All posts by imreal

In Defense of the ACA, and Women and Family Healthcare Rights


“Women have more control over their healthcare journeys when they can access preventative services, and have opportunities to detect and treat adverse conditions early.”

Aeroflow Healthcare, a leading durable medical equipment (DME) provider and Inc. 5000 fastest growing company, and its executive leadership announced their continued support and public advocacy for female and mother/baby health rights via the Affordable Healthcare Act.

Aeroflow emphasizes the ACA’s purpose of protecting many groups, including women, and under it, making preventative health services accessible for women with no cost-sharing – meaning complete insurance coverage. These services include mammograms, cervical cancer screenings, prenatal care, and breastfeeding supplies, support and services, among many others.

It is Aeroflow Healthcare’s position that preventative healthcare is of utmost importance for the women in our lives, not only for their own livelihood, but for that of the children they bear and are often the primary caregiver and guardian of. U.S. healthcare is littered with statistics highlighting a much higher than expected infant mortality rate and an unacceptable number of complications and health scares both pre- and post-childbirth. The protection of the ACA should be reflective of the overwhelming support for legislature that provides preventative medicine and additional women’s and family rights, ultimately saving patients and providers money.

“Aeroflow stands in staunch support of the rights and welfare of expectant mothers, families, and women and men responsible for the guardianship of children,” said Amanda Baethke, Director of Corporate Development. “Women have more control over their healthcare journeys when they can access preventative services, and have opportunities to detect and treat adverse conditions early. As the ACA makes provisions for these services, we stand with the majority of American citizens who seek to protect it, and encourage the public to contact your representative in congress and tell them that the women in your life are far too important to lose healthcare options.

About Aeroflow Healthcare

Aeroflow Healthcare was founded Asheville, NC in 2001 as a home oxygen provider, and has since grown to become one of the leading durable medical equipment providers nationwide. For three consecutive years, Aeroflow has been ranked on Inc. Magazine’s List of 5000 Fastest Growing Companies. In 2017, Aeroflow was also awarded the HME Excellence Award for Best Home Medical Equipment Provider and has been recognized as a business offering top-notch benefits to employees with the Great Place to Work Award. Aeroflow is an accredited Medicare and Medicaid provider and accepts most commercial insurance. To learn more about Aeroflow Healthcare and getting medical equipment through insurance, visit http://www.Aeroflowinc.com.

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Nebraska School Receives $7,500 School Lounge Makeover From California Casualty


www.mycalcas.com/category/auto-insurance-for-teachers/

Lounge Makeover winner Mary Gregoski (center) enjoying Palmer School’s new lounge with Jen Dubas from NSEA and California Casualty’s Stephanie Whitmore

This means we will now have a place of our own to get a short break before we return to the teaching environment. We are just so grateful that California Casualty thinks about educators.

The staff at Palmer Public School in Nebraska will now have a quiet place to relax and recharge during the school day, thanks to a $7,500 School Lounge Makeover® from California Casualty. The new lounge was unveiled Tuesday.

“We are very appreciative to California Casualty for providing this for us,” said Palmer Schools’ Superintendent, Dr. Joel Bohlken. “This will make a big difference because we really didn’t have a place for our staff to go for a moment to unwind and relax before heading back to the classroom,” he added.

Palmer English teacher and school librarian, Mary Gregoski, submitted the winning entry for the makeover. “This means we will now have a place of our own to get a short break before we return to the teaching environment. We are just so grateful that California Casualty thinks about educators,” she said.

The new staff lounge at Palmer School features a TV, two massage chairs, soothing “bubble water wall art,” coffee station, new tables, a refrigerator, and colorful paint and accessories. EON Office designers maximized the area for comfort.

The $7,500 School Lounge Makeover giveaway was created to provide educators a more conducive environment to take a break, share time, and revitalize during their long days at school. This is the 13th School Lounge Makeover provided by California Casualty since the program began in 2011.

“We’ve seen the dedication of administrators, teachers and staff firsthand and we’re proud to show our appreciation,” added California Casualty Sr. Vice President, Mike McCormick.

California Casualty has other giving programs that benefit public schools and educators, including:

Learn more about California Casualty and its giving programs at http://www.calcas.com/newsroom.

