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During a hotel outbreak in Switzerland, for instance, several employees and a guest who tested positive for the erectile dysfunction were wearing only face shields (with no masks). Those who discount kamagra review wore masks were not infected. And a Tennessee study found that communities with mask mandates had lower hospitalization rates than areas where masks weren’t required.“Health care workers, scientists who work with nasty pathogens, and workers who may be exposed to hazardous airborne particles on the job rely on specialized masks like N95s for protection, so we know that properly fitted, high-efficiency masks work,” said Linsey Marr, a Virginia Tech engineering professor and one of the world’s leading experts on viral transmission.A number of laboratory studies have also documented that a mask protects the person who is wearing it, though the level of that protection can vary depending on discount kamagra review the type of mask, the material it’s made from, the experimental setup and how particle exposure was measured. The erectile dysfunction kamagra ›Latest UpdatesUpdated Sept.

23, 2021, discount kamagra review 6:28 p.m. ETBoosters for Moderna and Johnson &. Johnson treatment discount kamagra review recipients weren’t up for debate during a C.D.C. Panel.Hospitals in the Memphis area are already crowded with erectile dysfunction treatment patients.Cuba expects to reach ‘full immunization’ with homegrown treatments by Dec.

31.But the bottom line of all the discount kamagra review studies is that a mask reduces the potential exposure of the person wearing it. Here are some of the findings.One study from the Centers for Disease Control and Prevention found that a standard surgical mask only protected the wearer from about 7.5 percent of the particles generated by a simulated cough. But knotting the loops and tucking in the sides of the medical mask reduced discount kamagra review exposure by nearly 65 percent. (Watch this video to see the “knot and tuck” method.) Covering the surgical mask with a cloth mask, a technique known as double masking, reduced exposure to the simulated cough particles by 83 percent.A Virginia Tech study looked at how well homemade masks, surgical masks and face discount kamagra review shields protected the wearer, based on particle size.

The research showed that most masks could block very large particles, like those from a sneeze. But when the researchers looked discount kamagra review at smaller aerosol particles that are hardest to block, protection ranged from near zero with a face shield to about 30 percent protection with a surgical mask. (The percentages in the study can’t be directly compared to the C.D.C. Knot-and-tuck study discount kamagra review because the testing methods were different.) Based on the findings, Dr.

Marr and her colleagues concluded that a two-layer cloth mask made of flexible, tightly-woven fabric, combined with a filter material (like a coffee filter or surgical mask), could offer good protection, reducing 70 percent of the most penetrating particles and trapping 90 percent or more of the larger particles. They also found that head straps or ties created a better fit than ear loops.A study from Tokyo tested how well different types of masks protected the wearer from actual discount kamagra review erectile dysfunction particles. The study showed that even a simple cotton mask offered some protection (17 to 27 percent) to the wearer. Medical masks performed better, including a surgical mask (47 to 50 percent protection), a loose fitting N95 (57 to 86 percent protection) and a tightly sealed N95 (79 to 90 percent protection).While many lab studies test masks using mannequin heads, a 2008 study used real people to discount kamagra review measure how well masks could protect the wearer against a respiratory kamagra.

The study subjects wore different discount kamagra review kinds of masks fitted with special receptors that could measure particle concentration on both sides of the masks. In this study, cloth masks reduced exposure by 60 percent, surgical masks by 76 percent and N95 masks by 99 percent.Credit...Getty ImagesWhile the lab studies all show a mask can protect the wearer, how well the masks perform in the real world depends on a number of variables, including how consistently people use them, whether a person is in high-risk situations and the rate of in the community. A Danish study of 6,000 participants, half of whom were discount kamagra review told to wear masks, didn’t show a benefit to mask wearing, but the study has been widely criticized for its poor design. The laboratory studies showed that a high-quality medical mask, like an N95, KN95 or KF94, works best.

