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Credit. IStock Share Fast Facts New @HopkinsMedicine study finds African-American women with common form of hair loss at increased risk of uterine fibroids - Click to Tweet New study in @JAMADerm shows most common form of alopecia (hair loss) in African-American women associated with higher risks of uterine fibroids - Click to Tweet In a study of medical records gathered on hundreds of thousands of African-American women, Johns Hopkins researchers say they have evidence that women with a common form of hair loss have an increased chance of developing uterine leiomyomas, or fibroids.In a report on the research, published in the December 27 issue of JAMA Dermatology, the researchers call on physicians who treat women with central centrifugal cicatricial alopecia (CCCA) to make patients aware that they may be at increased risk for fibroids and should be screened for the condition, particularly if they have symptoms such as heavy bleeding and pain. CCCA predominantly affects black women and is the most common form of permanent alopecia in this population. The excess scar tissue that forms as a result of this type of hair loss may also explain the higher risk for uterine fibroids, which are characterized by fibrous growths in the lining of the womb. Crystal Aguh, M.D., assistant professor of dermatology at the Johns Hopkins University School of Medicine, says the scarring associated with CCCA is similar to the scarring associated with excess fibrous tissue elsewhere in the body, a situation that may explain why women with this type of hair loss are at a higher risk for fibroids.People of African descent, she notes, are more prone to develop other disorders of abnormal scarring, termed fibroproliferative disorders, such as keloids (a type of raised scar after trauma), scleroderma (an autoimmune disorder marked by thickening of the skin as well as internal organs), some types of lupus and clogged arteries.

During a four-year period from 2013-2017, the researchers analyzed patient data from the Johns Hopkins electronic medical record system (Epic) of 487,104 black women ages 18 and over. The prevalence of those with fibroids was compared in patients with and without CCCA. Overall, the researchers found that 13.9 percent of women with CCCA also had a history of uterine fibroids compared to only 3.3 percent of black women without the condition. In absolute numbers, out of the 486,000 women who were reviewed, 16,212 had fibroids.Within that population, 447 had CCCA, of which 62 had fibroids. The findings translate to a fivefold increased risk of uterine fibroids in women with CCCA, compared to age, sex and race matched controls.

Aguh cautions that their study does not suggest any cause and effect relationship, or prove a common cause for both conditions. €œThe cause of the link between the two conditions remains unclear,” she says. However, the association was strong enough, she adds, to recommend that physicians and patients be made aware of it. Women with this type of scarring alopecia should be screened not only for fibroids, but also for other disorders associated with excess fibrous tissue, Aguh says. An estimated 70 percent of white women and between 80 and 90 percent of African-American women will develop fibroids by age 50, according to the NIH, and while CCCA is likely underdiagnosed, some estimates report a prevalence of rates as high as 17 percent of black women having this condition.

The other authors on this paper were Ginette A. Okoye, M.D. Of Johns Hopkins and Yemisi Dina of Meharry Medical College..

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Data released this past week from the Centers for Medicare and Medicaid Services show that more than 34.5 million services were delivered via telehealth in Medicare and in the Children's Health Insurance Program from March through June.Although the agency notes there is always a hair growth pills propecia "claims lag" between the time a service occurs and when the claim is reflected in the Full Article database, the preliminary data suggests a whopping 2,532% increase in services delivered compared to March through June 2019.Furthermore, given that claims lag, data for recent months is likely to be adjusted upward.WHY IT MATTERSTelehealth rates skyrocketed following the relaxation of federal regulations around virtual care use at the start of the propecia, and the CMS data reflects that trend. CMS reported that rates of services delivered peaked in April and began to fall in May – again, consistent with national anecdata hair growth pills propecia from providers. The preliminary data suggests that services delivered via telehealth were highest among so-called working-age adults ages 19 to 64.

Across states hair growth pills propecia in April, Missouri had the highest monthly rate per working-age adult beneficiary. South Carolina had the lowest. Among children, telehealth rates also peaked in April and began to hair growth pills propecia fall in May.

In April, Maine had the highest monthly rate at 402 services per 1,000 child beneficiaries, and Vermont had the lowest. And among adults older than 65, Maryland had the highest monthly rate, with South Carolina the hair growth pills propecia lowest. The agency noted that because adults over 65 are dually eligible for Medicare and Medicaid, these numbers may underestimate telehealth utilization in that group.CMS also cautioned that there is variation in how quickly states submit data, hair growth pills propecia so the state-by-state variation may be a result of claims lag.As of June 2020, said CMS, more than 91.8 million Americans were enrolled in each state's Medicaid or CHIP for at least one day in the year.THE LARGER TRENDThe open question of telehealth's future is one that stakeholders have been seeking to answer for months, with reimbursement a particularly thorny issue.

CMS announced this past week that it had added 11 new telehealth services to its reimbursement list, including cardiac and pulmonary rehabilitation services. And in September, members of MedPAC, which advises Congress on issues affecting Medicare, discussed potentially different fee schedules, based on whether providers participate in alternative payment model systems."Allowing clinicians who participate in A-APMs more flexibility to provide telehealth services could be another incentive for more clinicians to move into these models," hair growth pills propecia said MedPAC senior analyst Ledia Tabor.ON THE RECORD"Medicaid patients should not be forgotten," said CMS Administrator Seema Verma in a statement last week regarding the announcement of the snapshot and the expansion of covered telehealth services. "This revolutionary method of improving access to care is transforming healthcare delivery in America." Kat Jercich is senior editor of Healthcare IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.RLDatix, developer of intelligent patient safety technologies, announced Wednesday that it has acquired Verge Health, which makes credentialing software and analytics tools for proactive risk management.WHY IT MATTERSBy building on the unique expertise of each in governance, risk and compliance, the companies say the merger will "accelerate an essential shift from a reactive approach to risk management to one rooted in safety and prevention."The deal now enables RLDatix to offer provider credentialing tools, and will help it expand its strategic advisory services around safety, compliance. It will also enable RLDatix to better help break down data silos to offer a more complete ground-level view, said the company's CEO Jeff Surges.

HIMSS20 Digital Learn on-demand, earn credit, find products and solutions. Get Started >>. "With Verge Health, we are unifying, at an enterprise level, all of the tools necessary to recognize flawed practices and prevent adverse events," said Surges.The deal also offers an expansion and acceleration of RLDatix's Applied Safety Intelligence Framework, which can help hospitals take a more forward-looking approach to patient safety, "at a time when accreditation organizations like the Joint Commission are expected to take more active steps to reduce adverse events," said Surges.With the addition of Verge Health, RLDatix says its technology can better help health systems approach compliance, credentialing, patient safety and risk management more holistically, helping healthcare leaders navigate the changes needed for harm reduction and quality improvement."By elevating conversations about safety and risk to the enterprise level, RLDatix helps leaders make the systemic and cultural changes necessary to achieve true harm reduction in a way that will transform the delivery of care," said Surges.THE LARGER TRENDMore than two decades since the Institute of Medicine's landmark "To Err is Human" report, medical errors still constitute the third-leading cause of death in the U.S.Beyond the human toll, these adverse events account for as much as 15 percent of all hospital expenditures across OECD countries, according to RLDatix, which notes that the hair loss treatment propecia has highlighted the need for the safety of healthcare facilities, frontline staff and patients.ON THE RECORD"Our Converge platform was the first to unite safety and compliance with provider management, and our recent launch of Insights – our analytics solution, represents another milestone in the journey to 'zero harm,'" said Connie Moser, CEO of Verge Health – in a statement.

