Payment company Cedar cuts 24% of employees

Cedar cut 24% of its workforce this week, making the billing and payment startup the latest digital healthcare company to cut, Reporting by Internal.

LinkedIn in a postFlorian Auto, CEO and co-founder, said the affected workers were notified Wednesday and the layoffs would help startups “move forward sustainably towards our goal”.

“We have made tough decisions to reduce our workforce, to adapt to the realities of the current market, and to reorganize ourselves for what we want to achieve after last year’s acquisition of OODA Health,” he wrote.

A spokesman for Cedar confirmed the cuts MobiHealthNewsSays the decision did not support short-term cost reduction.

“In the future, we are focused on creating a long-term strategic path to profitability that meets the expectations of our customers and their patients, as well as supporting Cedar’s business and product goals,” they say.

Greater trend

Cedar is an announcement Series D increased to $ 200 million in March last year, valued at $ 3.2 billion. A few months later, the company agreed to acquire OODA Health, a healthcare administrative platform for providers and providers for 425 million. The contract closed in June 2021.

Cedar too It recently relocated its headquarters to New York City, saying it would allow more flexibility for its newly hybrid workforce.

“In addition to expanding our footprint in San Francisco and Salt Lake City last year after our acquisition of OODA Health, the move reflects our strategic growth and commitment to invest in our existing workforce. I look forward to using the space to connect. Accelerate colleagues and product innovation.” ”Auto said in a statement at the time.

Digital health investment The first quarter of this year has slowed since the rise of 2021 and many players have also struggled in the public market. Cedar is not alone in following the pruning.

In late June, direct-to-consumer virtual care company Ro A few months after the announcement of the $ 150 million increase, 18% of its workforce has been laid off. Diagnostic company Q Health recently cut 170 manufacturing workers, which it blamed on the macroeconomic situation and the federal government’s move to remove funding from the COVID-19 test.

Early last month, Carbon Health CEO Eren Bali, a hybrid provider 250 employees have been laid off, about 8% of the company’s workforce.

Joyce C. Lashf, the doctor who broke the glass ceiling, has died at the age of 96

Dr. Joyce C. Lashf, who fought for health equality and became the first woman to head the state’s public health department and broke the deadlock as the first woman to become dean of the University of California’s School of Public Health, died on June 4 in a supportive community in Berkeley. He was 96 years old.

Her daughter, Carol Lashf, said she had heart failure.

In a long and varied career, friends and family members say, Dr. Lashf has always prioritized the fight for social justice. In the 1960s, he founded a community health center to provide medical services in a low-income department in Chicago. After his appointment as director of the Illinois Department of Public Health in 1973, the year of the Supreme Court’s decision of Rowe v. Wade codified the constitutional right to abortion. Lashf established a protocol to provide women with access to safe abortion in the state, said Dr. Carol Lashf.

In the 1980s, Dr. Lashf used his powers as a top university administrator to fight discrimination against AIDS victims and to organize anti-apartheid initiatives in South Africa.

He also championed social justice outside of his professional life, leading his family to so many marches for peace and civil rights in the 1960s that they saw the protests as a “family trip”, recalls his son Dan. Joan Beaz once performed in their living room in Chicago, the family said, to raise funds for an anti-segregation student non-violent coordination committee.

“From the beginning, her work in medicine and public health was deeply animated by her deep commitment to the issues of social justice in our society,” said Nancy Krieger, a professor of social epidemiology at Harvard who worked with Dr. Lashf on AIDS policy. A Berkeley graduate student in the 1980s. “These included racism issues, including social class issues, including gender issues.”

After a brief stint as Deputy Assistant Secretary of the Federal Department of Health, Education and Welfare and Assistant Director of the Office of Technology Assessment, he was appointed to run the Berkeley School of Public Health in 1981. In that position, Dr. Krieger said he is not satisfied with limiting his opportunities in administrative work.

At the height of the AIDS epidemic in 1986, for example, he set his sights on defeating Proposition 64, a California ballot initiative led by the far-right political activist Lyndon Laruche, which would make public testing for AIDS mandatory and critics fear, the mass quarantine.

Dr. Lashf confirmed the collaboration of four public health schools in the University of California system to prepare a policy analysis on the initiative, which Dr. Krieger said was their first such joint project. The analysis, presented at the California State Assembly, demonstrates the potential detrimental effects of the measure, and Dr. Krieger said it contributed to its defeat.

Dr. Lashf’s friends say he actively communicated with a scientist’s mind. “It always wants to bring evidence to carry evidence of what problems caused the health inequality,” Dr. Krieger said.

Those efforts often began at the grassroots level. In 1967, Dr. Lashf opened the Mile Square Health Center in Chicago, then in the faculty of the University of Illinois College of Medicine, a community health clinic funded by the Federal Office of Equal Opportunity that provides medical care in a poor area. City.