While vaccination is the best protection against erectile dysfunction treatment, discount kamagra review even vaccinated people are advised to avoid crowds or large groups indoors when the vaccination status of others isn’t known. Given that the Delta variant is far more contagious than other variants, Dr. Marr also recommended wearing the highest-quality mask possible when you can’t keep your distance or be outdoors — or when nobody around you is masking up.“If I’m in a situation where I have to rely solely on my mask for protection — unvaccinated people may be present, it’s crowded, I don’t know anything discount kamagra review about the ventilation — I would wear the best mask in my wardrobe, which is an N95,” said Dr. Marr.

€œBecause Delta has proved to be so much more easily transmitted and because vaccinated people can transmit, we need to wear the best masks possible in high-risk situations.”AdvertisementContinue reading the main storyAdvertisementContinue reading the main storySupported byContinue reading the main storyHow to Spot a Love AddictExperts question whether we can describe a toxic relationship discount kamagra review the way we talk about gambling or alcohol. But some have found that framework to be a helpful step in the road to freedom. Credit...Sophi Miyoko discount kamagra review GullbrantsSept. 23, 2021Updated 1:01 discount kamagra review p.m.

ETTara Blair Ball, a relationship coach in Memphis, met her ex on Match.com. They instantly discount kamagra review clicked.“He felt like my soulmate. It was the little things. We both discount kamagra review talked about the differences in the old Spider-Man movie with Tobey Maguire and the comic book.

A lot of people didn’t know about these details, and it just felt like this bonding experience.”On their first phone call, they talked for eight hours — so long that Ms. Ball came late to work and was fired discount kamagra review from her job at Target. €œI took that as a sign that I was supposed to be connected to him,” she said, laughing.When the red flags started to appear, Ms. Ball brushed discount kamagra review them aside.

€œHe started acting jealous and wanted to know where I was, what I was discount kamagra review doing, who I was talking to, how long I was going to be there and when I was going to be back.” Instead of seeing warning signs, Ms. Ball interpreted his actions as affection.“We were quickly talking about marriage and moving in together. I felt like I couldn’t be away from him for very long — I’d be in withdrawal.”If the situation seems discount kamagra review to contain some of the track marks of an addiction, it’s because it does. And like many addicts, Ms.

Ball took a long time to recognize and admit she was experiencing what some discount kamagra review call “love addiction.”The definition of love addiction is hard to pin down. Sex and Love Addicts Anonymous calls it an extreme dependency on one person whereby “relationships or sexual activities have become increasingly destructive to career, family and sense of self-respect.” Helen Fisher, a senior research fellow at the Kinsey Institute at Indiana University and a leading expert in romantic love, said it’s any relationship that leads to “obsessive craving and intrusive thinking,” meaning impulsive or unwanted thoughts.One meta-analysis looked at 83 studies and estimated that about 3 percent of the population has had a serious problem with love addiction over a given year. That number may be higher than 10 percent among young discount kamagra review adults.Looking at TikTok, where Ms. Ball began to share her experiences with love addiction, you might think the number of love addicts is even higher.

The hashtag #ToxicRelationship on TikTok clocks in at 1.7 billion views, plus another 320 million more for related terms such as “love addiction,” “love addict,” and “codependency.” Whether telling their tales or reacting to others, people are finding healing and community on the short-form video sharing app by posting the signs of love addiction, with memes and tips.Wherever you decide to share about your experiences, it’s helpful to be able to recognize when a dream romance discount kamagra review strays into love addiction.Is Love Addiction Even Real?. €œAnybody who says it’s not an addiction, all I can tell you discount kamagra review is that we’ve looked in the brain,” said Dr. Fisher.Using functional magnetic resonance imaging, Dr. Fisher and her colleagues have studied romantic love and found increased activity in a brain region called discount kamagra review the nucleus accumbens, “that becomes active when anything becomes an addiction — alcohol or nicotine or cocaine or heroin or amphetamines or any one of those things,” Dr.

Fisher said.But some in the scientific community don’t even accept love addiction as a diagnosis. €œLove addiction is a contested concept,” said discount kamagra review Brian D. Earp, a Ph.D. Candidate and discount kamagra review the associate director of the Yale-Hastings Program in Ethics and Health Policy at Yale University who has studied love addiction.

