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Exam Code: CDM Practice test 2022 by team
CDM Certified Dietary Manager

- Management of Foodservice
- Sanitation & Food Safety
- Nutrition & Medical Nutrition Therapy
- Human Resource Management
- Career Skills

- Utilize the systems approach to procure, produce, and serve food to all customers.
- Provide a safe and sanitary environment for employees.
- Utilize appropriate supervisory management techniques.
- Provide appropriate quality nutritional care for the client.
- Meet all licensing and regulatory agency standards.
- Utilize business, marketing, and public relation skills to Improve foodservice and nutrition to peers, patients, and community.
- Constantly strive for improved performance as a Dietary Manager.
- Participate in the professional activities of the Association of Nutrition & Foodservice Professionals.

Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
 Access data, references, patient education materials, consumer and other information from credible sources.
 Perform nutrition screening and identify clients or patients to be referred to a registered dietitian nutritionist.
 Evaluate information to determine if it is consistent with accepted scientific evidence. Problem Solving Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
 Participate in quality improvement and customer satisfaction activities to Improve delivery of nutrition services.
 Modify recipes and menus for acceptability and affordability that accommodate the cultural diversity and health status of various populations, groups and individuals.
Interpersonal Behavioral and Social Skills
The ability to show cultural competence in interactions with clients, colleagues and staff.
 Demonstrate an understanding of cultural competence/sensitivity.
 Show cultural competence in interactions with clients, colleagues and staff.
 Implement interventions to effect change and enhance wellness in diverse individuals and groups.
Oral and Written Communication 1. The ability to listen to and understand information and ideas presented through spoken words and sentences.
2. The ability to communicate information and ideas in
 Prepare and deliver sound food and nutrition presentations to a target audience.
 Provide nutrition and lifestyle education to well populations.
 Promote health improvement, food safety, wellness and disease speaking so others will understand.
3. The ability to read and understand information and ideas presented in writing.
4. The ability to communicate information and ideas in writing so others will understand. prevention for the general population.
 Develop nutrition education materials for disease prevention and health improvement that are culturally and age appropriate and designed for the educational level of the audience.
Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Physical activities Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
 Demonstrate sufficient upperbody strength and manual dexterity to operate and clean household and institutional equipment required for food preparation and food.
 Travel to clinical sites and have mobility within and around the sites.
Activities may involve standing, sitting, stooping and be in hot and cold facilities.
 Demonstrate the ability to exert maximum muscle force to lift, push, pull, or carry objects such as food supplies, small equipment and delivery of meals.
 Sensing
 Visual
 Hearing
 Taste
 Smell
1. The ability to see details at close range (within a few feet of the observer).
2. The ability to taste and smell to determine acceptability of foods and supplements.
3. The ability to hear spoken words.
 Demonstrate sufficient vision, smell and taste to evaluate the appearance, aroma, and flavor of food.
 Demonstrate sufficient vision to observe compliance with food sanitation and safety codes.
Professional Attributes Practicing professional skills required in entry-level positions.
 Attend scheduled classes, labs and supervised practices and be present for examination and testing. Be prepared for class.
 Maintain professional demeanor in class and during supervised practice.
 Maintain personal hygiene and dress code policies.

Certified Dietary Manager
Medical Certified Study Guide
Killexams : Medical Certified Study Guide - BingNews Search results Killexams : Medical Certified Study Guide - BingNews Killexams : How to Become a Doctor: A Step-by Step Guide No result found, try new keyword!So it's important that prospective med students do something besides study ... to pursue a medical fellowship within that field. Since it takes many years to become a board-certified doctor ... Mon, 30 Nov 2020 02:52:00 -0600 text/html Killexams : How to Become a Fertility Specialist Doctor is screening pregnant woman in the hospital © (Getty Images) Doctor is screening pregnant woman in the hospital

When individuals or couples struggle with infertility or hope to extend their timeline for bringing children into the world, fertility specialist physicians can provide assistance.

These doctors can also perform sterilization operations such as tubal ligations and vasectomies.

Future fertility doctors need to be curious and innovative because the field moves quickly; technology is changing all the time. They should also be nonjudgmental and good listeners.

"We are looking at people who can take care of patients during the most vulnerable part of their lives," says Dr. Gary Frishman, a clinical professor of obstetrics and gynecology at Brown University's Warren Alpert Medical School in Rhode Island.

Below is an education guide for anyone who plans to become a fertility specialist doctor.

Academic Paths Into Fertility Medicine

An aspiring reproductive medicine physician needs to obtain bachelor's and medical degrees. There are two pipelines into the field of fertility medicine, and the route you take depends on the population you intend to treat.

Medical school graduates should complete residencies in obstetrics and gynecology if they intend to focus on female fertility, and in urology if their goal is to concentrate on male fertility. Many OB-GYN and urology residencies now include training in transgender medicine.

After residency, a future reproductive medicine physician will need to complete a fellowship that focuses on fertility and infertility issues. Aspiring fertility doctors who complete OB-GYN residencies typically pursue fellowships in reproductive endocrinology, while those who finish urology residencies usually pursue fellowships in andrology.

Finishing a residency and fellowship in reproductive medicine usually takes at least six years, often seven.

Future reproductive doctors also need to seek national board certification and state medical licensure.

Reasons to Get Trained in Fertility Medicine

Work is abundant in the reproductive medicine specialty.

Over the last four and a half decades, more than 9 million babies have been born due to in vitro fertilization and other assisted reproductive technology.

"You have some of the most interesting medical problems that are hormonally related, and you have some of the most complex and advanced surgeries, and then on top of that you have a field that is growing and expanding so much," Frishman says.

In addition, since the exact U.S. Supreme Court ruling that overturned the Roe vs. Wade decision, many doctors say they've seen more patients seeking sterilization.

Some significant questions about the human body and public health are directly related to fertility medicine, says Dr. Eve C. Feinberg, an associate professor of obstetrics and gynecology and director of the reproductive endocrinology and infertility fellowship program at Northwestern University's Feinberg School of Medicine in Illinois.

According to Feinberg, the most fascinating puzzles in fertility medicine surround how to extend the biological clocks of women, what the potential environmental and nutritional causes of fertility disorders are, why IVF sometimes fails and whether there is an upper age limit beyond which it is inadvisable for men to conceive children. There are also many ethical debates surrounding moral limits for gene editing and embryo selection, in addition to practical considerations about the accuracy of genetic testing, she adds.

Facts to Know and Courses to Take for a Career as a Fertility Doctor

Obstetrician-gynecologists and urologists in this field of medicine emphasize that roughly half of infertile heterosexual couples are struggling to have children due in part to the man's reproductive health problems, contrary to a common misconception that women have the overwhelming majority of fertility disorders.

"It's a shared problem between the man and the woman, and to assume it's just a female problem is naive," says Dr. Larry I. Lipshultz, founder of the Society for the Study of Male Reproduction and a former president of the American Society for Reproductive Medicine.

According to Lipshultz, the chief of the division of male reproductive medicine and surgery at Baylor College of Medicine in Texas, fertility problems are sometimes an indication of serious undiagnosed health conditions that need to be treated.

Dr. Craig Niederberger, head of the urology department at the University of Illinois—Chicago College of Medicine, suggests that because reproductive medicine is an interdisciplinary field, there are many types of classes an aspiring fertility doctor might want to take prior to beginning residency and fellowship training, during college and medical school.

Subjects worth studying in premed or medical school years include biology, genetics and psychiatry or psychology, Niederberger says.

Anyone who intends to enter the urology half of the fertility medicine profession should complete an elective rotation in urology during medical school. A rotation or clerkship in obstetrics and gynecology is typically a mandatory component of the med school curriculum.

Niederberger advises future reproductive doctors to take nonscience classes during college, noting that as a double major in chemistry and theater, he now uses his theater knowledge more frequently than his chemistry know-how since he does a significant amount of public speaking.

Searching for a medical school? Get our complete rankings of Best Medical Schools.

Copyright 2022 U.S. News & World Report

Fri, 07 Oct 2022 03:59:00 -0500 en-US text/html
Killexams : Penis Enlargement: Does It Work?


Michael O’Leary, MD, professor of surgery, Harvard Medical School; senior urologic surgeon, Brigham and Women’s Hospital.

Petar Bajic, MD, urologist, Glickman Urological and Kidney Institute, Cleveland Clinic.

W. Myles Hassler, licensed professional counselor, certified sex therapist, Atlanta.

BJU International: “Penile size and the ‘small penis syndrome.’”

National Health Service (U.K.): “Penis enlargement.”

Kinsey Institute of Indiana University: “Penis size FAQ and bibliography.”

Mayo Clinic: “Peyronie’s disease,” “Erectile dysfunction,” “Sex therapy.”

FDA: “510(k) Premarket Notification: Elastomer Silicone Block.”

The Journal of Sexual Medicine: “A Single-Surgeon Retrospective and Preliminary Evaluation of the Safety and Effectiveness of the Penuma Silicone Sleeve Implant for Elective Cosmetic Correction of the Flaccid Penis.”

Tue, 22 Oct 2013 17:29:00 -0500 en text/html
Killexams : A Pro's Complete Guide To Each Recreational Scuba Diving Certification © Provided by TheTravel

Quick Links

  • PADI Advanced Open Water Diver

Scuba diving opens up the magic of the underwater world to humans. The freedom people feel while breathing underwater, being in the presence of the planet's most beautiful and bizarre creatures of all sizes in the midst of an alien world beneath the waves, is an experience incomparable to any other. Once considered a sport only for the rich, scuba diving is now more accessible, affordable, and safer than ever, with millions of people all around the globe enjoying the hobby, be it regularly or occasionally on vacation.

From kaleidoscopic reefs and coral-coated sea walls heaving with colorful fish, turtles, and sharks to eerie shipwrecks, caves, and current-swept subaquatic mountains attracting manta rays, schools of hammerheads, and gigantic whale sharks, the oceans know no bounds in terms of marine life.

Don't forget about freshwater antics, either; many divers also explore the wonders within inland and subterranean lakes, which house their own unique aquatic specimens for observation. It truly doesn't matter; whether diving out in the open ocean, enjoying encounters with dolphins, whales, and the likes, taking in rainbow-hued reefs, discovering the crystal-clear waters in the icy arctic, or submersing oneself in a lake, scuba diving is one of life's most serene pastimes and bucket list items — but underwater explorers must get the right dive certifications first before they can venture into the extraterrestrial dimension below the water's surface.

Related: These Are The World's Best Dive Sites For Scuba Diving With Sharks

As any experienced or aspiring diver might be aware, there are so many dive programs and certifications available, which can make research into getting certified a little complicated. However, this guide to each scuba diving course and certification has been written by a dive instructor, covering every angle so that hopeful divers can understand each one in the correct order.

While every dive course mentioned in this guide is based on the programs designed and offered by the most popular dive agency, PADI, most agencies — such as SSI, SDI, NAUI, RAID, and others — follow a similar flow of courses, each with similar names, curriculums, and course requirements, bar a few differences.

In ascending order and each being a prerequisite to the next, here's a comprehensive catalog and overview of every dive course at the recreational level before entering into the higher zone of professional dive training.

PADI Scuba Diver Course

Scuba Diver Course Prerequisites:

  • Over ten years old
  • Ability to swim and be comfortable in the water
  • Be medically fit for scuba diving (some countries may legally require a medical certificate from a physician)

First, the Open Water certification (mentioned next) is the ideal place to begin one's journey as a diver, as it's considered the initial level of certification required to dive without the presence of certified diving professional. However, the Scuba Diver certification is the stage before the Open Water Diver cert and is technically the first step on the diver ladder.

The Scuba Diver certification is often a useful option for those who wish to become a diver but are short on time since the full Open Water program takes at least a couple of days longer to complete. Generally, not all dive centers, instructors, and operators offer the Scuba Diver program, so it's wise to check before booking a vacation somewhere to undertake this novice level. However, don't panic; most do offer it, and it's a great choice for those interested in diving but who aren't sure how confident they will be in the water.

After signing up for the Scuba Diver course, participants spend two or three days undertaking its requirements. Students must complete three out of the five theory sections (videos, knowledge development sections, and quizzes), three of the five confined water dives, and only two of the four open water dives that make up the full Open Water Diver program.

Hence, the Scuba Diver cert is considered 'half' of the Open Water Diver cert, generally speaking, as it requires students to complete approximately half of the theory, confined water dives, and open water dives. Think of the Scuba Diver course as an intermediate step toward the Open Water Diver certification, the latter of which can be pursued and earned by completing another day or two to finish the full program.

Related: Underwater Experiences That Must Been Seen To Be Believed, And Not All Require Scuba Gear

The theory section of the course covers the basics of scuba diving skills and safety, which are then put into practice during the confined water portion of the program. Also, while many people complete the theory part of the course in person with their instructor, a lot prefer to do this part in advance online via PADI's e-learning. Opting for e-learning allows students to undertake all theory in their own time before starting the practical sections of the program, which they then take with the instructor. It's usually a more convenient option for those who don't want to spend any of their vacation studying books, taking quizzes and exams, and watching dive theory videos in a classroom.

After the appropriate theory modules are finished, the confined water classes are usually conducted in a swimming pool, although they can be taught in a shallow, calm area of the ocean or a lake — so long as the conditions are 'swimming pool-like.' In the confined water lessons, the instructor has the student(s) complete a series of mandatory skills — both in and out of the water — until the student has learned and demonstrated each skill to the instructor's satisfaction.

Once the confined water skills have been mastered, the best part of the program takes place: the open water modules! This part is undeniably the most fun — for both student and instructor — and is when students put the diving skills they learned in theory and confined water sections to the test out in the open water. Either in the ocean or a lake, students take to the open water with their instructor and must fulfill the same skills.

During the two open water dives, students will complete several skills on each plunge, but the skills part of the dives don't usually take that long, which leaves plenty of time to enjoy the underwater world as they explore the dive site alongside the instructor. Plus, unlike the full Open Water Diver course, there's no final exam. As long as students complete all knowledge reviews and quizzes, confined water skills, and open water dives to the instructor's satisfaction, they will receive the Scuba Diver certification.

