Electronic Medical Records are going to be needed in the future. It is important to learn the functions of EMR and how it fits into an office work flow.

1. Patient Charting

Patient visit information is put into templates or forms; to contain information such as vitals, complaints, medical histories, review of systems, physical exams, etc. Most EMR systems have pick lists, drop-down boxes, handwriting recognition, or voice recognition to accomplish patient charting.

2. Order Communication Systems

This is often referred to as a Computerized Physician Order Entry (CPOE). This allows the Electronic Medical Records system to communicate information with external systems such as laboratories, imaging centers, hospitals, and pharmacies via Health Level 7 Interfaces. This allows providers to send out lab requests, imaging requests, prescriptions, submit visit charges, and diagnosis codes to the office/billing system.

3. Clinical Decision-Making Support Systems

Alerts, reminders, and recommendations are built into the system allowing automatic clinical decision making with information in the database. It also helps doctors with coding and diagnosis. Many EMR systems provide physicians with a recommended CPT code based off of Evaluation and Management (EM) rules. This allows physicians to bill payers at the highest possible rate for the services performed.

4. Document/ Image Management

It is important for offices to manage the enormous flow of paper entering their office. Offices are constantly flooded with patient intake forms, referring physician letters, lab reports, and faxes. EMRs allow doctors to access these documents on a intuitive user interface. EMRs provide physicians a way to manage images such as x-rays, MRIs, and ultrasounds.

5. Patient Portal

Personal health records allow patients to access their health record from any computer with a secure internet connection. These programs include features such as appointment scheduling, refill requests, electronic intake forms, record access, outcome assessments and patient education. The patient can also grant other providers access to this information which allows provider-to-provider communication.

6. Statistics and Reporting

Providers can create reports from databases for statistical purposes. This becomes especially useful in the case of drug recalls, health maintenance reminders and disease management.

Source by Marty Perdew

It is a common perception among women that oral contraceptives are associated with weight gain. However, Norplant and Depo-Provera are the only hormonal contraceptives that include specific statements that the expected change in weight is an increase, while the other contraceptives describe that there may be an increase or decrease in weight as a result of this drug. Since more than one million women used Depo-Provera and greater than 500,000 used Norplant, it is important to determine whether the use of these drugs can be expected to promote weight in women.

A group of researchers from Pennsylvania State University studied whether the use of progestational contraceptives caused an imbalance in energy regulation that lead to weight gain. Specifically, Pelkman et al. examined whether depot medroxy-progesterone acetate was associated with an increase in food intake or a decrease in resting energy expenditure (REE) in young women.

Body weight, REE, and 3-day food intake were measured in 20 normal-weight women during the follicular and luteal phases of two menstrual cycles. These measurements were taken either before a single injection of Depo-Provera or saline solution (control). The subjects were in the testing laboratory for four days. They consumed only foods and beverages that were provided during the first three days and were weighed in the morning on the first and fourth days; REE was measured before breakfast on the first day of each test session by indirect calorimetry.

Subjects consumed 4.3% more energy and expended 4.3% more energy at rest during the luteal phase as compared to the follicular phase of the menstrual cycle. Treatment with Depo-Provera or depot medroxyprogesterone acetate had no significant effect on food intake, body weight, or REE over the three-month testing period.

This experiment showed that although this phase of the menstrual cycle affected both energy intake and REE, Depo-Provera did not cause any short-term weight gain in young healthy, normal-weight women. Further research is needed to determine whether similar effects occur with different contraceptive hormones, over longer periods of time, and in other populations, such as overweight or obese women.

Source by Rajkumar Khatri

1. Create a list of your eating habits

According to CDC improving your eating habits is a key factor in maintaining or strengthening your overall health and losing weight. In order to improve your eating habits, you have to know more about them. Keeping a food journal is a good way to get to know your own eating habits and determine what you should change. Food journal should contain everything you eat and drink throughout the day. Most people discover they tend to overeat when they are stressed out, depressed, or when they are coping with unprocessed emotions. All these habits have a direct impact on your overall health and weight as well. Besides keeping a food journal you should also:

Highlight bad habits

Identify triggers that make you do those unhealthy and bad eating habits

Identify different things you can do to avoid triggers

Replace unhealthy habits with healthy alternatives.

2. Eat regularly

Overweight or obese people and even individuals who don’t want to gain weight make the same mistake – they skip meals. After all, if you skip meals, you can’t gain more weight and you will easily shed those extra pounds. Wrong! Skipping meals make your body store fat faster regardless of the size of the portion. Plus, your body requires a variety of healthy nutrients throughout the day in order to remain healthy.