“He was one of the key people in this country helping to get federal funding and functional community health centers,” Dr. Krieger said.

Mile Square Center, the second such community health center in the country, Mound Bay, Miss. H. Jack Geiger, if its founder, is nationally known.

“Joyce was often impressed, especially by men who were more charismatic at a time when sex was more common,” said Meredith Minkler, a professor of health and social behavior at Berkeley who worked with Dr. Lashf on social justice. Year “But he wasn’t worried about being in the limelight. He was concerned about making change.

Joyce Ruth Cohen was born in Philadelphia on March 27, 1926, the daughter of Harry Cohen, a certified public accountant whose parents were Jewish immigrants from Ukraine, and Rose (Brodsky) Cohen, a domestic worker born in Ukraine and a domestic worker. . Volunteers with the Hebrew Immigrant Aid Society, helping to settle German Jewish refugees in the United States during and after World War II.

“His mother clearly instilled in him an ambition to play a full role in society,” said Dan Lashf. “She was interested in medicine from a young age and at one point said she wanted to be a nurse. Her mother said, ‘Well, if you’re going to be a nurse and do all that work, you can also be a doctor and be in charge.’

But after graduating with honors from Duke University in 1946, he found his way to the top undergraduate medical program blocked. Many at the time, according to the National Library of Medicine, were limiting the number of Jewish applicants they had accepted and were prioritizing the admission of men returning from armed service as soon as the war ended. She eventually earned a spot at Pennsylvania Women’s Medical College in Philadelphia.

He became a theoretical mathematician in 1950. He married Lashof. In the mid-1950s, she and her husband were both junior faculty members at the University of Chicago. In 1960, he again faced gender inequality when the chairman of the department refused to promote him.

“The chair told me she could not recommend a woman for a term-track appointment, especially a married woman, because she would undoubtedly follow her husband wherever he went,” Dr. Lashf said at a 1990 health conference. ‘est la vie’

Discouraged, he joined the faculty of the University of Illinois College of Medicine. There he was hired to guide the study of health needs, a project that led his work towards the development of community health centers.

In addition to his children, Dr. Lashf is survived by six grandchildren and two great-grandchildren. Her husband died in 2010. Their eldest daughter Judith Lashf died in 2018 of breast cancer.

In the early 1980’s, Dr. Lashf was wearing a cap and gown. Dr. Minkler said he was the only campus dean.

“He’ll get his neck out,” Dr. Minkler said. “It doesn’t matter who he has to cross.”

When he was 91, Dr. Lashf carried a sign that read, “Prohibit Muslims now.” At a rally in Almeida, California, citizens of five Muslim-majority countries protested against the Trump administration’s ban on travel to the United States.

Towards the end of his life, Carol Lashf said, Dr. Lashf was pleased to see so many advances in social justice over the years. But in recent months, he has been shocked to hear that the Supreme Court is considering dismissing Rowe v. Wade.

“He was absolutely amazed,” Carol Lashf said. “He just looked at me and said, ‘How can that be?'”

Many of Dr. Lashf’s achievements were even more significant because she was a woman.

“Breaking countless glass ceilings was important in his career,” Dr. Minkler said, “and it was one of his most important legacies.”

New and notable: What I read this week is version 184

Weekly research

The Western world is lagging behind in processing meat.

Keto helps patients with severe mental illness who do not respond to other treatments.

Different effects on overall mortality among covid vaccines.

Natural immunity still works.

At least in England and Wales, extreme cold was more responsible for excess deaths than extreme heat.

New Primal Kitchen Podcast

Primal Kitchen Podcast: Former City Slicker and TickTock Sensation Brian Briganti talks about homesteading and permaculture

Primary Health Trainer Radio: A Holistic Method for Your Money

Media, Schmidia

Circadian medicine goes mainstream.

Nice piece against baby food pouch.

Interesting blog post

A response from George Manbiut.

Don’t let the nerves control you.

Social notes

Important to remember: Cigarettes are still bad for you.

Incredible story.

Respect the sun.

Everything else

Did you know that dolphins choose their names? Here’s how.

Which whisk whisk is better?

Things that I’m interested in

Interesting: The dog freely chooses a macronutrient ratio of 30% protein, 63% fat and 7% carbohydrate.

Attractive paper: on heavy metal.

Interesting find: Fasting can help against COVID.

Mistake: Fake meat is the “best investment” for the climate.

Interesting study: How pregnancy affects marathon time.

The question I’m asking

Are you worried about Kovid anymore?

Recipe Corner

  • Thai chicken mango salad is very fresh for summer.
  • Carnivorous fried chicken strip.

Time capsules

One year ago (July 2 – July 8)

  • What causes intrusive anxiety and how to stop it how to do it.
  • 8 Recovery Methods: What to do after your workout — How to make the most of your training.