Scuba Diver Course Overview:

  • Three theory sessions (knowledge reviews and quizzes)
  • Three confined water sessions
  • Two open water dives
  • Total time: two to three days

The Scuba Diver certification permits holders to:

  • Dive to a maximum depth of 12 meters (40 feet)
  • Only dive under the direct supervision of an instructor (if Scuba Diver-certified divers wish to dive without an instructor, they need to upgrade to the Open Water Diver certification, which, as explained above, requires two further theory sections, confined water dives and open water dives)

Related: These Are The Best Places In The World To Dive With Manta Rays

The Scuba Diver course is ideal for those who:

  • Don’t have the necessary time to complete the whole Open Water course
  • Can’t finish the full Open Water program
  • Only wish to dive with a dive professional (a PADI Instructor, for example) instead of with a dive buddy or another diver who is not a dive professional.

If students wish to upgrade to the Open Water certification, they can do so at any time in the future, whether they decide to extend their vacation to complete the necessary extra sections of the course or sign up to do these sections at a later date. The instructor can refer students to another dive center or instructor if they decide to upgrade to the Open Water Diver certification with a different dive center/instructor.

Note: When a certified Scuba Diver wishes to upgrade to the Open Water Diver certification, they must (with an instructor):

  • Complete two more theory sections (two additional knowledge development modules and a quiz
  • Complete a final exam.
  • Complete the remaining two out of five confined water skill sessions (in a pool or a body of water with pool-like conditions)
  • Complete a surface swim
  • Complete the remaining two out of four open water dives (in the ocean or in a suitable lake that meets the course requirements)

Related: Why Bonaire Island Is A Top Scuba Diving Destination

PADI Open Water Diver

Open Water Diver Course Prerequisites:

  • Ability to swim and be comfortable in the water
  • Be medically fit for diving (again, some countries require a medical certificate from a physician)
  • Be able to float or tread water without aids for 10 minutes (instructors will ask students to perform this task under their supervision)
  • Swim 200 meters/yards without aids or swim 300 meters/yards with a mask, fins, and a snorkel (instructors will also ask students to perform this task — but students can choose which option they prefer)

The Open Water Diver course is where it really begins; it's the first autonomous diving certification and teaches participants how to be a great, safe diver without necessarily being under the wing of a dive professional (although diving with a certified buddy is always mandatory, no matter what certification a diver holds). It's the most popular beginner diver program and is highly recommended for newbies because it teaches them even more valuable skills and allows a greater level of diver freedom.

As discussed, the Open Water Diver certification is the next level up from the Scuba Diver course, and any participant who already has the Scuba Diver cert only needs to fill the above-mentioned checklist for upgrading to the Open Water certification. However, the Scuba Diver qualification isn't a prerequisite, so absolute beginners can still sign up for the Open Water Diver course. So long as participants meet the prerequisite criteria bullet-pointed above, they can take the Open Water Diver course.

The Open Water Diver course consists of the same sections as the Scuba Diver course, except it has two more theory sections involving videos, knowledge development assessments, and a quiz, two extra confined water sections, two more open water dives, and a final exam.

Related: A Study Has Revealed The World's Best Snorkeling Destinations

Open Water Diver Course Overview:

For students starting the Open Water course from scratch, the program overview looks like this:

  • Five theory sections (videos, knowledge development assessments, and quizzes)
  • Five confined water sessions
  • Four open water dives
  • 10-minute float/treading water
  • 200-meter swim/300-meter swim with mask, snorkel, and fins
  • Final exam
  • Total time: three to four days

Open Water Diver Certification Information:

Upon completion of the Open Water Diver course, students receive the Open Water Diver certification, which certifies divers to:

  • Dive to a maximum depth of 18 meters (60 feet)
  • Dive with a certified dive buddy or another certified diver (who also holds a minimum of an Open Water Diver certification)

Any young divers certified between the ages of 10 to 14 receive a Junior Open Diver certification, not the 'full' Open Water Diver cert. The Junior Open Water Diver carries the same weight, but there are some important differences. Junior divers between 10 and 11 may only dive with a dive professional, a certified parent, or a certified guardian — and only to a maximum depth of 12 meters (40 feet). Junior divers aged between 12 and 14 are permitted to dive to 12 meters (40 feet) only when accompanied by a certified adult diver over 18. Once Junior Open Water Divers turn 15, they are automatically upgraded to the standard Open Water Diver certification without any further applications necessary.

PADI Advanced Open Water Diver

Advanced Open Water Diver Course Prerequisites:

  • Have the Open Water Diver or Junior Open Water Diver certification (or another qualifying certification from another dive agency, for example)
  • Be at least 12 years old
  • Be medically fit to dive

The name of this program can be quite deceiving; divers don't need to be 'advanced' to undertake the Advanced Open Water Diver course; rather, it advances their existing skills and builds upon the Open Water Diver certification by exploring the underwater world. Divers who are at least 12 years old and have the Open Water Diver certification can opt for this course, which is considered the second level on the diving path. What participants might enjoy about this program, in particular, is the fact there are no 'fixed' classroom theory sessions per se; everything is all about getting in the water and discovering its adventures.

Students receive the Advanced Open Water Diver course book, which they can study at their leisure before completing the diver quizzes, which the instructor will check, but that's about all there is to the 'theory' side of the course. Handily, there's no final test necessary to pass this program, either.

During the Advanced Diver course, students log a total of five 'specialty' dives with their instructor. Specialty dives are unlike ordinary dives; in essence, they're much like 'themed' dives, in which students explore certain environments and complete skills appropriate to that particular specialty dive. Two of the dive specialty dives are mandatory — the 'deep' dive and the 'navigation' dive.

The deep dive involves exploring depths (up to 30 meters max) and equips students to handle the unique physiological effects of deep diving. On the other hand, the navigation dive equips divers with the know-how to find their way above and below the surface using an underwater compass, visual landmarks, kick cycles, and time.

The other three specialty dives are up to the student, and they can choose from several useful (and amazing) situations to experience, so long as the location permits. The following specialty dives are usually the most widely available and most popular:

  • Deep
  • Night
  • Peak Performance Buoyancy
  • Digital Underwater Photography
  • Boat
  • Fish Identification
  • Underwater Naturalist
  • Search & Recovery

Plenty more specialty dive types also exist, although they are often less available due to a lack of equipment or suitable dive sites near any given dive center's vicinity that allow these dives to be carried out:

  • Cavern
  • Wreck
  • Altitude
  • Ice
  • Dry Suit
  • Enriched Air
  • Sidemount
  • Adaptive Support
  • Dive Against Debris
  • Full Face Mask
  • Shark Conservation

Advanced Open Water Diver Course Overview:

  • Five open water dives: (a deep dive below 18 meters/60 feet, a navigation dive, and three specialty dives of the student's choice)
  • Total time required: two to three days

Advanced Open Water Diver Certification Information:

After completing the Advanced Open Water Diver course, students earn the Advanced Open Water Diver certification, permitting them to:

  • Dive to a maximum depth of 30 meters (100 feet)

Related: These Are Some Of The World's Best Scuba Diving Destinations

PADI Rescue Diver

Rescue Diver Course Prerequisites:

  • Have the Advanced Open Water Diver or Junior Advanced Open Water Diver certification
  • Emergency First Response (EFR) Primary and Secondary Care training (or qualifying training) within 24 months
  • Be 12 years of age or older
  • Be medically fit to dive

For most dive instructors, the Rescue Diver course is one of the most fun and enriching scuba courses to teach. Rescue Divers are much like the emergency services of the aquatic world, equipped with the in-depth know-how to solve myriads of problems and respond to dive-related emergencies both on land, on the surface, and underwater. Out of all the dive programs, this one is often branded the most physically and mentally challenging; however, it's the most rewarding, shifting the focus from oneself to other divers.

The purpose of the Rescue Diver course is to teach divers to prevent, manage, and solve all kinds of problems that may occur when scuba diving — not just for themselves but also for other divers. It also equips divers with the knowledge to identify small, potential problems before they become big ones. As such, there's a lot to learn in this program before earning the esteemed Rescue Diver certification, but don't panic; it can be completed in around four to seven days — though those days will be plush with work and plenty of taxing tasks.

First, course participants must be at least 12 years old and have earned their Advanced Open Water qualification. In addition, they also need to have completed a CPR and First Aid training program within the last 24 months (there are exceptions for qualified medical professionals, such as doctors and nurses, for instance). If students don't have the required CPR and First Aid training, they can undertake it alongside the Rescue Diver course, which is a ton of fun and teaches them a wide array of highly valuable skills, but it does mean even more work is added to an already-heavy course. Among divers, the most popular CPR and First Aid training course is Emergency First Response (EFR), and most dive instructors are Emergency First Response instructors themselves, enabling them to teach the program to aspiring Rescue Divers.

Related: Can You Dive Dean's Blue Hole? Not Without Knowing This

For students without the EFR Primary and Secondary Care certification completed within the last 24 months, they will complete this program before starting the Rescue Diver course. In the EFR course, students learn about CPR, health and safety, identification of hazards, how to respond to various emergency scenarios, how to operate an AED, how to identify scuba diving-related illnesses, and how to administer emergency oxygen to a diver. The EFR portion takes around two days, after which the Rescue Diver course begins.

Throughout the dry land part of the Rescue Diver course, participants study the Rescue Diver textbook and complete quizzes before starting their in-water skills practice, which has them demonstrate what they learned in the classroom in a variety of rescue scenarios in and around the water. Much of the course consists of role-playing rescue scenarios under the guidance and supervision of the instructor, covering aspects and essential in-water and out-of-water skills, including the causes of dive emergencies, recognizing and responding to various types of diver distress, identifying and rectifying equipment issues, effectuating missing diver procedures, undertaking first aid and injury treatment, accident management, and quick problem-solving.

Overall, ten water rescue exercises form the structure of the Rescue Diver course. They include drills such as:

  • Assisting tired and panicked divers
  • Self-rescue (relieving cramps, handling equipment malfunctions, etc.)
  • Responding to distressed divers — both from the shore, on the surface, and underwater (practicing scenarios with unresponsive divers underwater and on the surface, for example)
  • Searching for a missing diver while following proper procedures
  • Administering emergency oxygen
  • Giving in-water rescue breaths while undergoing equipment removal and towing an unresponsive diver to shore or a boat (this is an intense but highly rewarding exercise!)
  • Assisting and pulling victims out of the water
  • A full start-to-finish rescue of an unresponsive diver at the surface and underwater, which is normally left until the very end of the course for students to complete (after much practice, of course)

Dive instructors and their assistants will simulate and guide Rescue Diver students through these rescue scenarios — and usually without any warning (during dinner or when relaxing on the beach or at the bar are common times instructors like to instigate a surprise role-playing emergency situation for students who take the course while on vacation!) This means students must be ready at all times to put their theoretical and practical training into practice and respond quickly and appropriately as if the incident was occurring in real life.

Rescue Diver Course Overview:

  • Complete Emergency First Response Primary and Secondary Care (if students haven't taken this certification already within the prior 24 months)
  • Complete rescue theory and quizzes
  • Complete all ten confined water rescue scenarios
  • Complete all rescue skills in open water (number of dives depends on the student and how fast they progress)
  • Total time: four to seven days

Related: What’s At The Bottom Of Dean's Blue Hole? & More Answers

PADI Master Scuba Diver

Master Scuba Diver Prerequisites:

  • Have the Rescue Diver certification
  • Be 12 years old or over
  • Have logged a minimum of 50 dives
  • Have at least five Specialty Diver certifications
  • Be medically fit to dive

The Master Scuba Diver certification doesn't have a respective course; it's earned by fulfilling a checklist synonymous with advanced and experienced recreational scuba divers. The Master Scuba Diver status is the final title of the recreational scuba realm, after which comes the ranks of the dive pros (starting with the Divemaster cert below).

Less than 2% of divers ever achieve this high rating, which is acquired through hard work, ample time spent underwater (50 dives at least), and additional specialty training. This 'specialty training' entails any of the multiple Specialty Diver courses available, which are like shorter 'mini-programs' that teach specific knowledge and skills and certify divers in a certain area of expertise.

Although there are many more, some of the most popular Specialty Diver courses are:

  • Deep Diver — certifies divers to a max depth of 40 meters (the absolute limit of recreational scuba diving standards)
  • Enriched Air Diver — certifies divers to dive on enriched air nitrox (a blend of air with a higher oxygen percentage, enabling longer dives)
  • Underwater Navigation — expands on previously learned underwater navigation techniques
  • Night Diver — teaches divers proper night diving strategy
  • Drift Diver — diving in currents
  • Wreck Diver — teaches divers to properly and safely navigate, penetrate, and explore underwater wrecks.
  • Digital Underwater Photographer — teaches basic underwater photography skills and underwater camera use, care, and prep.
  • Sidemount Diver -— teaches students how to dive with a side-mount setup (two tanks on either side instead of one on the back)
  • Dry Suit Diver — teaches divers how to dive using a dry suit
  • Search and Recovery — teaches divers how to search for and recover lost items (or divers) underwater using proper techniques

Those who've risen through the diving ranks, having logged at least 50 dives and achieved their Open Water, Advanced Open Water, Rescue Diver, and five Specialty Diver certifications will therefore meet the criteria for the elite Master Scuba Diver and can then apply to have their certification upgraded from Rescue Diver to Master Scuba Diver — proudly flashing their cert level whenever they go diving from there on out.

Related: World’s Most Accessible Underwater Plane Wreck Is In The Bahamas

PADI Divemaster

Divemaster Course Prerequisites:

  • Have the Rescue Diver certification
  • Have at least 40 logged dives to begin the course and have logged a minimum of 60 dives to complete the course.
  • Be age 18 or over
  • Be medically fit to dive

The Divemaster course is the first stage in the professional diving industry, teaching divers to become leaders and take charge of dive activities. This level of training is about honing all the knowledge and skills needed to work as a diver at the professional level, with a view to becoming a mentor and even a motivator for new divers.