"Now Verge is taking the next step to advance safety-led risk management by joining with the global leader in patient safety, and we are thrilled to be continuing our work as part of RLDatix.""We're excited to adopt RLDatix's Applied Safety Intelligence framework and bring together several of our disparate processes," said Sherri Hess, RN, chief nursing informatics officer of Banner Health, in a statement. "The opportunity to have two key vendors join forces so that our safety and provider data, CANDOR training, and oneSOURCE documentation can be united to drive our high reliability efforts is paramount in ensuring we continue to drive safe, efficient healthcare." Twitter. @MikeMiliardHITNEmail the writer.

Mike.miliard@himssmedia.comHealthcare IT News is a HIMSS publication.Teladoc Health released findings Wednesday showing an enormous demand for virtual mental health care since the start of the propecia.The telehealth giant reported that, while there has been growth in mental health services across the board, there have been a notable increase in virtual visits among men, patients over 65 and people who use Medicaid."The stress of the propecia and the social issues we’ve been experiencing have led to a dramatic increase in people reaching out and seeking timely mental health support,” said Dr. Gustavo Kinrys, VP of Teladoc Mental Health, in a statement. "In parallel with this surging need, we’re witnessing growing comfort with virtual care, especially among older adults, giving many individuals who may not have sought mental health care in the past an extraordinary opportunity to put themselves on the right path to better health," Kinrys continued.

WHY IT MATTERS Behavioral health professionals have pointed to the advantages of using virtual care, including accessibility and discretion for those who may not have felt comfortable accessing services in the past.The Teladoc data seems to bear that out, with mental health visits for patients over the age of 65 increasing 16% since June – although Gen Z patients have seen the largest year-to-year growth rate in virtual behavioral health visits through Teladoc. Gen Z patients and millennials are also making up greater percentages those with of anxiety disorder diagnoses compared with last year. “What’s particularly difficult for everyone right now, but specifically for the younger generations, is that there is no clear end game" for the propecia, said Kinrys.

And although men with mental illnesses are less likely to receive treatment than women, mental telehealth visits for men are up 79% when compared with January, versus 75% for women. According to a press release, men are seeking care at a higher rate for family and relationship issues than women, but growing numbers of alcohol and substance use are being diagnosed in women. Teladoc also reports that the year-over-year number of Medicaid patients with access to Teladoc mental telehealth has more than doubled.

THE LARGER TREND Mental and behavioral health services have repeatedly been cited as appropriate use cases for virtual care, with psychiatrists reporting in the spring that they'd been "pleasantly surprised" with the transition to telemedicine. Some providers, such as Bridge Counseling Associates in Nevada, have specifically used telemedicine as a way to overcome hurdles they faced in reaching patients. After being awarded nearly $100,000 in Federal Communications Commissions funds for expanding telehealth, Bridge was able to provide computers and other necessary assets for the clinicians that needed them to reach their rural patients.

"The award funds from the FCC were perfectly timed to continue and expand behavioral health services during this hair loss treatment crisis," said David Robeck, president and CEO of Bridge Counseling Associates, in an August interview. ON THE RECORD"We know that getting mental healthcare at the right time can have a significantly positive impact on individuals, and it’s our hope that, by having multiple avenues of support, people will find the courage to reach out, to talk, and to get the help that they need, on their terms," said Kinrys. Kat Jercich is senior editor of Healthcare IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.Christian Counseling Associates in Plano, Texas, typically has faced challenges attracting and retaining clients.THE PROBLEMWhen hair loss treatment hit, the practice needed to find a way to continue offering counseling services and retain its clients despite the propecia. Telehealth has helped achieve that goal.“Telehealth provides a convenient and completely safe interaction for both the counselor and the client,” said Derrick Sledge, a licensed professional counselor at Christian Counseling Associates.“As a result, I have more clients now than I ever had since being with the agency.

In short, because telehealth offers a safe and convenient venue in which to provide and receive therapy, it has fostered greater consistency in terms of client participation.”PROPOSALChristian Counseling currently uses IT vendor TheraNest’s electronic health record for billing, notes and scheduling. The vendor also offers integrated telehealth within the system.“We reached out to our counselors who wanted to see clients virtually to gauge interest, and went from there,” said Laura Hardman, office administrator at Christian Counseling Associates.“We had confidence in the telehealth solution because we knew it was HIPAA-compliant and had competitive pricing. The transition to telehealth was easy because we were using the same vendor’s system, so we could continue to schedule appointments, just now in telehealth form.”"There seems to be a greater commitment to keeping appointments for telehealth than in-person."Derrick Sledge, Christian Counseling AssociatesTelehealth technology provided an avenue of convenience and safety at the onset of the hair loss treatment propecia, Sledge said.“Telehealth was extremely appealing to prospective clients, as well as therapists, for two primary reasons,” he explained.

€œFirst, with there being no in-person contact, there was no risk of hair loss treatment transmission or contraction. Second, telehealth is easy to use. It proved to be a very user-friendly platform, even for a technologically challenged person like me.”MARKETPLACEThere are many vendors of telemedicine technology and services on the health IT market today.

Healthcare IT News recently compiled a comprehensive list of these vendors with detailed descriptions. To read this special report, click here.MEETING THE CHALLENGEAt the beginning, the counselors would notify Hardman of their desire to use telehealth, and she gave them access to the system.“All of our counselors used the technology once it was offered to provide continued care to their patients,” Hardman said. €œTheir client information already was in the system, so it was a simple transition, since everything was integrated.“Our challenge was that, at the beginning of hair loss treatment, we had a two-week dry period because we didn’t know exactly how to proceed,” she added.

€œPatients waited to make decisions until they heard more news.”Patients wanted to keep receiving counseling, and about 75% of Christian Counseling’s existing patients came onboard for telehealth visits. Although the practice did lose some clients during the transition, it gained back clients who decided to use telehealth the longer the quarantine was in place.“In the case of a new client, I would open TheraNest and enter their personal data, which gets them into the database,” Sledge explained.“From there, it is super easy. I just click on appointments, and it goes to a client page.

I then select telehealth, which launches a scheduling screen. Then I select the date and time of the appointment, and the session is set. Last, I copy the link and email it to the client with a personalized note and description of the appointment.”RESULTSFrom March until August, Christian Counseling’s telehealth sessions increased more than 200%.“Because of TheraNest’s integrated telehealth solution, we have been able to keep 100% of our client base throughout the propecia,” Hardman reported.

€œWe can schedule appointments across the board, and we can provide options for patients seeking care. From March through July, we saw an 83% increase in monthly revenue, because we were able to continue serving patients via telehealth.”As a result of adopting telehealth, Sledge has experienced such a big demand for it that he actually has had to turn away potential clients because the influx has increased so dramatically.“With telehealth, the number of clients who keep their appointments is higher than those who scheduled in-person sessions,” he noted. €œThere seems to be a greater commitment to keeping appointments for telehealth than in-person.

