Question: Is it compulsory that the appointed civil surgeon has to sign Part no 6 of the Form I-693, or is it enough if the health department staff signs it?

The Part No 6 has to be signed by the physician of the health department, which may be in original or could be a stamped seal. It could happen that the health department staff, like the nurse or other professionals could co-sign the form but it is not mandatory by them. What is however required, is the signature of the concerned health department’s appointed civil surgeon.

Question: Is it necessitated by the Civil Surgeon to have the Vaccination Table and the Results section completed properly in order to ensure completion of the vaccination part of the Form I-693?

Yes. This is required. The Civil Surgeon has to fill in the details of the vaccination table and the Results part completely. In the vaccination table the entire vaccination history, dates of vaccinations accorded by the Civil Surgeon etc. have to be filled up. Any other waiver requests need to be inked in too.

Question: It is now required by the Form I-693 for applicants who require a chest X ray to include a copy of the X ray report along with the I-693 file. Can you tell me as to what kind of X ray report is now acceptable?

Only a qualified and recognized radiologist’s report that is signed and sealed on an official letterhead of the hospital or medical center is acceptable by USCIS. Also, no preliminary or unfinished evaluation will be accepted by USCIS. The full evaluations or findings will have to be done and the findings recorded. In many cases the civil surgeon will have to wait for some time till this report has been dispatched by the medical office that is reviewing the case and a sign-off cannot be done on the I-693 form till this report is received.

Question: The requirements by the CDC and USCIS have been revised for the point of medical referrals, as has been notated on Form I-693. Can you tell me the instances when the Part 5’s referral section should be completed?

Sub Part 5 of Part 5 has to be completed, if the referral is required. A scenario could occur when a Class A condition is suspected and a further evaluation is needed. The Part 5 is not to be completed if the CDC only recommends Part 5. What could be done instead is have the Referral box notated with a comment.

Source by Soumya Joshi

Green smoothies, while consumed by thousands of individuals daily, are not in the mainstream of conversation these days. Of course, if you are part of the exploding health and fitness culture that has a world wide audience, you are most likely already familiar with the movement that embraces green smoothies and their legendary benefits.

The basic information is that green smoothies, like most smoothies, are beverages that are blended to combine fresh or frozen fruit and leafy greens like collard greens, spinach, mustard, and several other lesser known leafy edible greens. One must also add more common vegetables such as carrots and broccoli and even mushrooms, although not necessarily a green or a vegetable.

The idea of green smoothies is that they are filled to the brim with nutrients that work best when they are combined in the raw state. And when blended with other nutritional goodies, these smoothies are nothing less than habit forming. Any parent who has to beg or bribe their kids to eat their spinach and kale, will begin to understand how much of a difference a tasty mouthful of green smoothie can make.

Green smoothies have been found to be very economical and easy to make. Plus since they are fast and tasty and have a rather cool appearance, the challenge of making your family green smoothie fans is definitely simple, after the first blender full of the stuff green smoothies are made of.

Here’s a quick recipe:

1. Start by making sure you have a heavy duty or commercial grade blender. This is not mandatory at first as any blender will do to get started. However, once you realize that everyone will want green smoothies every day, the wear and tear on a non-commercial blender will definitely shorten its life span.

2. Add kale, collard, mustard, turnip and spinach greens. Top these off with bananas or peaches or strawberries or cherries, or feel free to blend all of them into your smoothie. You won’t want to, or need to add sugar or any sweetener so be sure to find your choice of naturally sweet fruits to add to the mix for the best tasting results.

3. Add enough fresh water up to the half way point in your blender. add ice cubes up to the top. Then close the lid and spin until the mix is completely blended. Check during the cycle for the smoothie consistency you prefer. Lots of us like them smooth and thick, however, others prefer thinner mixtures. Just be sure to check for your desired level of thickness.

4. Pour and enjoy and try not to smack your lips.

Many of us are not on diets nor do we plan to be, however, if you are interested in being both healthy and thinner, a green smoothie, that takes less than 5 minutes to blend, can help you drop weight and bad habits. Most individuals will drink a smoothie 2 or 3 times a day, which seems to be the optimum way to start.