Comments of the week

“I don’t have snake oil right now, but I know it’s amazing to burn calendula balm made with avocado oil and some wax. Burnt from a hot pan or a bad sunburn, it will turn into a mild one in a painful blow. It also works very well to reduce inflammation from bee bites and bug bites.

The downside is that depending on how widespread the sunburn is, you have to see if you’ve been in Vaseline for one or more days. “

– Excellent burn care tip from JP.

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The post is new and significant: what I read this week — version 184 first appeared on Marx Daily Apple.

Mental health startup TheShareCo has launched a mobile app in Singapore

TheShareCo, a company under education technology startup Tueetor, has gone live in Singapore with a mobile mental health app.

What does this mean?

Available on both iOS and Android devices, the Share app offers online on-demand counseling around the clock for individuals or groups. It has a video telephony module, with annotations and chat tools.

According to a media release, registration is not required for those who will access the app’s free resources.

For users with online consultation, they do not have to wait long and fill out long pre-consultation questions.

First, they need to address the issues and choose the language of their choice. They also have the option of booking a therapist on the spot or on schedule. Then, the platform will match them directly and instantly with a therapist. After a session, the app will charge them a flat price regardless of whether it was a person or group counseling.

The online tutor marketplace Tueetor and the Tutor on-demand app have created the same team share behind the 10-minute tutor.

In addition, Shares also offers a corporate package that includes three therapy sessions per month.

Why it matters

In a survey conducted by the Institute of Mental Health in Singapore between 2020 and 2021, about 13% of Singaporean adults over one thousand claimed that they had experienced symptoms of depression or anxiety during the epidemic.

At the same time, young Singaporeans surveyed by the National Youth Council shared that the epidemic has challenged their mental health.

Feelings of isolation among seniors surveyed by the Center for Research on Successful Aging at Singapore Management University have also increased sharply.

TheShareCo’s latest mobile app adds a lot of resources available to Singaporeans who are dealing with mental health issues. It claims to offer an affordable and accessible service by combining discovery, booking, consultation, review and payment into a single app.

“The lives of precious people are at stake here, and I strongly believe that if we can somehow help tackle the problem, especially through technology, we should sincerely explore it. Losing a life is too much,” said Tan, founder of TheShareCo. Han Singh says.

Snapshots of the market

In the first half of the year, two Singapore-based mental health startups invested to accelerate their expansion across APAC. In January, Intellect has secured $ 10 million in a series of funding rounds, which it will use to scale faster across the region.

Next month, the corporate mental health and wellness platform MindFi has scored $ 2 million in the seed fund, which it plans to use to localize its products within the region.

Roundup: has launched JV with Sonic Healthcare and more partnerships, Sonic Healthcare Launch Pathology AI Joint Venture

Healthcare AI startup and ASX-listed diagnostic provider Sonic Healthcare have set up a joint venture called

Based on a media release, will improve the accuracy and efficiency of diagnosis with AI-powered assistive devices to pathologists.

The initiative will be led by Stephen Raffles, former CEO of As CEO, he will oversee a team of more than 70 specialist engineers, data scientists and clinical experts by the end of 2023.

Other key recruits for the joint venture include former racemed director Peter Dassos, general manager and head of talent Celeste Kokabe, who was previously with Atlasian and Investibal.

“We’ve spent months building the right team to work hand-in-hand with pathologists to develop AI-powered tools that will enhance their key role at the heart of the healthcare system,” Raffles said. makes the original appointment before entering the US

AI radiology provider has made two key appointments to support its planned expansion into the U.S. market.

In a press statement, the company announced that it has named Lakshmi Gudapakkam as CEO and Dr Rick Abramson as CMO. Both newly appointed executives are expected to help accelerate the global expansion of and secure further partnerships with healthcare providers, technology developers and regulators around the world.

Gudapakkam previously served as VP of US-based Quest Diagnostics and general manager of the US Eastern Region. He has been a senior global technology and business leader in GE Healthcare and Philips Healthcare for more than two decades.

Meanwhile, Dr. Abramson, an American physician and board-certified radiologist, was the former corporate VP of the radiology services at HCA Healthcare.

Their appointments also come as received 510 (k) clearance for the US Food and Drug Administration’s flagship product analysis enterprise CXR in March. The AI ​​Book X-ray tool has also been cleared for use in Australia, the United Kingdom, Europe, Southeast Asia and New Zealand.

ResApp has extended the license agreement with Medgate

ASX-listed digital health firm ResApp Health has extended a commercial license agreement with telemedicine provider Medgate to use diagnostic testing of its smartphone-based respirators.

The companies entered into a licensing agreement in August last year to use ResAppDx on the Medgate telehealth platform. The app-based test uses machine learning to analyze cough sounds and diagnose respiratory diseases.

According to a corporate disclosure, the extension has been granted for another 12 months.