Founded in 1914, California Casualty provides auto and home insurance to educators, law enforcement officers, firefighters and nurses across the country. Headquartered in San Mateo, California, with service centers in Arizona, Colorado and Kansas, California Casualty has been led by four generations of the Brown family. More information about California Casualty can be found at http://www.calcas.com.

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Central Payments Rounds Out Senior Leadership Team


Central Payments, a leading provider of bank-as-a-service platform technology and the fastest growing issuer of prepaid debit cards in the U.S. since 2015, has rounded out its executive management team with the addition of a payments veteran and the promotion of three senior staff. The team joins Trent Sorbe, Founder and President of Central Payments, to lead the organization’s rapid trajectory in bank/fintech partnerships and open-API banking.

Heather Schumacher Joins as SVP/COO

The company announced today that Heather Schumacher has joined Central Payments as Senior Vice President/Chief Operations Officer. Schumacher brings extensive payments operations and leadership experience from management positions at two nationwide payment card issuers. At Central Payments, she will lead the information systems, settlement, project management, implementations, and quality assurance functions. Schumacher explained her decision to join Central Payments: “I have watched Central Payments’ rapid emergence as the most technologically-forward payments issuer in the country. I was naturally drawn to the opportunity to help transform payments issuing.” Sorbe adds: “Heather embodies our commitment to providing the most stable, technologically adept issuing platform in the industry.”

Cooper, Cotton and Rhody Promoted to SVPs

Along with the addition of Schumacher, Sorbe announced that three current vice presidents have been promoted to senior vice president:

  • Mandy Cooper, Senior Vice President/Chief Risk Officer,
  • Eric Cotton, Senior Vice President/General Manager, and
  • Nikkee Rhody, Senior Vice President/Managing Director of Falls Fintech.

“Central Payments was formed five years ago on the premise that traditional bank issuing was due for disruption. The Central Payments team, led by this group of new senior vice presidents, embodies our commitment to disruptive issuing technology and subject matter expertise. I’m especially pleased to round out our leadership team with three internal promotions,” comments Sorbe.

Cooper joined Central Payments in 2015 as Director of AML/Fraud Prevention and in her new role will lead the company’s enterprise risk management program, which includes regulatory compliance, AML and fraud prevention, and third party risk. “Each of the areas Mandy leads for us are pillars of our bank-as-a-service platform. Mandy is an authority when it comes to incorporating risk management inside of technology,” Sorbe commented. “The strength of our issuing foundation starts with deep subject matter expertise in all areas of risk management. We view our commitment to risk management and regtech as a competitive advantage for partners expecting stability in their bank partner,” commented Cooper.

Cotton to Lead Expansion of Central Payments Xchange

Cotton was also one of the company’s first employees in 2015. In his new role, he will have primary responsibility for all business activities, including new business development, existing client services, and product development. Cotton’s product development role includes the continued expansion of the Central Payments Xchange (CPX) open-API platform. Released in October 2019, CPX consolidates all critical functions into one open-API platform, with a fully documented library and test sandbox. Sorbe notes: “Eric has been an integral part of the vision and development of CPX. The platform has emerged as the cornerstone of our issuing strategy, which is why we made it a focal point in his new role as General Manager.” Cotton added: “We believe serving as both the bank issuer and the technological hub for some or all of the major payments functions significantly accelerates our partners’ speed-to-market, decreases upfront costs, and ensures greater compliance.”

Rhody a Co-Founder of Falls Fintech

Rhody will transition from her product and strategy role at Central Payments to lead Falls Fintech, the company’s recently announced fintech accelerator which she co-founded with Sorbe. The 10-week accelerator is targeted to upstart fintechs that are near the minimum viable product stage, require the involvement of a bank as issuer and/or a source of insured deposits, and will utilize the new CPX platform. Sorbe added: “Nikkee has quickly established herself as a leader in bank/fintech partnerships, and she understands the unique requirements to make such partnerships successful.” Rhody comments: “Like CPX, Falls Fintech is a pillar to our fintech strategy.” Applications for the program are currently being taken at fallsfintech.com, with the first cohort slated to begin in March 2020.

About Central Payments and Central Bank of Kansas City

Central Payments operates as the payments division of Central Bank of Kansas City (Member FDIC). The fastest growing prepaid card issuer since 2015*, Central Payments administers payment card and funds disbursement programs with some of the most recognized companies and fintechs in payments. The recent announcement of the organization’s new CPX open-API platform and its launch of the Falls Fintech accelerator solidifies Central Payments as a leader in bank-fintech partnerships and banking-as-a-service technology. Visit central-payments.com, fallsfintech.com, or centralbankkc.com for more information.