The bottom line for potential green smoothie addicts is to jump into the habit at whatever level your interest. These are not only great looking drinks but they are loaded with the type of leafy greens that nature fills with antioxidants and vitamins. What a novel idea, enjoy a delicious drink and get a full feeling in the process because of the fiber. And you can end up 10 or so pounds lighter every 30 days.

Source by Antoinette Beppu

In case you don’t know, health insurance is a type of assurance that is given based on agreed terms in case the insured person falls sick or needs medical treatment. The insured life may have a chronic condition requiring medical care for years to come. Let’s know more about it.

Who will pay for the medical expenses?

This is one of the most common questions that people ask. If you have a health insurance, you can have the peace of mind that your health will be taken care of. Actually, it is a type of agreement or contract between you (policyholder) and the company providing health insurance. The purpose of the agreement or contract is to provide protection against costs. At times, the costs are so high that the sick person is unable to pay the bills. As a result, the person is unable to get the care he needs to recover.

While you will pay a monthly or annual premium, you should expect that the amount of premium you are going to pay would be far less than the amount you would pay in case of illness.

Keep in mind that health insurance is a type of benefit that a non-profit organization, private business or a government agency provides. In order to figure out the cost, the company gets an estimate of the collective medical cost of all of the people in the state. Then the risk is divided among the policy subscribers.

As far as the concept goes, the insurer knows that one person may suffer from huge unexpected health care expenses while the other person may incur no expenses at all. So, the expense is spread across a large group of people in an effort to make the health insurance much more affordable for all the insured lives.

Aside from this, public plans are funded by the government. Therefore, they offer extra health insurance to the vulnerable groups like people with disabilities and seniors.

Let’s take an example to understand the concept better. A person with Cerebral Palsy needs special treatment through their lifespan. It’s understood that a chronic illness costs a lot more money than a standard care. Cerebral Palsy may result in a physical impairment that may last for the whole life of the sufferer.

The treatment for this condition may require regular doctor visits, many therapies and long hospital stays. Based on the degree of impairment, you may need special health insurance. Many health care professionals will involve, such as vocational therapists, occupational therapists, physical therapists, orthopedic surgeons, radiologists, pediatrician, neurologists and so on.

Some patients may need the services of more than one. Some may even need a speech pathologist, registered dietician, cosmetic dentists or urologist, to name a few.

So, the coverage offered can help you get some relief as far as the burden of the expenses is concerned. If you don’t sign up, you may suffer from a lot of financial strain and you may need help from other sources like charity organizations and community groups. Therefore, it’s a good idea to benefit from a health insurance.

Source by Shalini Madhav

The Apple Cider Vinegar Diet is a diet, while being called a fad diet, has existed since well into the early part of the 19th century, when Lord Byron popularized the use of the ‘diet miracle’. Even Hippocrates was known to use it as a health tonic, and American soldiers used it to beat indigestion, pneumonia and scurvy.

The concept of the diet is essentially based on the premise of ‘an apple a day keeps the doctor away’; however, rather than an apple, it is Apple Cider Vinegar, which is also called cider vinegar and acetic acid.

Apple cider vinegar is made from the vinegar that is a byproduct of the fermentation of apple cider. During the process, apple cider is broken down into alcohol and vinegar. The vinegar contains acetic acid, some lactic acid, as well as citric acid.

Apple cider vinegar is light yellow-brown in color and is usually sold without being filtered or pasteurized. Typically, it is sold online or in health food stores. While other types of vinegar are used for cooking, apple cider vinegar is only used for health.

The process of drinking the acid has many claims attached to it, including ways to ward off diabetes and cancer, however much of that has not been proven conclusively, so it is best to learn as much as you can about it before hand. Either way, it can’t hurt to have something that comes directly from nature, only doing you good.

