with supplemental oxygen.Nearly 500 patients participated in a follow-up phone survey 60 days out. By that point, nearly one-third said they experienced persistent symptoms. Nearly one in five said they experienced new or worse how to get cialis without prescription symptoms after release. And about how to get cialis without prescription 40% were unable to resume their normal routines. Only about one-quarter said they had been able to return to work, according to the report.Roughly half said their poor health had a mild or moderate effect on their emotional state of mind.

And about half said erectile dysfunction treatment had taken a mild or moderate hit on their finances, with about 10% saying they had used up all or most of their savings."In general, we know very little about what happens to patients following discharge from the hospital," Chopra acknowledged."I think we were also surprised to hear of how much of a how to get cialis without prescription struggle life after erectile dysfunction treatment has been for many of the survivors," he noted. And while acknowledging that some of that struggle might be shared with survivors of other serious illnesses, Chopra stressed the unique challenges erectile dysfunction treatment survivors face."Unlike other serious illness when you have support from family, many post-erectile dysfunction treatment patients found themselves alone, isolated [or] quarantined, experiencing stigma and challenges accessing health care again," Chopra said. "This is especially true for the vast majority of patients we saw from inner-city areas who were often how to get cialis without prescription economically disadvantaged to begin with."The findings were published online Nov. 11 in how to get cialis without prescription the Annals of Internal Medicine.Dr. Colin Franz, a physician/scientist with the Shirley Ryan AbilityLab in Chicago, said the finding that stands out for him is that even two months after being released from the hospital many of the patients remained unable to return to work.Franz pointed to a number of likely reasons why, including "persistent fatigue, 'brain fog,' as well as neuromuscular problems stemming from nerve and muscle damage." Though not part of this study, Franz's own research has further identified a risk for enduring peripheral nerve and muscle damage that is higher than what's typically seen among patients coming out of the ICU following other types of illnesses.The upshot, he said, is that there is an "extreme risk of persistent disability for survivors of erectile dysfunction treatment who required hospitalization."Franz noted that some of that disability may ultimately be linked to the risks associated with being hospitalized and undergoing treatment for any serious illness.

"For example, patients who spend a long time on a how to get cialis without prescription ventilator for reasons other than erectile dysfunction treatment tend to be very debilitated afterwards," he said. Figuring out which lingering health issues are directly attributable to the erectile dysfunction will take more investigation, he added.More informationThere's more on erectile dysfunction treatment at the U.S. Centers for Disease Control how to get cialis without prescription and Prevention.SOURCES. Vineet Chopra, MD, MSc, associate professor, medicine, and chief, division of hospital medicine, Michigan Medicine, University of Michigan, Ann Arbor. Colin Franz, how to get cialis without prescription MD, PhD, physician/scientist, Shirley Ryan AbilityLab, Chicago, and assistant professor, physical medicine &.

Rehabilitation and neurology, Northwestern University's Feinberg School how to get cialis without prescription of Medicine, Chicago. Annals of Internal Medicine, Nov. 11, 2020, onlineCopyright © how to get cialis without prescription 2020 HealthDay. All rights reserved. SLIDESHOW 17 Everyday how to get cialis without prescription Ways to Ease Depression See SlideshowLatest erectile dysfunction News WEDNESDAY, Nov.

18, 2020 (American Heart Association News)Dr. Anthony Fauci how to get cialis without prescription stuck to the science in recapping the story of erectile dysfunction treatment, noting that while the disease has hit the U.S. Hard masks and physical distancing could help – and that treatments are on the way.Fauci, director of the National Institute of Allergy and Infectious Diseases and dubbed "America's doctor" by The New Yorker earlier this year, spoke in a pre-recorded address streamed Tuesday at the American Heart Association's virtual Scientific Sessions.Calling the disease "a global cialis of historic proportions, the likes of which we have not seen in the last 102 years," he looked at what fueled the spread of the how to get cialis without prescription erectile dysfunction, spelled out who's at risk and expressed optimism about the future of treatments.According to the Johns Hopkins erectile dysfunction Resource Center, total U.S. Cases have topped 11.3 million and deaths have surpassed 248,000. Globally, more than 1.3 million people have died."In the how to get cialis without prescription United States, we have been hit the hardest of any other country," Fauci said.He used data from the U.S.

And Europe to show how the spread of the cialis slows when people stay home. Over the late spring and summer, the average number of new cases in Europe fell significantly and how to get cialis without prescription stayed relatively flat until recently.U.S. Cases began a resurgence in June "due how to get cialis without prescription to the attempts to so-call reopen the economy, or reopen the country," he said, but the openings didn't all adhere in the same degree to the guidelines that were released. "Different states did it differently."He cited data showing that Americans never stayed home as much as people in Italy and Spain did."Why did we in the United States not go back down to a low baseline after our initial peak?. " he how to get cialis without prescription asked.

"If you look at the degree to which we actually shut down or locked down, there was significant difference between the European Union and the United States."In terms of who is most affected by the disease, he said that in the U.S., racial and ethnic disparities are "really quite serious." And he noted chronic heart conditions and other underlying medical problems are related to severe cases of the disease.There's more to learn, Fauci said, noting reports of possible heart inflammation in people who have recovered."This needs to be repeated in other labs and followed up," he said. "But if it is true, it's something we need long-term follow up (on)."He was optimistic about the six companies developing and distributing treatments as how to get cialis without prescription part of Operation Warp Speed. Drugmaker Pfizer announced promising data on the effectiveness of its treatment last week. Moderna followed with its own results on Monday."The other companies are also not far behind," he said how to get cialis without prescription. "We now look at this with cautious optimism that by the end of this calendar year and well how to get cialis without prescription into 2021, we will be administering doses, first to the highest priority, and then ultimately to virtually everybody in the United States as we get into – several months into – 2021."Meanwhile, widely publicized measures can help stop the spread of the cialis, he said."One is the universal wearing of masks or cloth coverings.

The other is maintaining physical distances – at least six feet." People should also avoid crowds, particularly indoors. Conduct activities how to get cialis without prescription outdoors if possible. And frequently wash their hands."If those five public health measures were adhered to universally and consistently over the country," Fauci said, "it is clear from my previous experience with other nations and even regions in our own country, we would not be having the degree of surging of cases that we are currently seeing."American Heart Association News covers heart and brain health. Not all views expressed in this how to get cialis without prescription story reflect the official position of the American Heart Association. Copyright is owned or held by the American Heart Association, Inc., and all rights are reserved.

If you have questions or comments about this story, please email [email protected]By Michael MerschelAmerican Heart Association how to get cialis without prescription NewsCopyright © 2020 HealthDay. All rights reserved how to get cialis without prescription. IMAGES Heart Illustration Browse through our medical image collection to see illustrations of human anatomy and physiology See ImagesLatest Heart News WEDNESDAY, Nov. 18, 2020 (American Heart Association News)For people who have heart disease, getting a flu shot greatly reduces the risk of dying how to get cialis without prescription or developing serious heart-related complications, a new analysis shows.The meta-analysis of 16 randomized and observational studies covered the experiences of more than 237,000 people. It concluded those with heart disease who were vaccinated for the flu were 18% less likely to die from heart problems and 28% less likely to die from any cause.