Dr Andy Fisher, CEO of Medgate, shared that over the past year, they have found more evidence of the benefits of ResAppDx for their physicians and patients. “We look forward to expanding the use of ResAppDx to further realize these benefits for our patients,” he added.

Medgate intends to expand the use of ResAppDx throughout its “additional patient journey” in its telemedicine services and to bring the technology to its platform in Germany in 2023.

Volpara will deploy its AI breast imaging solution at RadNet’s diagnostic centers

Volpara Health Technologies, a New Zealand-based health technology developer, has signed a use agreement with RadNet, an imaging service provider in the United States.

Set for an initial period of 42 months, their contract is to install Volpara Analytics and Volpara Risk Pathways software across RadNet’s 353 imaging centers in seven U.S. states.

Volpara Analytics manages the quality of mammography while Volpara Risk Pathway provides screening for patients at high risk of breast cancer.

According to a company release, implementation is set for next year.

Roundup: MSIG provides free access to the Hong Kong Intellect Mental Health app and

MSIG Hong Kong Mental Health App provides free limited time access to Intel

Mental Health Startup Intellect has partnered with MSIG Hong Kong, a member of the MS&AD Insurance Group, to provide corporate wellness support to insurance clients.

From July 4 to December 31, MSIG Hong Kong’s SME Group Medical Insurance policyholders and applicants will have free access to Intellect’s Mental Health App.

“Now, perhaps more than ever in Hong Kong, employers are paying more attention to the mental well-being of their people. The epidemic has started a new level of concern for many in Hong Kong, which is why it is so important that we, as a society, work to improve good mental health.” Philip Kent, CEO of MSIG Hong Kong, commented.

Intellect provides users with twenty-four hour access to one after another coaching, guided journals, rescue sessions and other services.

Introducing the MedleyMed Virtual Clinic model

Digital pharmacy platform Medley Medical Solutions (Medlimed) has launched its virtual clinic concept in India, transforming local pharmacies into digital clinics that facilitate online doctor consultation.

Known as the Anand e-Clinic, this kiosk format at the pharmacy allows patients to book appointments and manage doctor’s advice online through a digital platform.

Although the global epidemic has enabled digital healthcare services to be widely adopted, Medlimed notes that there are still people who enter nearby pharmacies to receive medications recommended by pharmacists. The company warned that the practice could be “horrible” because pharmacists lack the knowledge of registered doctors.

To address these concerns, MedleyMed is creating the Anand e-clinic ecosystem to make doctor’s advice more readily available to patients. According to founder Satish Manchala, their goal is to transform more than a thousand pharmacies across the country into virtual clinics in the next three years.

More than 50 pharmacies in Hyderabad, Telangana have so far signed up to implement the Anand e-Clinic concept.

“There is also an opportunity for local pharmacy stores to transform into a virtual clinic with minimal investment and benefit from incentives and customer base growth,” Mancha added.

RaphaCure has launched online healthcare for students, teachers

Indian digital health platform RaphaCure has launched a new online healthcare targeting the education sector.

Dubbed RaphaNeu, the latest service package offers unlimited access to online mental wellness counseling. It provides unlimited access to the Virtual Doctor’s advice for one year from the start of the subscription.

Through the service, users can track their health metrics such as Fitness Tracker, captured by Raffit.

In addition, the package offers home medicine delivery and comes with a discounted gym or spa membership, as well as annual doctor visits and dental check-ups.

With RaphaNeu, RaphaCure aims to reach more than 88.5 million students in more than 40,000 colleges and 900 universities in India.

Partner with GOQii SRL Diagnostics

India-based fitness technology company GOQii and pathology service provider SRL have signed a contract for the Diagnostics Disease and Lifestyle Management Program.

Under their partnership, SRL Diagnostics will be a diagnostic partner for all tests booked through the GOQii app, including the HbA1c test, which is part of the GOQii Diabetes Care program.

To this end, SRL Diagnostics will offer GOQii’s program for diabetics across its centers in India.

According to a recent report by GOQii, the number of people diagnosed with diabetes increased from 7.9% in 2017 to 13.2% in 2021.

“The goal of this collaboration is to improve the outcome of chronic disease through regular test discipline,” said Vishal Gondal, CEO and founder of GOQii.

How Plan B and other emergency contraceptives work and how effective they are:

Plan B is a brand of emergency contraceptive levonorgestrel, which works by delaying ovulation. It is sold over the counter at the pharmacy, but is often kept in a locked box or can only be accessed by asking the pharmacist.

Justin Sullivan / Getty Images

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Plan B is a brand of emergency contraceptive levonorgestrel, which works by delaying ovulation. It is sold over the counter at the pharmacy, but is often kept in a locked box or can only be accessed by asking the pharmacist.