We are talking about something here that has shown itself to be popular for thousands of years, from Hippocrates to Lord Byron, and even to the 1970s when it proved to be popular again thanks to many books that suggested it can be way to lose weight when it is used with kelp, vitamin B6 and lecithin.

Source by Boone Swann

As Empire Magazine does its own countdown in Christopher Nolan’s The Dark Knight, they featured Heath Ledger as The Joker. One of the cunning villains of Batman, the coveted role was first be portrayed by a non-American putting our Aussie hot men to the ultimate test. That is for us moviegoers to find out, meanwhile he will be one of Bob Dylans in the coming biopic I’m Not There. Opposite Dark Knight co-star Christian Bale, Richard Gere, Ben Whishaw, Marcus Carl Franklin and Cate Blanchett they will employ the musician’s multi-faceted stages of his life.

Prior to his former characters as Ennis Del Mar in the critically-acclaimed movie Brokeback Mountain, he managed to keep his masculine status despite his erotic love scene with fellow actor Jake Gyllenhaal. Before his acclaimed fame, he started in a low-budgeted movie Blackrock then tv assignments comes so suddenly. Then he was casted in films like The Patriot, A Knight’s Tale, Monster’s Ball, Ned Kelly and The Brothers Grimm. After the series of films made, he did Brokeback Mountain earning him a nod for Best Actor in the 2006 Oscar Awards.

Aside from his latter works, we can see him again in Tree of Life for 2008 and The Imaginarium of Dr. Parnassus set for 2009. He is known for his notorious relationshipwith the paparazzis to the point of squirting him with water guns while he was for the premiere of his movie. His relationship with Dawson Creek’s star Michelle Williams were great despite of their split leaving them best of friends and great parents for their daughter Matilda Rose. The ex-couple, was once engaged but due to their busy schedules decided to go separate ways. This only proves that he is just human after all.

Source by Cedric Canierro

You ever heard of muscle and fitness gurus? They for the most part today are coming to believe in mindfulness and mental health leading the way. It’s the benefits of mindfulness meditation.

You may be like many who say, I just don’t have time in my life to master mindfulness training. My gosh, “meditation” techniques!

You may think it literally takes HOURS, and Weeks and months and YEARS to master this skill!

Not any longer!

Now, I got to be honest with you… that both surprised me… but also ticked me off.

In some long interviews, I discovered through some muscle and fitness gurus found ONE practice that just about every single one of these top athletes shared.

It makes it stupid easy.

Because the ego- based mind is insanely difficult to intentionally re-program!

Doubting Thomas aspect in us all that the Course in Miracles helps us to undo the ego– that fearful side to us.

The Course in Miracles teaches that, “The ego may see some good, but never only good.”

One guy I spoke to at my local gym has one of the most popular fitness-oriented ideas and mindsets around.

What’s this ONE foundational practice that even fuels the world’s TOP performing muscle and fitness athletes?

It makes sense, doesn’t it?

Much of muscle and fitness peak performance is “mental,”?

One pro recently wrote a few things he learned after interviewing many other muscle and fitness performers… athletes who DOMINATE their sport.

A brand new technology in mindfulness and mental health muscle and fitness is REVOLUTIONIZING the connection between fitness and mindfulness.

In a previous discussion involving details on being a better leader with a richer life through yoga and mindfulness meditation techniques, it was discovered how many people rich peak performance.

It’s called it a meta-skill that’s a “force multiplier” for every other skill you might master.

It’s revolutionized my own workouts!

Others as well are manifesting success like I never thought possible.

You’ve GOT to look deeper into mindfulness training and/or other mind, body, spirit techniques, if you do nothing else for muscle and fitness in this coming year, at least do THIS.

Seriously, it’ll help take your performance to the next level.

Remember, if you’ve spent ANY money at all on your fitness: gym memberships, trainers, fitness programs, supplements, equipment, competitions, etc., meditation multiplies the effectiveness of every single one of them.

I’ve NEVER experienced gains like this… because in my routine, a simple pair of headphones, and a few minutes, and it’s taken my performance to a whole new level.