He noted that some of the disagreement comes down to the definition of love itself.“Some feminist philosophers argue that if a relationship is toxic or abusive it shouldn’t even be labeled as love,” Mr. Earp said, adding that some prefer the label “addiction to toxic relationship discount kamagra review behaviors.”To make matters even more complicated, experts also can’t agree on the definition of addiction. Mr. Earp said some neuroscientists believe that something labeled an addiction must be bad for you.

Therefore, “if you rely on an activity that might be classified as unhealthy but it’s totally compatible with living a flourishing life, some experts would say there’s no reason to call this an addiction,” he said.Healthy Love Versus Addictive LoveWhether or not you believe love addiction is real, thinking of a toxic relationship as an addiction can be useful to someone dealing with the repercussions of an unhealthy partnership. €œThe bottom line is this. An unhealthy relationship tends to involve a search for a dopamine rush” and involves power and control, said Steven Sussman, a professor of preventive medicine, psychology and social work at the University of Southern California.Those experiencing love addiction “have the behavioral pattern of addiction,” said Dr. Fisher.

She explained that this may manifest in mood swings from despair to euphoria and a willingness to put up with abuse. Additionally their personalities may shift when they’re addicted, leading to lifestyle changes or a tendency to distort reality.Houston-based literacy specialist, Synthia Smith, said she succumbed to those feelings with her now ex-boyfriend. €œThe prospect of living my life without him was unbearable — I would be emotionally dead,” she remembered.So great was this fear that she stayed in the relationship for two and a half years, despite a fast-growing litany of warning signs, such as the time she discovered his profile on the dating website Plenty of Fish. After confronting him, he claimed that he was there to network for his business and shamed her for bringing it up before exploding in rage.Working Through a Toxic RelationshipBecoming involved with someone who compromises your mental health can be a scary and isolating experience.

Whether you believe yourself to be a love addict, or just need help getting out of a bad situation, there are resources to consult and healthy actions you can take.Find communityKatlynn Rowland, who owns a housecleaning business in Ocala, Florida, was involved with an emotionally abusive man when she first came across Ms. Smith’s TikToks about gaslighting. €œIt almost felt good when I first watched the videos because it felt like I was being validated,” Ms. Rowland said, “and that I wasn’t crazy.”Ms.

Smith’s videos gave Ms. Rowland the courage to leave her ex-boyfriend — and to post about it on TikTok. €œI was scared to post at first because I knew he would go insane,” Ms. Rowland said.

€œBut since Synthia said that she didn’t care what her ex thought anymore, I was able to let go of that fear.”Mr. Earp said this is a common experience. €œIt can be comforting for people to make public sense of their experience, rather than just having it be a private phenomenon.”Educate yourself“It’s important to educate yourself about how love addiction works for you, to understand the layers and nuances of how it plays out in your life,” said Kerry Cohen, a therapist and the author of “Crazy for You. Breaking the Spell of Sex and Love Addiction.” This may include finding a support group, like Sex and Love Addicts Anonymous or Love Addicts Anonymous, and speaking to a therapist or psychiatrist specializing in love addiction.

It’s important to see a licensed professional and not to self-diagnose.Practice healthy textingTexting can be a potential minefield for love addicts, as there is often room for miscommunication, leading to anxiety and fear. Ms. Cohen said love addicts should refrain from talking about feelings via text with their partner, particularly negative emotions. €œThis will be good practice for you to regulate your feelings until you can talk in person,” she wrote, “and it may give you the pause you need to get a handle on how to respond without reacting.”Stop keeping secretsMany love addicts keep parts of themselves and their lives secret from their partner to provide what Ms.

Cohen called an “artificial sense of autonomy” and a means to avoid conflict. Although having privacy is appropriate in a relationship, keeping secrets is not. Love addicts often “lie about their pasts, and try to be someone they think their lover wants them to be,” Ms. Cohen wrote in “Crazy for You.” She advised partners to share honestly with each other, especially about their struggles with sex or love addiction.Consider no contactAfter you have built a support team, you can decide if, when and how you should end a toxic relationship.