  • Source: The Nilson Report, 2015 to 2018.

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Kindful Body Launches, Offering Online Eating Disorder Therapy for Californians


Kindful Body is a collaboration of online eating disorder therapists providing compassionate, trauma-informed care.

By offering counseling using the latest telemental health HIPAA-compliant technology we are able to reach more people throughout California looking for eating disorder support at a more affordable cost.

Kindful Body, a collaboration of skilled clinicians dedicated to providing compassionate, trauma-informed care for clients suffering from eating disorders, is now offering online eating disorder therapy throughout California. The new virtual group practice was founded by Marcella Cox, a Licensed Marriage and Family Therapist and Certified Eating Disorder Specialist, who has been practicing for nearly a decade and saw the need to make treatment accessible to Californians struggling with disordered eating and body shame.

“With increasing rates of individuals diagnosed with and seeking treatment for eating disorders, I was overwhelmed with calls for support,” said Marcella Cox, LMFT, founder of Kindful Body. “The urgent need for experienced eating disorder therapists inspired me to expand my practice and start Kindful Body to reach more people looking for help on their recovery journey. By offering counseling using the latest telemental health HIPAA-compliant technology, we are able to reach more people looking for support throughout California and provide support at a more affordable cost.”

Kindful Body works with adults and older adolescents looking to heal from disordered eating, body shame, trauma, and anxiety to deepen their relationship with themselves and others so they can live the lives they desire. As eating disorders affect all aspects of a person’s life and have the highest mortality rate of any mental health illness, Kindful Body collaborates with other outpatient providers, including dietitians, doctors, psychiatrists, and other members of a client’s treatment team. We also continually assess that outpatient video counseling is the appropriate level of care for our clients.

Kindful Body offers treatment for the full range of eating disorders and disordered eating including: binge eating disorder, bulimia nervosa, anorexia nervosa, orthorexia, compulsive overeating, night eating syndrome, atypical anorexia, and atypical bulimia; as well as related compensatory and compulsive behaviors, such as excessive exercise or anorexia athletica and body image issues.

The Benefits of Online Eating Disorder Counseling

Research has shown that video therapy is just as effective as meeting a therapist in person. Kindful Body video counseling is ideal for Californians who are juggling multiple demands between work and family. By working with a skilled online eating disorder therapist, Kindful Body clients can more easily fit support for recovery, self-care and personal growth into their schedule. By eliminating the travel cost and time of in-person therapy, Kindful Body video counseling makes it it easier for anyone struggling with disordered eating to get the help they need and increase the likelihood of a successful recovery.

“Recovery is a process of self-discovery, befriending yourself, and reclaiming your sense of self and your life—full recovery is possible,” added Marcella Cox. “Working online together, our clients can begin a process that can deepen and enrich their lives, their relationships with others, and (more importantly) with themselves, no matter where they are.”

About Kindful Body

Kindful Body, a collaboration of skilled and experienced clinicians dedicated to providing compassionate, trauma-informed care, provides in-person therapy and online eating disorder counseling in California. Our mission at Kindful Body is to help clients to befriend and heal parts of themselves so they can make the changes they desire to live with more balance, authenticity, and ease. To fulfill our mission, we believe it is essential to address behavioral change as well as underlying issues. Overcoming these struggles can provide opportunities for growth and to discover new strengths. Learning to be more self-compassionate is key for recovery, as well as for mental health and well-being. Helping improve the quality of our clients’ relationships with themselves and others ultimately improves the quality of their lives. Our non-pathologizing, integrative approach is informed by Internal Family Systems (IFS), Mindful Self-Compassion, Brené Brown’s Shame Resilience Theory, Intuitive Eating, and Health At Every Size®. For more information, please visit kindfulbody.com.

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CNC Electronics reopens new branch after train collision


fanuc parts pricelist

fanuc parts pricelist

We are delighted to announce the successful reopening of CNC Electronics West after the train collision that damaged our business establishment

CNC Electronics West (CNC West) today announced the opening of their new location after several derailed train carriages collided with their previous facility and caused serious structural damage to the building on July 1, 2019. The recently established branch at 1085 Bay Boulevard in Chula Vista showcases an updated 2020 catalog that carries familiar and reliable inventory, new price points, as well as the latest Fanuc parts and surplus spares.