I’m finding it gives us more self-confidence in reaching within for our full potential.

(As always be sure to investigate and research the web on how many may come to improve life in an instant by your power of choice.)

To peak performance!

Source by James Nussbaumer

Although male enhancement exercises are viewed by some to be old-fashioned, it is undeniable that they are still the most widely-used technique in enlarging the penis. This technique has been practiced for many centuries which make them the most reliable and safest choice for men out there.

Like in many vanity and health issues, going natural is always thought to be the best way to go. Think of exercise and dieting in weight loss, or using fruits and vegetables for beautification. They are not only cheaper, they are much simpler and safer too. More importantly, they do not post any harmful side effects on the person.

Some of the most popular male enhancement exercises are Kegels, stretching, and PC flex. Although exercising is generally deemed safe, remember that exercising the right way is very important. You would not want any veins to pop or get cut when you make a wrong move, right? It’s the same thing with penile exercises. They have multiple variations that if not done correctly, may also be detrimental to your health and well-being. One way to prevent yourself from scary accidents like this is by using penis enlargement exercise videos.

Unlike when just reading, videos on how to perform the exercise for penis enlargement make it a whole lot easier for the user to do the right thing. All he has to do is listen to the instruction and do it simultaneously with the guide in the video. This way, he will not have to read through pages and spend time figuring out (and more often, just guessing) where his left hand or right hand should be, or how far he should stretch his penis. The complex movements printed in a book or any published material (or even the internet) are practically shown in videos allowing you to take the easier course.

Another advantage of penis enlargement exercise videos is it allows you to enjoy some convenience. Videos can be watched any time you want. You may want to wait until everybody leaves the house, or you may easily grab and play them whenever you get the chance. It also prevents you from obtaining any injury. Remember that if you fail to do the right thing, like pull it too hard, or squeeze it too tight, you may eventually end up with a bigger problem of a painful and injured cock.

Videos sold in the market also come in packages. Most of them offer not only their product but also their service. They ensure the customer that they can call or contact them whenever they need assistance.

Penis enlargement exercise videos do not only claim to help in permanently making your penis longer and thicker. They also include exercise techniques in controlling orgasms and premature ejaculation. They also give tips on how to improve the overall penis health. In fact, exercise videos are common to those who are suffering from some problems like impotence and erectile dysfunction. These videos truly serve quite a number of purposes and if you are one of those who would like to take the natural way and enjoy some convenience, they may be just perfect for you.

Source by Jared D. Ingram

Funny videos have gained a wide audience all over the world. This is due to the impact it has made in the lives of those who watch them. The great joy and happiness that comes along with them has made them become the best option for many the world over.

The videos come in different varieties. There are videos which have written scripts while others are just images but they both achieve the overall goal of amusing the viewers. They create a great deal of happiness. This way, people are able to come together by relating in good terms due to the intimacy brought about by the videos. Some of the most prominent benefits are discussed here to show the reason why the videos are making inroads.

One of the greatest effect and one that is common to most people is the health effect that laughter brings to the body of a human being. This is something that people have other the years known about. The videos have rib cracking content such that stumbling across them leaves one doubling over in laughter and this is known to improve the immunity of the body. This is why it is recommended that one sets aside time for watching the videos because they hardly disappoint.

Watching a hilarious video with other people makes it easy for people to relate with each other at ease. This is more so when people are watching it as a family as well as with their friends. It is common knowledge that a day is full of ups and downs and people hardly find time to rest but, once these videos are viewed, people will have an urge to sit together and enjoy their time together in laughter.

One thing that makes the videos really stick out is the fact that the content is light in such a way that everyone is able to comprehend it. Therefore, it becomes much easier for individuals to share their views on particular segments. This way everyone is able to participate in a discussion and this creates a great chance for bonding.

This is actually one of the hobbies that come with no expenses and one has the benefit of watching them without the fear of incurring high costs. Unlike other hobbies, it gives one a chance to relax at the comfort of their own home after having a busy schedule so that one can get prepared for more tasks for the following day or week.