They also were 13% less likely to experience any type of major heart problem than those who didn't get a flu shot."Compare that to beta blockers how to get cialis without prescription and ACE inhibitors, which are used to control high blood pressure. They reduce mortality by 20-25%," said lead how to get cialis without prescription investigator Dr. Siva Yedlapati, an internist with Erie County Medical Center in Buffalo, New York. "This is totally compatible how to get cialis without prescription with that number, and it's just one shot per year, compared to taking medications every single day for the whole year. This is a huge benefit."While analyzing the studies, Yedlapati said he also was surprised to learn that cardiologists often are least likely of all medical professionals to make the flu shot available to patients.

"The flu treatment how to get cialis without prescription is very beneficial to heart patients, and if cardiologists are least likely to stock it, that's a huge gap."The study, which is considered preliminary until published in a peer-reviewed journal, was presented last week at the virtual Scientific Sessions conference held by the American Heart Association.The Centers for Disease Control and Prevention recommends everyone over the age of 6 months be vaccinated for the flu. It is especially important for adults 65 and older, who make up the vast majority of flu-related hospitalizations and deaths. Research shows half of all adults hospitalized for the flu have heart disease, and the risk of having a first heart attack is six times higher following a flu .And a standard-dose vaccination appears to be just as effective as a high-dose flu shot in people with heart disease, according to separate research how to get cialis without prescription presented at the scientific conference. That study found neither treatment dose was more effective than the other at reducing the risk of death or hospitalizations how to get cialis without prescription for heart- or lung-related illness. That research was funded by the National Heart, Lung, and Blood Institute, with additional funding by treatment maker Sanofi-Pasteur, which was not involved in the design, conduct or interpretation of results.Despite the potential benefits, less than half of U.S.

Adults get how to get cialis without prescription the flu treatment. "That is a very small number," Yedlapati said. "Clinicians should how to get cialis without prescription strongly advocate for their patients to get the flu treatment. I'm hoping this paper will reinforce that."While the new analysis does not add to what we already know, "it does tell us that we can have more assurance of the robustness of these findings," said Donna Arnett, dean of the University of Kentucky College of Public Health and a past president of the AHA.Arnett, who was not involved in the study, said getting a flu shot was even more important this year because of the cialis. "We still don't know the how to get cialis without prescription full extent of the erectile dysfunction treatment-related impact on the heart," she said, a question researchers are still exploring.What we do know, Arnett said, is both can damage heart and respiratory health, and the flu treatment can mitigate at least some of that risk.

"Even if how to get cialis without prescription you still get the flu, you have a less intense disease burden if you've had the treatment."American Heart Association News covers heart and brain health. Not all views expressed in this story reflect the official position of the American Heart Association. Copyright is owned or held by the American how to get cialis without prescription Heart Association, Inc., and all rights are reserved. If you have questions or comments about this story, please email [email protected]By Laura WilliamsonAmerican Heart Association NewsCopyright © 2020 HealthDay. All rights how to get cialis without prescription reserved.

IMAGES Heart Illustration Browse through our medical image collection to see how to get cialis without prescription illustrations of human anatomy and physiology See ImagesLatest Prevention &. Wellness News By Dennis Thompson HealthDay ReporterTHURSDAY, Nov. 19, 2020 (HealthDay News)Restaurants are under increasing pressure to provide a safe dining environment as winter approaches and the United States enters what could be the worst wave yet of the erectile dysfunction treatment cialis.Some how to get cialis without prescription eateries are attempting to extend outdoor dining into the colder winter months, setting up heated tents that might allow patrons to enjoy a meal without fear of contracting the erectile dysfunction. Others are beefing up control measures for their indoor spaces, with better air filtration and improved ventilation.But infectious disease experts are skeptical that dining out can be made safe during a winter erectile dysfunction treatment surge without either ruining the experience for patrons or undermining the economics for the business owner."The fact is that anything that's done between walls indoors is high-risk, no matter how you slice it, no matter how you tent it," said Dr. Peter Katona, chair of the Control Working Group at the UCLA Schools of Medicine and Public Health.But indoor protective measures, which include mask wearing and social distancing between tables, have earned a solid track record keeping patrons safe during the cialis, said Larry Lynch, the National Restaurant Association's senior vice president for science and industry."We can't find any evidence of systemic outbreaks coming from these restaurants that do follow the guidance, that are making sure their employees all wear face coverings, that their customers are wearing face coverings until they eat," Lynch said how to get cialis without prescription.

"When we look at those restaurants that are doing it right, we aren't seeing the outbreaks taking place there."However, the very nature of dining out makes it a risky proposition from an control perspective, said Joseph Allen, director of the Healthy Buildings Program at the Harvard T.H. Chan School of Public Health in Boston."Restaurants and bars present the obvious problem that we lose one major and important control, and that is masks," how to get cialis without prescription Allen said. "During the act of eating and drinking, people aren't wearing their masks, so we lose source control."Taking a huge financial beatingRestaurants have been under severe economic strain since the start of the cialis.The food service industry is on track to lose $240 billion in revenue this year, according how to get cialis without prescription to the National Restaurant Association, and staffing remains more than 2 million jobs below pre-cialis levels. Two out of 5 restaurant operators think they'll be out of business by February without additional federal stimulus, a September survey found.Restaurants survived through the summer in part by providing outdoor dining areas, where the risk of is much lower."You've got a concentration of viral particles indoors. Outdoors it tends how to get cialis without prescription to dissipate more," Katona said.

"Little air currents take the particles away. UV light probably kills the bug, to some degree."Now restaurants are looking at enclosing those outdoor areas in heated tents, which would be a how to get cialis without prescription bad move, Allen said."That is no different than indoor dining," Allen said. "In fact it's worse because it gives the false sense that it's safe, and it's probably not even meeting the minimum ventilation rate because it hasn't been inspected or designed to code."Lynch agrees."The irony of it is, you've just taken the indoor experience and moved it outdoors, and you contained it more and continued to add more risk than keeping it indoors with higher ceilings and better circulation with the HVAC [heating, ventilation and air conditioning] systems," Lynch said.An outdoor dining area tented on three sides with one wall left open would "get pretty good air exchange," Allen said, but "it's probably a little colder in there."The best bet would be to provide individual tents for each how to get cialis without prescription outdoor table, so that groups quarantined together could be kept separate from all other diners, Allen said."If you have separate pods, then at least then my family might be separated from your family," Allen said. "But if people are getting together with five or six friends they don't normally see, that's a risk."Tented outdoor areas also could be made safer through the use of portable air filters, Lynch added."We've suggested if you're going down that path you've got to have at the very least portable air circulation units," Lynch continued. "The good news is they are coming out with units now that are relatively inexpensive that include not only the higher-level filters but also UV light built in."Controlling the indoor environmentAs far as indoor dining, there are many environmental controls available that could reduce risk of transmission, said Oscar Alleyne, chief of programs and services for the National Association of County and City Health Officials.Restaurants can increase the rate of ventilation in their how to get cialis without prescription buildings and install high-quality air filters that can filter cialises out of HVAC-circulated air, Alleyne said.