With your therapist, consider what the “Cambridge Handbook of Substance and Behavioral Addictions” calls “a strict no-contact policy, avoiding any form of communication with the ex-partner that may trigger renewed feelings of craving and retard the healing process.”Twelve-step programs often advise addicts to remove all reminders of the addiction, including all social media contact, photos, songs or memorabilia. €œSomebody is camping in your head, you’ve got to get them out,” said Dr. Fisher.Try a dating planIt may be helpful to develop a dating plan with your sponsor or therapist, which can be a useful guide to finding a new, healthy relationship. Start by identifying one action that has brought about negative consequences in your past.

Some love addicts may have sex too quickly with a partner and get too attached. In that case, it might be helpful to establish a rule to only have sex after entering a committed relationship.“Nobody gets out of love alive,” said Dr. Fisher. €œPeople live for love, pine for love, kill for love and they’ll die for a loved one.

It’s one of the most powerful brain systems we’ve evolved.””Whether you harness this energy for a positive or negative romantic experience is up to you.Kaila Yu is a journalist based in Los Angeles.AdvertisementContinue reading the main story.

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Joy Organics CBD oil is available in palate-pleasing flavors, including Orange Bliss, Summer Lemon, Tranquil Mint, and Fresh Lime. Bottles are available in several strengths, including 450 mg, 900 mg, 1350 mg, and 2250 mg. Manage your stress, get better sleep, and enjoy a more balanced life with kamagra 24 CBD oil from Joy Organics.

Final Thoughts Pure CBD oil can benefit your physical and mental wellbeing. Whether you want a natural treatment for chronic pain, want help meeting a demanding deadline, or simply want to approach life more balanced and in-sync, high quality CBD oil can help you achieve just that.This article appeared in the September/October 2021 issue of Discover magazine as "Frontline Fatigue." Become a subscriber for unlimited access to our archive.In February 1945, U.S. Navy nurse Dorothy Still was a kamagra 24 prisoner of war in the Japanese-occupied Philippines.

Along with 11 other Navy nurses, Nurse Still provided care for civilian inmates in a prison camp where food was scarce and guards were brutal. Few inmates weighed more than 100 pounds, and most were dying from malnutrition. On the night of Feb kamagra 24.

22, Nurse Still and the other inmates watched as their captors set up guns around the perimeter of the camp and turned the barrels inward. Other guards dug shallow graves. The inmates had long suspected the camp commander planned to massacre them all, and kamagra 24 it seemed the rumors were coming true.

Yet Nurse Still and another Navy nurse reported to the infirmary for the night shift. They had little medicine or food to offer their patients. Comfort and kindness were all they had left to kamagra 24 give.

Nurse Still heard gunfire the next morning at dawn and assumed the massacre had begun. She steeled herself to glance out the infirmary window and saw parachutes gliding to the ground. Liberation had come kamagra 24 just in time!.

U.S. And Filipino forces swiftly evacuated the 2,400 inmates to safety. But that wasn’t the end of Nurse Still’s kamagra 24 journey.

She was haunted by the horrors she witnessed in the prison camp, and the trauma stuck with her for the rest of her life. Now nursing leaders and advocates are saying the problem of not addressing nurses’ mental health needs has again reached a critical point. Nurses have been on the front lines of the erectile dysfunction treatment crisis, kamagra 24 but most aren’t receiving comprehensive mental health screening or treatment.

Nursing advocacy groups and scholars who study PTSD in nursing warn that leaving nurses’ mental health needs untreated could lead to a nursing shortage, much as it did after World War II.Taken as prisoners of war in 1942, Dorothy Still and 11 other Navy nurses provided medical care in the midst of brutal suffering at Los Baños Internment Camp. (Credit. Courtesy of Bureau of Medicine and Surgery) Suffering in Silence Back in the States, Nurse Still was tasked with speaking at war bond drives kamagra 24 about the three years she was a prisoner of war.

She found the experience troubling and requested a transfer to Panama, but her memories followed her to her new post. At times, she was depressed. Other times, she couldn’t stop thinking about all she had kamagra 24 endured.