Justin Sullivan / Getty Images

While abortion is banned or severely restricted in many states, reproductive health experts say it is important to know the options available to both the patient and the provider in case of emergency contraception. For many people, this is an ultimate safety net against unintended pregnancies.

Many lawyers advise that women and those who may become pregnant have an emergency contraceptive in hand before they need it. “This is going to be really important for people living in states where this is their last chance and they really need to prevent pregnancy,” said Cynthia Harper, a contraceptive researcher and professor at the University of Obstetrics, Gynecology and Reproductive Sciences. California, San Francisco.

But some emergency contraceptive options work well for some people and some options are more readily available than others. Here’s what you need to know.

What is emergency contraception and how is it different from the abortion pill?

The term refers to contraceptive options that are used after intercourse to prevent an unwanted pregnancy from happening. You may need it if you have unprotected sex, or if the condom breaks or you forget to take a few birth control pills.

It’s not the same thing as a drug abortion or abortion pills, although it’s a common misconception, says Dr. Suzanne Goodman, director of training at the University of California’s Bixby Center’s Beyond the Pill program, which aims to promote access and equity in contraceptive healthcare. .

Emergency contraception prevents a pregnancy from happening in the first place, he explains, when a drug abortion is used to end a pregnancy that has already occurred.

Emergency contraception is “not harmful for a developing pregnancy,” Goodman says. “Language that mixes emergency contraception with abortion is often used to limit access,” she says. “But abortion pills work in very different ways, disrupting and expelling an implanted pregnancy.

What are the four types of emergency contraception?

Most people who have heard of emergency contraception probably think of the post-morning pill. But there are actually four different types of emergency contraceptives available – two pills and two pregnancy devices or IUDs.

Plan B or other levonorgestrel pills: The most readily available form of emergency contraception is an over-the-counter pill containing levonorgestrel, The brand name is probably best known under Plan B, although it is also sold under other brand names, including After, My Way, Tech Action and others. It is a single dose pill, has no age limit and does not require a prescription. It works best within 72 hours of unprotected intercourse.

Ella: The second type of emergency contraceptive pill is Ulipristal Acetate, sold in the United States under the brand name Ella. It is a single-dose pill that requires a prescription. Studies show that Ella remains effective throughout the five-day window after intercourse, in contrast to levonorgestrel, which shows a decrease in efficacy after three days, Goodman said. It is more effective for patients weighing more than 165 pounds.

Copper and hormonal IUD: The most effective form of emergency contraception as a whole is the IUD, which must be inserted by a physician within five days of intercourse to prevent pregnancy. (These are also the most effective forms of early contraception.) Both copper and hormonal IUDs can be used.

Copper IUD is “almost 100% effective as an emergency contraceptive,” said Harper of UCSF. He says more recent evidence shows that hormonal IUDs – sold under the name Mirena or Lileta – are also effective.

Dr. Alison Edelman, a professor of obstetrics and gynecology at the University of Oregon Health and Science, says there is a huge additional benefit to taking an IUD for emergency contraception. Once you have it in place, you have an effective contraceptive running. IUDs are effective for three to 12 years, depending on which one you get.

Where Can You Buy Emergency Contraceptives?

Although Levonorgestrel pills, such as Plan B, are supposed to be on the counter and stored on store shelves, research has shown that in reality they are often stored in a locked display box or behind the counter, so you may need to ask a pharmacist to order them online. You can, however, wait for them to be delivered, which means it can be a good option if you want to stock up on it.

For Ella, you need a prescription to get it. Studies have shown that Ella rarely has stock in pharmacies – they usually have to order it. This is why many reproductive health experts recommend that doctors give patients a script for it ahead of time. Companies like Nurx, SimpleHealth and PRJKT RUBY offer telemedicine appointments for women who need a prescription for eel.

Kelly Cleland, executive director of the American Society for Emergency Contraception, said, “We really want to encourage patients and healthcare providers to always have this conversation so that people have an emergency contraceptive in hand when they need it.”

Ulipristal Acetate is a single dose pill sold in the United States under the Ella brand that requires a prescription. Research shows that Ella is effective across the five-day window after intercourse.

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Ulipristal Acetate is a single dose pill sold in the United States under the Ella brand that requires a prescription. Research shows that Ella is effective across the five-day window after intercourse.

BSIP / Getty Images

How does an emergency contraceptive work?

Both Plan B and Ella pill alternatives work late in ovulation so that the sperm does not come out until the ovum is effective. IUDs work primarily to prevent fertilization, so even if the egg is secreted, it never mixes with the sperm.

When used as an emergency contraceptive, Edelman said, copper IUDs emit copper ions that are toxic to sperm, creating a kind of “hostile environment” that prevents them from reaching or fertilizing eggs. He says there is little evidence about the proper mechanism of action with hormonal IUDs, but they probably interfere with how eggs and sperm are transported through the body, so that they do not mate.