QUESTION Bowel regularity means a bowel movement every day. See Answer They also can invest in supplemental portable air cleaners with HEPA filters, cut down on occupancy, increase space between tables and strictly enforce social distancing, he said."If there's an intense approach on addressing environmental controls, that in and of itself would make things safer," Alleyne said.Stepped-up environmental controls also won't break the how to get cialis without prescription bank, Allen added."Upgrading the filters costs a couple extra dollars. A good portable cleaner with a HEPA filter could be a couple hundred dollars," Allen said. "I'm not talking about million-dollar fixes."However, reducing the restaurant's level of occupancy to acceptable levels will severely challenge its profitability, Allen said."If you got to the how to get cialis without prescription level of de-densification that would be necessary to lower risk, I don't know if that is economically viable for a restaurant," Allen said.Restaurants have been making financial changes to deal with lower capacity, Lynch said. They've tightened their menus to reduce food waste, and have held off bringing back staff laid off during the first lockdown.The industry continues to look for new ways to make indoor dining safer, Lynch said.For example, the National how to get cialis without prescription Restaurant Association is working with a leading HVAC association about ways to further improve ventilation and air filtration in buildings, Lynch said.

One idea being explored is retrofitting cialis-killing UV light filters into a building's existing HVAC system, so that air is further sanitized as it is circulated.But even if all of these measures are successfully undertaken, the human element remains a significant impediment to safety, Allen said."The risk levels are many in a restaurant," Allen said. "It's not just that people aren't wearing masks at how to get cialis without prescription their tables. It's volume and loud talking, which increases emission rates. It's alcohol consumption, which how to get cialis without prescription lowers inhibition. It's mixing of multiple groups at tables, if you go out with friends you're not normally quarantined with."It's not as simple as saying just ventilation or just masking.

It's all of these, and that's what makes it such a challenge," Allen concluded.More InformationThe Cleveland Clinic has more on dining out how to get cialis without prescription during the cialis.SOURCES. Peter Katona, MD, how to get cialis without prescription chair, Control Working Group, UCLA Schools of Medicine and Public Health. Joseph Allen, DSc, MPH, director, Healthy Buildings Program, Harvard T.H. Chan School of how to get cialis without prescription Public Health. E.

Oscar Alleyne, DrPH, MPH, chief, programs and services, National Association of how to get cialis without prescription County and City Health Officials. Larry Lynch, senior vice president, science and industry, National how to get cialis without prescription Restaurant AssociationCopyright © 2020 HealthDay. All rights reserved. From Infectious Disease how to get cialis without prescription Resources Featured Centers Health Solutions From Our SponsorsLatest Alzheimer's News By Cara Murez HealthDay ReporterTHURSDAY, Nov. 19, 2020 (HealthDay News)Pollutants in the air -- fine particulates that are 30 times smaller than the width of a strand of hair -- may be damaging older women's brains.In a new study, researchers linked breathing in high levels of this polluted air to shrinkage in areas of the brain that are vulnerable to Alzheimer's disease."Fine-particle pollution is kind of like a cocktail.

There are a lot of different things involved," said study lead author Diana how to get cialis without prescription Younan, senior research associate at the University of Southern California. "It could come from, of course, traffic, but it could also come from fires, from dust, from power plants, from agricultural work."The researchers studied more than 700 women in their 70s and 80s who did not already have dementia, using data from the Women's Health Initiative Memory Study. The women had brain how to get cialis without prescription scans at the beginning of the study and about five years later. They also provided medical histories and answered a range of demographic and health questions.Older women who were exposed how to get cialis without prescription to higher levels of tiny particulates of air pollution had a greater amount of brain shrinkage over five years, according to the study."It could be that the pollution itself is getting into the brain. €¦ These are tiny, tiny particles.

They're 30 times smaller than [the width of] how to get cialis without prescription a strand of hair. You can't see them, but we might be actually inhaling them through the nose and they're getting into the brain and destroying connections in the brain or the neurons in the brain," Younan suggested."It could also be that it's having a secondary reaction where we're inhaling them into our lungs and then that's triggering an inflammatory response," she added.Dr. Thomas Wisniewski is director of the NYU Langone Alzheimer's Disease Research Center."It's clear that this how to get cialis without prescription is an important environmental risk factor and it's another good reason for trying to clean up the environment," he said."Dementia is the most expensive thing in health care now globally, as the global population ages. If you have an identified risk mitigation factor, then it really behooves society to address the problem to help reduce this health care crisis," said Wisniewski, who wasn't involved with the study.Younan and her colleagues relied on a machine learning tool trained to identify patterns of brain shrinkage specific to Alzheimer's risk. They used the women's addresses to determine average exposure to pollution in the three years prior to how to get cialis without prescription the initial scan.

And they divided participants into four groups according to their levels of exposure to fine-particle pollutants.The researchers scored participants' MRI scans based on how similar they were to Alzheimer's disease patterns.Scores ranged from 0 to 1, how to get cialis without prescription with higher scores showing more brain changes. Overall, the women's scores changed from .28 to .44 after five years. For each additional 3 micrograms of fine-particle pollution per cubic meter of air, researchers found an average score increase of .03, showing a greater extent how to get cialis without prescription of brain shrinkage. This was equivalent to a 24% increased risk of Alzheimer's disease.The study can't prove a direct cause-and-effect relationship. Still, people who live in metropolitan areas may be more how to get cialis without prescription at risk, Younan said.She also noted that some of the exposure levels included in the research were below current U.S.

Environmental Protection Agency standards for what's safe."That could have some public health implications and maybe even suggest that the current levels might still be too high," Younan said.You can help mitigate some of the risks by paying attention to air quality numbers, working out indoors when the air quality is bad, keeping car vents closed and filtering out air pollution through air conditioning systems at home, Younan how to get cialis without prescription said.Wisniewski said you also can influence your own brain health through healthy habits. This includes regular exercise and a Mediterranean diet full of grains, nuts, fruits and vegetables. Also important are good sleep, activities that keep the brain active and treating any blood pressure, cholesterol or glucose issues. QUESTION One of the first symptoms of Alzheimer's disease is __________________. See Answer "For the common, late-onset form of Alzheimer's disease, lifestyle and environmental things play a very substantial role.

These factors have an interplay with one's genetic background, but the lifestyle things can make a key effect as to what age you present with symptoms," Wisniewski said.The findings were published Nov. 18 in the online issue of Neurology.More informationThe Alzheimer's Association offers more on reducing your risks for dementia.SOURCES. Diana Younan, PhD, MPH, senior research associate, University of Southern California, Los Angeles. Thomas Wisniewski, MD, professor, neurology, pathology and psychiatry, New York University School of Medicine, and director, NYU Langone Alzheimer's Disease Research Center, New York City. Neurology, Nov.

18, 2020, onlineCopyright © 2020 HealthDay. All rights reserved. From Healthy Resources Featured Centers Health Solutions From Our Sponsors.

Latest erectile dysfunction News By Alan Mozes HealthDay ReporterWEDNESDAY, Nov cheap cialis pills. 18, 2020 (HealthDay News)Patients who survive severe erectile dysfunction treatment after being hospitalized are not necessarily home-free upon discharge, new research warns.After cheap cialis pills tracking outcomes among 1,250 erectile dysfunction treatment patients for two months after being released from the hospital, investigators found that nearly 7% ultimately died in the weeks following their release, while 15% ended up being readmitted to the hospital. Many others said they continued to struggle with symptoms and were unable to resume their usual lifestyle or return to work."erectile dysfunction treatment is not a 'one-and-done' disease," said study author Dr.