I would say this is due to convenience and because of hair loss treatment, the need for quality counseling services is greater than ever.”With increased anxiety and stress due to job loss or the loss of a loved one, or trying to function in the role of quasi-educator with virtual learning, this crisis is weighing heavily on people, he added.ADVICE FOR OTHERSDefinitely, at the very least, try telehealth, Sledge advised his peers.“The fact that it’s a very secure platform is a big plus,” he said. €œI’m very satisfied with using telehealth. Before, I was in the old school of thought that virtual counseling wouldn’t work.

I was wrong. It does. Once I learned how to use telehealth, not only did I find I enjoyed it, I found it just as effective, if not more, than in-person sessions.”Sledge could share a word document with a client and have a lesson based on that.

He could invite in parents to close out a session with their children, something that did not typically happen when parents would drop their children off for an in-person session.“I give telehealth two thumbs up,” Sledge concluded, “and if an agency is in the market to connect with a platform to do virtual counseling, I highly recommend it.”Twitter. @SiwickiHealthITEmail the writer. Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media publication.The Universal Health Services attack this past month has brought renewed attention to the threat of ransomware faced by health systems – and what hospitals can do to protect themselves against a similar incident.

Security experts say that the attack, beyond being one of the most significant ransomware incidents in healthcare history, may also be emblematic of the ways machine learning and artificial intelligence are being leveraged by bad actors.With some kinds of "early worms," said Greg Foss, senior cybersecurity strategist at VMware Carbon Black, "we saw [cybercriminals] performing these automated actions, and taking information from their environment and using it to spread and pivot automatically. Identifying information of value. And using that to exfiltrate."The complexity of performing these actions in a new environment relies on "using AI and ML at its core," said Foss.Once access is gained to a system, he continued, much malware doesn't require much user interference.

But although AI and ML can be used to compromise systems' security, Foss said, they can also be used to defend it. "AI and ML are something that contributes to security in multiple different ways," he said. "It's not something that's been explored, even until just recently."One effective strategy involves user and entity behavior analytics, said Foss.

Essentially when a system analyzes an individual's typical behavior and flags deviations from that behavior.For example, a human resource representative abruptly running commands on their host is abnormal behavior and might indicate a breach, he said.AI and ML can also be used to detect subtle patterns of behavior among attackers, he said. Given that phishing emails often play on a would-be victim's emotions – playing up the urgency of a message to compel someone to click on a link – Foss noted that automated sentiment analysis can help flag if a message seems abnormally angry.He also noted that email structures themselves can be a so-called tell. Bad actors may rely on a go-to structure or template to try to provoke responses, even the content itself changes.

Or, if someone is trying to siphon off earnings or medication – particularly relevant in a healthcare setting – AI and ML can help work in conjunction with a supply chain to point out aberrations.Of course, Foss cautioned, AI isn't a foolproof bulwark against attacks. It's subject to the same biases as its creators, and "those little subtleties of how these algorithms work allow them to be poisoned as well," he said. In other words, it, like other technology, can be a double-edged sword.Layered security controls, robust email filtering solutions, data control and network visibility also play a vital role in keeping health systems safe.

At the end of the day, human engineering is one of the most important tools. Training employees to recognize suspicious behavior and implement strong security responses.Using AI and ML "is only starting to scratch the surface," he said. Kat Jercich is senior editor of Healthcare IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication..

Data released this past week from the Centers for Medicare and Medicaid Services show that more than 34.5 million services were delivered via telehealth in Medicare and in the Children's Health Insurance Program from March through June.Although the agency notes there is always a "claims lag" between Look At This the time a service occurs and when the claim is reflected in the database, the preliminary data suggests a whopping 2,532% increase in services delivered compared to March through June 2019.Furthermore, given that claims lag, data for recent months is likely to be adjusted upward.WHY buy real propecia online IT MATTERSTelehealth rates skyrocketed following the relaxation of federal regulations around virtual care use at the start of the propecia, and the CMS data reflects that trend. CMS reported that rates of services delivered peaked in April and began to fall buy real propecia online in May – again, consistent with national anecdata from providers. The preliminary data suggests that services delivered via telehealth were highest among so-called working-age adults ages 19 to 64. Across states in April, Missouri had the highest monthly rate per working-age adult buy real propecia online beneficiary. South Carolina had the lowest.

Among children, buy real propecia online telehealth rates also peaked in April and began to fall in May. In April, Maine had the highest monthly rate at 402 services per 1,000 child beneficiaries, and Vermont had the lowest. And among adults older buy real propecia online than 65, Maryland had the highest monthly rate, with South Carolina the lowest. The agency noted that because adults over 65 are dually eligible for Medicare and Medicaid, these numbers may underestimate telehealth utilization in that group.CMS also cautioned that there is variation in how quickly states submit data, so the state-by-state variation may be a result of claims lag.As of June 2020, said CMS, more buy real propecia online than 91.8 million Americans were enrolled in each state's Medicaid or CHIP for at least one day in the year.THE LARGER TRENDThe open question of telehealth's future is one that stakeholders have been seeking to answer for months, with reimbursement a particularly thorny issue. CMS announced this past week that it had added 11 new telehealth services to its reimbursement list, including cardiac and pulmonary rehabilitation services.

And in September, members of MedPAC, which advises Congress on issues affecting Medicare, discussed potentially different fee schedules, based on whether providers participate in alternative payment model systems."Allowing clinicians who participate in A-APMs more flexibility to provide telehealth services could be another incentive for more clinicians to move into these models," said MedPAC senior analyst Ledia Tabor.ON THE RECORD"Medicaid patients should not be forgotten," said CMS Administrator Seema Verma in a statement last week regarding the announcement of the snapshot and the expansion of covered telehealth buy real propecia online services. "This revolutionary method of improving access to care is transforming healthcare delivery in America." Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.RLDatix, developer of intelligent patient safety technologies, announced Wednesday that it has acquired Verge Health, which makes credentialing software and analytics tools for proactive risk management.WHY IT MATTERSBy building on the unique expertise of each in governance, risk and compliance, the companies say the merger will "accelerate an essential shift from a reactive approach to risk management to one rooted in safety and prevention."The deal now enables RLDatix to offer provider credentialing tools, and will help it expand its strategic advisory services around safety, compliance. It will also enable RLDatix to better help break down data silos to offer a more complete ground-level view, said the company's CEO Jeff Surges.

HIMSS20 Digital Learn on-demand, earn credit, find products and solutions. Get Started >>. "With Verge Health, we are unifying, at an enterprise level, all of the tools necessary to recognize flawed practices and prevent adverse events," said Surges.The deal also offers an expansion and acceleration of RLDatix's Applied Safety Intelligence Framework, which can help hospitals take a more forward-looking approach to patient safety, "at a time when accreditation organizations like the Joint Commission are expected to take more active steps to reduce adverse events," said Surges.With the addition of Verge Health, RLDatix says its technology can better help health systems approach compliance, credentialing, patient safety and risk management more holistically, helping healthcare leaders navigate the changes needed for harm reduction and quality improvement."By elevating conversations about safety and risk to the enterprise level, RLDatix helps leaders make the systemic and cultural changes necessary to achieve true harm reduction in a way that will transform the delivery of care," said Surges.THE LARGER TRENDMore than two decades since the Institute of Medicine's landmark "To Err is Human" report, medical errors still constitute the third-leading cause of death in the U.S.Beyond the human toll, these adverse events account for as much as 15 percent of all hospital expenditures across OECD countries, according to RLDatix, which notes that the hair loss treatment propecia has highlighted the need for the safety of healthcare facilities, frontline staff and patients.ON THE RECORD"Our Converge platform was the first to unite safety and compliance with provider management, and our recent launch of Insights – our analytics solution, represents another milestone in the journey to 'zero harm,'" said Connie Moser, CEO of Verge Health – in a statement. "Now Verge is taking the next step to advance safety-led risk management by joining with the global leader in patient safety, and we are thrilled to be continuing our work as part of RLDatix.""We're excited to adopt RLDatix's Applied Safety Intelligence framework and bring together several of our disparate processes," said Sherri Hess, RN, chief nursing informatics officer of Banner Health, in a statement. "The opportunity to have two key vendors join forces so that our safety and provider data, CANDOR training, and oneSOURCE documentation can be united to drive our high reliability efforts is paramount in ensuring we continue to drive safe, efficient healthcare." Twitter.