Of course, it's not just for hopeful dive pros; the course is perfect for recreational divers who want to amp up their skills even more than ever before and become the best diver they can be. Many fun divers take the Divemaster course to build their knowledge and abilities while also enjoying an incredible experience, which the program always is.

As a diver, it's an amazing time, taking several weeks or even months to work on theory, in-water skills, and open-water competencies, as well as plenty of fun dives with fellow divers and Divemaster students along the way.

Throughout the Divemaster course, participants gradually complete a long list of theoretical and practical skills, assignments, assessments, and exams, as well as a final examination compiling everything learned during the entire program at the end. Divemaster students also assist instructors with other training programs, too, helping them teach Open Water Diver courses, Advanced Open Water Diver courses, Rescue Diver courses, and Specialty Diver courses to other dive students.

In general, the course takes a minimum of four weeks, but many dive operators offer varying course lengths ranging from one month to three months (or more, in some cases, depending on the needs of the student). It's usually recommended to take at least a couple of months or even longer when taking the Divemaster course; students taking their time affords them a more in-depth experience, with more opportunities to dive, learn, and practice their abilities.

Ultimately, Divemaster training is designed to provide divers the knowledge and skills to make it in the dive sector as a pro, providing them with both simulated and real work experience during the program, which enables them to get a feel for what it might be like working as a divemaster or instructor.

Whether aspiring divemasters intend on quitting their day job to become a divemaster or get a weekend job at a local dive shop, the Divemaster course is ideal for those who wish to make a career out of diving, not just a hobby. Plus, the Divemaster certification is the main prerequisite for the Instructor Development Course — the training and certification needed to become and work as a professional dive instructor.

Related: Witness Nesting Sea Turtles At These Florida Beaches

A Basic Divemaster Course Outline:

  • Total time: four to 12 weeks (or longer, if desired)

Through a series of knowledge development classroom sessions, water skills exercises, in-water workshops, hands-on practical assessments, and a final exam, Divemaster course participants develop the necessary abilities to plan, organize, and direct scuba diving activities, such as certain low-level courses and experiences, dive excursions, equipment management, logistics, diver health and safety, and business skills.

Topics, skills, and practical course workshops include:

  • The role and characteristics of a Divemaster
  • Divemaster specialized skills
  • Demonstration of divemaster skills fluently and clearly
  • Diver safety and risk management
  • Supervising dive activities
  • Conducting real dive briefings
  • Assisting with student divers
  • Divemaster-conducted programs
  • Conducting a scuba review and skin diver course
  • Awareness of the dive environment
  • Business of diving and diving careers
  • Dive setup and management
  • Mapping an open water dive site
  • Organizing a search and recovery project
  • Organizing a deep dive
  • Leading Discover Local Diving programs
  • Assisting with Discover Scuba Diving experiences (an instructor-led dive program for beginners who wish to experience diving but not get certified)

Related: Become A Dive Pro: The World's Best Places To Get Your Divemaster Certification

While this guide to each diving course is extensive and in-depth, hopefully, it arms aspiring divers with the knowledge they seek about the specific certification they're interested in, as well as those looking for a detailed program list of each cert as they continue their scuba journey. Not mentioned in this guide is the Instructor certification, as that goes beyond the domain of recreational scuba and instead speeds full steam ahead into the planet of the pros — but worry not, aspiring instructors can read all about it in another exciting feature.

For now, budding divers and season sub-sea explorers should focus on each of the courses discussed above before venturing down the instructor road. Then, if they do decide to pursue the professional dive instructor path, they'll be ready to do so after completing all the courses and being armed with a belt chock-full of the savvy, skills, and certs sectioned in this guide.

Whatever the case, be one adamant about working in the dive industry or cherishing diving as a hobby, ticking these courses off the bucket list is an extraordinary, bucket list-worthy journey and will forever change the lives of those who dive into each and take the plunge!

Tue, 13 Sep 2022 02:30:14 -0500 en-US text/html
Killexams : 34 of the most promising women's health startups of 2022, according to VCs


Adyn CEO Elizabeth Ruzzo.

What it does: Adyn uses women's hormone levels and genetic risk, measured through an at-home test, to match people with a birth-control brand with the lowest risk of side effects for them.

Many women experience birth-control side effects, from nausea to depression. For instance, one study published in 2008 found 24% of women experienced spotting after beginning new birth control. Adyn wants to decrease the probability of experiencing harmful side effects from birth control by conducting "genetic-risk scoring and testing with blood biomarkers to predict the best form of birth control for a woman to take," Deena Shakir, a Lux Capital partner, said. These tests cost $370 and are eligible for use of money from health savings accounts and flexible spending accounts, according to Adyn's website.

Funding: $2.5 million, according to the company

Investors: Y Combinator, Lux Capital, M13, Civilization Ventures, Concrete Rose, Nish Bhat (Color), Anne Wojcicki (23andMe)

Alife Health

Alife Health CEO Paxton Maeder-York.
Alife Health

What it does: Alife is building artificial-intelligence technology that analyzes in vitro fertilization, or IVF, data to identify what treatments have produced the best outcomes for previous patients similar to the ones going through IVF treatment now.

The global IVF industry is expected to reach $36 billion by 2026, Fortune Business Insights reported. But current treatment options are often expensive and time-intensive. Price tags for a single IVF cycle can range from $15,000 to $30,000, depending on the provider and the patient's medical needs, and patients often have to go through multiple treatment cycles. 

According to Lux Capital's Shakir, Alife's AI tech aims to make "IVF more effective, more efficient, and, ultimately, more equitable" through tools that increase the number of mature eggs retrieved and help clinicians prioritize the most viable embryos for transfer. 

Funding: $32 million, according to the company

Investors: Union Square Ventures, Lux Capital, Maveron, Wojcicki, Dr. Fred Moll, Dr. Tom Lee


The Almond cofounders Tara Raffi and Carly Allen.

What it does: Almond aims to simplify OB-GYN care through accessible telehealth and in-person appointments.

The American Congress of Obstetricians and Gynecologists in 2019 projected a shortage of up to 22,000 OB-GYNs by 2050, saying demand would outpace the supply of medical professionals. 

In response to this, Almond provides patients with same-day telehealth appointments and flexible in-office visits. Almond patients also receive personalized treatment plans and access to doctors post-visit for follow up questions, the startup claims. Jess Ou, a principal at New Enterprise Associates, says Almond is differentiated by its strong leadership team, as well as its rapid growth in cities like Los Angeles.

According to Almond's website, membership is $250 annually, and doctor visits and labs are billed to patients' insurance providers.

Funding: $500,000

Investors: Y Combinator


Oriana Papin-Zoghbi, Alex Fisher, and Anna Jeter, AOA Dx's cofounders.

What it does: AOA is developing technology for early detection of ovarian cancer, a disease that's expected to kill nearly 13,000 American women this year, the American Cancer Society estimated. The startup says many of these ovarian-cancer fatalities can be attributed to catching the disease too late.

AOA's technology, called Akrivis GD, is a liquid biopsy that is 90% accurate in detecting early-stage cancer, which could reduce fatality rates by half, the startup estimates.

Funding: $7 million

Investors: Y Combinator, Avestria Ventures, RH Capital, AlleyCorp, The Helm, Joyance Partners, Launchpad Venture Group, TBD Angels, Kyto Technology, and Life Sciences


The Boober cofounders Jada Shapiro and Noah Shapiro, who are not related.

What it does: Boober is a complete-care-matching service for pregnant and postpartum parents. The startup provides lactation professionals; birth and postpartum doulas; mental-health, physical, and massage therapists; nutritionists; acupuncturists; and sleep consultants. 

Cofounded by Jada Shapiro, a doula, Boober's goal is to support parents in all aspects of having a baby to Improve the breastfeeding experience.

Boober's services and classes can be purchased a la carte with FSA and HSA funds.

Funding: $1.4 million

Investors: Antler


Caraway co-founders Lori Evans Bernstein and Joshua Tauber.

What it does: Caraway is a telehealth platform for women in college that provides integrated mental-health, physical-health, and reproductive-health services. The startup aims to serve the "women-plus" community, meaning all races, ethnicities, gender identities, and sexual orientations.

The startup came out of stealth mode in July with $10.5 million in supergiant seed funding — enough money to supercharge growth in an underserved market, founding partners at OMERS and 7wireVentures previously told Insider.

"The goal is to build a really generational company, and it takes a lot of capital to make sure that happens," Alyssa Jaffee, a 7wireVentures partner, said.

Funding: $10.5 million

Investors: 7wireVentures, OMERS Ventures, HopeLab


Curio CEO Shailja Dixit.

What it does: Curio is a digital-therapeutics startup that offers therapy programs for women across all stages of life. Digital therapeutics refers to medical interventions and treatments that are offered through mobile apps.

The startup's flagship product, MamaLift, focuses on postpartum depression. MamaLift is an eight-week program with personalized self-help tools and sleep, mood, and activity trackers that aims to reduce postpartum anxiety and depression. Curio offers a free two-day MamaLift trial. The full program costs $30.

Curio's founder and CEO, Dr. Shailja Dixit, designed the startup "with the payer in mind," thinking proactively about how the program would be paid for, prescribed by clinicians, and reimbursed by payers, Tracy Dooley, an Avestria Ventures partner, told Insider.

"All of these pieces have been really thought out, and how they're designing the trials and moving forward with it with employers, too," Dooley said.

Funding: $6.75 million

Investors: Careit, Avestria Ventures


Dame CEO Alexandra Fine.
Dame co-founder and CEO Alexandra Fine

What it does: Dame offers sex toys and products. The startup says women's sexual wellness is key to overall health. It's also a growing industry — the sexual-wellness market could reach $125.1 billion in revenue by 2026, KBV Research said. 

Founded in 2014, Dame spent years crowdfunding before working with venture capitalists. The startup raised $7 million in Series A funding in September. Its cofounder and CEO, Alexandra Fine, previously told Insider that Dame was the first startup to push women's sexual health into the mainstream and that investors were more open to funding companies in the space nowadays.

"Sexual wellness is core to overall well-being," she said. "Sex is a part of our physical and mental well-being."

Funding: $11 million

Investors: Amboy Street Ventures, Listen Ventures, Flybridge, Echo, and Forest


Devyn CEO Gayathri Badrinath.

What it does: Devyn is a heart-health startup for women. Devyn's program will allow women to educate themselves about different heart risks, choose which risks matter most to them, and then connect them with experts who can help them make improvements to their health.

Heart disease is the No. 1 cause of death among both men and women in the US, according to the Centers for Disease Control and Prevention. But women face unique risk factors such as menopause, which causes low estrogen levels that increase the risk of developing disease in smaller blood vessels, and pregnancy complications, which include high blood pressure and diabetes — both risk factors of heart disease, according to the Mayo Clinic.

Prospective patients can join Devyn via early access.

Funding: None

Investors: None


Heather Bowerman is the founder and CEO of DotLab.

What it does: DotLab diagnoses endometriosis via a noninvasive test.

Traditionally, laparoscopic surgery is required to diagnose endometriosis, a condition in which tissue lining the uterus grows on the outside. About 10% of women globally are diagnosed with endometriosis, the World Health Organization estimates. It can cause menstrual irregularities, pain, and infertility.

DotLab's first product is DotEndo, a blood test that analyzes biomarkers associated with endometriosis to provide earlier diagnosis and treatment. 

Funding: $12.7 million

Investors: Tiger Global

Elektra Health

Alessandra Henderson and Jannine Versi, Elektra Health's cofounders.

What it does: Elektra Health is a support platform for women experiencing menopause. The startup offers one-on-one coaching with a "menopause doula," a content library with information about menopause, and a private community with other women on the platform.

Most women go through menopause between ages 45 and 55, and the transition brings a host of changes to the body, including hot flashes, weight gain, and an increased risk for heart disease and osteoporosis, according to the National Institute on Aging.

For a $250 annual fee, Elektra Health uses an assessment to match members with a menopause guide who will help set goals and build a personalized health plan.

Funding: $4 million

Investors: Seven Seven Six, Flare Capital Partners, City Light Capital, January Ventures, Human Ventures, Company Ventures, The Fund, Community Fund


Evernow CEO Alicia Jackson.

What it does: Evernow provides Food and Drug Administration-approved menopause medication and care.

While exploring the menopause space, NEA's Ou said she saw how women experiencing menopause lacked treatment options for debilitating symptoms, since short-staffed OB-GYNs were often forced to spend their limited time on births and surgeries instead. While other startups addressed lifestyle changes for menopause symptoms, Ou told Insider that Evernow was the only company she came across that had both lifestyle care and FDA-approved medical treatments.

Evernow specializes in menopausal hormone therapy, which addresses symptoms by supplementing the estrogen and progesterone women lack during menopause. The startup offers three treatments: an estradiol patch, which supports declining estrogen levels, an estradiol pill, and paroxetine, which reduces hot flashes and night sweats.

Ou was also drawn to the company because of CEO Alicia Jackson's technical background. Jackson, also the startup's founder, holds a doctorate in nanotechnology materials science and engineering from the Massachusetts Institute of Technology.

Funding: $28.5 million, according to the company

Investors: Natural Bridge Fund, Refactor Capital, NEA

The Flex Co.

The Flex Co. CEO Lauren Wang.
The Flex Company

What it does: A study published this year found that more than 28,000 tons of waste is generated each year from menstrual products. The Flex Co. aims to reduce that number by selling sustainable period products like menstrual disks and cups.

While some of the startup's products, like the Flex Disc and the Flex Plant+ Disc, are single use, other menstrual products, like the Flex Reusable Disc and Flex Cup, are reusable, serving as sustainable alternatives to pads and tampons.

The Flex Co. is a unique player because of its customer-led product-development process, "meaning that product design, marketing, and messaging are iterated on based on feedback from people who menstruate," Jessica Karr, a Coyote Ventures general partner, said in a blog post.

The startup's menstrual products range in pricing from $12 for its single-use Flex Disc to $35 for its Flex Reusable Disc and Flex Cup.

Funding: $20 million, according to the company 

Investors: Amplify, Y Combinator, Bow Capital, Halogen Ventures, Quest Venture Partners


Gabbi CEO Kaitlin Christine.