Edelman noted that since there is still some uncertainty about how a hormonal IUD works as an emergency contraceptive, you may want to take one of the pill forms if you are at the highest risk of getting pregnant due to being in the middle of your cycle. Contraception At the same time you get your hormonal IUD.

How soon after sex should these methods be used?

If you are using pills, the sooner the better. “Most people don’t really know where they are in the cycle. They don’t know whether ovulation will happen tomorrow or the day after tomorrow,” said Cleland of the American Society for Emergency Contraception. This means that if you delay taking the pill, you may miss the ovulation prevention window and get pregnant anyway.

For the IUD, it is also important to place it within five days of unprotected sex.

Are some forms of emergency contraception more effective for overweight people?

Yes. Evidence shows that levonorgestrel pills, such as Plan B, do not work in patients weighing more than 165 pounds. For them, Ella is a good choice – it works well in people up to 195 pounds. Of course, Ella needs a prescription, which can be a barrier to access, as these drugs are ticking the clock to work. The IUD is the most effective choice for those who weigh more than 195 pounds.

If you can’t get enough ELA or IUD fast enough, another option might be to take a double dose of Plan B. Edelman, who studied the relationship between weight gain and emergency contraception, said there was no clear evidence. Double dose works, but it is not dangerous. “If I were and I had an urgent need [emergency contraception]I will take single or double dose as opposed to doing nothing, ”he says.

Edelman says there are also places like family planning clinics, planned parenting or university health centers where women may be able to get the same day IUD placement as an emergency contraceptive.

A copper IUD is almost 100% effective as an emergency contraceptive.

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A copper IUD is almost 100% effective as an emergency contraceptive.

Adek Berry / AFP via Getty Images

How much does emergency contraception cost and does insurance cover it?

Federal law requires that most insurance plans cover prescription contraceptives, including IUDs, without cost sharing for the patient, although there are some exceptions.

Plan B and its generics are generally not covered by insurance because they are over-the-counter drugs. They usually retail for about $ 40- $ 50. You may also be able to get it discounted or free from the planned guardianship. You can often find levonorgestrel pills much cheaper online if you pre-order them to keep on hand. Another idea: If your doctor writes you a prescription for Plan B, insurance will cover it.

Ella costs about $ 50 or more at the pharmacy, but can be covered if you have health insurance or Medicaid. You will need to get a prescription from a healthcare provider.

IUDs must be inserted by a trained technician and the procedure and device must be covered by insurance. If you have to pay for an IUD out of pocket, that’s about $ 1000 or more.

Is emergency contraception legal where abortion is prohibited?

Yes, although reproductive health advocates are concerned that conservative state lawmakers banning abortions would later become some kind of urgent contraceptive target. Because the language of the label says levonorgestrel can interfere with the implantation of an already fertilized egg. It was based on old science, Cleland says; Part of the evidence now shows that the drug works by stopping ovulation, and reproductive health experts are urging the Food and Drug Administration to change this label. “We need to make sure these product labels are consistent with scientific evidence,” Cleland said.

Can emergency contraception fail?

Yes. Emergency contraceptive pills work late in ovulation, but if you have already started ovulation before taking them, it may be too late to prevent pregnancy. If you continue to have unprotected sex the same month, it can also fail – you can ovulate again if you are not in effective form of early birth control after the effects of the emergency pill have stopped, Edelman warns. This is why it may be a good idea to take an IUD immediately after unprotected sex, even if you are taking the pill, he said: “We know that having birth control on board helps prevent pregnancy immediately in that cycle.”

Is there an age limit for getting an emergency contraceptive?

No. Once there was an age limit on the pills but they have all been removed, Cleland said. There may be state laws for IUDs that require parental consent for minors.

A mental health checklist for college students

As autumn approaches, new students will bring all sorts of things to the college campus: luggage and school supplies, mini fridges and sports equipment. But in the midst of preparations for the move-in day, many did not consider what tools they would need to support them emotionally.

In other words, what can they do to protect their mental health?

In a 2017 survey of more than 700 parents and guardians, more than 40 percent said they did not discuss the possibility of anxiety or depression when helping their teens prepare for college or post-secondary school. Also, most caregivers said that mental health services on campus were not a priority when choosing a school.

But a large number of teenagers are struggling. According to the Center for Disease Control and Prevention, more than 1 in 3 high school students experienced persistent sadness or frustration in 2019, representing a 40 percent increase from 2009.

Once they arrive on campus, these problems do not go away. A survey conducted by Inside Higher Aid and College Pulse in March found that graduate students were more than twice as likely to rate their overall mental health as “poor” (22 percent) versus “excellent” (9 percent).

And using eight years of data from more than 350,000 students on nearly 400 campuses, a new study found that the mental health of college students across the United States is declining. More than 60 percent of students surveyed in the 2020-2021 academic year met the criteria for one or more mental health problems, an increase of about 50 percent since 2013.