Watching the videos is one of the most cost effective ways for passing time while at the same time getting ones body and mind refreshed. Many people are now rushing to sites that offer them after realizing how beneficial they are to their health. The videos are now being offered in countless websites to give people a chance to sample and enjoy free therapy that makes even the most run down person to laugh.

The cheerfulness created by the funny videos makes it easy for one to handle issues that come in life with a light touch and void much stress. Forming a habit of laughing is known to make people live longer and avoid chances of fear and anxiety so that one can be able to live peaceably with others.

Source by Adriana Noton

Chiropractic videos for patient education were born on August 6, 1981 in Colorado Springs, Colorado. I was there as the Peter Graves video from Renaissance International had its worldwide debut. Since then, patient education videos have earned an important place in the education of new patients.

Chiropractic Video Benefits

The idea of using this new fangled thing called a VCR to educate patients was a new idea. No one had ever done it before. But upon closer inspection, chiropractic patient education videos made sense:

Avoid repetitious explanations. Most chiropractic report of findings consists of an orientation and anatomical background that applies to just about every patient.

Saves time. Obviously, if you’re not giving a radiographic seminar with every patient because they already saw it on video, it can free up five- to ten-minutes that you can do something more productive.

Consistent and complete. Some chiropractors will abridge their patient explanations if the reception room is backing up. Video is consistent. Same message every time.

High impact. With graphics, sound effects, music and other video effects, the chiropractic message can have a much greater impact than a verbal description.

Patient accepted. If you follow the guidelines below, you’ll discover that patients expect to watch a video when they are having a health care procedure performed, whether vision correction, dental implants or virtually any type of elective surgery.

Like any tool, the use of chiropractic videos can be abused. A chiropractor can quickly use up his or her limited social authority by imposing patient education videos that are inappropriate. In fact, choose the wrong chiropractic video and it can create more headaches than it solves!

Chiropractic Video Guidelines

Here are the most important considerations when contemplating the purchase of chiropractic videos for educating your patients:

Short. How short is short? Short. With the reduced attention spans of today’s new patient, you want to be sure that each video is no more than 7-8 minutes. Naturally, if you can secure videos that are spellbinding and keep patients on the edge of their seat (unlikely), you can go longer.

Relevant. Remember, patients want to consult a chiropractor, not become one! The key is to walk the line between what a patient wants to know, and what a patient needs to know. It’s a fine line. Who knows for sure what’s relevant to a patient? Patients. The key thing to remember is that the videos aren’t for you, they’re for patients. Consider having some of your better patients’ critique the available choices before you purchase.

Reassuring. Besides laying a foundation for your own chiropractic explanations, the videos you use should be perceived by patients as reassuring and hopeful. Including positive comments from actual patients can be instrumental in this. Also, avoid showing actual chiropractic adjustments. It often looks more violent to an observer than a participant and could actually undermine patient compliance.

Chiropractic Video Implementation

The best chiropractic patient education videos are the ones you create yourself. This can be difficult and time consuming. The next best is to purchase videos from one of the top three or four companies that provide patient education supplies. Regardless of which videos you choose, here are some implementation suggestions:

Staff introduction. Before showing video, your paraprofessional staff should introduce the video, explaining why it is being shown and how it benefits the patient. It might sound like this, “Before you see Dr. Smith, she would like you to watch this short, five-minute video that explains what you can expect on your visit today.”

Be consistent. Staff changes or an uncooperative new patient can cause an interruption in patients seeing the videos. This can interfere with patients having a complete orientation and is often the cause of poor follow through and even referrals.

Chiropractor follow up. It’s essential that the chiropractor acknowledge that the patient has seen the video and solicit their feedback. This communicates the importance you place on the videos and paves the way for patient acceptance of future videos. “What was the greatest surprise or new piece of information that you picked up from our video?”