What it does: Gabbi uses AI to predict a woman's risk of breast cancer and provides personalized action plans to decrease breast-cancer risk. 

While breast cancer has high awareness in the US, screening is often focused on older women. For instance, the CDC recommends starting screens after 50 but acknowledges that the 9% of breast-cancer cases that occur in women younger than 45 are often more aggressive and difficult to treat.

Gabbi wants to decrease the number of late-stage diagnoses by educating women about their risk for developing breast cancer. Karr said Gabbi stood out for its proprietary Gabbi Risk Assessment Model, or GRAM, which has been trained on women from a variety of ethnicities and will become more accurate over time as it's fed more data. The assessment takes into account factors like family history and demographics.

"Unlike many other breast 'checking' apps, Gabbi's risk model and recommendations are rooted in validated models, physicians' advice, and supportive community members," April Pradhan, a Coyote Ventures partner, said in a blog post.

Funding: $5.4 million, according to the company

Investors: Bread & Butter Ventures, Female Founders Fund, Hambrecht Ducera Healthcare Growth Venture Fund


Gameto CEO Dina Radenkovic.

What it does: Gameto is a biotech startup using cellular engineering to develop therapeutics that address a number of female reproductive issues, including fertility, ovarian disease, and menopause.

Gameto offers three programs: Fertilo, Ameno, and Deovo. Fertilo, which is in preclinical development, is meant to Improve the quality and speed to maturity of immature egg cells during IVF treatments. The startup says that this method reduces the need for hormone injections, lowers the risk of complications, and has higher success rates. Ameno and Deovo have not yet reached the preclinical development stage and aim to address ovarian disease and menopause.     

While the treatment is nascent, Lux Capital's Shakir is bullish on Gameto's menopause offering, as "there's been very little innovation in that space since the advent of hormone-replacement therapy," she said.

Funding: $40 million, according to the company

Investors: Future Ventures, Insight Partners, Bold Capital, Plum Alley, Lux Capital, Arcadia

Health In Her Hue

Ashlee Wisdom and Eddwina Bright, Health in Her Hue's cofounders.
Health in Her HUE

What it does: Health in Her Hue hopes to address racial disparities in the US healthcare system. Studies have found that Black Americans have the highest mortality rate for all cancers combined and that the number Black-infant deaths is almost twice the national average.

Health in Her Hue connects Black women and women of color with healthcare providers, healthcare information, and community support. According to the startup, these medical professionals are trained to provide healthcare services to people from a variety of backgrounds and cultures. Health in Her Hue also aims to bring awareness to health issues and provide information that allows Black women to make well-informed healthcare decisions.

Funding: $1.2 million, according to the company

Investors: Seae Ventures, Genius Guild, Unseen Capital, Healthworx, Hocky Stick Investments, BLXVC, Bedua Partners, Pipeline Angels


Caria CEO Arfa Rehman.

What it does: What it does: Caria uses AI to support women through perimenopause, menopause, and post-menopause. About 80% of women experience hot flashes and night sweats as they transition to menopause, according to a study from Massachusetts General Hospital, with a "sizable subset" of women experiencing menopause symptoms severe enough to negatively their quality of life.

Formerly called Clio, Caria is $10 per month or $50 per year and includes an app where users can track their symptoms and receive insights on what could be contributing to symptoms and what could provide relief.

Funding: None

Investors: Antler VC

Hera Biotech

From left, Paul Castella, Nameer Kirma, Somer Baburek, and Bruce Nicholson, Hera Biotech's cofounders.
Hera Biotech

What it does: Hera Biotech offers a nonsurgical diagnosis test for endometriosis, a painful disorder where cells similar to the uterus lining grow outside of the uterus. 

The World Health Organization estimates endometriosis affects about 10% of women globally, or about 190 million. Women with endometriosis experience symptoms like pelvic pain, pain during intercourse, and excessive bleeding, and are at a higher risk for infertility and ovarian cancer, according to the Mayo Clinic.

The only definitive method to diagnose endometriosis is through a laparoscopy, which involves a surgeon examining reproductive organs and intestines through a cut in the abdomen and often taking a biopsy.

If it's eventually approved, Hera Biotech's MetriDx test will enable medical professionals to collect a demo of a patient's uterus lining through a brush biopsy and test cells to diagnose endometriosis, avoiding invasive surgery in the process. In a brush biopsy, a medical professional rubs a stiff brush on an area in a patient's body to collect a tissue demo for further testing.

The startup recently raised a seed round to conduct an in-patient human clinical study and begin the process for FDA regulatory approval.

"The fact that they are applying existing technology to provide answers to an age-old condition shows how, with a little thought, we can change our mindset and approach to women's health," Karr said in a blog post.

Funding: $2 million, according to the company

Investors: City Side Ventures, Coyote Ventures, Althea Group, Stella Angels, Kendra Scott Women's Entrepreneurial Leadership Institute, Boerne Kendall County Angel Network

Hey Jane

Hey Jane's cofounders.
Hey Jane

What it does: Hey Jane provides abortion-pill prescriptions and delivery. The medications misoprostol and mifepristone can be used to terminate pregnancies up to 10 weeks.

After the fall of Roe v. Wade earlier this year, birth-control and abortion-focused startups that deliver medication by mail have received increased interest from investors, as multiple states have restricted access to contraceptives or banned most abortions.

Hey Jane operates in seven states — California, Colorado, Illinois, New Jersey, New Mexico, New York, and Washington — and patients can pay for services through Aetna insurance, except in New Jersey, or on a sliding scale. The startup pairs patients with a medical provider in 24 hours and delivers FDA-approved medication in unmarked packages.

Funding: $3.6 million

Investors: 37 Angel, Moving Capital, 10X Capital


Kegg CEO Kristina Cahojova.

What it does: Kegg helps women with fertility tracking through a device that measures cervical fluid. 

The CDC estimates 19% of women between the ages of 15 and 49 suffer from infertility. Rather than addressing IVF or other infertility approaches, Kegg focuses on identifying a woman's most fertile periods.

Kegg users insert the device vaginally for a 2-minute memorizing once a day. The device uses low-level electrical pulses to measure electrolyte levels in cervical fluid. These electrolyte levels indicate hormonal changes associated with ovulation, which is when a woman is most fertile. The data also syncs with a mobile app, in which users can input additional data about body temperature, intercourse frequency, and more.

The device retails for $250, with a promise to refund users if they don't become pregnant within a year of consistent Kegg use.

Funding: $4 million, according to the company

Investors: Crescent Ridge Partners, SOSV, Start100, For Good Ventures, Fermata, MegaForce, Texas Halo Fund


Mae CEO Maya Hardigan.

What it does: Mae offers pregnancy and postpartum support for Black women. The CDC found that in 2020, Black women were nearly three times as likely to die during childbirth as non-Hispanic white women. While some of this is due to a lack of access, Black women report that their symptoms are often dismissed by medical professionals at a higher rate than the broader population. In a highly publicized example, the tennis legend Serena Williams said she was initially ignored by her nurse when she experienced a pulmonary embolism after giving birth to her daughter. 

Mae hopes to decrease the frequency of instances like these. The startup's main offering is an expert network of doulas and coaches who are trained in providing healthcare to Black women. Mae also provides women with a pregnancy tracker, lifestyle tips, and a peer community. 

For Avestria Ventures' Dooley, Mae's founder and CEO, Maya Hardigan, stood out for her emphasis on who the startup's end payer would be, a focus that she thinks can be neglected at healthcare startups. Dooley told Insider that Mae "is signing Medicaid contracts with various states." 

Funding: $1.3 million, according to the company

Investors: SteelSky Ventures, MBX Capital, Social Starts Health and Happiness Fund, Avestria Ventures, RH Capital


Midi CEO Joanna Strober.

What it does: Midi is a virtual-care clinic for women ages 40 and older that provides menopausal treatment. Eighty percent of OB-GYNs are untrained in menopause, the startup estimates, and three-quarters of women who seek out care say they don't receive any treatment.

At Midi, patients work with a provider to treat perimenopause and menopause symptoms via lifestyle changes, wellness therapies, and hormone-replacement therapy.

Care at Midi is covered by major insurance providers in California. In other states, the initial care visit is $250, and follow-ups are $120.

Funding: None


Miga Health

Miga Health's cofounders, Jarrad Aguirre and Dre Limberopoulos.
Miga Health

What it does: For Lux Capital's Shakir, heart health isn't the first syllabu that comes to mind when thinking of women's health issues. But the investor said: "Heart disease is one of the leading causes of death for a woman, especially in the case of communities of color and communities under Medicaid."

Miga Health aims to marry an approachable consumer brand with science-backed clinical support through its blood-pressure-tracking app. Additionally, the startup plans to support its main product with telemedicine consultations, mail-order pharmaceuticals, and lifestyle coaching.

Dr. Jarrad Aguirre, Miga Health's cofounder and CEO, told Insider earlier this year that the app would be available nationwide but the startup's other services would be launched first in the Southeast. Aguirre added that the startup planned to offer a premium version of its free blood-pressure-tracking app with additional features like blood-pressure analytics and educational modules.

Funding: $12 million, according to the company

Investors: Quiet Capital, Asymmetric Capital Partners, Floating Point, VamosVentures, Lux Capital, Alumni Ventures, Adapt, Wilson Sonsini


Dr. Brian Levine, Nodal's founder.

What it does: Nodal is a surrogacy-matching platform that uses technology to pair prospective parents with prospective surrogate mothers. Unlike the traditional surrogacy experience — where prospective parents choose a surrogate — Nodal puts the decision-making in the hands of a surrogate mother who decides which parent they would like to work with. 

The startup was founded by Brian Levine, a doctor who's board-certified in reproductive endocrinology, infertility, obstetrics, and gynecology. He created Nodal after experiencing the difficulty his patients had with the surrogacy process, which can be slow and expensive. 

Nodal charges $6,000 per match, with $500 monthly installments for the first six months and the rest of the fee paid upon the completion of the match. The startup raised $4.7 million in seed funding earlier this year and came out of stealth in September.

Funding: $4.7 million

Investors: Amplo, Interplay, Great Oaks Venture

Oath Care

Oath Care's cofounders, Michelle Stephens and Camilla Hermann.
Oath Care

What it does: Oath Care provides community and medical advice to mothers up until their kids' early childhood.

OMERS Ventures' Farr was an enthusiastic user of Oath herself, which inspired her seed investment in the startup earlier this year. Parents often have "questions about every possible thing related to food and sleep, and those resources are very hard to come by, with parents usually going to Reddit or Facebook," Farr told Insider.

Through Oath Care, mothers are matched with a care team consisting of a stage-based specialist focused on fertility, pregnancy, postpartum, or early childhood; a mental-health specialist; and a fellow mother. The startup also offers expert-led workshops on a variety of topics, from breastfeeding to tantrums.

Funding: $9 million, according to the company

Investors: ​​Muse Capital, XYZ, General Catalyst, OMERS Ventures

Oma Fertility

From left, Sahil Gupta, Gurjeet Singh, and Kiran Joshi, Oma Fertility's cofounders.
Oma Fertility

What it does: Oma Fertility is a full-service fertility clinic that offers IVF, egg freezing, frozen-embryo transfers, and donor-egg IVF. 

The company's IVF services use proprietary technology called Oma Sperm InSight to identify the most promising sperm. Embryologists then use an AI-powered microscope that automatically tracks fast-moving sperm for easy retrieval. After collecting an individual sperm cell, the embryologist injects it directly into an egg, a process known as intracytoplasmic sperm injection.

Farr said that similar to "how Airbnb opened up the travel market by making travel affordable," something "like that will happen in fertility for a much bigger market." Oma says it offers lower pricing than other fertility clinics, with no hidden costs.

Funding: $37.5 million, according to the company

Investors: Jazz Venture Partners and Root Ventures


Panakeia CEO Pahini Pandya.

What it does: Panakeia is a biotech startup whose main product is a breast-cancer diagnostic tool called PANProfiler Breast.

Normally, it takes days or even weeks for labs to analyze breast-tumor samples to determine optimal treatments, leading to wasted time and money for patients. 

Panakeia hopes to shorten that timeline to hours. The startup's tool uses AI technology to automatically assess the levels of certain receptors in tissue samples. These receptors indicate which treatments are most effective for different types of breast cancer. For instance, if a tissue demo contains estrogen receptors or progesterone receptors, it signals that the cancer feeds off estrogen or progesterone hormones and the patient may be a good candidate for hormone therapy. 

Goddess Gaia Ventures' Oberoi-Cattai holds this issue dear to her heart, as she is a cancer survivor herself.

"Breast cancer should not take two weeks to diagnose," Oberoi-Cattai said. "If you're saving a woman's life, you're saving, a lot of the time, a mother's life because breast cancer tends to be slightly later in women. You're saving a family. You are saving a structure in place." 

Funding: $3.79 million

Investors: LocalGlobe, Hoxton, Entrepreneur

Raydiant Oximetry

Raydiant Oximetry CEO Neil Ray.
Raydiant Oximetry

What it does: Raydiant Oximetry is developing a noninvasive sensor called Lumerah that measures fetal oxygen levels.

Currently, medical professionals evaluate fetal distress, which determines the need for emergency C-sections, through fetal-heart-rate monitoring. This method isn't always accurate. 

"When you look at a heart-rate tracing for a clinician, it's basically a coin flip," Avestria Ventures' Dooley said. "It's difficult to make informed clinical decisions."

By creating a tool that can reliably measure fetal oxygen levels, Raydiant Oximetry hopes to decrease the number of unnecessary C-sections and the probability of complications during childbirth. The startup's website says: "​​The FDA has already assigned Lumerah 'Breakthrough Device' status in order to fast-track its market approval."   

Funding: $12.8 million, according to the company

Investors: VCapital, Avestria Ventures, RH Capital, Tri-Valley Ventures, SteelSky Ventures, FemHealth Ventures, Global Health Impact Fund, Loud Capital, Fogarty Institute for Innovation


The Sanguina cofounders Erika Tyburski, Andrew Lyon, and Wilbur Lam.