Experts suggest that parents and adolescents now take active steps to help plan and save for mental well-being during major changes in college.

Consider contacting the college’s counseling center before coming to campus. This is especially important for those who already have a mental disorder or other mental health concerns.

At SUNY Broome Community College in Binghamton, NY, one month before the start of the Counseling Center class, the registered students began visiting on August 1st.

“A lot of the time students come to us early, they have a lot to open up,” said Melissa Martin, a licensed social worker and chair of the school’s counseling services.

The Z Foundation, a suicide prevention organization that aims to protect the mental health of adolescents and young adults, advises the school’s counseling center to ask the following:

  • What services are provided?

  • Is the maximum number of sessions allowed per year?

  • Is there a counselor to call 24 hours a day? If not, is emergency service available hours later?

  • What accommodation is available for students with mental illness through disability services?

  • What is the school’s policy on absenteeism leave?

  • Are there other types of support available, such as text lines or residential advisors?

Check if the counseling center offers off-campus referrals, and collect a short list of potential providers in your back pocket before you come to school. This is a good practice for any student, as the school’s counseling center may need outside help to create a waiting list. It also helps to familiarize yourself with your insurance plan to see what kind of coverage it provides. If you don’t use your parent’s plan, compare campus health insurance with other available options provided by the Affordable Care Act.

“I don’t think it’s too early to say, ‘Hey, I need help,'” said Martin. “You may not see anyone else come forward to help, but they may not be talking about it.”

Studies have shown that students of color are less likely to use mental health services offered on campus than white students, not only because of the stigma associated with mental health care but also because of the lack of diversity among counseling staff.

Ebony and McGee, professors of diversity and STEM education at Vanderbilt University’s Peabody College, say those looking for a supplier of color may have to take on the extra burden of trying to find a therapist off campus.

“That student may not actually do it, which can lead to unhealthy things,” he said.

In addition to the counseling center there are many resources for students. Tutoring, academic and peer advising, educational coaching, student activity and career services can all contribute to a student’s mental well-being.

Connecting with other students is especially important, experts say.

John McPhee, chief executive of The Z Foundation, said: “College students report that loneliness and isolation and feelings do not suit them – such emotions are very common and challenging in the first year of college.”

Spend some time looking at extracurricular activities and clubs and think about how to engage with others while on campus. And even if you have the option of being alone, consider having a roommate, Mr. McPhee added – it can expand your social network and help with buffer stress.

Don’t count on a high school friend or someone returning home – a sibling, parent or religious leader, for example – who is particularly helpful.

“I often suggest making a list of the three to five biggest helpers in your life,” Mrs. Martin said. “And when you’re not feeling well at school, you know you can get in touch with one of them.”

One way color students can protect their mental health is to take African American history or ethnic studies classes and explore some structural issues that contribute to stress, anxiety and depression, says Dr. McGee, who has studied the experience of mental struggle. By high achieving black students.

“When many black and brown students have mental health conditions, it is often due to racist or sexist racist experiences,” he said. “It’s about the environment that gives rise to isolation.”

Dr. McGee advises finding a place of comfort and understanding. “Go to locations and places where you are reassured and celebrated, and simply not tolerated,” he said. It could be an extracurricular activity or a religious organization – anywhere you can find other marginal students of color.

In the summer before college, teens should learn how to eat, sleep and socialize, experts say, adding that they have developed some unhealthy habits, especially during epidemics. If a student’s basic needs are neglected, it becomes more difficult to develop a healthy mental state.

Learning how to support yourself and taking steps to become more independent can make college transfers less annoying. Before coming to campus, practice managing a budget; Advocating for yourself with a teacher, doctor or instructor; Or spending time outside of your childhood home – perhaps with a relative or at a summer camp.

Older years can be “a rolling ride,” especially at Covid’s age, says Dave Anderson, a clinical psychologist at the Child Mind Institute, a nonprofit that provides therapy and other services to children and families with mental health and learning disabilities. “It’s just ups and downs, and frustration and hope, and trying to figure out where they’re supposed to be.”

He advised a teenage client (who slept an average of five hours a night in his senior year) to start getting eight hours of sleep each night this summer and be aware of how much time he was spending on screen. Her client also starts eating a healthy diet that includes more vegetables and starts working first thing in the morning because she knows her college classes will start later in the day.

Alcohol is “another thing we’ll discuss very openly with teens in the summer before college,” Dr. Anderson said. Many high school students are already drinking alcohol socially with friends, he added, and in college they may feel the pressure of having bilateral drinks or “pre-games”. But teens can now set boundaries and prepare mentally for these and other situations – including drug use and sexual situations.

“How can we be sure that this summer you are setting intentional goals related to your limits and what you think is safe for you?” He asked the college-bound teenagers. This conversation can sometimes make parents nervous, said. Anderson added 6

“But if we can talk to kids honestly about it, they can set those limits when they go to college because they’ve practiced.”