Chiropractic videos will never replace a personal, knee-to-knee explanation of …

How 40,000 People Reversed Heart Disease

It is well known that about two-thirds of the U.S. population is either overweight or obese. The U.S. Surgeon General has stated that approximately 75% of Western diseases, such as heart disease, stroke, hypertension, diabetes, gout, arthritis, excess weight gain, hypertension, diabetes, some cancers, impotence, biventricular disease, constipation, heartburn, and gallbladder disease, are “lifestyle-related.” They are directly correlated with our high fat diet, inadequate amounts of exercise, smoking, high intake of caffeine, and high amounts of stress coupled with insufficient support.

Hoping to address this alarming situation, more than 20 years ago, cardiovascular epidemiologist Hans A. Diehl, DrHSc, MPH, created the Coronary Health Improvement Project (CHIP). Since then, this 40-hour community-based lifestyle intervention program has helped more than 40,000 people rediscover their health by preventing, arresting and reversing their diseases. It has been conducted in more than 150 North American cities as well as in Bangalore, India, Australia and Switzerland. Depending upon the needs of the group, the meetings are held either “live” with Dr. Diehl delivering the program personally (usually meeting four times per week for four weeks) or as a “video-based” program with certified CHIP facilitators (normally two times per week for eight weeks). In addition, Dr. Diehl is a best-selling author – To Your Health, Dynamic Living, and Health Power (co-authored with Aileen Ludington, M.D.) — as well as the executive editor of a 24-page quarterly Lifeline Health Letter; he has produced scores of health videos. CHIP empowers people through its scientifically-documented, educational and inspirational program that addresses common western diseases — those that used to be seen primarily later in life.

Today, these diseases increasingly appear at far younger ages. CHIP may make all the difference in one’s life — even the difference between life and death.

In 1999, CHIP launched a “community health transformation template” in Rockford, Illinois, a city with a population of 130,000. The intention was to transform Rockford into the healthiest city in American, thereby enabling it to serve as a model and template for cultural transformation on a community-wide level. Recently, CHIP was recognized as just such a model by HHS Secretary Tommy Thompson and was “approved” under the National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC) as a “STEPS to a HealthierUS” applicant. In addition to “live” CHIP, a series of CHIP videos are offered through schools, churches, corporations, and hospitals. In Rockford, CHIP is sponsored by the Swedish American Health System’s Center for Complementary Medicine.

Who is the typical CHIP participant? Generally, CHIP participants are over the age of 40. Most are between the ages of 50 and 59. There are twice as many women as men, and almost 90% are married. Clinical research, published in peer review journals, has found that they have the following lifestyle diseases:

  • 10% report having heart disease
  • 27% have elevated blood sugar
  • 42% are overweight
  • 49% show evidence of hypertension
  • 60% are obese
  • 89% are cholesterol above 160mg%

Over the course of the program, strict adherents are likely to experience significant clinical improvements such as the following:

  • Serum cholesterol reduction average 15 – 20%
  • Average weight loss of six pounds
  • In about half of the participants with type 11 diabetes, a dramatic reduction in need for insulin and hypoglycemic agents
  • Lowering of high blood pressure levels
  • Diminishing of angina
  • Reduced levels of depression and increase in self-esteem

Class & Video Lecture Schedule

Week 1

Modern Medicine: Miracles, Medicines, & Mirages

The limitations of high-tech medical approaches in dealing with lifestyle related diseases

Portrait of a Killer: Onslaught from Within

Atherosclerosis, the culprit in many lifestyle diseases

Stalking the Killer

Reviewing the risk factors for coronary heart disease

Eat More and Weigh Less

Basic guidelines for healthy, sustained weight loss

Week 2

Going Up in Smoke

Smoking – the most controllable risk factor for coronary heart disease

The Magic of Fiber

The role of fiber in preventing and reversing lifestyle diseases

Reversing Hypertension

Changing the major risk factors for high blood pressure

Disarming Diabetes

Lifestyle factors that can arrest or reverse diabetes

Effective Cholesterol Control

Dietary factors that prominently affect blood levels of cholesterol

Fats in the Fire

The role of excessive fat intake in lifestyle diseases

Week 3…

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