3. Exercise

Regardless of your weight, size, or age, physical activity is essential for good health. A sedentary lifestyle is associated with excessive weight gain, weakening of muscles and joints as well as heightened risk of numerous diseases. If you’re overweight or obese, you usually think that regular exercise is something you can never do mostly because you don’t think you’re strong enough to do it. Luckily, there are many things you can do to become physically active. You can start by taking nice walks every day, opt for stairs instead of elevators, or consult personal trainer who can create the list of exercises based on your shape and weight. Optimal health requires healthy diet and exercise and these two aspects of a healthy lifestyle go hand in hand.

4. Make weight loss shake

Weight loss shakes are delicious and healthy tools for improving your health and losing weight. These nutrition power bombs offer an abundance of protein, fiber, vitamins, minerals, and antioxidants that your body needs in order to function properly. These shakes speed up your metabolism thus contributing to weight loss. Plus, they’re easy to make which means you can have to start your day in a healthy manner and still have plenty of time to get ready for work. Do You need some ideas? Not to worry, here are 3 recipes you can use to make your own shakes for weight loss.

#1 Mango smoothie

Mango cubes – ¼ cup

Ripe avocado (mashed) – ¼ cup

Mango juice – ½ cup

Fat-free vanilla yogurt – ¼ cup

Freshly squeezed lime juice – 1 tbsp

Sugar – 1 tbsp

Ice cubes – 6.

#2 Blueberry shake

Skim milk – 1 cup

Frozen unsweetened blueberries – 1 cup

Cold-pressed organic flax seed oil – 1 tbsp.

#3 Peach smoothie

Skim milk – 1 cup

Frozen unsweetened peaches – 1 cup

Cold-pressed organic flax seed oil – 2 tsp.

5. Drink water

If you want to stay healthy, then drinking water throughout the day is extremely important. Water doesn’t only help your body function properly; it can also improve your weight loss endeavor. According to Authority Nutrition, drinking water boosts your metabolism by 24 – 30% over the period of 1-1.5 hours thus helping you burn off more calories.

6. Use reliable weight loss supplement

Dietary supplements are available in all drugstores and you can also buy them online. They are made of natural ingredients and usually contain herbs which have been used for medical purposes for centuries. With that being said, you should bear in mind that not all weight loss dietary supplements are created equal. Some of them are effective while others include bold claims without proving the effectiveness. Effective dietary supplements prove their reliability by providing a complete list of ingredients. Before you buy any dietary supplement you should consult …

Nearly all of my coworkers know that I am on the this diet. The other day, one of my female coworkers told me that she thought that her grocery store was sold out of Medifast products, as she searched the diet section or aisle of the store and couldn’t find any of the shakes or foods next to the slim fast shakes or by the weight watchers diet foods. I had to explain to her that these products (even the shakes and bars) aren’t sold in grocery stores. So, she responded by asking if our town had any of the clinics or doctors offices that would sell them. Nope, I answered, this diet isn’t like Jenny Craig where you have to get your food from the clinic or center and it isn’t like some of the severe liquid diets that must be prescribed by a doctor. So where can you purchase Medifast? I’ll fully answer this question and tell you why I think that one method is far better than another in the following article.

Getting Medifast From eBay Or Craigslist (And Why I No Longer Think That This Is The Best Way To Go:) Basically, there are three ways to buy these products. You can get them second hand on sites like eBay or Craigslist. You can buy them on line directly from the company itself. Or, you can link to them through third party sites that offer support, coupons, recipes, etc. In the past, I have purchased foods from eBay and Craigslist, but I no longer do this. Here’s why. Some of the foods I have purchased in the past were expired, stale, or no longer sealed. If you’re going to purchase the products second hand, make absolutely sure that you are buying from a seller with flawless feedback.

I eventually abandoned this method because I found that by using coupons and specials, I was actually sometimes paying less (or least not much more) for the food by getting it directly from the manufacturer than by buying it second hand. And, I was getting my food new and straight from the source. In actuality, at around $299 per month (usually less with coupons and specials), these foods are often less on what you would spend on groceries, so it wasn’t worth it to me to buy something that I was actually going to regularly put in my body from someone I didn’t know.

Purchasing And Buying Medifast Online: You can go right to the company’s website and buy anything that you need. You can buy the products individually or you can buy a monthly package that will give you roughly 150 meals which you will eat five times per day (this is by far the cheapest way to go.) But before you do that, make sure that you first check out the latest specials and coupon codes. This can save you a lot of money. The company almost always has something discounted or is offering up to two weeks of free food (this is worth over $70.) It doesn’t make sense to place an order until you’ve made sure that you can save as much money as you can.