@MikeMiliardHITNEmail the writer. Mike.miliard@himssmedia.comHealthcare IT News is a HIMSS publication.Teladoc Health released findings Wednesday showing an enormous demand for virtual mental health care since the start of the propecia.The telehealth giant reported that, while there has been growth in mental health services across the board, there have been a notable increase in virtual visits among men, patients over 65 and people who use Medicaid."The stress of the propecia and the social issues we’ve been experiencing have led to a dramatic increase in people reaching out and seeking timely mental health support,” said Dr. Gustavo Kinrys, VP of Teladoc Mental Health, in a statement. "In parallel with this surging need, we’re witnessing growing comfort with virtual care, especially among older adults, giving many individuals who may not have sought mental health care in the past an extraordinary opportunity to put themselves on the right path to better health," Kinrys continued. WHY IT MATTERS Behavioral health professionals have pointed to the advantages of using virtual care, including accessibility and discretion for those who may not have felt comfortable accessing services in the past.The Teladoc data seems to bear that out, with mental health visits for patients over the age of 65 increasing 16% since June – although Gen Z patients have seen the largest year-to-year growth rate in virtual behavioral health visits through Teladoc.

Gen Z patients and millennials are also making up greater percentages those with of anxiety disorder diagnoses compared with last year. “What’s particularly difficult for everyone right now, but specifically for the younger generations, is that there is no clear end game" for the propecia, said Kinrys. And although men with mental illnesses are less likely to receive treatment than women, mental telehealth visits for men are up 79% when compared with January, versus 75% for women. According to a press release, men are seeking care at a higher rate for family and relationship issues than women, but growing numbers of alcohol and substance use are being diagnosed in women. Teladoc also reports that the year-over-year number of Medicaid patients with access to Teladoc mental telehealth has more than doubled.

THE LARGER TREND Mental and behavioral health services have repeatedly been cited as appropriate use cases for virtual care, with psychiatrists reporting in the spring that they'd been "pleasantly surprised" with the transition to telemedicine. Some providers, such as Bridge Counseling Associates in Nevada, have specifically used telemedicine as a way to overcome hurdles they faced in reaching patients. After being awarded nearly $100,000 in Federal Communications Commissions funds for expanding telehealth, Bridge was able to provide computers and other necessary assets for the clinicians that needed them to reach their rural patients. "The award funds from the FCC were perfectly timed to continue and expand behavioral health services during this hair loss treatment crisis," said David Robeck, president and CEO of Bridge Counseling Associates, in an August interview. ON THE RECORD"We know that getting mental healthcare at the right time can have a significantly positive impact on individuals, and it’s our hope that, by having multiple avenues of support, people will find the courage to reach out, to talk, and to get the help that they need, on their terms," said Kinrys.

Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.Christian Counseling Associates in Plano, Texas, typically has faced challenges attracting and retaining clients.THE PROBLEMWhen hair loss treatment hit, the practice needed to find a way to continue offering counseling services and retain its clients despite the propecia. Telehealth has helped achieve that goal.“Telehealth provides a convenient and completely safe interaction for both the counselor and the client,” said Derrick Sledge, a licensed professional counselor at Christian Counseling Associates.“As a result, I have more clients now than I ever had since being with the agency. In short, because telehealth offers a safe and convenient venue in which to provide and receive therapy, it has fostered greater consistency in terms of client participation.”PROPOSALChristian Counseling currently uses IT vendor TheraNest’s electronic health record for billing, notes and scheduling.

The vendor also offers integrated telehealth within the system.“We reached out to our counselors who wanted to see clients virtually to gauge interest, and went from there,” said Laura Hardman, office administrator at Christian Counseling Associates.“We had confidence in the telehealth solution because we knew it was HIPAA-compliant and had competitive pricing. The transition to telehealth was easy because we were using the same vendor’s system, so we could continue to schedule appointments, just now in telehealth form.”"There seems to be a greater commitment to keeping appointments for telehealth than in-person."Derrick Sledge, Christian Counseling AssociatesTelehealth technology provided an avenue of convenience and safety at the onset of the hair loss treatment propecia, Sledge said.“Telehealth was extremely appealing to prospective clients, as well as therapists, for two primary reasons,” he explained. €œFirst, with there being no in-person contact, there was no risk of hair loss treatment transmission or contraction. Second, telehealth is easy to use. It proved to be a very user-friendly platform, even for a technologically challenged person like me.”MARKETPLACEThere are many vendors of telemedicine technology and services on the health IT market today.

Healthcare IT News recently compiled a comprehensive list of these vendors with detailed descriptions. To read this special report, click here.MEETING THE CHALLENGEAt the beginning, the counselors would notify Hardman of their desire to use telehealth, and she gave them access to the system.“All of our counselors used the technology once it was offered to provide continued care to their patients,” Hardman said. €œTheir client information already was in the system, so it was a simple transition, since everything was integrated.“Our challenge was that, at the beginning of hair loss treatment, we had a two-week dry period because we didn’t know exactly how to proceed,” she added. €œPatients waited to make decisions until they heard more news.”Patients wanted to keep receiving counseling, and about 75% of Christian Counseling’s existing patients came onboard for telehealth visits. Although the practice did lose some clients during the transition, it gained back clients who decided to use telehealth the longer the quarantine was in place.“In the case of a new client, I would open TheraNest and enter their personal data, which gets them into the database,” Sledge explained.“From there, it is super easy.

I just click on appointments, and it goes to a client page. I then select telehealth, which launches a scheduling screen. Then I select the date and time of the appointment, and the session is set. Last, I copy the link and email it to the client with a personalized note and description of the appointment.”RESULTSFrom March until August, Christian Counseling’s telehealth sessions increased more than 200%.“Because of TheraNest’s integrated telehealth solution, we have been able to keep 100% of our client base throughout the propecia,” Hardman reported. €œWe can schedule appointments across the board, and we can provide options for patients seeking care.

From March through July, we saw an 83% increase in monthly revenue, because we were able to continue serving patients via telehealth.”As a result of adopting telehealth, Sledge has experienced such a big demand for it that he actually has had to turn away potential clients because the influx has increased so dramatically.“With telehealth, the number of clients who keep their appointments is higher than those who scheduled in-person sessions,” he noted. €œThere seems to be a greater commitment to keeping appointments for telehealth than in-person. I would say this is due to convenience and because of hair loss treatment, the need for quality counseling services is greater than ever.”With increased anxiety and stress due to job loss or the loss of a loved one, or trying to function in the role of quasi-educator with virtual learning, this crisis is weighing heavily on people, he added.ADVICE FOR OTHERSDefinitely, at the very least, try telehealth, Sledge advised his peers.“The fact that it’s a very secure platform is a big plus,” he said. €œI’m very satisfied with using telehealth. Before, I was in the old school of thought that virtual counseling wouldn’t work.