Vineet Chopra, cheap cialis pills chief of the division of hospital medicine with Michigan Medicine at the University of Michigan in Ann Arbor. "Rather, there are many complications and consequences that patients continued to struggle with," he said."Our findings suggest that we need to approach post-hospitalization erectile dysfunction treatment care differently," Chopra said. "Yes, there cheap cialis pills are medical needs.

But there are also more pressing needs in terms of mental well-being, financial and emotional cheap cialis pills stress, being able to regain independence, [and] return to work. We need policy and programmatic approaches to help with these issues."Among an initial pool of about 1,650 seriously ill erectile dysfunction treatment patients, nearly one-quarter died while undergoing treatment in 38 hospitals across the United States. Investigators focused on the remaining 75% who were discharged at some point between March and July 2020.On average, released patients were 62 years cheap cialis pills of age.

A little more than half were Black and just over one-third were white. While hospitalized, about 13% had spent part of their time in the intensive care unit (ICU), 6% had been on a ventilator and 70% had been treated with supplemental oxygen.Nearly 500 patients cheap cialis pills participated in a follow-up phone survey 60 days out. By that point, nearly one-third said they experienced persistent symptoms.

Nearly one in five said they experienced new cheap cialis pills or worse symptoms after release. And about cheap cialis pills 40% were unable to resume their normal routines. Only about one-quarter said they had been able to return to work, according to the report.Roughly half said their poor health had a mild or moderate effect on their emotional state of mind.

And about half said erectile dysfunction treatment had taken a mild or moderate hit on their finances, with about 10% saying they had used up all or most of their savings."In general, we know very little about what happens to patients following discharge from the hospital," Chopra acknowledged."I think we were also surprised to hear of how much cheap cialis pills of a struggle life after erectile dysfunction treatment has been for many of the survivors," he noted. And while acknowledging that some of that struggle might be shared with survivors of other serious illnesses, Chopra stressed the unique challenges erectile dysfunction treatment survivors face."Unlike other serious illness when you have support from family, many post-erectile dysfunction treatment patients found themselves alone, isolated [or] quarantined, experiencing stigma and challenges accessing health care again," Chopra said. "This is especially cheap cialis pills true for the vast majority of patients we saw from inner-city areas who were often economically disadvantaged to begin with."The findings were published online Nov.

11 in the Annals of Internal Medicine.Dr cheap cialis pills. Colin Franz, a physician/scientist with the Shirley Ryan AbilityLab in Chicago, said the finding that stands out for him is that even two months after being released from the hospital many of the patients remained unable to return to work.Franz pointed to a number of likely reasons why, including "persistent fatigue, 'brain fog,' as well as neuromuscular problems stemming from nerve and muscle damage." Though not part of this study, Franz's own research has further identified a risk for enduring peripheral nerve and muscle damage that is higher than what's typically seen among patients coming out of the ICU following other types of illnesses.The upshot, he said, is that there is an "extreme risk of persistent disability for survivors of erectile dysfunction treatment who required hospitalization."Franz noted that some of that disability may ultimately be linked to the risks associated with being hospitalized and undergoing treatment for any serious illness. "For example, patients who spend cheap cialis pills a long time on a ventilator for reasons other than erectile dysfunction treatment tend to be very debilitated afterwards," he said.

Figuring out which lingering health issues are directly attributable to the erectile dysfunction will take more investigation, he added.More informationThere's more on erectile dysfunction treatment at the U.S. Centers for cheap cialis pills Disease Control and Prevention.SOURCES. Vineet Chopra, MD, MSc, associate professor, medicine, and chief, division of hospital medicine, Michigan Medicine, University of Michigan, Ann Arbor.

Colin Franz, MD, PhD, physician/scientist, Shirley Ryan cheap cialis pills AbilityLab, Chicago, and assistant professor, physical medicine &. Rehabilitation and neurology, Northwestern University's cheap cialis pills Feinberg School of Medicine, Chicago. Annals of Internal Medicine, Nov.

11, 2020, onlineCopyright © 2020 cheap cialis pills HealthDay. All rights reserved. SLIDESHOW 17 Everyday cheap cialis pills Ways to Ease Depression See SlideshowLatest erectile dysfunction News WEDNESDAY, Nov.

18, 2020 (American Heart Association News)Dr. Anthony Fauci stuck to the science in recapping the story cheap cialis pills of erectile dysfunction treatment, noting that while the disease has hit the U.S. Hard masks and physical distancing could help – and that treatments are on the way.Fauci, director of the National Institute of Allergy and Infectious Diseases cheap cialis pills and dubbed "America's doctor" by The New Yorker earlier this year, spoke in a pre-recorded address streamed Tuesday at the American Heart Association's virtual Scientific Sessions.Calling the disease "a global cialis of historic proportions, the likes of which we have not seen in the last 102 years," he looked at what fueled the spread of the erectile dysfunction, spelled out who's at risk and expressed optimism about the future of treatments.According to the Johns Hopkins erectile dysfunction Resource Center, total U.S.

Cases have topped 11.3 million and deaths have surpassed 248,000. Globally, more than 1.3 million people have died."In the United States, we have been hit cheap cialis pills the hardest of any other country," Fauci said.He used data from the U.S. And Europe to show how the spread of the cialis slows when people stay home.

Over the late spring and summer, the average number of new cases cheap cialis pills in Europe fell significantly and stayed relatively flat until recently.U.S. Cases began cheap cialis pills a resurgence in June "due to the attempts to so-call reopen the economy, or reopen the country," he said, but the openings didn't all adhere in the same degree to the guidelines that were released. "Different states did it differently."He cited data showing that Americans never stayed home as much as people in Italy and Spain did."Why did we in the United States not go back down to a low baseline after our initial peak?.

" he cheap cialis pills asked. "If you look at the degree to which we actually shut down or locked down, there was significant difference between the European Union and the United States."In terms of who is most affected by the disease, he said that in the U.S., racial and ethnic disparities are "really quite serious." And he noted chronic heart conditions and other underlying medical problems are related to severe cases of the disease.There's more to learn, Fauci said, noting reports of possible heart inflammation in people who have recovered."This needs to be repeated in other labs and followed up," he said. "But if it is true, it's something we need long-term follow up (on)."He was optimistic about the six companies developing and distributing treatments as cheap cialis pills part of Operation Warp Speed.

Drugmaker Pfizer announced promising data on the effectiveness of its treatment last week. Moderna followed with its own cheap cialis pills results on Monday."The other companies are also not far behind," he said. "We now look at this with cautious optimism that by the end of this calendar year and well into 2021, we cheap cialis pills will be administering doses, first to the highest priority, and then ultimately to virtually everybody in the United States as we get into – several months into – 2021."Meanwhile, widely publicized measures can help stop the spread of the cialis, he said."One is the universal wearing of masks or cloth coverings.

The other is maintaining physical distances – at least six feet." People should also avoid crowds, particularly indoors. Conduct activities outdoors if cheap cialis pills possible. And frequently wash their hands."If those five public health measures were adhered to universally and consistently over the country," Fauci said, "it is clear from my previous experience with other nations and even regions in our own country, we would not be having the degree of surging of cases that we are currently seeing."American Heart Association News covers heart and brain health.