The company usually ships your order quickly (you can expedite it if you like, but I find that it’s pretty fast using the standard shipping and a lot cheaper.) With a little planning, you can time it so that you place your next order well before your meals run out so that you always have “safe” food on hand.

Source by Lindsey Price

Fall is one of the favorite seasons for furry pals due to its crisp air, colorful foliage and sweet aroma of the seasonal plants lingering in the environment. Though the season is welcoming, it has potential health hazards for your furry pals, about which you may not be knowing. It is essential to learn about these dangers and protect your pet from the unconditional situations.

Let us look into some of the major things that you need to take care of in Fall.

Less Hours Of Daylight

Shorter days mean fewer hours of daylight and we have to cut-short some of our day activities when visibility is poor. Dog owners have to take their furry pal on walks either during the dusk or dawn. This brings in the added risks of accidents due to low visibility.

During winters, when taking your furry pals on walks in the darkness of early morning or evening, it is crucial to be careful of your pet. Reduced light means it is challenging for drivers to see animals, which may lead to accidents at times. Therefore, it is crucial to keep a close observation on your pooch on a walk and control by having a leash and collar or chest harness. Make him wear reflective collars as well as a tag with a microchip for a safe return in case of missing incident.

Leaves – A Catastrophe to Handle

It’s a pleasure to just move around and listen to that rumbling sound coming out of the dried leaves. Dogs love to run about the foliage and have fun time. But the furry animals are not aware of the danger of this debris. These dried leaves are the source of toxicity if your fur pal lick any substance from the ground or their paws.

There may be fleas, ticks as well as bacteria and mold growth on these leaves. And, if your pet ingests any of these micro-organisms, it would be creating dangerous condition including vomiting, diarrhea, sickness or even tapeworm infection.

It is better to remove the foliage and cut short the dried grass in the lawn to keep away those nasty parasites. Moreover, ensure that your pet remains indoors, separate from the yard work.

Plants and Mushrooms

Mushrooms and other toxic plants are seasonal plants of the Fall and they are wildly found during this time. Your furry pal may succumb to toxicity if any of the part – leaves, stem or flower, any of these is ingested by them. Mushrooms are wildly found in yards. Though most of the wild mushrooms are non-toxic, there are a few which are highly toxic, and when ingested cause challenging situations.

Therefore, try to remove any unwanted plants and mushrooms from your yard and avoid your pet from moving around in the yard until you remove it.

Fatality due to Rodenticides

Falling temperatures drive rodents out of their shell in search of shelter for cold into your homes. People mostly use rodenticides to kill these creatures and keep them away from their homes. However, at times your dog or cat are likely to feast on these chemicals, and may encounter grave danger. Rodenticides cause critical conditions like hemorrhages, uncontrolled bleeding, and blood in vomit.

If you suspect that your cat or a dog has ingested rodenticides and find any toxicities, immediately contact your vet or poison emergency center for immediate help.

Before your dog or a cat fall to any of the dangers of the season fall, ensure all the care and take precautions to avoid any unfaithful circumstances.

Source by Taya Burnett

Whether it is health reasons, lack of access, a very tight schedule, the big project at work, the new baby or you are just too lazy; sometimes it is not possible for us to hit the gym. And with many fitness blogs and books telling us that hitting the gym is the only way out, things might seem hopeless at times. However, here are 5 weight loss tips for those days when visiting the gym is next to impossible.

1. Drink water before eating

Drinking water half an hour before meals is an effective weight loss strategy. This is because water plays two important roles in weight loss. First, drinking water helps you to feel full. This is important during meal times because it may help you eat a smaller portion compared to when you don’t drink water. Also, drinking water promotes improved metabolism in the body. This means that it will help you burn more calories thus resulting in weight loss.

2. Avoid unhealthy snacking between meals

Most people fail to understand the fact that unhealthy snacking between meals usually leads to weight gain. Therefore, if you have been wondering why you are not getting any results after months of dieting and vigorous exercise, maybe it’s because of that chocolate bar that you always sneak in between lunch and dinner. If you have to snack, then always be prepared to fight those hunger pangs by packing some fruit and other healthy snacks in advance that you can access easily when hunger strikes.

3. Use smaller plates and bowls

It is natural for us to always to load up our plates so they are full. Sometimes our eyes can be bigger than our bellies though! Using big plates and bowls will generally translate to eating larger portions of food. On the contrary, using smaller plates and bowls usually means eating smaller portions. It is a way we can trick our brains into believing that we are full and satisfied. As we eat with our eyes as well as our mouths. By doing this, we can still eat a full plate of food without having to worry about the extra calories or overeating.