What it does: Sanguina offers an at-home test for anemia, which is a lack of healthy red blood cells in the body. While the disorder can affect both men and women, women are more likely to develop iron-deficiency anemia, according to the Department of Health and Human Services, because they sometimes don't have enough iron during pregnancy or a heavy period.

Sanguina's technology uses a cellphone app that tests hemoglobin levels with a fingernail selfie. The startup's algorithm measures the paleness of a user's nail bed, which corresponds to hemoglobin levels.

The app is free to use, and Sanguina is developing an at-home, over-the-counter anemia-screening product that is awaiting FDA approval.

Funding: $2.8 million

Investors: XRC Labs

SoWell Health

SoWell Health's Dr. Alexandra Sowa
SoWell Health

What it does: SoWell treats metabolic dysfunction, a condition that can lead to conditions such as obesity, polycystic ovary syndrome, insulin resistance, heart disease, cancer, and Alzheimer's in women. The startup estimates that up to 88% of people show signs of metabolic dysfunction, which can include weight gain, increased hunger, depression, mood changes, and fatigue.

Via a $200 weight biology test, SoWell tests biomarkers such as fasting insulin, fasting glucose, cholesterol, and thyroid-stimulating hormone. The test involves an at-home finger prick that delivers results in two to five days, and the startup's app provides personalized recommendations based on the test results. 

Funding: $135,000

Investors: XRC Labs, Navigate Accelerator


The Stix founders Jamie Norwood and Cynthia Plotch.

What it does: Stix is a direct-to-consumer health and wellness startup that provides vaginal and reproductive-health products. Customers can purchase emergency contraceptives, pregnancy and ovulation tests, urinary-tract- and yeast-infection treatment, and supplements. 

Stix products are ordered online and delivered in discreet packaging.

Funding: $6.4 million

Investors: Resolute Ventures

Syrona Health

The Syrona Health cofounders Chantelle Bell and Anya Roy.
Syrona Health

What it does: Syrona Health offers virtual gynecological health support through workplaces to address endometriosis to menopause, among other things. 

The startup provides people with access to health tracking, expert support, and a peer community. Through Syrona Health, employers can offer specialized medical advice and services that are personalized for an employee's stage in life. 

"Why should women be paying an extra premium for things that aren't going to affect them, but then be completely invisible to things that do affect them?" Goddess Gaia Ventures' Oberoi-Cattai said.

Syrona Health says its services can help Improve employee engagement, well-being, and retention at corporations. 

Funding: $700,000

Investors: Katapult, Bethnal Green Ventures, Parallel18, Y Combinator, Goddess Gaia, Retailtech Hub

Trial Library

The Trial Library cofounders Hala Borno and Steve Buck.
Trial Library

What it does: Trial Library connects oncologists, patients, and clinical-trial sponsors to increase participation of underrepresented groups.

According to Lux Capital's Shakir, Trial Library's founder and CEO, Dr. Hala Borno, experienced the lack of diversity in clinical trials firsthand as an oncologist. This issue inspired her to start Trial Library.

The positive effects of Trial Library are twofold: The startup democratizes access to innovative cancer treatments for underrepresented groups and researchers are able to build more robust demo groups for clinical trials.

Funding: $5 million, according to the company

Investors: Next Ventures, Unseen Capital, Moving Capital, Incite, Lux Capital

Zaya Care

ZayaCare's Leoni Runge

What it does: Zaya connects pregnant and postpartum women with a network of maternal-health specialists that accept insurance. The startup was founded to disrupt the traditional model for pre- and postnatal care, where parents are left to find specialists, who are often expensive and not covered by insurance.

With Zaya Care, parents can connect with a network of acupuncturists, lactation consultants, pelvic-floor therapists, and other specialists who all accept insurance. The startup operates in New York.

Funding: $7.6 million

Investors: Inspired Capital, Tiger Global, Operator Partners, Story Ventures

Mon, 17 Oct 2022 01:00:00 -0500 en-US text/html
Killexams : Over-the-counter hearing aids on the way Source: WBRC video © Provided by Birmingham WBRC Source: WBRC video

TUSCALOOSA, Ala. (WBRC) - Big news in the hearing aid industry. The U.S. Food and Drug Administration is allowing prescription-free hearing aids to be sold over-the-counter. Some say this could be a difference-maker for millions of people who struggle with some level with hearing loss.

According to the National Institute on Deafness, only about 16% of the U.S. population wear a hearing aid and some 40 million people have some form of hearing loss.

Kenneth Ramay knows all too well what it’s like to live with a hearing loss.

“I just deal with it on a daily basis. I sit up front when I’m in church so I could hear the preacher better. I try to keep people on my right side I’m talking with,” said Ramay.

But that could change real soon for people like Ramay. Starting this month, over-the-counter hearing aids can be bought in retail stores, a move applauded by those in the medical and academic fields such as Dr. Marcia Hay-McCutcheon of the University of Alabama.

“Part of what I do is research rural communities to be able to increase hearing aids are incredibly expensive,” said Dr. Hay-McCutcheon.

Thousands of dollars for prescription hearing aids. Significantly less in the retail stores. But Dr. Ericka Walsh cautions potential customers to first get your hearing tested by a certified audiologist.

“That’s why it’s important to have your hearing formally tested...that way they can guide you whether an over-the-counter may be appropriate for you. I think over-the-counter are OK for those with mild to moderate hearing loss,” said Dr. Walsh.

Ramay, for one, found one of the few over-the-counter hearing aids two years ago but, according to Ramay, it soon fell apart. He paid $600 for it.

“The company I bought it from didn’t do any favors for me or replace it or nothing and it didn’t knock out the background noise,” said Ramay.

Still, Ramay thinks over time the quality of over-the-counter hearing aids will get better. He may provide it another shot on the retail front, but first plans to get a real test to see where his hearing stands now.

One federal study shows that nearly one in four adults aged 65 to 74 have what it terms disabling hearing loss.

Get news alerts in the Apple App Store and Google Play Store or subscribe to our email newsletter here.

Mon, 17 Oct 2022 12:08:14 -0500 en-US text/html
Killexams : SlimCrystal Reviews: Is Slim Crystal Water Bottle for Weight Loss Legit Or Scam?

SlimCrystal is a water bottle that infuses your water with the power of crystals to help you lose weight.
Drinking 2 to 3 liters of water from a SlimCrystal daily can purportedly help weight loss, support digestion, boost energy, and support overall health, among other benefits.

Keep memorizing to discover everything you need to know about SlimCrystal and how it works today in our review.

What is SlimCrystal?
SlimCrystal is a water bottle with a built-in container of natural crystals. As you pour water into the bottle, that water contacts the container surrounding the crystals. The crystals infuse the water with their unique healing power, making it easier to lose weight and enjoy other benefits.

Each SlimCrystal contains a handpicked blend of crystals for different effects. The powerful combination of natural crystals can purportedly help you lose weight naturally, support healthy digestion, longevity, and overall health, and enjoy other benefits.
Here’s how the makers of SlimCrystal explain the water bottle and its potential benefits:

“Each of our SlimCrystal bottles contains nine types of natural crystals inside them. Experts claim they can provide amazing health benefits to the human body.”
The main health benefit advertised by the makers of SlimCrystal is weight loss. You may be able to lose weight by drinking water from a SlimCrystal water bottle daily. In fact, according to the official website, multiple reviewers have lost significant weight by drinking water out of SlimCrystal water bottles.

SlimCrystal Features & Benefits
The makers of SlimCrystal advertise the following benefits:
●    Nine types of natural crystals to support a range of benefits
●    A powerful combination of genuine crystals
●    Lose weight naturally
●    Support overall health and happiness
●    Maintain healthy digestion
●    Support energy, longevity, and more
Overall, SlimCrystal aims to solve multiple problems with its slimming crystal water bottle – starting with weight loss.
In fact, according to one study cited on the official SlimCrystal website, most people using SlimCrystal lost “27 to 34 pounds” while drinking water out of SlimCrystal bottles over six months.

How Does SlimCrystal Work?
Each SlimCrystal slimming water bottle contains a combination of nine crystals. Each natural crystal infuses the water with different properties, allowing you to tackle weight loss and overall health in multiple ways.

The SlimCrystal water bottle contains a small container filled with nine crystals at the base of the bottle. As water enters the bottle, it contacts the container surrounding the crystals and infuses their properties into the surrounding water to support a range of benefits.

Some of the gemstones in SlimCrystal boost overall vitality. Others support mood and emotional clarity. The nine gemstones include amethyst, clear quartz, moonstone, citrine, carnelian, sodalite, red agate, red jasper, and green aventurine. Each gem was handpicked to provide a specific benefit.

How do crystals infuse the water with their power, and how can gemstones impact the quality of the water you drink? Each gemstone vibrates at a specific frequency. When you pour water into the SlimCrystal bottle, the crystals vibrate and impart those frequencies into your water, infusing it with various properties.

How Much Weight Can You Lose with SlimCrystal?
The official SlimCrystal website is filled with testimonials from people who used SlimCrystal to lose significant amounts of weight without changing their diet or exercise habits. The makers of SlimCrystal claim to have completed a 6-month trial where most people lost considerable weight with SlimCrystal.

Here are some of the weight loss claims and testimonials featured on the official website:
One man, Michael, lost 64 pounds while drinking 2 to 3 liters of slimming water daily over nine months – even though he “never exercised,” according to the official website

In a clinical trial on SlimCrystal, 212 overweight men and women drank water from SlimCrystal or a placebo bottle; after 30 days, the average member of the SlimCrystal group lost 5 to 7 pounds, while those in the placebo group only lost 0.7 pounds.
After six months of drinking SlimCrystal water, that same group lost 27 to 34 pounds along with “many inches” off their waistline, hips, thighs, and arms.
One chiropractor featured on the SlimCrystal website claims she recommends SlimCrystal to her clients, claiming that “many have lost over 20lbs already” using the water bottle.

One customer claims she lost 32 pounds over the past few months of drinking water from the SlimCrystal water bottle.
Another customer claims she has lost 34 pounds while taking SlimCrystal and lowered her blood sugar, writing that her “blood sugar is back to normal” thanks to SlimCrystal.

Overall, the official SlimCrystal website is filled with testimonials from customers who have achieved significant weight loss results just by drinking water from SlimCrystal water bottles. Many also claim to feel better, look younger, and feel more productive, among other benefits.

Tap Water and Bottled Water Are “Dead” or “Lifeless” Waters
SlimCrystal is based on the idea that you can activate water to infuse it with remarkable properties. The crystals in SlimCrystal activate the water to unlock various benefits.

The makers of SlimCrystal claim ordinary tap water and bottled water are “dead” or “lifeless” waters because they don’t help our body function efficiently.
When you expose ordinary water to the crystals in SlimCrystal, you restructure and revitalize the water, turning it into “living water.”

As proof there’s a difference between crystal-infused water and “dead water,” the makers of SlimCrystal cite a microscope showing an image of dead water versus living water. The dead water has an unformed, disordered, molecular shape, while the living water has a clean, stable, hexagonal shape.

Because of the difference between dead water and living water, the makers of SlimCrystal claim that crystal-infused water “can drastically influence your health.”
Newborns Have Higher Levels of Hexagonal Water than Adults

The hexagonal water theory goes beyond dead water and living water. Instead, the makers of SlimCrystal claim newborns have significantly higher levels of hexagonal water inside of them than older adults.

Citing research by “passionate scientists” who used “nuclear magnetic resonance” technology, the makers of SlimCrystal claim people gradually lose their natural hexagonal water over time, leading to health problems:
●    Newborns have 99% to 100% percent of hexagonal water in their body
●    By the age of 36, your percentage of hexagonal water drops to only 56%
●    After age 60, your hexagonal water drops below 19%

One 2013 study found that magnetized water appeared to reduce blood glucose levels and damage blood and liver DNA in rats with induced diabetes after eight weeks. Although this sounds promising, the study was small, and the results had yet to be duplicated in humans.
Drinking SlimCrystal water can restore your body’s levels of hexagonal water and make you “look 20 years younger,” according to the manufacturer.

Quartz Crystals Turn Dead Water Into Living Water
SlimCrystal uses the crystal's energy to turn dead water into living water . By exposing your water to crystals, you can purportedly change the shape of your water at the molecular level, giving it a harmonious hexagonal structure instead of a chaotic structure.

Scientists discovered this phenomenon when researching living water versus dead water. They knew there was a difference between living water (with hexagonal molecules) and dead water (with unformed molecules). However, they didn’t know how to transform ordinary water into living water.

Then, one day, a researcher placed water into a bottle with quartz crystals. The water had taken a hexagonal shape within minutes of exposure to the quartz crystals. Scientists revitalized the water using the energy from the crystals, which infused it with unique properties.

According to a 2017 post in ScienceDaily, findings include insights into the source of energy driving Earth's electromagnetic field quartz crystals.
The makers of SlimCrystal used quartz and eight other crystals to maximize the hexagonal shape of the water you drink, infusing it with unique properties to transform your body and support multiple health benefits.

What to Expect After Drinking SlimCrystal Water
The primary benefit of SlimCrystal is that you can lose weight naturally. According to a study cited on the official website, people have lost significant weight in a short period without exercising while drinking crystal-infused water from their SlimCrystal bottles.
According to the makers of SlimCrystal, the nine crystals within the bottle can provide amazing health benefits to your body, including all of the following:
●    Increase metabolism and energy
●    Heal different conditions
●    Reduce appetite and cravings
●    Support detoxification and Improve digestion
●    Increase confidence, self-image, willpower, and inner strength
●    Support health while balancing internal organs and hormones

The crystals can also increase your inner vibration to help you attract abundance and happiness, helping you enjoy potent effects.

SlimCrystal Increases the pH and Oxygen Content of Water
For those skeptical about SlimCrystal and how it works, the makers of SlimCrystal performed a test to verify how the chemical structure of water changed after exposure to the crystals within the water bottle.