Not all views expressed in this story reflect cheap cialis pills the official position of the American Heart Association. Copyright is owned or held by the American Heart Association, Inc., and all rights are reserved. If you have questions or comments about this story, please email [email protected]By Michael MerschelAmerican Heart cheap cialis pills Association NewsCopyright © 2020 HealthDay.

All rights cheap cialis pills reserved. IMAGES Heart Illustration Browse through our medical image collection to see illustrations of human anatomy and physiology See ImagesLatest Heart News WEDNESDAY, Nov. 18, 2020 (American Heart Association News)For people who have heart disease, getting a flu shot greatly reduces the risk of dying or developing serious heart-related complications, a new analysis shows.The meta-analysis of 16 randomized and observational studies covered the experiences of more than 237,000 cheap cialis pills people.

It concluded those with heart disease who were vaccinated for the flu were 18% less likely to die from heart problems and 28% less likely to die from any cause. They also were 13% less likely to experience any type of major heart cheap cialis pills problem than those who didn't get a flu shot."Compare that to beta blockers and ACE inhibitors, which are used to control high blood pressure. They reduce mortality by 20-25%," said cheap cialis pills lead investigator Dr.

Siva Yedlapati, an internist with Erie County Medical Center in Buffalo, New York. "This is totally compatible with that number, and it's just one shot per year, compared to taking cheap cialis pills medications every single day for the whole year. This is a huge benefit."While analyzing the studies, Yedlapati said he also was surprised to learn that cardiologists often are least likely of all medical professionals to make the flu shot available to patients.

"The flu treatment cheap cialis pills is very beneficial to heart patients, and if cardiologists are least likely to stock it, that's a huge gap."The study, which is considered preliminary until published in a peer-reviewed journal, was presented last week at the virtual Scientific Sessions conference held by the American Heart Association.The Centers for Disease Control and Prevention recommends everyone over the age of 6 months be vaccinated for the flu. It is especially important for adults 65 and older, who make up the vast majority of flu-related hospitalizations and deaths. Research shows half of all adults hospitalized for the flu have heart disease, and the risk of having cheap cialis pills a first heart attack is six times higher following a flu .And a standard-dose vaccination appears to be just as effective as a high-dose flu shot in people with heart disease, according to separate research presented at the scientific conference.

That study found neither treatment dose was more effective than the other at reducing the risk of death or hospitalizations for cheap cialis pills heart- or lung-related illness. That research was funded by the National Heart, Lung, and Blood Institute, with additional funding by treatment maker Sanofi-Pasteur, which was not involved in the design, conduct or interpretation of results.Despite the potential benefits, less than half of U.S. Adults get the flu treatment cheap cialis pills.

"That is a very small number," Yedlapati said. "Clinicians should cheap cialis pills strongly advocate for their patients to get the flu treatment. I'm hoping this paper will reinforce that."While the new analysis does not add to what we already know, "it does tell us that we can have more assurance of the robustness of these findings," said Donna Arnett, dean of the University of Kentucky College of Public Health and a past president of the AHA.Arnett, who was not involved in the study, said getting a flu shot was even more important this year because of the cialis.

"We still don't know the full extent of the erectile dysfunction treatment-related impact on the heart," she said, a question cheap cialis pills researchers are still exploring.What we do know, Arnett said, is both can damage heart and respiratory health, and the flu treatment can mitigate at least some of that risk. "Even if you still get the flu, you have a less intense disease burden if you've had the treatment."American Heart Association News covers heart and cheap cialis pills brain health. Not all views expressed in this story reflect the official position of the American Heart Association.

Copyright is owned or held by cheap cialis pills the American Heart Association, Inc., and all rights are reserved. If you have questions or comments about this story, please email [email protected]By Laura WilliamsonAmerican Heart Association NewsCopyright © 2020 HealthDay. All rights cheap cialis pills reserved.

IMAGES Heart Illustration Browse through our medical image collection to see illustrations cheap cialis pills of human anatomy and physiology See ImagesLatest Prevention &. Wellness News By Dennis Thompson HealthDay ReporterTHURSDAY, Nov. 19, 2020 cheap cialis pills (HealthDay News)Restaurants are under increasing pressure to provide a safe dining environment as winter approaches and the United States enters what could be the worst wave yet of the erectile dysfunction treatment cialis.Some eateries are attempting to extend outdoor dining into the colder winter months, setting up heated tents that might allow patrons to enjoy a meal without fear of contracting the erectile dysfunction.

Others are beefing up control measures for their indoor spaces, with better air filtration and improved ventilation.But infectious disease experts are skeptical that dining out can be made safe during a winter erectile dysfunction treatment surge without either ruining the experience for patrons or undermining the economics for the business owner."The fact is that anything that's done between walls indoors is high-risk, no matter how you slice it, no matter how you tent it," said Dr. Peter Katona, chair of the Control Working Group at the UCLA Schools of Medicine and Public Health.But indoor protective measures, which include mask wearing and social distancing between tables, have earned a solid track record keeping patrons safe during the cialis, said Larry cheap cialis pills Lynch, the National Restaurant Association's senior vice president for science and industry."We can't find any evidence of systemic outbreaks coming from these restaurants that do follow the guidance, that are making sure their employees all wear face coverings, that their customers are wearing face coverings until they eat," Lynch said. "When we look at those restaurants that are doing it right, we aren't seeing the outbreaks taking place there."However, the very nature of dining out makes it a risky proposition from an control perspective, said Joseph Allen, director of the Healthy Buildings Program at the Harvard T.H.

Chan School of Public Health in Boston."Restaurants and bars cheap cialis pills present the obvious problem that we lose one major and important control, and that is masks," Allen said. "During the act of eating and drinking, people aren't wearing their masks, so we lose source control."Taking a huge financial beatingRestaurants have been under severe economic strain since the start of the cheap cialis pills cialis.The food service industry is on track to lose $240 billion in revenue this year, according to the National Restaurant Association, and staffing remains more than 2 million jobs below pre-cialis levels. Two out of 5 restaurant operators think they'll be out of business by February without additional federal stimulus, a September survey found.Restaurants survived through the summer in part by providing outdoor dining areas, where the risk of is much lower."You've got a concentration of viral particles indoors.

Outdoors it cheap cialis pills tends to dissipate more," Katona said. "Little air currents take the particles away. UV light probably kills the bug, to some degree."Now restaurants are looking at enclosing those outdoor areas cheap cialis pills in heated tents, which would be a bad move, Allen said."That is no different than indoor dining," Allen said.