“We are delighted to announce the successful reopening of CNC Electronics West after the train collision that damaged our business establishment,” a spokesperson for the company said.

Although no injuries were reported during the time of the incident, the carrier train left massive cracks on the commercial office’s single-slab concrete walls, rendering it structurally unsound. The derailed train also toppled several trees that smashed into nine unoccupied cars parked outside the building.

Roads were closed and traffic redirected as city crews worked to clear debris from the surrounding area, spending a total of two days offloading the dismantled carriages and ensuring the safety of pedestrian and private areas around the vicinity.

In spite of the arduous reconstruction and transportation of products to a new locale, CNC West promises to retain the quality of its services while replenishing its stock with state of the art hardware to meet the needs of old and new clientele.

Established at Southern California in 2009 to answer the growing demand for CNC electronics in the Western United States, CNC West provides various organizations with specialized products such as Fanuc drives along with spindles, servos, and power supply units. The company’s sprawling inventory also includes Fanuc alpha modules, printed circuit boards, and replacement computer-numerical control (CNC) monitors manufactured by companies such as Mazak, Siemens,Hitachi, and Heidenhein.

Since its founding, CNC West has partnered with its East Coast partner, CNC Electronics Inc, to expand its supply, service, and diagnostics chain throughout the entire US region as well as Canada and Mexico. Aside from furnishing specialized robotics and electronic products for a variety of industries, the company also offers extensive machine testing and maintenance for Fanuc devices, with a 24-hour turnaround on repair requests.

Long considered a commercial leader with its competitive prices and robust warranties, CNC West builds and assembles its replacement Fanuc power supply units locally in the USA, a process which guarantees high-performance psu’s at lower costs that can reach up to 80 percent in savings. This has earned CNC West an earnest reputation for building reliable hardware that exceeds industry standards. Their flexible service exchange program also offers immediate shipping across the US, South, and Central America.

Further information for journalists:

A pillar of the Factory Automation field, Fanuc parts and devices are considered the gold standard of mechanized development and processing. For over a decade, CNC Electronics West has provided industrial solutions to varying manufacturing companies in North and South America. Contact their friendly representatives by phone at 619-477-9011 or by email at sales@cnc-electronics.net to receive a copy of the 2020 catalog

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Wonderan Releases New Research on Best Weight Loss Supplements


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The article highlights the formulation, efficiency, safety, and physiological impact of these supplements to provide a comprehensive understanding of each.

Wonderan, a website dedicated to offering comprehensive buying guides and product reviews of dietary and nutritional supplements, has released a new write-up reviewing the best weight loss supplements available in the market today. Wonderan’s research throws light on the five most popular and efficient weight loss supplements, including Jacked Factory’s Burn-XT, NatureWise’s CLA 1250, and Goli Nutrition’s Apple Cider Vinegar Gummies. The article highlights the formulation, efficiency, safety, and physiological impact of these supplements to provide a comprehensive understanding of each.

The article does an in-depth analysis of the core ingredients of these supplements and how it supports the body for weight loss. For instance, Burn-XT’s fat burner formula contains L-carnitine, which helps in burning fat cells to release energy, thereby doubling as an energy booster also. Goli Nutrition’s Apple Cider Vinegar Gummies contains superfood ingredients and vitamins that improve your digestion and immune system, clear skin and detoxify your body. Nobi’s fat burner is a keto supplement, with a premium fat burner BHB carb blocker that has been formulated specifically for women. The article includes these and many more products that can help you achieve your personal fitness goals.

Wonderan has been specifically designed with fitness enthusiasts in mind. The website provides extensive and thorough product reviews, comparisons and market research for dietary supplements like vitamins, whey protein, weight-loss supplements, and energy drinks to name a few. It generates aggregated ratings based on meticulous research and information cumulated from trusted sites to exhibit a contrast in public sentiment and experiences related to specific products. The product comparisons of top-selling and niche products present the consumers with the direct correlation and difference between products through various parameters like performance, price, features, aggregated consumer and professional ratings along with review snippets and videos by nutrition experts. In addition to listing the best-selling dietary and nutritional supplements in specific product categories and aggregating customer ratings of products, they follow the latest releases and updates from all the leading brands in the category including Botanic Choice, DXN, Native Remedies and Nutrilite and bring out relevant reports regarding the latest developments in the field of nutrition and dietetics.