I was wrong. It does. Once I learned how to use telehealth, not only did I find I enjoyed it, I found it just as effective, if not more, than in-person sessions.”Sledge could share a word document with a client and have a lesson based on that. He could invite in parents to close out a session with their children, something that did not typically happen when parents would drop their children off for an in-person session.“I give telehealth two thumbs up,” Sledge concluded, “and if an agency is in the market to connect with a platform to do virtual counseling, I highly recommend it.”Twitter. @SiwickiHealthITEmail the writer.

Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media publication.The Universal Health Services attack this past month has brought renewed attention to the threat of ransomware faced by health systems – and what hospitals can do to protect themselves against a similar incident. Security experts say that the attack, beyond being one of the most significant ransomware incidents in healthcare history, may also be emblematic of the ways machine learning and artificial intelligence are being leveraged by bad actors.With some kinds of "early worms," said Greg Foss, senior cybersecurity strategist at VMware Carbon Black, "we saw [cybercriminals] performing these automated actions, and taking information from their environment and using it to spread and pivot automatically. Identifying information of value. And using that to exfiltrate."The complexity of performing these actions in a new environment relies on "using AI and ML at its core," said Foss.Once access is gained to a system, he continued, much malware doesn't require much user interference. But although AI and ML can be used to compromise systems' security, Foss said, they can also be used to defend it.

"AI and ML are something that contributes to security in multiple different ways," he said. "It's not something that's been explored, even until just recently."One effective strategy involves user and entity behavior analytics, said Foss. Essentially when a system analyzes an individual's typical behavior and flags deviations from that behavior.For example, a human resource representative abruptly running commands on their host is abnormal behavior and might indicate a breach, he said.AI and ML can also be used to detect subtle patterns of behavior among attackers, he said. Given that phishing emails often play on a would-be victim's emotions – playing up the urgency of a message to compel someone to click on a link – Foss noted that automated sentiment analysis can help flag if a message seems abnormally angry.He also noted that email structures themselves can be a so-called tell. Bad actors may rely on a go-to structure or template to try to provoke responses, even the content itself changes.

Or, if someone is trying to siphon off earnings or medication – particularly relevant in a healthcare setting – AI and ML can help work in conjunction with a supply chain to point out aberrations.Of course, Foss cautioned, AI isn't a foolproof bulwark against attacks. It's subject to the same biases as its creators, and "those little subtleties of how these algorithms work allow them to be poisoned as well," he said. In other words, it, like other technology, can be a double-edged sword.Layered security controls, robust email filtering solutions, data control and network visibility also play a vital role in keeping health systems safe. At the end of the day, human engineering is one of the most important tools. Training employees to recognize suspicious behavior and implement strong security responses.Using AI and ML "is only starting to scratch the surface," he said.

Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication..

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FINASTERIDE is used for the treatment of certain types of male hair loss (Alopecia). Finasteride is not for use in women.

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Universal HIV test-and-treat intervention in African correctional settingsWhile people who are incarcerated have a higher burden missed propecia dose of https://www.nickiandkaren.com/low-cost-ventolin HIV and other STIs, delivering sexual health services in correctional settings is difficult. A mixed methods cohort study examined the implementation of a universal test-and-treat intervention at 10 correctional units (6 for men, 3 for women, 1 for youth) in South Africa and Zambia. Same-day anti-retroviral therapy (ART) initiation, training and support, ensuring ART supply, and missed propecia dose viral load monitoring were evaluated among 975 inmates living with HIV.

Median time from enrolment to ART initiation was 0 days (IQR 0–8) and the proportion of people retained in care with viral load monitoring was high (94%, 327/346) among those still incarcerated at 6 months. This study demonstrates the feasibility of implementing comprehensive HIV interventions in selected settings.Herce ME, Hoffmann CJ, Fielding K, et al missed propecia dose. Universal test-and-treat in Zambian and South African correctional facilities.

A multisite missed propecia dose prospective cohort study (published online ahead of print, 2020 Aug 4). Lancet HIV. 2020;S2352-3018(20)30188-0.

Doi:10.1016/S2352-3018(20)30188-0Therapeutic HIV treatment sheds light on HIV remission in humansART does not eliminate the HIV reservoir completely, suggesting the need for innovative therapies to achieve HIV remission. Several HIV remission studies have focused on people with acute HIV who have a smaller reservoir. A double-blind two-arm placebo-controlled randomised controlled trial of 27 people with acute HIV in Thailand gave a modified vaccinia therapeutic treatment to examine safety and duration of viraemic control after treatment interruption.

The treatment was well tolerated and created strong immune responses. However, time to viral rebound was only moderately increased in the treatment group (median 21 days, range 8–44 days) compared with the placebo group (15 days, range 10–164 days). Further research is needed to inform future study designs in HIV remission research.Colby DJ, Sarnecki M, Barouch DH, et al.

Safety and immunogenicity of Ad26 and MVA treatments in acutely treated HIV and effect on viral rebound after antiretroviral therapy interruption. Nat Med. 2020;26(4):498–501.

Doi:10.1038/s41591-020-0774-yPharyngeal gonorrhoea testing among heterosexual menAlthough pharyngeal gonorrhoea testing is no longer recommended in the UK for heterosexual men with urethral or those who are known contacts, one sexual health service continued this practice, testing 232 heterosexual men over 2 years. Of those with urethral gonorrhoea, 33% (35/106) tested positive for pharyngeal gonorrhoea, including one who retained pharyngeal positivity after treatment that cleared the urethral . Among asymptomatic contacts, 20% (17/86) had pharyngeal , the majority of whom (10/17) did not have concurrent urethral .

Had pharyngeal testing not occurred in asymptomatic contacts, more than 10% of s would not have been diagnosed or treated, potentially leading to onward transmission through kissing or orogenital/rectal contact. These results indicate that pharyngeal testing is warranted and should be considered in future guidelines.Dresser M and Hussey J. (2020).

Testing for pharyngeal gonorrhoea in heterosexual men. Should we revisit national guidelines?. International Journal of STD &.

AIDS, 31(6), 593–595.HIV risk behaviours, STI testing and PrEP uptake among Australian MSMThe HIV prevention landscape has significantly changed with the implementation of pre-exposure prophylaxis (PrEP), treatment as prevention programmes and campaigns to increase testing. To assess the impact of these strategies and determine prevalence of undiagnosed HIV, two large cross-sectional studies among men who have sex with men (MSM) were conducted in Sydney, Australia in 2014 (n=2222) and 2018 (n=2158). Prevalence of undiagnosed HIV was low (13.8% (2014) vs 5.3% (2018), ns).

HIV and STI testing increased significantly (from 49.6% to 56.3%, and from 61.7% to 69.2%, respectively), as did PrEP uptake (from 2.1% to 23.0%). However, in 2018, MSM were more likely to report behaviours associated with HIV/STI risk and past-year STI diagnosis. Results indicate that despite increasing risk behaviour, prevalence of undiagnosed HIV remains low suggesting the combined effectiveness of treatment and prevention strategies.Keen P, Lee E, Grulich AE, Prestage G, Guy R, Stoove MA,… and Duck T (2020).