She sometimes cried without provocation and struggled to stop crying once she had started. On advice of her fiancé, she booked an appointment with a naval physician. During her appointment, Nurse Still told the physician she had been a prisoner of war for more than three years, and asked for a medical discharge kamagra 24 based on the trauma she was experiencing.

The doctor asked when Nurse Still was liberated. The date was the same as the raising of the flag at Iwo Jima. The physician said those men were heroes, but Nurse Still was a woman kamagra 24 and a nurse, and therefore, did not suffer.

Denied treatment, Nurse Still left the appointment shaking. She vowed she would keep her pain to herself. The Navy nurses weren’t the only medical care providers taken prisoner during kamagra 24 WWII.

Sixty-six U.S. Army nurses as well as hundreds of physicians, pharmacists, and medical assistants were also held captive in the South Pacific. But at the end of the kamagra 24 war, as the U.S.

Prepared to welcome home millions of men and women who served their country, mental health treatment was limited — and reserved for men. Nurses, it was assumed, did not suffer. At the kamagra 24 time, the U.S.

Military was the largest employer of nurses, and it had established an expected code of silence regarding how nurses responded to their own trauma. In 1947, an article in the American Journal of Psychiatry claimed a military hospital was a controlled environment that insulated nurses from the brutality of war. The study’s author claimed that nurses’ mental kamagra 24 health needs were “less complex,” and that nursing fulfilled women by catering to their natural instinct to care for men.

€œThey were supplying a service which gratified the passive needs of men. And which identified these women with the mother, the wife, or the sweetheart back home.”Many nurses, including Nurse Still, responded to the lack of mental health treatment by leaving both the military and nursing. The late 1940s saw a shortage in nurses at time when hospital admissions rose by 26 kamagra 24 percent.

The shortage persisted until the late 1960s when wages began to increase.After three years as POWs, the Navy nurses were liberated in 1945. Here, they speak with Admiral Thomas C. Kinkaid after their release, and are shown next to the aircraft that kamagra 24 brought them from the South Pacific to Hawaii.

(Credit. U.S. Navy Bureau of Medicine and Surgery)A Looming Crisis The erectile dysfunction treatment kamagra has meant that for the first time since WWII, the vast majority of kamagra 24 U.S.

Nurses are embroiled in fighting a common enemy. It’s a demanding and emotional battle that advocates say adds a deeper stress to an already taxing job.Across the country, nurses have been caring for patients dying from erectile dysfunction treatment who do not have the support of family at their bedside due to visitor restrictions. €œThe nurses are often the ones who are serving as the loved one and helping the patient navigate the end-of-life journey,” says Holly Carpenter, a senior kamagra 24 policy advisor with the American Nurses Association.

In addition to caring for dying erectile dysfunction treatment patients, Carpenter says, many nurses were not properly equipped at the height of the kamagra with the personal protection equipment needed to avoid . These nurses lived in fear of being infected or transmitting the kamagra to loved ones at home. And on top of these stressors, nurses are also still coping with the kamagra 24 usual demands of the job.

€œThere are the things that have always been there — long shifts, sometimes mandatory overtime, a workload that’s heavier than you’re comfortable with, having to work through breaks or lunchtime, having to come in early and stay late,” Carpenter says. Prior to the kamagra, studies estimated that as many as half of critical-care nurses experienced post-traumatic stress disorder (PTSD). Since the kamagra began, researchers have found kamagra 24 the crisis has amplified symptoms of mental health problems.

A 2020 study in General Hospital Psychiatry found that 64 percent of nurses in a New York City medical center reported experiencing acute stress. €œAcute stress included symptoms like nightmares, inability to stop thinking about erectile dysfunction treatment, and feeling numb, detached, and on guard,” says study leader Marwah Abdalla, a clinical cardiologist and assistant professor of medicine at Columbia University Medical Center. €œThis is concerning kamagra 24.

We know that if these symptoms persist for more than a month, it can lead to PTSD.” Some nurses experienced PTSD before erectile dysfunction treatment, but the conditions of the kamagra have amplified mental health problems. (Credit. Eldar Nurkovic/Shutterstock)A person is diagnosed with PTSD if they meet criteria outlined by kamagra 24 the DSM-5, the psychiatric profession’s official manual.