Former Theranos executive Sunny Balwani has been convicted of fraud

Ex Theranos executive Ramesh “Sunny” Balwani was convicted on Thursday of cheating with investors and patients at a blood testing company.

Balwani, who served as the COO and president of Theranos, was convicted of 12 counts, including ten counts of wire forgery and two counts of conspiracy to commit wire fraud.

Elizabeth Holmes, the company’s former CEO, who was also Balwani’s ex-girlfriend He was convicted in January of three counts of conspiracy to defraud investors and wire fraud, although the jury did not convict him of four other fraud charges involving patients who used Theranos tests. Judges could not reach a verdict on the three counts of cheating certain investors.

Holmes and Balwani were initially charged together, but their cases were separated after Holmes Balwani accused him of abuse. He denied the allegations and argued that he was responsible for Theranos’ problems during his trial.

Both Balwani and Holmes could face up to 20 years in prison, although he has already told a judge Reverse his faith. Holmes is due to go to court in September.

Theranos was launched in 2003 and was racked up Huge amount of investor dollars. But the prospect of disrupting the healthcare industry in the full range of lab tests performed on a few drops of blood began to unfold in 2015 when Of the Wall Street Journal John Carrero has started a series of investigative articles on the company’s technology problems. The company officially closed in 2018.

Scientists look at people with Down syndrome to test for Alzheimer’s drugs: Shot

For Frank Stephens, 40, the effort to defeat Alzheimer’s is personal.

One reason is that the disease left her mother “almost childish,” she says. “It’s very hard to see.”

Also, as a person with Down syndrome, Stephens knows that he is more likely to have Alzheimer’s than his mother.

So she raised money for Alzheimer’s research through the Global Down Syndrome Foundation and she took part in research studies through the group’s Human Trisome project.

Stephens’ goal is to find a drug that can prevent Alzheimer’s.

“It would be amazing,” he says. “I hope I can do it for my mom.”

The extra chromosomes, the extra risk

People with Down syndrome are very much looking for Alzheimer’s research because many of them develop the disease in their 40s and 50s and most will get it if they live longer.

Excess duplication of chromosome 21 carried by people with Down syndrome leads to a higher risk of Alzheimer’s.

This extra genetic code leads to intellectual disability. Joaquin Espinosa, executive director of the Linda Chronic Institute for Down Syndrome and professor at the University of Colorado’s Anshutz Medical Campus, says it alters the brain in at least two ways that can lead to Alzheimer’s.

As a result, he said, “People with Down syndrome have a unique opportunity to understand what changes the severity and progression of Alzheimer’s disease.”

A hyperactive immune system

Down syndrome is associated with a hyperactive immune system. It protects patients from some cancers, but also leads to chronic inflammation.

“And important for Alzheimer’s,” says Espinosa, “they have encephalitis throughout their lives.”

There is growing evidence that encephalitis plays an important role in Alzheimer’s. So Espinosa and a team of researchers are looking for ways to control the immune system of the brain.

“We are conducting clinical trials for immune modulating agents in Down syndrome,” he says. “An active trial is currently underway to reduce that response with a class of drugs known as JAK inhibitors.”

JAK (Janus kinase) inhibitors are used to reduce inflammation in people with rheumatoid arthritis and other autoimmune diseases.

Espinosa hopes that these drugs can reduce inflammation in the brain and reduce the risk of Alzheimer’s, and he is trying this approach in people with Down syndrome.

Excess chromosomes, extra amyloid

Another team from the Chronic Institute is taking a different approach to modifying the immune system.

Dr. Huntington Potter says the idea is to increase immunity to a particular disease that “eats things that aren’t supposed to be there.”

One of these things is amyloid, a sticky, toxic substance that builds up in the brains of people with Alzheimer’s. People with Down syndrome have more amyloid in their brains because their extra chromosomes contain genetic instructions for making substances.

Potter hopes to prevent it with a drug called leucine, which increases the number of immune cells that eat amyloid.

Last year, he conducted a small study showing that leucine could be safely given to people with Alzheimer’s.

“We didn’t expect to see a cognitive advantage,” he says. “But three weeks of treatment with leucine and individuals have improved their knowledge.”

These people did not have Down syndrome. But in March, Potter’s team showed that leukine also worked in rats with Down syndrome.

“We then allow adults with Down syndrome to apply for grants for the study before they develop Alzheimer’s disease,” he says.

They received a 4.6 million grant from the National Institute on Aging. Now they need to recruit young adults who have Down syndrome to study.

That shouldn’t be a problem, says Lina Patel, director of neurodevelopmental, cognitive and behavioral assessment at the Chronic Institute.

“The self-advocates we work with are really advocates of research,” he says. “They see that it is directly affecting their lives and the lives of others.”