Sustained, low prevalence of undiagnosed HIV among gay and bisexual men in Sydney, Australia coincident with increased testing and pre-exposure prophylaxis use. Results from repeated, bio-behavioural studies 2014–2018. JAIDS.

Online ahead of print.Rapid gonorrhoea and chlamydia resultsRapid point-of-care (POC) tests for gonorrhoea and chlamydia could enable testing and treatment to occur in a single visit, reducing complications of untreated s, attendance burden and risk of onward transmission. In a prospective cross-sectional study, swabs from 1523 women and first catch urine from 922 men were tested by non-laboratory-trained staff using a POC assay and compared with laboratory assay results. Sensitivities and specificities for chlamydia and gonorrhoea using the POC test were greater than the target of 95% in both women and men, except for sensitivity of the chlamydia test in men (92.5%, 95% CI 86.4% to 96.0%).

Further assessment of these tests is needed in rectal and oropharyngeal samples and cost-effectiveness analyses will be helpful to understand their utility.Van Der Pol B, Taylor SN, Mena L, et al. Evaluation of the Performance of a Point-of-Care Test for Chlamydia and Gonorrhea. JAMA Netw Open.

2020;3(5):e204819. Published 2020 May 1. Doi:10.1001/jamanetworkopen.2020.4819Role of syphilis partner notification in ending the HIV epidemicSyphilis partner notification is an opportunity to case find newly diagnosed syphilis and HIV in known contacts.

A retrospective record review of 984 syphilis cases found that 1457 cases and partners received HIV/STI prevention counselling, 400 partners were tested and treated for STIs (including 63 new syphilis diagnoses) and 168 PrEP referrals were made. Three hundred and fifty-two partners were tested for HIV, 22 received new HIV diagnoses, 68% were retained in care and 60% were virally suppressed. Previously undiagnosed HIV positivity was 14% and 3.5% among partners of co-occurrent HIV and syphilis cases and among partners to HIV-negative cases, respectively.

Partner notification for syphilis provides a key opportunity to deliver combination prevention with behavioural counselling for STIs and HIV, early testing and treatment.DiOrio D, Collins D, Hanley S. Ending the HIV Epidemic. Contributions Resulting From Syphilis Partner Services.

Sex Transm Dis. 2020;47(8):511–515. Doi:10.1097/OLQ.0000000000001201The National Health Service is facing rising demands for services, issues of funding, variations in quality and safety, and labour challenges.1 2 These challenges are felt acutely within genitourinary medicine, which has one of the lowest fill rates nationally,3 one-third of sexual and reproductive consultants are due to retire in the next 5 years and sexual health services face budget cuts of more than 20%.4A range of solutions have been proposed, including new models of care and modernisation of the workforce.1 2 5 Modernising the workforce will involve securing the supply of staff, creating a flexible workforce, widening participation and broadening career pathways5 and the development of extended and advanced practice roles.1 2 5 It is anticipated these solutions will increase efficiency and efficacy, facilitate professionals to work at the top of their licence, thus reducing variations in practice and improve standards of care.5To support ….

Universal HIV test-and-treat intervention in African correctional settingsWhile people who are incarcerated have a higher burden of HIV and other buy real propecia online STIs, delivering https://www.nickiandkaren.com/low-cost-ventolin sexual health services in correctional settings is difficult. A mixed methods cohort study examined the implementation of a universal test-and-treat intervention at 10 correctional units (6 for men, 3 for women, 1 for youth) in South Africa and Zambia. Same-day anti-retroviral therapy (ART) initiation, training and support, ensuring ART supply, and buy real propecia online viral load monitoring were evaluated among 975 inmates living with HIV. Median time from enrolment to ART initiation was 0 days (IQR 0–8) and the proportion of people retained in care with viral load monitoring was high (94%, 327/346) among those still incarcerated at 6 months. This study demonstrates the feasibility of implementing comprehensive HIV interventions in selected settings.Herce ME, Hoffmann buy real propecia online CJ, Fielding K, et al.

Universal test-and-treat in Zambian and South African correctional facilities. A multisite prospective cohort study (published online ahead of buy real propecia online print, 2020 Aug 4). Lancet HIV. 2020;S2352-3018(20)30188-0. Doi:10.1016/S2352-3018(20)30188-0Therapeutic HIV treatment sheds light on HIV remission in humansART does not eliminate the HIV reservoir completely, suggesting the need for innovative therapies to achieve HIV remission.

Several HIV remission studies have focused on people with acute HIV who have a smaller reservoir. A double-blind two-arm placebo-controlled randomised controlled trial of 27 people with acute HIV in Thailand gave a modified vaccinia therapeutic treatment to examine safety and duration of viraemic control after treatment interruption. The treatment was well tolerated and created strong immune responses. However, time to viral rebound was only moderately increased in the treatment group (median 21 days, range 8–44 days) compared with the placebo group (15 days, range 10–164 days). Further research is needed to inform future study designs in HIV remission research.Colby DJ, Sarnecki M, Barouch DH, et al.

Safety and immunogenicity of Ad26 and MVA treatments in acutely treated HIV and effect on viral rebound after antiretroviral therapy interruption. Nat Med. 2020;26(4):498–501. Doi:10.1038/s41591-020-0774-yPharyngeal gonorrhoea testing among heterosexual menAlthough pharyngeal gonorrhoea testing is no longer recommended in the UK for heterosexual men with urethral or those who are known contacts, one sexual health service continued this practice, testing 232 heterosexual men over 2 years. Of those with urethral gonorrhoea, 33% (35/106) tested positive for pharyngeal gonorrhoea, including one who retained pharyngeal positivity after treatment that cleared the urethral .

Among asymptomatic contacts, 20% (17/86) had pharyngeal , the majority of whom (10/17) did not have concurrent urethral . Had pharyngeal testing not occurred in asymptomatic contacts, more than 10% of s would not have been diagnosed or treated, potentially leading to onward transmission through kissing or orogenital/rectal contact. These results indicate that pharyngeal testing is warranted and should be considered in future guidelines.Dresser M and Hussey J. (2020). Testing for pharyngeal gonorrhoea in heterosexual men.

Should we revisit national guidelines?. International Journal of STD &. AIDS, 31(6), 593–595.HIV risk behaviours, STI testing and PrEP uptake among Australian MSMThe HIV prevention landscape has significantly changed with the implementation of pre-exposure prophylaxis (PrEP), treatment as prevention programmes and campaigns to increase testing. To assess the impact of these strategies and determine prevalence of undiagnosed HIV, two large cross-sectional studies among men who have sex with men (MSM) were conducted in Sydney, Australia in 2014 (n=2222) and 2018 (n=2158). Prevalence of undiagnosed HIV was low (13.8% (2014) vs 5.3% (2018), ns).