"In fact it's worse because it gives the false sense that it's safe, and it's probably not even meeting the minimum ventilation rate because it hasn't been inspected or designed to code."Lynch agrees."The irony of it is, you've just taken the indoor experience and moved it outdoors, and you contained it more and continued to add more risk than keeping it indoors with higher ceilings and better circulation with the HVAC [heating, ventilation and air conditioning] systems," Lynch said.An outdoor dining area tented on three sides with one wall left open would "get pretty good air exchange," Allen said, but "it's probably a cheap cialis pills little colder in there."The best bet would be to provide individual tents for each outdoor table, so that groups quarantined together could be kept separate from all other diners, Allen said."If you have separate pods, then at least then my family might be separated from your family," Allen said. "But if people are getting together with five or six friends they don't normally see, that's a risk."Tented outdoor areas also could be made safer through the use of portable air filters, Lynch added."We've suggested if you're going down that path you've got to have at the very least portable air circulation units," Lynch continued. "The good news is they are coming out with units now that are relatively inexpensive that include not only the higher-level filters but also UV light built in."Controlling the indoor environmentAs far as indoor dining, there are many environmental controls available that could reduce risk of transmission, said Oscar Alleyne, chief of programs and services for the National Association of County and City Health Officials.Restaurants can increase the rate of ventilation in their buildings and install cheap cialis pills high-quality air filters that can filter cialises out of HVAC-circulated air, Alleyne said.

QUESTION Bowel regularity means a bowel movement every day. See Answer They also can invest in supplemental portable air cleaners with HEPA filters, cut down on occupancy, increase space between tables and strictly enforce social cheap cialis pills distancing, he said."If there's an intense approach on addressing environmental controls, that in and of itself would make things safer," Alleyne said.Stepped-up environmental controls also won't break the bank, Allen added."Upgrading the filters costs a couple extra dollars. A good portable cleaner with a HEPA filter could be a couple hundred dollars," Allen said.

"I'm not talking about million-dollar fixes."However, reducing the restaurant's level of occupancy cheap cialis pills to acceptable levels will severely challenge its profitability, Allen said."If you got to the level of de-densification that would be necessary to lower risk, I don't know if that is economically viable for a restaurant," Allen said.Restaurants have been making financial changes to deal with lower capacity, Lynch said. They've tightened cheap cialis pills their menus to reduce food waste, and have held off bringing back staff laid off during the first lockdown.The industry continues to look for new ways to make indoor dining safer, Lynch said.For example, the National Restaurant Association is working with a leading HVAC association about ways to further improve ventilation and air filtration in buildings, Lynch said. One idea being explored is retrofitting cialis-killing UV light filters into a building's existing HVAC system, so that air is further sanitized as it is circulated.But even if all of these measures are successfully undertaken, the human element remains a significant impediment to safety, Allen said."The risk levels are many in a restaurant," Allen said.

"It's not just that people aren't wearing masks at cheap cialis pills their tables. It's volume and loud talking, which increases emission rates. It's alcohol cheap cialis pills consumption, which lowers inhibition.

It's mixing of multiple groups at tables, if you go out with friends you're not normally quarantined with."It's not as simple as saying just ventilation or just masking. It's all of these, and that's what makes it such a challenge," Allen concluded.More cheap cialis pills InformationThe Cleveland Clinic has more on dining out during the cialis.SOURCES. Peter Katona, MD, chair, Control Working cheap cialis pills Group, UCLA Schools of Medicine and Public Health.

Joseph Allen, DSc, MPH, director, Healthy Buildings Program, Harvard T.H. Chan School cheap cialis pills of Public Health. E.

Oscar Alleyne, DrPH, MPH, chief, programs and services, National Association cheap cialis pills of County and City Health Officials. Larry Lynch, cheap cialis pills senior vice president, science and industry, National Restaurant AssociationCopyright © 2020 HealthDay. All rights reserved.

From Infectious Disease Resources Featured Centers cheap cialis pills Health Solutions From Our SponsorsLatest Alzheimer's News By Cara Murez HealthDay ReporterTHURSDAY, Nov. 19, 2020 (HealthDay News)Pollutants in the air -- fine particulates that are 30 times smaller than the width of a strand of hair -- may be damaging older women's brains.In a new study, researchers linked breathing in high levels of this polluted air to shrinkage in areas of the brain that are vulnerable to Alzheimer's disease."Fine-particle pollution is kind of like a cocktail. There are a cheap cialis pills lot of different things involved," said study lead author Diana Younan, senior research associate at the University of Southern California.

"It could come from, of course, traffic, but it could also come from fires, from dust, from power plants, from agricultural work."The researchers studied more than 700 women in their 70s and 80s who did not already have dementia, using data from the Women's Health Initiative Memory Study. The women had brain scans at the beginning of the study and about cheap cialis pills five years later. They also provided medical histories and answered a range of demographic and health questions.Older women who were exposed to higher levels of tiny particulates of air pollution had a greater amount of brain shrinkage over five years, cheap cialis pills according to the study."It could be that the pollution itself is getting into the brain.

€¦ These are tiny, tiny particles. They're 30 times smaller than [the width of] a strand of hair cheap cialis pills. You can't see them, but we might be actually inhaling them through the nose and they're getting into the brain and destroying connections in the brain or the neurons in the brain," Younan suggested."It could also be that it's having a secondary reaction where we're inhaling them into our lungs and then that's triggering an inflammatory response," she added.Dr.

Thomas Wisniewski is director of the NYU Langone Alzheimer's Disease Research Center."It's clear that this is an important environmental risk factor and it's another good reason for trying to clean cheap cialis pills up the environment," he said."Dementia is the most expensive thing in health care now globally, as the global population ages. If you have an identified risk mitigation factor, then it really behooves society to address the problem to help reduce this health care crisis," said Wisniewski, who wasn't involved with the study.Younan and her colleagues relied on a machine learning tool trained to identify patterns of brain shrinkage specific to Alzheimer's risk. They used the women's addresses to determine average exposure to pollution in the three years prior cheap cialis pills to the initial scan.

And they divided participants into four groups according to their levels of exposure to cheap cialis pills fine-particle pollutants.The researchers scored participants' MRI scans based on how similar they were to Alzheimer's disease patterns.Scores ranged from 0 to 1, with higher scores showing more brain changes. Overall, the women's scores changed from .28 to .44 after five years. For each additional 3 micrograms of fine-particle pollution per cubic meter of air, researchers found cheap cialis pills an average score increase of .03, showing a greater extent of brain shrinkage.

This was equivalent to a 24% increased risk of Alzheimer's disease.The study can't prove a direct cause-and-effect relationship. Still, people who live in cheap cialis pills metropolitan areas may be more at risk, Younan said.She also noted that some of the exposure levels included in the research were below current U.S. Environmental Protection Agency standards for what's safe."That could have some public health implications and maybe even suggest that the current levels might still be too high," Younan said.You can help mitigate some of the risks by paying attention to air quality numbers, working out indoors when the air quality is bad, keeping car vents closed and filtering cheap cialis pills out air pollution through air conditioning systems at home, Younan said.Wisniewski said you also can influence your own brain health through healthy habits.

This includes regular exercise and a Mediterranean diet full of grains, nuts, fruits and vegetables. Also important are good sleep, activities that keep the brain active and treating cheap cialis pills any blood pressure, cholesterol or glucose issues. QUESTION One of the first symptoms of Alzheimer's disease is __________________.

See Answer "For the common, late-onset form of Alzheimer's disease, lifestyle and environmental things play cheap cialis pills a very substantial role. These factors have an interplay with one's genetic background, but the lifestyle things can make a key effect as to what age you present with symptoms," Wisniewski said.The findings were published Nov. 18 in the online issue of Neurology.More informationThe Alzheimer's Association offers more on reducing cheap cialis pills your risks for dementia.SOURCES.