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CoolIT Systems adds Experienced Manufacturing and Supply Chain Leader


Darko Ulakovic

“I am thrilled to join CoolIT at this point of the company’s growth,” said Darko Ulakovic. “CoolIT has proven to be a key partner for server OEMs around the world who continue trusting us to cool their leading-edge server designs.”

CoolIT Systems, the world leader in scalable liquid cooling technology for data centers and HPC systems, announced that Darko Ulakovic has joined the company as Executive Vice President of Manufacturing and Supply Chain.

CEO Peter Calverley commented, “We are eager to welcome Darko Ulakovic to the CoolIT Systems team. Darko’s track record as a strategic, results driven operations executive will directly contribute to CoolIT’s position as the world leader in data center liquid cooling and key OEM and hyperscale partner.”

“I am thrilled to join CoolIT at this point of the company’s growth,” said Darko Ulakovic. “CoolIT has proven to be a key partner for server OEMs around the world who continue trusting us to cool their leading-edge server designs.”

With over 20 years of experience in scaling manufacturing capabilities, streamlining operations, and increasing global and regional market share, Darko is an excellent addition to the CoolIT Systems team. Before joining CoolIT Systems, Ulakovic was most recently President of AVL Group of companies, charged with overseeing the company’s strategic development and introducing and implementing solutions to drive efficiency and productivity that supported company’s financial and operational goals and objectives.

Before AVL, Ulakovic had several executive roles at Tesco Corporation leading the Product Business line, exploring new market share opportunities and growing the manufacturing capabilities. Earlier in his career, Ulakovic spent 15 years honing his business excellence at Com Dev in multiple operational and customer facing roles.

About CoolIT Systems

CoolIT Systems specializes in scalable liquid cooling solutions the world’s most demanding data centers and HPC systems. Through its modular, rack-based Direct Liquid Cooling technology, Rack DLC™, CoolIT enables dramatic increases in rack densities, component performance and power efficiencies. CoolIT partners with the global leaders in OEM server design to provide the most efficient and reliable liquid cooling solutions that provide high performance cooling for their own leading-edge products. Together, CoolIT and its partners are leading the way for widespread adoption of high-performance computing. For more information about CoolIT Systems and its technology, email or visit http://www.coolitsystems.com

Media Contact:

Jason Zeiler

Product Marketing Manager, CoolIT Systems

marketing(at)coolitsystems(dot)com

+1 (403) 235 4895

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New Book Provides Modern Etiquette Strategies and Career Advancement Techniques for Healthcare Professionals


Etiquette is not optional for personal or professional success.

“Everyone can become an expert in etiquette—and the better you become, the more you will be sought after for opportunities and positions.”

Early praise for Etiquette & Communication Strategies for Nurses, Third Edition:

“Kathy Pagana has done it again! This well-written, easy-to-use, comprehensive discussion of social and professional etiquette is a must-read for all aspiring and experienced nurses.”

-Cynthia Clark, PhD, RN, ANEF, FAAN

Strategic Nursing Advisor, ATI Nursing Education

Author, Creating and Sustaining Civility in Nursing Education

“Kathy Pagana has made figuring out the nuances of meeting, greeting, connecting, and forming lasting collegial relationships a breeze. This book is filled with read-it and use-it tools. Whether you are new to your career or a seasoned veteran, you’ll learn something that will pave the way for future success.”

-Vicki Hess, RN

Author, Top 5 Healthcare Speaker, Virtual Coach

Principal, Employee Engagement Solutions, LLC

“Keep Etiquette & Communication Strategies for Nurses, Third Edition, nearby as you steer your career… Kathy Pagana’s practical insights make this book an indispensable resource for nurses in all specialties and practice settings.”

-Cynthia Saver, MS, RN

President, CLS Development Inc.

Editor, Anatomy of Writing for Publication for Nurses

Etiquette and communication strategies can be tricky for professionals to navigate, especially for those working in healthcare. From handling business meetings to using smart devices to cultivating a career, mastering etiquette is critical for success at any career stage.