HIV and STI testing increased significantly (from 49.6% to 56.3%, and from 61.7% to 69.2%, respectively), as did PrEP uptake (from 2.1% to 23.0%). However, in 2018, MSM were more likely to report behaviours associated with HIV/STI risk and past-year STI diagnosis. Results indicate that despite increasing risk behaviour, prevalence of undiagnosed HIV remains low suggesting the combined effectiveness of treatment and prevention strategies.Keen P, Lee E, Grulich AE, Prestage G, Guy R, Stoove MA,… and Duck T (2020). Sustained, low prevalence of undiagnosed HIV among gay and bisexual men in Sydney, Australia coincident with increased testing and pre-exposure prophylaxis use. Results from repeated, bio-behavioural studies 2014–2018.

JAIDS. Online ahead of print.Rapid gonorrhoea and chlamydia resultsRapid point-of-care (POC) tests for gonorrhoea and chlamydia could enable testing and treatment to occur in a single visit, reducing complications of untreated s, attendance burden and risk of onward transmission. In a prospective cross-sectional study, swabs from 1523 women and first catch urine from 922 men were tested by non-laboratory-trained staff using a POC assay and compared with laboratory assay results. Sensitivities and specificities for chlamydia and gonorrhoea using the POC test were greater than the target of 95% in both women and men, except for sensitivity of the chlamydia test in men (92.5%, 95% CI 86.4% to 96.0%). Further assessment of these tests is needed in rectal and oropharyngeal samples and cost-effectiveness analyses will be helpful to understand their utility.Van Der Pol B, Taylor SN, Mena L, et al.

Evaluation of the Performance of a Point-of-Care Test for Chlamydia and Gonorrhea. JAMA Netw Open. 2020;3(5):e204819. Published 2020 May 1. Doi:10.1001/jamanetworkopen.2020.4819Role of syphilis partner notification in ending the HIV epidemicSyphilis partner notification is an opportunity to case find newly diagnosed syphilis and HIV in known contacts.

A retrospective record review of 984 syphilis cases found that 1457 cases and partners received HIV/STI prevention counselling, 400 partners were tested and treated for STIs (including 63 new syphilis diagnoses) and 168 PrEP referrals were made. Three hundred and fifty-two partners were tested for HIV, 22 received new HIV diagnoses, 68% were retained in care and 60% were virally suppressed. Previously undiagnosed HIV positivity was 14% and 3.5% among partners of co-occurrent HIV and syphilis cases and among partners to HIV-negative cases, respectively. Partner notification for syphilis provides a key opportunity to deliver combination prevention with behavioural counselling for STIs and HIV, early testing and treatment.DiOrio D, Collins D, Hanley S. Ending the HIV Epidemic.

Contributions Resulting From Syphilis Partner Services. Sex Transm Dis. 2020;47(8):511–515. Doi:10.1097/OLQ.0000000000001201The National Health Service is facing rising demands for services, issues of funding, variations in quality and safety, and labour challenges.1 2 These challenges are felt acutely within genitourinary medicine, which has one of the lowest fill rates nationally,3 one-third of sexual and reproductive consultants are due to retire in the next 5 years and sexual health services face budget cuts of more than 20%.4A range of solutions have been proposed, including new models of care and modernisation of the workforce.1 2 5 Modernising the workforce will involve securing the supply of staff, creating a flexible workforce, widening participation and broadening career pathways5 and the development of extended and advanced practice roles.1 2 5 It is anticipated these solutions will increase efficiency and efficacy, facilitate professionals to work at the top of their licence, thus reducing variations in practice and improve standards of care.5To support ….

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Policy changes can help to fight stigmas of multiracial Americans, one of the fasting growing minority groups in the United States according to a Rutgers hair transplant without propecia bald truth talk buy propecia 5mg online University-led study.Published in the journal Policy Insights from the Behavioral and Brain Sciences, the study finds that such stigmas may be combated by legitimizing multiracial identities. Despite the increasing prominence of multiracial celebrities and leaders such as Barack Obama, Meghan Markle, and Bruno Mars, many multiracial people are physically isolated from their peers, said lead author Diana Sanchez, a Rutgers professor of psychology."Multiracial people encounter unique challenges because they straddle multiple racial groups," said Sanchez. "Sen.

Kamala Harris is Black and South Asian, yet social media outlets vary to the extent to which they recognize her multiracial background. This lack of recognition for multiracial populations is common as is the tendency for fellow monoracial group members like South Asian or Black Americans to have trouble including a multiracial person in their group."Multiracial people who report frequent racial identity denial also indicate more depressive symptoms, more stress, impaired motivation, and lower self-esteem -- compared with those who experience denial less frequently, according to research.Multiracial people experience discrimination and everyday, often subtle, instances of these racist microaggressions that stem specifically from their identity -- such as being told that they cannot identify with certain racial identities or that they are not full members of their own racial communities.The study suggests adopting policy changes that could increase population estimates that would allow for more for distribution of educational and health care resources and improve health care delivery for multiracial populations. Recommendations include.

Legitimizing multiracial identity by capitalizing the "M" in multiracial and adjusting guidelines that are set forth by, for example, the American Psychological Association and in writing style guides about race-appropriate language. Being explicit about the consequences of listing a multiracial background on business loans and applications. There is a lack of transparency regarding how claiming a multiracial identity will affect eligibility.

Fully integrating check-all-that-apply racial measures for data collection. These have psychological benefits for multiracial people by recognizing and validating their identities. Minority programs tailored to building community and facilitating positive racial socialization should integrate education for multiracial people by discussing how to respond to questions such as.

"What are you?. ," "Are you sure your dad is really your dad?. "The U.S.

Census 2020 marks the third assessment that allows residents to indicate belonging to more than one racial group. The 2010 U.S. Census data revealed that multiracial individuals represent one of the fastest growing minority groups in the United States, representing, at the time, roughly nine million Americans."Many people have argued that Harris's vice presidential nomination may be an opportunity to unite Black and South Asian communities who can jointly celebrate this candidacy, but we will first have to confront the issue that many have trouble with -- seeing multiracial people as legitimate members of their monoracial communities," said Sanchez.

Story Source. Materials provided by Rutgers University. Note.

Content may be edited for style and length.Humans are born with a part of the brain that is prewired to be receptive to seeing words and letters, setting the stage at birth for people to learn how to read, a new study suggests.Analyzing brain scans of newborns, researchers found that this part of the brain -- called the "visual word form area" (VWFA) -- is connected to the language network of the brain."That makes it fertile ground to develop a sensitivity to visual words -- even before any exposure to language," said Zeynep Saygin, senior author of the study and assistant professor of psychology at The Ohio State University.The VWFA is specialized for reading only in literate individuals. Some researchers had hypothesized that the pre-reading VWFA starts out being no different than other parts of the visual cortex that are sensitive to seeing faces, scenes or other objects, and only becomes selective to words and letters as children learn to read or at least as they learn language."We found that isn't true. Even at birth, the VWFA is more connected functionally to the language network of the brain than it is to other areas," Saygin said.

"It is an incredibly exciting finding."Saygin, who is a core faculty member of Ohio State's Chronic Brain Injury Program, conducted the study with graduate students Jin Li and Heather Hansen and assistant professor David Osher, all in psychology at Ohio State. Their results were published today in the journal Scientific Reports. advertisement The researchers analyzed fMRI scans of the brains of 40 newborns, all less than a week old, who were part of the Developing Human Connectome Project.