Diana Younan, cheap cialis pills PhD, MPH, senior research associate, University of Southern California, Los Angeles. Thomas Wisniewski, MD, professor, neurology, pathology and psychiatry, New York University School of Medicine, and director, NYU Langone Alzheimer's Disease Research Center, New York City. Neurology, Nov cheap cialis pills.

18, 2020, onlineCopyright © 2020 HealthDay. All rights reserved. From Healthy Resources Featured Centers Health Solutions From Our Sponsors.

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Wealthy nations must do much more, much faster.The United Nations General Assembly discount cialis in September 2021 will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis. They will meet again at the biodiversity summit in Kunming, China, and the climate conference (Conference of the discount cialis Parties (COP)26) in Glasgow, UK. Ahead of these pivotal meetings, we—the editors of health journals worldwide—call for urgent action to keep average global temperature increases below 1.5°C, halt the destruction of nature and protect health.Health is already being harmed by global temperature increases and the destruction of the natural world, a state of affairs health professionals have been bringing attention to for decades.1 The science is unequivocal. A global increase of 1.5°C discount cialis above the preindustrial average and the continued loss of biodiversity risk catastrophic harm to health that will be impossible to reverse.2 3 Despite the world’s necessary preoccupation with erectile dysfunction treatment, we cannot wait for the cialis to pass to rapidly reduce emissions.Reflecting the severity of the moment, this editorial appears in health journals across the world. We are united in recognising that discount cialis only fundamental and equitable changes to societies will reverse our current trajectory.The risks to health of increases above 1.5°C are now well established.2 Indeed, no temperature rise is ‘safe’.

In the past 20 years, heat-related mortality among people aged over 65 has increased by more than 50%.4 Higher temperatures have brought increased dehydration and renal function loss, dermatological malignancies, tropical s, adverse mental health outcomes, pregnancy complications, allergies, and cardiovascular and pulmonary morbidity and mortality.5 6 Harms disproportionately affect the most vulnerable, including children, older populations, ethnic minorities, poorer communities and those with underlying health problems.2 4Global heating is also contributing to the decline in global yield potential for major crops, falling by 1.8%–5.6% since 1981. This, together with the effects of extreme weather and soil depletion, is hampering efforts to reduce undernutrition.4 Thriving ecosystems are essential to human health, and the widespread destruction of nature, including habitats and species, is eroding water and food security and increasing the chance of cialiss.3 7 8The consequences of the environmental crisis fall disproportionately on those discount cialis countries and communities that have contributed least to the problem and are least able to mitigate the harms. Yet no country, no matter how wealthy, can shield itself from these impacts. Allowing the consequences to fall disproportionately discount cialis on the most vulnerable will breed more conflict, food insecurity, forced displacement and zoonotic disease, with severe implications for all countries and communities. As with the erectile dysfunction treatment cialis, we are globally as strong as our weakest member.Rises above 1.5°C increase the chance of discount cialis reaching tipping points in natural systems that could lock the world into an acutely unstable state.

This would critically impair our ability to mitigate harms and to prevent catastrophic, runaway environmental change.9 10Global targets are not enoughEncouragingly, many governments, financial institutions and businesses are setting targets to reach net-zero emissions, including targets for 2030. The cost of renewable energy is dropping rapidly discount cialis. Many countries are aiming to protect at least 30% of the world’s land and oceans discount cialis by 2030.11These promises are not enough. Targets are easy to set and hard to achieve. They are discount cialis yet to be matched with credible short-term and longer-term plans to accelerate cleaner technologies and transform societies.

Emissions reduction plans discount cialis do not adequately incorporate health considerations.12 Concern is growing that temperature rises above 1.5°C are beginning to be seen as inevitable, or even acceptable, to powerful members of the global community.13 Relatedly, current strategies for reducing emissions to net zero by the middle of the century implausibly assume that the world will acquire great capabilities to remove greenhouse gases from the atmosphere.14 15This insufficient action means that temperature increases are likely to be well in excess of 2°C,16 a catastrophic outcome for health and environmental stability. Critically, the destruction of nature does not have parity of esteem with the climate element of the crisis, and every single global target to restore biodiversity loss by 2020 was missed.17 This is an overall environmental crisis.18Health professionals are united with environmental scientists, businesses and many others in rejecting that this outcome is inevitable. More can and must be done now—in Glasgow and Kunming—and in the immediate discount cialis years that follow. We join health professionals worldwide who have already supported calls for rapid action.1 19Equity must be at the centre of the global response. Contributing a fair share to the global effort means that reduction commitments must account for the cumulative, historical contribution each country has made to emissions, as well as its discount cialis current emissions and capacity to respond.

Wealthier countries will have to cut discount cialis emissions more quickly, making reductions by 2030 beyond those currently proposed20 21 and reaching net-zero emissions before 2050. Similar targets and emergency action are needed for biodiversity loss and the wider destruction of the natural world.To achieve these targets, governments must make fundamental changes to how our societies and economies are organised and how we live. The current strategy of encouraging markets to discount cialis swap dirty for cleaner technologies is not enough. Governments must intervene to support the redesign of transport systems, cities, production and distribution of food, markets for financial investments, health systems, and much more. Global coordination is needed to ensure that the rush for cleaner technologies does not come at the cost of more environmental destruction and human exploitation.Many governments met the threat of the erectile dysfunction treatment cialis with unprecedented funding discount cialis.

The environmental crisis demands discount cialis a similar emergency response. Huge investment will be needed, beyond what is being considered or delivered anywhere in the world. But such discount cialis investments will produce huge positive health and economic outcomes. These include high-quality jobs, reduced air pollution, discount cialis increased physical activity, and improved housing and diet. Better air quality alone would realise health benefits that easily offset the global costs of emissions reductions.22These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the erectile dysfunction treatment cialis.23 But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and power within and between countries.Cooperation hinges on wealthy nations doing moreIn particular, countries that have disproportionately created the environmental crisis must do more to support low-income and middle-income countries to build cleaner, healthier and more resilient societies.

High-income countries must meet and go beyond their outstanding commitment to provide $100 billion a year, making up for any shortfall in 2020 and increasing contributions discount cialis to and beyond 2025. Funding must be equally split between mitigation and adaptation, including improving the resilience of health systems.Financing should be through grants rather than loans, building local capabilities and truly empowering communities, and should come alongside forgiving large debts, which constrain the agency of so many low-income countries. Additional funding must be marshalled to compensate for inevitable loss and damage caused by the consequences of the environmental crisis.As health discount cialis professionals, we must do all we can to aid the transition to a sustainable, fairer, resilient and healthier world. Alongside acting to reduce the harm from the environmental crisis, we should proactively contribute to discount cialis global prevention of further damage and action on the root causes of the crisis. We must hold global leaders to account and continue to educate others about the health risks of the crisis.

We must join in the work to achieve environmentally sustainable health systems before discount cialis 2040, recognising that this will mean changing clinical practice. Health institutions have already divested more than $42 billion discount cialis of assets from fossil fuels. Others should join them.4The greatest threat to global public health is the continued failure of world leaders to keep the global temperature rise below 1.5°C and to restore nature. Urgent, society-wide changes must be made and will lead discount cialis to a fairer and healthier world. We, as editors of health journals, call for governments and other leaders to act, marking 2021 as the year that the world finally changes course.Ethics statementsPatient consent for publicationNot required..