This highly anticipated, fully revised, and expanded third edition of Etiquette & Communication Strategies for Nurses will prepare nurses to handle awkward and challenging situations, increase their confidence, enhance their reputation, and help them focus on their career aspirations. Using a conversational Q&A format, author Kathleen D. Pagana provides readers with the tools they need to become polished, confident professionals. New to the third edition are chapters about planning effective presentations, writing expert-level articles, and using leadership strategies to achieve goals.

“Etiquette is not optional for personal or professional success,” says Pagana. “It is a necessity that allows you to come across as polished, confident, and qualified. Everyone can become an expert in etiquette—and the better you become, the more you will be sought after for opportunities and positions.”

The author has also created material downloads, such as a Knowledge Quiz and a Top Tips document, to support the use of this book in classroom and professional settings. These downloads are available for free at http://hdl.handle.net/10755/18541.

This book is available at SigmaMarketplace.org/SigmaBooks.

Etiquette & Communication Strategies for Nurses, Third Edition: Advancement Techniques for Your Career

By Kathleen D. Pagana, PhD, RN

Published by Sigma, 2019

ISBN-13: 9781948057639

EPUB ISBN: 9781948057646

PDF ISBN: 9781948057653

MOBI ISBN: 9781948057660

Price: US $34.95

Trade paperback, 336 pages

Trim size: 6×9

About the Author:

Kathleen D. Pagana, PhD, RN, is a dynamic speaker, best-selling author, and healthcare leader. An Emeritus Professor at Lycoming College in Williamsport, Pennsylvania, she is President of Pagana Keynotes & Presentations. Pagana is the author of more than 95 articles and 29 books. Her most popular books have sold more than a million copies and have been translated into Chinese, French, Greek, Korean, Polish, Portuguese, and Spanish.

About Sigma:

The Sigma Theta Tau International Honor Society of Nursing (Sigma) is a nonprofit organization whose mission is advancing world health and celebrating nursing excellence in scholarship, leadership, and service. Founded in 1922, Sigma has more than 135,000 active members in over 100 countries and territories. Members include practicing nurses, instructors, researchers, policymakers, entrepreneurs, and others. Sigma’s more than 540 chapters are located at more than 700 institutions of higher education throughout Armenia, Australia, Botswana, Brazil, Canada, Colombia, England, Eswatini, Ghana, Hong Kong, Ireland, Israel, Jamaica, Japan, Jordan, Kenya, Lebanon, Malawi, Mexico, the Netherlands, Nigeria, Pakistan, Philippines, Portugal, Puerto Rico, Scotland, Singapore, South Africa, South Korea, Sweden, Taiwan, Tanzania, Thailand, the United States, and Wales.

Learn more at SigmaNursing.org.

Scantar Releases New Research on Best Air Conditioners Under $500


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The write-up deliberates that an ideal window or portable air conditioner should preferably have BTU and energy efficiency ratio compatible with the weather, ceiling height, and shade.

Scantar, a website dedicated to offering comprehensive buying guides and product reviews of home appliances and electronics, has released a new feature reviewing the best air conditioners under $500. Scantar’s research on the best air conditioners for 2019 gives an in-depth analysis of factors affecting purchase decisions like energy expenditure, window size, and portability, estimated cooling area, and price.

The article explores cost-effective air conditioning options without compromising the efficacy of the unit. The write-up deliberates that an ideal window or portable air conditioner should preferably have BTU and energy efficiency ratio compatible with the weather, ceiling height, and shade. These systems are easier to maneuver and environmentally a healthier option in contrast to central air conditioning systems, which are costlier and more energy-consuming.

The article cumulates different systems in an affordable price range to give customers a variety of options like light weighted units by Frigidaire, effective dehumidifiers in Honeywell systems, higher BTU, and EER value in Haier HPC12XCR. LG LW1216ER provides attractive options like power failure auto-restart and four operational modes. The multitude of options collected by Scantar presents an array of choices for consumers.

Scantar has been specifically designed with consumers in mind. It focuses on collating product information and video reviews to highlight product comparisons to help consumers make informed and careful purchase decisions. The website features product reviews and comparisons of the latest home appliances and innovations in the market. In addition to listing the best-selling products in specific product categories and aggregating customer ratings of products, they also bring out relevant reports regarding new developments in the field of home electronics and appliances.