They compared these to similar scans from 40 adults who participated in the separate Human Connectome Project.The VWFA is next to another part of visual cortex that processes faces, and it was reasonable to believe that there wasn't any difference in these parts of the brain in newborns, Saygin said.As visual objects, faces have some of the same properties as words do, such as needing high spatial resolution for humans to see them correctly.But the researchers found that, even in newborns, the VWFA was different from the part of the visual cortex that recognizes faces, primarily because of its functional connection to the language processing part of the brain."The VWFA is specialized to see words even before we're exposed to them," Saygin said. advertisement "It's interesting to think about how and why our brains develop functional modules that are sensitive to specific things like faces, objects, and words," said Li, who is lead author of the study."Our study really emphasized the role of already having brain connections at birth to help develop functional specialization, even for an experience-dependent category like reading."The study did find some differences in the VWFA in newborns and adults."Our findings suggest that there likely needs to be further refinement in the VWFA as babies mature," Saygin said."Experience with spoken and written language will likely strengthen connections with specific aspects of the language circuit and further differentiate this region's function from its neighbors as a person gains literacy."Saygin's lab at Ohio State is currently scanning the brains of 3- and 4-year-olds to learn more about what the VWFA does before children learn to read and what visual properties the region is responsive to.The goal is to learn how the brain becomes a reading brain, she said. Learning more about individual variability may help researchers understand differences in reading behavior and could be useful in the study of dyslexia and other developmental disorders."Knowing what this region is doing at this early age will tell us a bit more about how the human brain can develop the ability to read and what may go wrong," Saygin said.

"It is important to track how this region of the brain becomes increasingly specialized."The research was supported in part by the Alfred P. Sloan Foundation. Analyses were completed using the Ohio Supercomputer Center.

Story Source. Materials provided by Ohio State University. Original written by Jeff Grabmeier.

Note. Content may be edited for style and length..

Policy changes can help to fight stigmas of multiracial Americans, one of the fasting growing minority groups in the United States according to a Rutgers University-led study.Published in the journal Policy Insights from the Behavioral and Brain Sciences, the study finds that such stigmas may be combated by buy real propecia online legitimizing multiracial identities. Despite the increasing prominence of multiracial celebrities and leaders such as Barack Obama, Meghan Markle, and Bruno Mars, many multiracial people are physically isolated from their peers, said lead author Diana Sanchez, a Rutgers professor of psychology."Multiracial people encounter unique challenges because they straddle multiple racial groups," said Sanchez. "Sen.

Kamala Harris is Black and South Asian, yet social media outlets vary to the extent to which they recognize her multiracial background. This lack of recognition for multiracial populations is common as is the tendency for fellow monoracial group members like South Asian or Black Americans to have trouble including a multiracial person in their group."Multiracial people who report frequent racial identity denial also indicate more depressive symptoms, more stress, impaired motivation, and lower self-esteem -- compared with those who experience denial less frequently, according to research.Multiracial people experience discrimination and everyday, often subtle, instances of these racist microaggressions that stem specifically from their identity -- such as being told that they cannot identify with certain racial identities or that they are not full members of their own racial communities.The study suggests adopting policy changes that could increase population estimates that would allow for more for distribution of educational and health care resources and improve health care delivery for multiracial populations. Recommendations include.

Legitimizing multiracial identity by capitalizing the "M" in multiracial and adjusting guidelines that are set forth by, for example, the American Psychological Association and in writing style guides about race-appropriate language. Being explicit about the consequences of listing a multiracial background on business loans and applications. There is a lack of transparency regarding how claiming a multiracial identity will affect eligibility.

Fully integrating check-all-that-apply racial measures for data collection. These have psychological benefits for multiracial people by recognizing and validating their identities. Minority programs tailored to building community and facilitating positive racial socialization should integrate education for multiracial people by discussing how to respond to questions such as.

"What are you?. ," "Are you sure your dad is really your dad?. "The U.S.

Census 2020 marks the third assessment that allows residents to indicate belonging to more than one racial group. The 2010 U.S. Census data revealed that multiracial individuals represent one of the fastest growing minority groups in the United States, representing, at the time, roughly nine million Americans."Many people have argued that Harris's vice presidential nomination may be an opportunity to unite Black and South Asian communities who can jointly celebrate this candidacy, but we will first have to confront the issue that many have trouble with -- seeing multiracial people as legitimate members of their monoracial communities," said Sanchez.

Story Source. Materials provided by Rutgers University. Note.

Content may be edited for style and length.Humans are born with a part of the brain that is prewired to be receptive to seeing words and letters, setting the stage at birth for people to learn how to read, a new study suggests.Analyzing brain scans of newborns, researchers found that this part of the brain -- called the "visual word form area" (VWFA) -- is connected to the language network of the brain."That makes it fertile ground to develop a sensitivity to visual words -- even before any exposure to language," said Zeynep Saygin, senior author of the study and assistant professor of psychology at The Ohio State University.The VWFA is specialized for reading only in literate individuals. Some researchers had hypothesized that the pre-reading VWFA starts out being no different than other parts of the visual cortex that are sensitive to seeing faces, scenes or other objects, and only becomes selective to words and letters as children learn to read or at least as they learn language."We found that isn't true. Even at birth, the VWFA is more connected functionally to the language network of the brain than it is to other areas," Saygin said.

"It is an incredibly exciting finding."Saygin, who is a core faculty member of Ohio State's Chronic Brain Injury Program, conducted the study with graduate students Jin Li and Heather Hansen and assistant professor David Osher, all in psychology at Ohio State. Their results were published today in the journal Scientific Reports. advertisement The researchers analyzed fMRI scans of the brains of 40 newborns, all less than a week old, who were part of the Developing Human Connectome Project.

They compared these to similar scans from 40 adults who participated in the separate Human Connectome Project.The VWFA is next to another part of visual cortex that processes faces, and it was reasonable to believe that there wasn't any difference in these parts of the brain in newborns, Saygin said.As visual objects, faces have some of the same properties as words do, such as needing high spatial resolution for humans to see them correctly.But the researchers found that, even in newborns, the VWFA was different from the part of the visual cortex that recognizes faces, primarily because of its functional connection to the language processing part of the brain."The VWFA is specialized to see words even before we're exposed to them," Saygin said. advertisement "It's interesting to think about how and why our brains develop functional modules that are sensitive to specific things like faces, objects, and words," said Li, who is lead author of the study."Our study really emphasized the role of already having brain connections at birth to help develop functional specialization, even for an experience-dependent category like reading."The study did find some differences in the VWFA in newborns and adults."Our findings suggest that there likely needs to be further refinement in the VWFA as babies mature," Saygin said."Experience with spoken and written language will likely strengthen connections with specific aspects of the language circuit and further differentiate this region's function from its neighbors as a person gains literacy."Saygin's lab at Ohio State is currently scanning the brains of 3- and 4-year-olds to learn more about what the VWFA does before children learn to read and what visual properties the region is responsive to.The goal is to learn how the brain becomes a reading brain, she said. Learning more about individual variability may help researchers understand differences in reading behavior and could be useful in the study of dyslexia and other developmental disorders."Knowing what this region is doing at this early age will tell us a bit more about how the human brain can develop the ability to read and what may go wrong," Saygin said.

"It is important to track how this region of the brain becomes increasingly specialized."The research was supported in part by the Alfred P. Sloan Foundation. Analyses were completed using the Ohio Supercomputer Center.

Story Source. Materials provided by Ohio State University. Original written by Jeff Grabmeier.

Note. Content may be edited for style and length..

.