Researchers added tap water to the SlimCrystal bottle, waited for 10 to 14 minutes, then tested the water.
●    After brief exposure to the crystals, the water had a higher pH, which means it was less acidic. It had a pH of 8.01 compared to the neutral pH of 7.87 you would expect with tap water.
●    The tap water also had a significantly higher oxygen level, with 10.06 mg of oxygen per liter compared to the 9.8 you would expect with ordinary tap water.
●    According to the makers of SlimCrystal, the extra oxygen in their water will reach your bloodstream after you drink it, leading to higher energy levels.

Each Crystal in SlimCrystal Has Different Healing Properties
The makers of SlimCrystal chose a specific blend of 9 crystals to support different properties. Some crystals target blood flow, for example, while others detoxify the blood.
Here are all of the crystals in SlimCrystal and how they work, according to the manufacturer:

Red Jasper: The red jasper in your SlimCrystal water bottle will support the circulatory system, detoxify your blood, and remove blockages from your liver and bile, according to the makers of SlimCrystal.

Red Agate: Also known as the “warrior’s stone,” red agate can promote emotional stability, self-confidence, and security while increasing willpower. It can also bring vitality for a better future and light the fire in your heart.

Green Aventurine: Green aventurine is a green-colored crystal that promotes physical healing. It was popular in Greek and Roman times for increasing wealth and prosperity while encouraging compassion.

Sodalite: Sodalite will boost your metabolism, increase consciousness, soothe cravings, and promote healthy blood pressure, according to the makers of SlimCrystal, along with other amazing healing properties.

Carnelian Stone: SlimCrystal uses carnelian stone to boost metabolism, reduce cellulite, restore vitality and motivation, and support other benefits. Some people hold carnelian stone against their thighs to get rid of cellulite.

Citrine: SlimCrystal contains citrine for positive energy, and many people use citrine to treat depression. The makers of SlimCrystal also claim citrine can help detoxify and Improve digestion. In ancient Persia, citrine was used to boost self-confidence and attract success and prosperity.

Quartz: SlimCrystal contains quartz to stimulate the immune system, balance the body, clear your mind, and help you make better eating choices. Quartz was the first crystal shown to change the molecular shape of water, helping it become more hexagonal.

Amethyst: SlimCrystal contains amethyst stones to help you break bad habits and addictions. It can help with weight loss by making it easier to control portions and avoid overeating.

Moonstone: can benefit your mood, promoting inner inspiration and motivation to help you reach your goals. It’s often linked to new beginnings.
Using these nine stones, SlimCrystal can unlock powerful healing capabilities within yourself while helping you lose significant weight.

Scientific Evidence for SlimCrystal
Most crystal companies don’t invest in clinical trials. However, the makers of SlimCrystal claim to have performed one of the most extensive clinical trials in the crystal industry, gathering a group of 212 people to verify that SlimCrystal works as advertised.

Here’s how that trial worked:
The makers of SlimCrystal gathered a test group of 212 overweight men and women over 40.

Half of the group drank 3 liters of regular water each day, while the other half only drank SlimCrystal-infused water.

After 30 days, the average person in the SlimCrystal group lost 5 to 7lbs, compared to just 0.7lbs in the placebo group.

After six months, the average person using the SlimCrystal lost 27 to 34 pounds “and many inches off their waistline, hips, thighs, and arms,” according to researchers, compared to just 4lbs of weight loss in the placebo group.
SlimCrystal also lowered blood sugar, reduced BMI, increased signs of youthfulness, and increased energy and happiness, according to participants.

Although the trial was not published in a peer-reviewed journal or anywhere online outside of, the makers of SlimCrystal are confident their water bottles can lead to dramatic weight loss effects.

Meanwhile, the man who pioneered crystal research and the development of the SlimCrystal water bottle, Michael Bishop, claims he lost 31lbs in 5 months while drinking water from the SlimCrystal bottle. After nine months, he lost 64lbs of fat, transforming his body and overall health.

There’s no evidence any of the crystals in SlimCrystal can lower blood sugar, heal diseases, cure illnesses, or provide any of the benefits listed on the official website. Beyond this research, there is no evidence that crystals help you lose weight, unlock healing powers, or provide other benefits. No peer-reviewed journal has published any evidence on crystals to date to support any of the benefits listed on the official website. However, those who believe in crystals' healing effects may benefit from their use.

SlimCrystal Reviews: What Do Customers Say?
SlimCrystal is backed by hundreds of positive reviews online, and the company claims to have conducted a trial involving 212 overweight people who experienced significant benefits from drinking SlimCrystal water.

Here are some of the reviews and experiences shared by customers online:
Multiple reviewers claim SlimCrystal gave them the confidence to achieve specific life goals, boosting their motivation and self-esteem to help them reach goals in their personal and professional lives

Multiple customers claim to have lost significant weight while drinking SlimCrystal water, with many customers reporting weight loss of 20 to 40lbs after drinking SlimCrystal for a few months.

One customer claims SlimCrystal lowered her blood sugar; she lost 34lbs and her blood sugar “is back to normal” thanks to SlimCrystal.
Multiple SlimCrystal reviewers use the water to kickstart a new version of themselves; some start drinking the water after a breakup, for example, while others drink the water when trying to get a raise or aiming for other life goals.

SlimCrystal has the endorsement of one doctor of chiropractic; that chiropractor recommends SlimCrystal to her clients while also describing her SlimCrystal bottle as her “constant companion.”

Other reviewers are certified personal trainers, aerobics teachers, yoga instructors, and others who recommend using SlimCrystal to lose weight and achieve various goals.

SlimCrystal Pricing
SlimCrystal is priced at $117, although the price drops as low as $97 when ordering multiple SlimCrystal bottles.
Here’s how pricing breaks down:
●    1 x SlimCrystal Water Bottle: $117 + $9.95 Shipping
●    2 x SlimCrystal Water Bottles: $197 ($97 per bottle) + Free US Shipping

Bonuses Included with SlimCrystal
As part of a 2022 promotion, the makers of SlimCrystal are bundling several digital bonuses with all purchases of SlimCrystal.

Here’s what you get when you buy a SlimCrystal water bottle online today:

Bonus #1: Slim Over 55 Program: Led by certified weight loss coach Aline P, Slim Over 55 is a weight loss program featuring diet and nutrition guides, recommended workouts, and other strategies to help people over 55 lose over 3lbs per week. The program is ideal for beginners who want to lose at least 15lbs.

Bonus #2: Healthy Fat Loss Desserts: You get a cookbook, cooking videos, recipes, nutrition guides, and more to help you lose weight. You can discover how to make fat-loss brownies, fat-loss cheesecakes, and 35 dessert recipes. These desserts are tasty while still being healthy and easy to prepare. Each formula contains at least 45% protein, vitamins, and nutrients your body needs, with no sugar or unhealthy fats.

Bonus #3: 57 Secrets to Reverse Aging: In this guide, you can discover proven nutrition tricks to reverse aging and make you look and feel younger in weeks. You can restore your hair, skin, and joints to how they were 10 to 20 years ago by taking specific foods, teas, spices, and other nutrients.

SlimCrystal Refund Policy
Your SlimCrystal purchase comes with a 60-day money-back guarantee. Email to request a refund on your investment if unsatisfied for any reason within 60 days of your original purchase.

SlimCrystal is a glass water bottle filled with a handpicked blend of 9 crystals associated with a different benefit.
According to the official website, people have lost 20 to 40lbs within months by drinking 2 to 3 liters of SlimCrystal water daily. Others claim to have lowered blood sugar, reversed the effects of aging, and experienced other benefits.
You can buy SlimCrystal online through the official website, where a 60-day money-back certain backs all purchases.

Affiliate Disclosure:
The links contained in this product review may result in a small commission if you opt to purchase the product recommended at no additional cost to you. This goes towards supporting our research and editorial team. Please know we only recommend high-quality products.

Please understand that any advice or guidelines revealed here are not even remotely substitutes for sound medical or financial advice from a licensed healthcare provider or certified financial advisor. Make sure to consult with a professional physician or financial consultant before making any purchasing decision if you use medications or have concerns following the review details shared above. Individual results may vary and are not guaranteed as the statements regarding these products have not been evaluated by the Food and Drug Administration or Health Canada. The efficacy of these products has not been confirmed by FDA, or Health Canada approved research. These products are not intended to diagnose, treat, cure or prevent any disease and do not provide any kind of get-rich money scheme. Reviewer is not responsible for pricing inaccuracies.  Check product sales page for final prices.

Disclaimer : The above is a sponsored post, the views expressed are those of the sponsor/author and do not represent the stand and views of Outlook editorial.

Mon, 17 Oct 2022 06:22:00 -0500 en text/html
Killexams : Your No-B.S. Guide To Female Pattern Hair Loss Treatments © Provided by Bustle

If you’ve ever stood in the shower in tears, holding a fistful of hair that you’ve just shed, you know how devastating hair loss can be. It’s easier to ignore a few fine lines and camouflage away a few gray strands, but losing hair seems to be harder to come to terms with than all other beauty issues combined. For many people, trying to figure out which female pattern hair loss treatments truly work is an exercise in frustration — and often means seeing dermatologists and trichologists in constant rotation, undergoing expensive treatments, or swallowing a half dozen supplements a day, all with not much to show for it.

Dr. Maryanne Makredes Senna, M.D., a board-certified dermatologist based in Boston who specializes in hair loss research, wants to change that. In April 2022, she started the Lahey Hospital and Medical Center’s Hair Loss Center of Excellence, where she performs clinical research in hair loss disorders and treats hair loss patients. And, nearly a decade ago, she started a hair loss center and research unit at Massachusetts General Hospital in Boston with a similar focus.

Besides having seen thousands of patients over the years, Seena has personal experience with the issue. When she was in medical school, she had close family members struggling with hair thinning who went from doctor to doctor and were told nothing could be done. “I saw firsthand how devastating it can be, particularly for women,” she shares. “Men can be bald and still be considered hot, but there’s no cultural acceptance around that for women.” It has such a massive impact that she’s heard that a statistically significant number of female breast cancer patients consider not treating their cancer because of concerns around hair loss.

To help those who are dealing with the issue, Senna shares with Bustle the top therapies that work for female pattern hair thinning — and the ones that show no promise, despite massive amounts of hype. To note: In this article, Senna is speaking mainly about androgenetic (also called androgenic) alopecia or female pattern hair loss, and is not addressing other causes of hair loss such as alopecia areata or traction alopecia.

We may receive a portion of sales if you purchase a product through a link in this article.

1. Distinguish Between Telogen Effluvium & Androgenetic Alopecia

Telogen effluvium (TE) is the most common cause of hair loss in women, and for Senna, the crucial first step with any patient is to figure out if their hair loss is actually TE masquerading as androgenetic alopecia (a genetic sensitivity that leads to thin hair and hair loss). For many, TE happens postpartum, but having a baby isn’t the only trigger. “Other causes include weight loss, entering menopause, stopping or starting a new birth control method including hormonal IUDs, COVID 19, any illness or hospitalization, a disruption, increase, or decrease in thyroid medication dosing, and a significant life stressor like the loss of a loved one or a job,” she explains. It might not even be one reason: There can be many at once, or one might occur one after another, leading to a sustained period of TE shedding.

The hair loss one experiences in these situations can be significant and devastating, as women can lose anywhere from 30% to 50% of their hair. And, problematically, the hair starts shedding only three months after the inciting event, so people often don't recognize the timing. As a result, they assume they have female pattern hair thinning and will desperately yet understandably reach for anything that promises to help.

The reason Senna calls attention to this is that TE reverses itself without any intervention. Your ponytail might remain skinny for a while, but the hair will grow back by itself. The only scenario in which this is not the case is with people who also have female pattern hair thinning as well as TE. In that case, the underlying hair loss condition has to be managed while waiting for the TE to resolve.

2. Biotin Does More Harm Than Good

Supplements — biotin in particular — can have a negative effect on hair thinning. High doses of biotin, for instance, actually interfere with a number of laboratory tests, including thyroid. People who complain of hair thinning often have thyroid disease and are on hormone supplementation to manage their thyroid levels. “If they're taking mega doses of biotin, which are frequently present in hair and nail supplements, they will have false elevations in their thyroid function tests,” says Senna. Patients whose endocrinologist are not informed that they're taking biotin might see these falsely elevated blood tests and adjust the dosage of their thyroid medication, leading to shedding.

“Biotin can also lead to other significant issues with regard to laboratory testing that can make people with hair loss have worse outcomes,” she says. Biotin only helps if one is deficient in vitamin B7, she explains, but that deficiency is rare and highly uncommon in people who have a regular diet. A 2007 review of medical research on biotin found there to be lack of sufficient evidence for supplementation in healthy individuals, showing it to help only in cases of acquired and inherited causes of biotin deficiency, or in those with uncommon syndromes such as brittle nail syndrome or uncombable hair syndrome.

3. Iron & Vitamin D Levels Are Important

According to Senna, the two nutrients that play a crucial role in hair growth are iron and vitamin D. “Studies have shown that removing the vitamin D receptor in mice causes significant hair loss, and when the receptor is replaced, the hair regrows,” she notes. She recommends patients’ vitamin D levels to be above 20 nanograms per milliliter at a minimum. “If people are in the range of 20 to 30 ng/ml, we typically still recommend 800 international units (IU) of vitamin D3 supplementation once a day to maintain those levels,” she says.

Similarly, iron levels should be checked in patients suffering from hair loss. “The hair follicle is very reliant on normal iron stores because it's a very metabolically active part of the body and iron is a cofactor in DNA synthesis. There are also iron receptors on the hair follicle in the growth phase,” says Senna. Even if women are not anemic, it still doesn’t mean they have enough iron in their bodies to grow healthy hair. The best marker to test for is the ferritin level, which measure the amount of stored iron in the body. Senna likes to see a ferritin level above 40 nanograms per milliliter (ng/mL) for normal hair growth, though 60 ng/mL is preferred. Usually, it requires supplementation to get women’s iron levels to rise, she notes, due to blood loss during menstruation. “It's very difficult with diet alone to increase it,” she tells Bustle. Senna recommends a supplement with approximately 45 milligrams of elemental iron or 142 milligrams of ferrous sulfate.