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5 Questions for Your Doctor


Dr. Praveen Kadimcherla

Artificial disc replacement doesn’t stop patients from bending or flexing normally, making it an increasingly popular option for chronic back or neck pain

Nearly all of us know someone who had surgery to replace their bum hip or knee with an artificial joint. But artificial discs? Fewer have heard of this increasingly prevalent orthopedic surgery, according to Praveen Kadimcherla, MD, of Atlantic Spine Center.

Approved by the U.S. Food and Drug Administration in 2004, artificial disc replacement implants a synthetic disc into the spine to replace a worn or damaged disc. The procedure’s goal, Dr. Kadimcherla says, is to relieve chronic back pain while enabling more normal range of motion that might be possible with other back procedures, such as spinal fusion.

While an estimated 8 in 10 American adults will experience back pain at some point, according to the National Institutes of Health, surgery is rarely necessary and only used when pain doesn’t improve with conservative treatments such as exercise, physical therapy or pain relievers. When spinal fusion surgery is performed to fuse painful vertebrae into a solid bone, fusion can prevent normal spine motion.

“But artificial disc replacement doesn’t stop patients from bending or flexing normally, making it an increasingly popular option for chronic back or neck pain,” Dr. Kadimcherla explains.

Best questions to ask in advance

Just because an innovative surgical option for back pain has emerged doesn’t make it right for everyone with back or neck pain, Dr. Kadimcherla notes. He suggests being ready to talk with your doctor about the possibility of artificial disc replacement with these 5 questions:

1.    Am I a good candidate for artificial disc replacement?

Disc replacement is a better option for certain patients, including those whose back pain originates in only 1 or 2 discs in the spine. People with slipped or herniated discs may be good candidates for the procedure, but not those who suffer from degenerative disc disease, which can affect the entire spinal column. It’s also important not to have significant joint disease or spinal nerve compression, Dr. Kadimcherla says. “Good candidates for this surgery aren’t excessively overweight and they haven’t undergone spinal surgery before,” he adds. “They also can’t have scoliosis or another deformity of the spine.”

2.    What happens during artificial disc replacement surgery?

In a 2- to 3-hour procedure, you’ll receive general anesthesia while lying on your back. While you’re asleep, surgeons will make an incision in your abdomen (if your disc replacement is occurring in the back), moving aside organs and blood vessels to allow access to your spine. If a disc is being replaced in your neck, the incision is made at the front of the neck. Your damaged spinal disc(s) will be removed and artificial disc(s) will be inserted in their place. After your incision is closed, you’ll go to a recovery room.

3.    Are there any risks to artificial disc replacement surgery?

Like any surgical procedure, artificial disc replacement poses certain risks, however minor. The operation requires greater access to the spine than other spinal surgeries, Dr. Kadimcherla notes. Potential surgical risks include infection; dislocation of the new disc; implant failure or breakage; implant loosening or wear; stiffness of the spine; narrowing the spine due to a breakdown in spinal bones; and blood clots in the legs.

4.    How can I prepare for artificial disc replacement?

Your doctor will take a detailed medical history and perform a thorough physical exam. You may also need imaging tests such as X-rays or an MRI or CT scan before surgery, along with blood tests. “Make sure to inform your doctor of all prescription and over-the-counter drugs you take as well as vitamins, herbs or other supplements, since medications and supplements can affect blood clotting and other aspects of healing,” Dr. Kadimcherla says. Just before surgery, you may be told not to eat or drink anything for several hours.

5.    What is recovery like from artificial disc replacement?

The days just after surgery should allow rest and healing, Dr. Kadimcherla says. You may stay in the hospital for a few days, and you won’t be allowed to drive right away when you get home. You may also need help at home with activities such as dressing, cleaning and shopping. Pain will be controlled with appropriate medications and you’ll be encouraged to walk about within the first day, he says. “While you’ll need to avoid any jarring movements for awhile, recovery should proceed steadily,” Dr. Kadimcherla explains. “Walking, stretching, and doing gentle exercises will all promote your return to normal life.”

Atlantic Spine Center is a nationally recognized leader for endoscopic spine surgery with several locations in NJ and NYC. http://www.atlanticspinecenter.com, http://www.atlanticspinecenter.nyc

Praveen Kadimcherla, MD, is a board-certified orthopedic spine surgeon at Atlantic Spine Center.

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