Wealthy nations must do much more, much faster.The United Nations General Assembly in September 2021 will bring cheap cialis pills countries together at a critical time for marshalling collective action to tackle the global environmental crisis. They will meet cheap cialis pills again at the biodiversity summit in Kunming, China, and the climate conference (Conference of the Parties (COP)26) in Glasgow, UK. Ahead of these pivotal meetings, we—the editors of health journals worldwide—call for urgent action to keep average global temperature increases below 1.5°C, halt the destruction of nature and protect health.Health is already being harmed by global temperature increases and the destruction of the natural world, a state of affairs health professionals have been bringing attention to for decades.1 The science is unequivocal. A global increase of 1.5°C above the preindustrial average and the continued loss of biodiversity risk catastrophic harm to health that will be impossible to reverse.2 3 Despite the world’s necessary preoccupation with erectile dysfunction treatment, we cannot wait for the cialis to pass to cheap cialis pills rapidly reduce emissions.Reflecting the severity of the moment, this editorial appears in health journals across the world. We are cheap cialis pills united in recognising that only fundamental and equitable changes to societies will reverse our current trajectory.The risks to health of increases above 1.5°C are now well established.2 Indeed, no temperature rise is ‘safe’.

In the past 20 years, heat-related mortality among people aged over 65 has increased by more than 50%.4 Higher temperatures have brought increased dehydration and renal function loss, dermatological malignancies, tropical s, adverse mental health outcomes, pregnancy complications, allergies, and cardiovascular and pulmonary morbidity and mortality.5 6 Harms disproportionately affect the most vulnerable, including children, older populations, ethnic minorities, poorer communities and those with underlying health problems.2 4Global heating is also contributing to the decline in global yield potential for major crops, falling by 1.8%–5.6% since 1981. This, together with the effects of extreme weather and soil depletion, is hampering efforts to reduce undernutrition.4 Thriving ecosystems are essential to human health, and the widespread destruction of nature, including habitats and species, is eroding water and food security and increasing the chance of cialiss.3 7 8The consequences of the environmental crisis fall disproportionately on those countries and communities that have contributed least to the problem and are least able cheap cialis pills to mitigate the harms. Yet no country, no matter how wealthy, can shield itself from these impacts. Allowing the consequences to fall disproportionately on the most vulnerable will breed more conflict, food insecurity, forced displacement and zoonotic disease, with severe implications cheap cialis pills for all countries and communities. As with the erectile dysfunction treatment cialis, we are globally as strong as our weakest member.Rises above 1.5°C increase the chance of cheap cialis pills reaching tipping points in natural systems that could lock the world into an acutely unstable state.

This would critically impair our ability to mitigate harms and to prevent catastrophic, runaway environmental change.9 10Global targets are not enoughEncouragingly, many governments, financial institutions and businesses are setting targets to reach net-zero emissions, including targets for 2030. The cost of renewable energy is cheap cialis pills dropping rapidly. Many countries are aiming to protect at least 30% cheap cialis pills of the world’s land and oceans by 2030.11These promises are not enough. Targets are easy to set and hard to achieve. They are yet to be cheap cialis pills matched with credible short-term and longer-term plans to accelerate cleaner technologies and transform societies.

Emissions reduction plans do not adequately incorporate health considerations.12 Concern is growing that temperature rises above 1.5°C are beginning to be seen as inevitable, or even acceptable, cheap cialis pills to powerful members of the global community.13 Relatedly, current strategies for reducing emissions to net zero by the middle of the century implausibly assume that the world will acquire great capabilities to remove greenhouse gases from the atmosphere.14 15This insufficient action means that temperature increases are likely to be well in excess of 2°C,16 a catastrophic outcome for health and environmental stability. Critically, the destruction of nature does not have parity of esteem with the climate element of the crisis, and every single global target to restore biodiversity loss by 2020 was missed.17 This is an overall environmental crisis.18Health professionals are united with environmental scientists, businesses and many others in rejecting that this outcome is inevitable. More can and must be done now—in Glasgow and Kunming—and cheap cialis pills in the immediate years that follow. We join health professionals worldwide who have already supported calls for rapid action.1 19Equity must be at the centre of the global response. Contributing a fair cheap cialis pills share to the global effort means that reduction commitments must account for the cumulative, historical contribution each country has made to emissions, as well as its current emissions and capacity to respond.

Wealthier countries will have to cut emissions more quickly, making reductions by 2030 beyond those currently cheap cialis pills proposed20 21 and reaching net-zero emissions before 2050. Similar targets and emergency action are needed for biodiversity loss and the wider destruction of the natural world.To achieve these targets, governments must make fundamental changes to how our societies and economies are organised and how we live. The current strategy of encouraging markets to cheap cialis pills swap dirty for cleaner technologies is not enough. Governments must intervene to support the redesign of transport systems, cities, production and distribution of food, markets for financial investments, health systems, and much more. Global coordination is needed to ensure that the rush for cleaner technologies does not come at the cost of more environmental destruction and human exploitation.Many governments met the threat cheap cialis pills of the erectile dysfunction treatment cialis with unprecedented funding.

The environmental crisis demands a similar emergency response cheap cialis pills. Huge investment will be needed, beyond what is being considered or delivered anywhere in the world. But such investments will cheap cialis pills produce huge positive health and economic outcomes. These include high-quality jobs, reduced cheap cialis pills air pollution, increased physical activity, and improved housing and diet. Better air quality alone would realise health benefits that easily offset the global costs of emissions reductions.22These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the erectile dysfunction treatment cialis.23 But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and power within and between countries.Cooperation hinges on wealthy nations doing moreIn particular, countries that have disproportionately created the environmental crisis must do more to support low-income and middle-income countries to build cleaner, healthier and more resilient societies.

High-income countries must meet and go cheap cialis pills beyond their outstanding commitment to provide $100 billion a year, making up for any shortfall in 2020 and increasing contributions to and beyond 2025. Funding must be equally split between mitigation and adaptation, including improving the resilience of health systems.Financing should be through grants rather than loans, building local capabilities and truly empowering communities, and should come alongside forgiving large debts, which constrain the agency of so many low-income countries. Additional funding must be marshalled to compensate for inevitable loss and damage caused by cheap cialis pills the consequences of the environmental crisis.As health professionals, we must do all we can to aid the transition to a sustainable, fairer, resilient and healthier world. Alongside acting to reduce the harm from cheap cialis pills the environmental crisis, we should proactively contribute to global prevention of further damage and action on the root causes of the crisis. We must hold global leaders to account and continue to educate others about the health risks of the crisis.

We must join in the work to achieve cheap cialis pills environmentally sustainable health systems before 2040, recognising that this will mean changing clinical practice. Health institutions have already divested more than $42 billion of assets from fossil cheap cialis pills fuels. Others should join them.4The greatest threat to global public health is the continued failure of world leaders to keep the global temperature rise below 1.5°C and to restore nature. Urgent, society-wide changes cheap cialis pills must be made and will lead to a fairer and healthier world. We, as editors of health journals, call for governments and other leaders to act, marking 2021 as the year that the world finally changes course.Ethics statementsPatient consent for publicationNot required..