4. Devices Work On The Right Patient If Used Correctly

Low-level laser light devices (also called red light devices) show promising research for growing hair in women who have hair thinning. “Again, you have to have hair thinning — they won’t do anything for telogen effluvium,” Senna says. According to a study conducted over six months, a low-level laser light comb used three times a week increased hair growth to a level that was comparable to the results from topical minoxidil. Minoxidil is currently considered the gold standard treatment for hair loss, so the findings are significant.

“The most important part of using devices is ensuring that the light reaches the scalp,” Senna says. People who have significant hair thinning might not have much to worry about, since the light will be able to get through to the scalp. However, for people who have more dense hair growth, she recommends a device like a comb over one that’s hands-free, such as a helmet or cap.

5. PRP Can Be Helpful

Platelet-rich plasma (PRP) is a therapy used in various branches of medicine such as hematology and orthopedics, and increasingly, for hair loss. “The idea is that platelets contain a number of different growth factors that can help stimulate regeneration of tissues and thus it’s used in hair thinning,” explains Senna. In the autologous (meaning generated from a person’s own body) PRP process, the patient's blood is drawn, spun in a centrifuge to separate the different components of blood, and the platelet-rich plasma is drawn up and injected into the scalp. Senna recommends three sessions one month apart, and though the process can be expensive (the average cost begins at $1,500 for three treatments), she believes it can be helpful for the right candidate.

“There are professionals who will just do PRP to anyone who shows up at their door and that is not what I advise,” she notes. “An important screening factor is making sure someone doesn't have a scarring alopecia.” Scarring alopecia is a condition in which the hair follicles are damaged by inflammation. Since the hair loss caused by this can sometimes visually appear similar to female pattern baldness, patients are often treated with PRP, which doesn’t help scarring alopecia. Biopsies are often recommended to rule out scarring alopecia before PRP is recommended. And, of course, TE needs to be ruled out as well.

6. Topical Minoxidil Works Great, But Oral Minoxidil Is Easier & Just As Effective

Topically applied minoxidil (the active ingredient in Rogaine) is one of the most effective hair loss treatments, but takes a considerable amount of dedication. The medicine needs to be applied to the scalp daily, and it can make the hair sticky and dry out the scalp in the long term. “In the past few years, the use of very low dose oral minoxidil has become a great treatment for women and men who have thinning hair,” says Senna. She typically prescribes doses of 1.25 to 2 milligrams for women but never goes higher than 5 milligrams, since it can stimulate unwanted hair to grow on the face and body. “It’s very well tolerated with few side effects, is inexpensive, and works quite well,” she says.

Oral spironolactone is another prescription drug that, when used in low doses, stimulates hair growth. Senna typically recommends starting at 50 milligrams for younger women, and at 200 milligrams for women suffering from polycystic ovarian syndrome (PCOS). Women over the age of 60 are at a higher risk of developing hyperkalemia or increased potassium in the blood on higher doses, so a much lower one of 12.5 or 25 milligrams a day has also been proven to show good results.

7. Your Hair Care Products & Styling Habits Could Contribute To Hair Loss

Allergies and irritation to ingredients in hair care and hair styling products are not uncommon. They’re often triggered by ingredients like synthetic and natural fragrances (including essential oils), certain preservatives, and paraphenylenediamine (PPD) in hair dyes. “Itching or inflammation of the scalp can cause the hair to not grow properly,” says Senna, who recommends her patients with persistent scalp itch or sensitivities switch their products to ones that are fragrance-free and don't contain some of the more common allergenic ingredients. The same holds true for people who suffer from persistent dandruff and seborrheic dermatitis — the inflammation and itching caused by those conditions can also impact hair growth, and they should be treated.

Senna also advises being mindful of your styling practices such as over-bleaching hair, using too much heat, and avoiding extended use of hair extensions and other hairstyles that can put traction on the hair. “Consistent pulling on the hair from extensions or tight hairstyles over long periods can lead to permanent hair loss in the form of traction alopecia,” she explains. “Then, when women see that thinning, they'll put more extensions in and now we're adding fuel to the fire, making it worse in the long run.”

Below, Senna and Bustle’s editors share some products that might help with thinning hair.

Products For Hair Thinning

The Gentle Shampoo & Conditioner

SEEN Essential Bundle, Fragrance Free


© Provided by Bustle

This color-safe duo decreased shedding by 44% in a randomized, controlled clinical trial performed by Senna at the Hair Loss Clinic at Harvard’s Massachusetts General Hospital. The products are fragrance-free and uber gentle on your strands.

The Curly Hair Essentials

GIOVANNI 2chic Ultra Luxurious Shampoo & Conditioner Set


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Senna likes this cruelty-free shampoo and conditioner for curly hair. Both products are formulated with hydrating aloe vera extract, rose, and cherry blossom to nourish stressed-out strands.

The Hair Dye

Hair Color

Madison Reed

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This hair color gets Senna’s green light as it’s free of PPD, a chemical that causes skin reactions and irritation in some people, causing hair loss in the long term.

The Nourishing Wash

Better Not Younger Full Transparency Pure Revitalizing Shampoo


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This shampoo cleanses beautifully without stripping the scalp and is gentle on thin, fragile hair. Besides being fragrance-free, it contains hair-strengthening yuzu, galactoarabinan, and omega-3-rich chia seed extract.

The Flake-Fighter

Balancing Shampoo


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This gentle shampoo is powered by zinc pyrithione to bust flakes, but won’t strip your hair and dry out your scalp like other dandruff shampoos. Team it with the brand’s Purifying Mask if your dandruff is more severe. FYI: Persistent dandruff can cause scalp irritation leading to hair loss.

The Iron Supplement

Slow Fe Slow Release Iron Tablets


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These iron supplements help in hair regrowth, and their slow-release formula makes them easier to digest compared to others. Take it with some orange juice to get its full benefits, as vitamin C helps iron absorption.

Studies referenced:

Asghar, F. (2020). Telogen Effluvium: A Review of the Literature. Cureus, 12(5).

Avci, P. (2014). Low-Level Laser (Light) Therapy (LLLT) for Treatment of Hair Loss. Lasers in surgery and medicine, 46(2), 144.

Odhaib SA, Mansour AA, Haddad NS. (2019). How Biotin Induces Misleading Results in Thyroid Bioassays: Case Series. Cureus.

Patel DP, Swink SM, Castelo-Soccio L. (2017). A Review of the Use of Biotin for Hair Loss. Skin Appendage Disorders.

Demay MB, MacDonald PN, Skorija K, Dowd DR, Cianferotti L, Cox M. (2007). Role of the vitamin D receptor in hair follicle biology. The Journal of Steroid Biochemistry and Molecular Biology.

Jimenez JJ, Wikramanayake TC, Bergfeld W, Hordinsky M, Hickman JG, Hamblin MR, Schachner LA. (2014). Efficacy and safety of a low-level laser device in the treatment of male and female pattern hair loss: a multicenter, randomized, sham device-controlled, double-blind study. American Journal of Clinical Dermatology.

Gentile P, Garcovich S, Bielli A, Scioli MG, Orlandi A, Cervelli V. (2015). The Effect of Platelet-Rich Plasma in Hair Regrowth: A Randomized Placebo-Controlled Trial. Stem Cells Translational Medicine.

Levy, L. L. (2012). Female pattern alopecia: current perspectives. International Journal of Women's Health, 5, 541-556.

Malkud, S. (2015). Telogen Effluvium: A Review. Journal of Clinical and Diagnostic Research : JCDR, 9(9), WE01.

Park, S. Y. (2013). Iron Plays a Certain Role in Patterned Hair Loss. Journal of Korean Medical Science, 28(6), 934-938.

Peyravian, N. (2019). The Inflammatory Aspect of Male and Female Pattern Hair Loss. Journal of Inflammation Research, 13, 879-881.

Sinclair RD. (2018). Female pattern hair loss: a pilot study investigating combination therapy with low-dose oral minoxidil and spironolactone. International Journal of Dermatology.

Tue, 27 Sep 2022 09:05:03 -0500 en-US text/html
Killexams : Ex-analyst translates health care concepts into ‘plain English’ and memes

Tucked into one of Nikhil Krishnan’s exact newsletters is a photograph of Hillary Clinton glancing distressingly at a kitchen in a public housing unit, a visit paid while she was on the 2016 presidential campaign trail. Krishnan gave the visual the tongue-in-cheek caption: “Home health startup actually visiting a patient’s home for the first time.” 

The meme was part of his guide to emerging health care business models, one of the latest editions of Krishnan’s free online newsletter Out-of-Pocket. More than 20,000 readers turn to Out-of-Pocket to learn about the business of health care and read analyses of new industry trends. Krishnan’s pitch is that he makes a complex business easy to understand—and fun, thanks to a healthy dose of memes that illustrate stubbornly nonvisual courses like self-insurance and electronic medical records. 

“I do think I’m marginally funny, and that bar in health care is very low,” he said. 

Krishnan got into health care by accident. He studied sustainable development as an undergraduate at Columbia University but pivoted to tech by the time he graduated in 2014. His first job was as an analyst for CB Insights, a market intelligence platform that tracks private companies and publishes analytical, sector-specific newsletters on startups. 

The startup world appealed to Krishnan, who had by then started a couple of his own fledgling ventures. During high school he customized shoes and sold them online. He also helped graduating seniors sell their Texas Instruments TI-89 graphing calculators to younger calculus students (retail price: $130). 

At CB Insights, he was charged with producing data-driven reports about digital health and biotech companies. He faced a steep learning curve but used it to his advantage, sharing his findings in a newsletter and building a readership of 90,000. He did the same on Twitter, where he now has more than 44,000 followers. 

He launched Out-of-Pocket in 2020, just a few weeks before Covid became the country’s dominant syllabu of conversation. The newsletter was a way to write about health care “in plain English,” as he puts it, with the goal of drawing new talent to the industry. That was where the memes came in. 

“My superpower, for better or worse, is I’m totally shameless. I don’t care about looking dumb on the internet,” he said. “I’m approaching things from a place of curiosity.” 

The approach has been successful. He said the newsletter has an average open rate of about 52%— way beyond the average newsletter open rate of about 21% calculated by email-marketing platform MailChimp. 

Krishnan has further tended to his mission by launching a medical bankruptcy–themed card game, a picture book about the drugmaking process, an invite-only Slack channel for health care innovators and a job board. Next up is a series of educational courses on health care business, marketing, data and product development, which are slated to launch this fall. —Maya Kaufman

This article will appear in the Sept. 26 print edition of Crain's New York Business.

Montefiore gets $4M federal grant to study how to increase access to HIV drug PrEP

Researchers at Montefiore Health System and the Albert Einstein College of Medicine have received a $4.2 million, five-year grant from the National Institutes of Health to study how two strategies implemented in Bronx emergency departments can increase how many patients have access to pre-exposure prophylaxis, a medication that can prevent HIV infection.

The grant is part of a larger federal initiative to end the HIV and AIDS epidemic across the country, Dr. Viraj Patel, a co-principal investigator on the study, told Crain’s. This grant builds off work Patel and other Montefiore researchers have been conducting in the Bronx for years: research that has found that gaps in health care have led many New Yorkers to seek sexual health care in emergency rooms, which aren’t set up to offer the follow-up care that helps people access PrEP and routine HIV screenings, among other important aspects of sexual health.

As a result, Patel said, many people in the Bronx don’t know PrEP is an option.

In the study, researchers will test two follow-up care strategies to see which increases PrEP uptake. The first strategy includes making sure patient educators follow up with patients after they visit the ER with phone calls. The educators will provide information on PrEP and HIV testing and connect patients to continuing health care options and insurance navigators, if necessary.

The second strategy involves having ER doctors connect patients to sexual health specialists through a telemedicine consult service, enacted when the patient is in the hospital. This ensures the patients can reach the specialists, which isn’t guaranteed when calling people after they’ve gone home from the hospital.

“This is a pretty new model of sexual health care that would reduce the burden on emergency department providers,” Patel said.

The two methods will be employed at two random Montefiore hospitals, implemented for nine months, stopped and switched, so researchers can compare how the models work at each site.

Researchers hope the study will help them see what contributes to a higher PrEP uptake and understand how hospitals could potentially budget for these kinds of programs, Patel added. Having more budget information could help policymakers decide which strategy to implement.

The Montefiore Health System operates 10 hospitals and more than 200 outpatient sites in the Bronx and the Hudson Valley, including a network of federally qualified health centers that help connect underserved patients with health resources. —Jacqueline Neber

Northwell opens pediatric behavioral health urgent care center in Suffolk

Northwell Health has opened a 2,000-square-foot urgent care center in Commack to provide behavioral health services to children and teens in crisis, it announced this week.

The facility’s medical team will include a board-certified psychiatrist specializing in children and adolescents and a licensed mental health counselor. Care coordinators will help connect patients to therapy services.

Northwell spent $350,000 to build out the space, which it is leasing from Fairfield Properties, a Melville-based developer and property management company. The space includes three patient rooms and an additional three rooms for its physician partners practice in behavioral health, which will provide continuing care.

The Cohen Children’s Northwell Health Behavioral Health Center at Commack is the third pediatric behavioral health urgent care center that the health system has opened since 2020. 

The system has a team of five physicians, five counselors and two coordinators that will work with patients across the three sites. The other two urgent care locations are in Rockville Centre and Mineola, both in Nassau County, and have served more than 3,400 students to date.

Northwell will add another psychiatrist to that shared team as of November, for a total of six clinicians split among the three sites, a spokeswoman said.

Dr. Vera Feuer, director of emergency psychiatry at Cohen Children’s Medical Center in New Hyde Park, said shortages of adolescent mental health specialists make it difficult for young people to access services quickly. Northwell’s urgent care centers are meant to fill that gap by providing same-day assessments and immediate stabilizing treatment, she said.

Each of the system’s behavioral health urgent care centers collaborates with Long Island school districts to provide professional development and support and to coordinate referrals from teachers, counselors and other school professionals.

Northwell Health operates 21 hospitals and 850 outpatient facilities and has more than 12,000 affiliated physicians. —M.K.