4. Get active

Hitting the gym is an effective way of losing weight but getting there isn’t always possible. Being sedentary will not get you that “beach body” that you desire. You need to get yourself moving by being on the move as much as possible. Take the stairs instead of waiting for the elevator or take an afternoon walk for at least half an hour. Do some squats while waiting for your coffee to be ready or sneak in some lunges and jumping jacks over lunch hour – just find a way to get active and incorporate exercise into your daily routine.

5. Keep a food diary

Weight loss is a game of calories. If you find a way to decrease your calorie intake and increase the amount of calories you burn by boosting your metabolism and by exercising, then you will most definitely lose weight. Be vigilant in paying attention to the labels and nutritional information on every item you consume. Keep a food diary to help you keep track of your diet and calorie intake. There are some really effective apps for doing that these days. Be honest with yourself and note down everything, that means even the seemingly little snacks, as it all adds up

It is true that spending regular time at the gym can give you faster results when it comes to weight loss. However, to be realistic, sometimes we cannot go to the gym for a variety of reasons – especially if we are frequently traveling. The weight loss tips covered in this article can really come in handy during situations like this. It might take a while but with perseverance, you will eventually be just a few steps away from your desired “beach body”.

Source by Katie Evans

The Orlando schools will be promoting health and wellness to its students this year. As part of the Orange County FL District, the schools in Orlando will implement a new wellness policy that was just approved this month.

The new policy is in response to a federal mandate, under the Child Nutrition and WIC Reauthorization Act of 2004. All schools that receive federal funding for lunch programs must have a wellness policy in place.

The wellness program for the schools in Orlando is designed to promote better health to their students. Healthy eating and physical activity will play a big part in the Orlando policy. The hope is to completely change the environments to healthier ones.

With the new wellness program effective on the first day, each of the schools is challenged to be creative and innovative in implementing wellness activities and promotions.

Each of the schools in Orlando will create a Healthy School Team (HST). The organization of each team is based on the Centers for Disease Control and Prevention’s Coordinated School Health Model. There will be a member on each HST to represent each of the following areas of health:

o Health education,

o Counseling.

o Psychological and social services,

o School health services,

o Nutrition services,

o Physical education,

o The healthy school environment,

o Health promotion for Orlando schools’ staff, and

o Family and community.

Under the belief that healthy children is a community-wide concern, each of the Orlando schools will enlist the involvement of parents, families, teachers, counselors, school administrators, healthcare professionals, businesses, and community groups and organizations.

The Orange County schools already have experimented with the wellness program, which will benefit the Orlando schools. For almost three years, the program has been used in 13 schools within the county. The HSTs have been found to be quite effective in promoting health and wellness, not only for the students but their families and school staff, as well. The Orlando schools will use much of the information and experiences from these schools, when implementing their own wellness program this year.

The experimental HSTs have sponsored walking and running clubs for students, school staff, and parents. Another example of creative thinking by the HSTs is “wellness Wednesdays”, whereby students are rewarded for being involved in healthy activities, such as eating nutritious lunches, drinking water versus soda, or participating in a physical activity. Each HST at the Orlando schools will be charged with developing activities that meet the specific needs of each school and its students. The HST members are limited only by their own imaginations to develop creative promotions, events and activities.

The new wellness program at the Orlando schools is all about health and wellness for children, and helping everyone concerned to understand the importance of good health and its effect upon a child’s ability to learn. From the federal mandate to the Orlando schools’ implementation of the wellness program, the sole purpose is to improve the health of students in order for them to be better able to learn and achieve — now and in the future.

Source by Patricia Hawke

When it comes to elliptical trainers there is no one player who dominates the entire price range of models. There are different manufacturers who excel at different prices. For example, Icon Fitness rules the sub $ 1,000 price range through their various subsidiaries, including ProForm, Image, Weslo, Reebok and Nordic Track. The high-end is dominated by companies like Life Fitness and Precor.

In the mid-range category you have a number of contenders, but one company that is worth noting is Smooth Fitness. They are building quality elliptical trainers at a price that makes them a good value.

Selling Direct to the Consumer

For those unfamiliar with Smooth Fitness, they predominantly sell on the Internet. In fact, you cannot find their elliptical trainers at any stores. Their value proposition is to sell direct, thus cutting out the expenditure of the middleman.

Think about the expenses that are incurred when a company sells fitness equipment in a retail store. Besides the cost of the space, you also have to factor in the commissions paid to the salespeople. Selling online not only saves on retail costs, but also avoids the addition charge of local taxes. That can add up.