Long Island Federally Qualified Health Center begins renovations on $11M facility

Long Island Federally Qualified Health Center Inc. has started renovations on a new 24,000-square-foot facility, a $10.7 million project in the village of Hempstead, the health system announced Wednesday.

The new facility, which is a vacant building the health center is renovating, will replace a 7,700-square-foot practice in Hempstead that LIFQHC occupies, CEO David Nemiroff said.

“We’re moving because we literally ran out of space,” he said. “Hempstead is a dense village and there wasn’t enough room to expand services.”

The new facility will include 20 test rooms instead of the 13 in the current building. Patients can access radiology, pediatric services, adult medicine services, obstetric and gynecological care, and behavioral health care, including psychiatry, podiatry and nutrition services.

The center will include three dental test rooms, which the current building doesn’t have, and optometry services, Nemiroff added. Care management services and an on-site laboratory, run by LabCorp, will be available for patients.

The current 7,700-square-foot facility sees about 6,000 patients annually, which LIFQHC is hoping to double with the new location.

Long Island Federally Qualified Health Center operates six freestanding facilities in Elmont, Freeport, Westbury-Newcastle, Roosevelt and Oceanside, and it runs three school-based health centers at Freeport, Roosevelt and Westbury high schools.

The facilities see about 44,000 patients total annually, Nemiroff said. About 65% of patients are living under the federal poverty line and about 25% are uninsured, he said. —J.N.


ANXIETY SCREENINGS: Adults under 65 should be screened routinely for anxiety, a panel from the U.S. Preventive Services Task Force has concluded. This is the first time screenings have been recommended even for people who aren’t currently experiencing anxiety symptoms. The review the panel based its conclusion on began before the Covid-19 pandemic and the recommendation is now considered even more timely given the influx of mental health issues Americans have experienced in the last 2.5 years, according to experts.

NEW CABINET: Mayor Eric Adams announced he has formed a new cabinet to better serve older New Yorkers on Thursday. The cabinet will allow 17 agencies across the city to collaborate on future services, bring together resources and shape programs for residents over 60, and will be chaired by Department for the Aging commissioner Lorraine Cortés-Vázquez.

CORPORATE RESTRUCTURING: The New Jersey Department of Banking and Insurance announced Thursday that health insurance company Horizon Blue Cross Blue Shield of New Jersey’s application to restructure its corporation is complete. Horizon will reorganize as a nonprofit and the state department will hold three hearings in October to decide how it shall proceed.

WHO'S NEWS: The "Who's News" portion of "At a Glance" is available online at this link and in the Health Pulse newsletter. "Who's News" is a daily update of career transitions in the local health care industry. For more information on submitting a listing, reach out to Debora Stein: [email protected].


CONTACT US: Have a tip about news happening in the local health care industry? Want to provide feedback about our coverage? Contact the Health Pulse team at [email protected]

Thu, 22 Sep 2022 17:30:00 -0500 en text/html
Killexams : Meet the candidates running for the Dexter School Board in November

DEXTER, MI - Four candidates are vying for two open seats on the Dexter School Board in November, including two incumbents seeking reelection.

Incumbents Daniel Alabre and Melanie Szawara face challenges from Rhonda Haines and Christy Vander Haagen for six-year school board terms in the Nov. 8 general election. Alabre and Szawara were appointed to the board in July 2021 to fill seats vacated by former trustees Daryl Kipke and Julie Schumaker, who resigned.

Alabre has a bachelor’s degree from the University of Connecticut and a master of arts degree from the University of Florida. Upon graduation, Alabre received an active-duty commission in the Army, retiring as a Colonel.

Haines earned a bachelor’s degree in marketing from Eastern Michigan University and has worked in medical sales for 25 years. She has worked closely with teachers through the years because of her son’s learning disability, and has “nothing but praise” for what they do, noting that she enjoys working with people to solve complex issues.

Szawara grew up in Dexter, graduating in 1996. She has children in third and fifth grade attending Dexter schools. She owns MKS Law, PLLC, her own family law practice in Dexter and is a certified domestic relations mediator.

Vander Haagen graduated from Eastern Michigan University with a bachelor’s in English and journalism with a minor in political science. She has been active as a classroom volunteer and as a stay-at-home mother to two children, while serving as a substitute teacher, paraprofessional and secretary in the schools.

MLive/The Ann Arbor News partnered with the nonpartisan League of Women Voters of Michigan to provide candidate information for readers. Each candidate was asked to outline their stances on a variety of public policy issues listed below. Information on other state, county and local primary races can be found at

All responses in the voter guide were submitted directly by the candidate and have not been edited by the League of Women Voters, except for a necessary cut if a reply exceeded character limitations. Spelling and grammar were not corrected. Publication of candidate statements and opinions is solely in the interest of public service and should NOT be considered as an endorsement. The League never supports or opposes any candidates or political parties.

What are your goals should you be elected and how will you work to accomplish them?


I am committed to providing safe and secure schools, closing the learning gap from the pandemic, and improving scores among economically disadvantaged students. I will review and push for a limited resources allocated towards fixing security issues. I will support diversity, equity, and inclusion because including everyone from diverse backgrounds provides a safer school for everyone. I will advocate to continue the summer enrichment learning program we started this year, which focuses on students who have fallen behind and need extra support. Our lower income students have fallen behind their peers statistically and I will promote in-school tutoring and academic support for those who may not have the resources to do so at home. Education covers all spectrums, not just those students who are college bound, and I will continue to support our alternative education programs which have a near perfect graduation rate.


My goals once I am elected are to represent every student and every parent. 1. Education first - Education should be put above all projects. We need to get back to the basics. 2. Transparency - I will always be accessible to parents and community members alike. Anything I know, you will know. 3. Advocate for parental rights - Every parent’s voice should be heard when it comes to their child’s education. 4. Fiscal responsibility - Using our tax dollars where it will have the most impact on outcomes.


The role of a Board of Education trustee is not to advocate but is advisory in nature. Therefore, my goals as trustee will be to continue to maintain stability, while promoting strong curriculum and safe and healthy learning environments for the students. Dexter is known for its excellent schools. Supporting the students and promoting education available is the best way to continue the legacy of Dexter Schools.

Vander Haagen:

My goals are: more transparency and accountability; lowering sports fees and retaining teachers and students. If I am elected, I will work to ensure we enact procedures or policies that will encourage trustees to answer questions more personally and directly. If I am elected, I will meet voters/parents at least one time per month and make myself available for questions. I have promised that since day one of my campaign. I have heard from dozens of people who would like a clearer picture as to where their tax dollars are being spent. There should be a monthly payment register on the district web site that shows taxpayers where every dollar goes. I believe people want to have a better understanding as to why, for example, our pay-to-play fees are so high. If I am elected, I will work to ensure increased financial transparency. I will also make it a priority to talk to families who choose to leave the district. We need to understand why they leave.

What should be done to Improve student achievement in the district?


DCS has started and will continue to work on learning loss and increased mental health issues caused by Covid. Using ESSR funds, we hired five new counselor positions to identify and assist children dealing with mental issues, many caused by isolation during the pandemic. We started school summer programs and teachers identified students who were deemed at risk or falling behind in memorizing and math to place into these students into programs that allow them to expend energy and have fun while learning. It is our goal to continue these programs and the summer camps where over 1,500 children from the community participated at little cost. We have also identified that many economically disadvantaged children are falling behind at the earliest years in reading. These students need to be targeted for the enhanced memorizing and math programs which will build a solid foundation for growth.


Public schools are suffering from declining enrollment and Dexter is no exception. We should be working with parents and having focus groups to discuss what we can do to turn this around. The National Assessment of Educational Progress just published a study about the pandemics devastating effects on education and found that our children are up to 2 years behind academically. This should be concerning for everyone. I wholeheartedly believe that the focus of Dexter Schools should be solely on academic loss. This could mean many things such as using the ESSER funds they received for tutoring, more emphasis on core subjects, and using teacher approved proven methods.


There is no question that there has been learning loss as the result of the COVID shut downs and delays in education. To Improve upon closing that gap and capitalizing on student achievement, Dexter has already implemented programs and incorporated additional assistance to gain ground from learning loss. Still, I believe that seeking the independent input of teachers in evaluating students on their growth each academic year can be more meaningful, not just through the standardized testing.

Vander Haagen:

The pandemic has set many school systems back, academically. A exact study showed that the pandemic may have erased nearly two decades of progress in math and reading, nationally. Dexter Schools have not been immune to this setback. I believe the best approach for us to address learning loss and to close the gap between where our students should be and where they are is to go back to the basics. provide teachers the freedom and flexibility they need to do what they do best, teach. Then we need to set clear goals and a deadline as to where and when the district must meet milestones. Perhaps we could put together groups of teachers and parents who are willing and able to help with tutoring, office hours, etc. I also think our students and teachers would benefit greatly by more frequent classroom visits by administrators and school board trustees.

What are your priorities in balancing the budget?


Dexter Community Schools has had a balanced budget for many years. My priority is to maintain competitive salaries for educators and staff to compete with the surrounding districts. It is important to not only keep teachers and staff, but be able to recruit new educators. We also need to continue to invest in professional development for our educators and new programs to increase our proficiency in young learners in memorizing and math and economically disadvantaged students who are below the average in test scores. This must be done while planning and budgeting for the future to maintain our physical infrastructures, facilities, and fields in top conditions for safety and an environment conducive to learning.


Dexter Community Schools has been good about keeping a balanced budget. What I would like to see is the high pay-to-play fees being reconsidered. These fee’s are an obstacle to student engagement and children need that.


Dexter is fortunate to have a solid CFO and prospective planning for anticipated budget and expenditures. DCS has been solvent for many years and the plan is to continue to be “in the black”. However, funding (how it is collected, calculated and distributed) has such a huge impact on schools and therefore students and teachers. The funds which are provided to schools from the state and federal government are tied to specific parameters and rules. Schools must be proactive in seeking funds and thoughtful in planning for uses for the funds.

Vander Haagen:

I think Dexter Schools has always been good at keeping a balanced budget. I am not an accounting expert; but, I am a huge advocate for fiscal transparency and wise spending. If I am elected to the Board, I will always ponder the benefits vs. costs when it comes to spending the taxpayers’ money.

What is motivating you to run for the school board? Do you have an issue you especially care about?


My short term as an appointee on the Board has impressed upon me the need to support our teachers and public education. I witnessed individuals raise false facts, ignore science, and attack medical professionals. Across the country, groups are now propped up by extreme political interest groups that seek to disrupt school board meetings, censor books, and restrict educators from teaching. Teachers are professionals in whom we should place our faith in preparing young minds to live in an ever-changing world. The same group attacking our educators are attacking minority groups based on race, sexual orientation, gender identification, etc. Parents have an important role in their children’s education. They may opt their children out of books or programs, but teachers should be protected and supported so they can do what they love – educate young minds.


The most important issue to me is catching our children up academically. Also, I have been attending Dexter school board meetings regularly for a few years now and there are a few things that stand out: 1. They vote unanimously 100% of the time with no serious discussion or debate. 2. When parents speak on issues, they feel dismissed. 3. It took them several months of pleading to get the teachers their new contract. The paraprofessionals still do not have a contract. I am motivated to run on turning this around. Our teachers are amazing, and they should not have had to go hoops to feel appreciated. I want parents to feel like they are being heard. Every decision I make will be thoroughly researched with open discussion on social media as well as in person.


The Dexter community and schools are near and dear to me. I love being connected to the community and volunteering my time to provide back to Dexter. Being on the Board, I understand that it is not the role of a trustee to promote a single issue. What is important is to be thoughtful in the decisions facing the schools and honesty in the approach to the issue. I will continue to educate myself as to the issues presented to the board, and to listen to the community members when making decisions.

Vander Haagen:

The school board first caught my attention just before Covid hit. I believe we could have handled it differently so there would have been less of a devastating impact on students’ learning. I think, collectively, we became too wrapped up in ‘numbers’ and ‘cases’ and lost sight of the overall health and wellness of the students, teachers and staff. Decision makers had plenty of opportunities to open the schools and opted not to do so despite cries from parents and teachers alike who did want to return to school. If I am elected, I will never vote to keep students out of schools. I was motivated to run because I believe what we allowed to happen to our children and families was irresponsible. If I am elected to the Board, I will listen to the parents and the expert teachers as there were so very many who WANTED to be in school but were told they could not return.

What are the greatest challenges that will face the Board of Education in the coming year?


The biggest issues facing the DCS are reversing the learning loss caused by covid, mental health issues, and a need for increased budget to fund programs and pay our teachers and staff adequate salaries. The DCS BOE has already committed resources and programs to reverse the learning loss and focus on identifying those students who need support academically and with mental health. The attack on Michigan public education by those who would seek to shift public funds to private and “for profit” schools will impact Dexter Schools if allowed to pass and must be stopped.


I know I keep repeating myself, but the greatest challenge will be catching children up academically. This must be the school boards priority. Also, student retention is vitally important for funding and the school board must investigate why resident students are leaving for other schools. I want Dexter Schools to be a shining light, to be the district everyone wants their children to attend. In order to do this, there needs to be changes made. Personally, I think Dexter can do this because we already have the staff and resources to make it happen. Dexter is an amazing community with so much to be thankful for.


The greatest challenge that faces the Board of Education is the continued work in addressing the learning loss of the students over the past 2 ½ years from the shut down and pandemic. Each student learns different and each experienced learning loss in different ways. To gain ground and ensure the students continue to make the educational grounds they were prior to March 2020, DCS will need to remain proactive and inventive to address each individual loss. Another potential challenge facing the board is to maintain the stability of the board to continue productive work in the community and schools. I hope that the continuity of the board as to respect of one another to work through conflict will continue.

Vander Haagen:

I think the greatest challenges facing the Board of Education and DCS as a whole this coming year will be tackling the learning loss issues and finding more highly qualified teachers. Another challenge for the Board of Education this year will be addressing why we are losing students and teachers to other districts. Retention of both is key to ensuring Dexter Schools maintain excellence.


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Tue, 04 Oct 2022 05:54:00 -0500 en text/html
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