It should be noted that Smooth Fitness makes some exaggerated claims regarding the reduction in price. That is typical marketing hype. And although you may not be saving over 40% on an elliptical trainer, you could be saving 5% -15% in comparison to purchasing through a retail store.

Smooth Fitness was one of the first businesses to sell high-end fitness equipment online. Initially they private labeled other brands like Spirit, Keys and Kettler. Approximately 5 years ago they started designing and manufacturing their own fitness equipment. In ten years they went from minor player to their recent inclusion in the Internet Retailer's Top 500 Guide, 2006-07 Edition. SmoothFitness.com came in at number 277 on the overall list, and was ranked the 15th largest e-tailer in the Sporting Goods category.

Smooth Elliptical Trainers Offer Value

The line-up of Smooth elliptical trainers is a perfect example why they have become a major player in the fitness equipment industry in such a short period of time. Their machines are engineered to be durable and yet provide a rewarding workout. For example, the Smooth CE 3.2 offers one of the better values ​​in the $ 1,500 + price range. It is designed with a rear drive, which many find preferable, and claim it provides a smoother motion.

The machine itself weighs a hefty 175 lbs, adding to the stability. You get ergonomic pivoting foot pedals, that further reduce strain and impact. It comes standard with wireless heart rate control, for those who like to control and optimize their workout through their heart rate. You get a lifetime warranty on the frame and electromagnetic brake system, in addition to a 2 year parts and 1 year labor warranty.

One feature I particularly like is the built-in heart rate sensors in the upper handlebars . You will find that most elliptical trainers have heart rate monitors, but they are built into stationary handlebars. In order to get your heart rate you have to discontinue the upper body workout and hold onto the stationary handles, which defeats the purpose of the dual action workout.

Smooth Fitness currently has three elliptical trainers that are priced from $ 1,300- $ 2,000, they are the Smooth CE 2.1, 3.2 and 7.4. All their prices include shipping. Like other fitness equipment companies, the standard delivery is to your curbside. You may want to pay the extra few dollars to have their turnkey service, which includes inside delivery and set-up.

There is no question that there are better built elliptical trainers on the market. For example, Precor makes commercial grade elliptical trainers for the home. But they come with a commercial grade price, which is more than twice the cost of the Smooth Ellipticals. Of course, there are cheaper machines, but they are built with cheap components, which is reflected in a very limited warranty. The coverage is often 90 days parts and labor.

Combining quality and a average price, the Smooth elliptical trainers are one of the better values ​​in the $ 1,000 – $ …

The P90X personal fitness program is best described as an advanced personal fitness training program. It is meant to be implemented at home through a combination of exercises and dietary modifications. It is aimed at people, who already have decent levels of physical fitness, but who aspire to “take it to the next higher level.”

It is worth noting that most of the physical training programs available on the market today are designed for people, who recognize themselves as physically unfit and are simply aspiring to attain basic physical fitness. Unfortunately, the designers of physical fitness training programs seem to have forgotten that there is another group of people, and that is those, who are already reasonably fit and want to be fitter. This is the group for which the P90X was designed. However, other groups of people can benefit from its exercises as well.

Structure of the P90X personal fitness program

As mentioned earlier, this is a program with efficacy based on exercises and dietary modifications.

The specific physical exercises used in the program mainly fall into five categories:

1. Cardiovascular workouts

2. Strength training workouts

3. Yoga moves

4. Stretching exercises

5. Plyometrics

These are stretched over a 90 day period and divided into 13 weeks. Participants need to work out 6 days a week. Individual daily workout sessions are supposed to be less than one hour.

The dietary modification aspect starts with a high protein and low carbohydrate phase. Percentage of proteins in the diet is increased progressively. This is accompanied by a commensurate increase in the rigor of physical exercises.

Objectives of the P90X personal fitness, and how they are achieved

The key objective of P90X personal fitness program is to get rid of “plateaus” that frustrate those working towards advanced personal fitness. These plateaus manifest when the body adapts to physical exercises and creates a situation, where exercises no longer yield desired outcomes. Thus, a person performing strength training is likely to see improvements in physical strength initially, but regardless of how hard he or she works, there are no further gains beyond a certain point. The person has reached a plateau.

To get rid of plateaus, designers of the P90X personal fitness programs devised what they refer to as “muscle confusion” strategies. With the help of these, growth is sustained throughout the personal fitness program. Thus, people, who attained what appeared to be their “highest potential'” in terms of physical fitness, are actually able to progress to higher levels of fitness.

The objective of the dietary modification aspect of the P90X personal fitness program is to provide participants with the “fuel” they need for often rigorous exercises. This is mainly achieved through the use of a carbohydrate-rich “athletes” diet.

Source by Ranjan Mm Sahu

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