Criteria include experiencing, witnessing or learning about a traumatic event (such as death, serious injury, or sexual violence). Intrusive symptoms like dreams and flashbacks. Avoidance of reminders of the event kamagra 24.

Negative changes in thoughts and moods. And behavioral changes. A person can also develop PTSD if they are repeatedly exposed to kamagra 24 details of a traumatic event.

Suffering from undiagnosed or untreated PTSD is a life-altering condition with diverse ramifications, and may lead a nurse to leave health care. €œWe’re potentially setting up an occupational health care crisis,” Abdalla says. €œThis has long-term implications for the health care industry and our ability to deliver adequate health care for our patients.” Carpenter says health care organizations must be proactive with screening nurses for symptoms related to anxiety, kamagra 24 depression, and PTSD.

Such screenings must be confidential and come with the assurance that a nurse’s license or job will not be compromised. Organizations also need to work to destigmatize mental health diagnosis and treatment. €œHistorically, nurses are always looked upon as the healers and the helpers,” kamagra 24 Carpenter says.

€œThey feel they need to be strong for other people. What do you do when the hero needs help?. €For Nurse Still, help never kamagra 24 came.

She left the Navy and nursing, married, and had three children. She returned to nursing in the late 1950s after her husband died suddenly and she needed to support her family.Only in the 1990s did she begin speaking about her experiences in interviews with oral historians and documentary producers. She also wrote a memoir, but kept the story light and did not disclose her extensive suffering.The profession has advanced since Nurse Still’s 1940s appeal for mental health support was kamagra 24 rejected.

€œWe do recognize the full PTSD, compassion fatigue, and burnout of nurses. It’s been chronicled now and we understand it,” Carpenter says. Now the challenge is encouraging each nurse to seek kamagra 24 and receive help.

Otherwise, advocates warn, their health and wellbeing will continue to decline, and history may repeat as stressed nurses leave a strained profession. Emilie Le Beau Lucchesi is a journalist in the Chicago area and the author of This is Really War. The Incredible True Story of a Navy Nurse POW in the Occupied Philippines.It’s pretty kamagra 24 obvious when a dog is sad.

It might whine or whimper, knit its brow, or turn its big, imploring eyes upward at you. But it would be another thing entirely to see a big tear rolling down your canine companion’s face.Animals simply don’t cry. Or at kamagra 24 least, they don’t shed emotional tears.

The only creatures who have evolved to do so, it turns out, are humans. We snivel at sad movies, well up at weddings and blink away hot tears of frustration during arguments. €œWe appear to be the only animal that sheds tears for emotional reasons,” says Randolph Cornelius, a professor of psychological science at Vassar College in New York and an expert on human emotion.There are many theories on kamagra 24 the evolution and purpose of emotional tears.

Experts even have a few ideas why animals — who do experience emotions — don’t weep like we do. But why we evolved to eject liquid out of our eyes as a signal of distress, rather than some other reaction, is still far from settled.The Biology of CryingFrom a biological perspective, there are three types of tears. One is basal tears, which our eyes create automatically to kamagra 24 lubricate and clean our eyes.

These come from our accessory lacrimal glands, located under the eyelids. Then there are reflex tears, which you’re likely acquainted with if you’ve ever cut an onion or been poked in the eye. The third is kamagra 24 emotional tears — the only variety that we can control, to some extent.

These latter two types come from lacrimal glands on the upper outside of our eye sockets.“One argument is that [emotional crying] is almost like an emotional reflex as opposed to just a physical reflex,” says Marc Baker, a teaching fellow at the University of Portsmouth in England who researches adult emotional crying.Indeed, some have hypothesized that the purpose of crying is itself just another biological function. For example, biochemist William Frey theorized in the 1980s that crying balances levels of hormones in our body to relieve stress. He also suggested that crying clears our body kamagra 24 of toxins, though subsequent studies have largely disproven this.

English naturalist Charles Darwin, the father of evolution, believed children cried to experience physical relief from negative emotions.In these theories, crying is something that restores us to equilibrium. It is the idea of crying as catharsis, or a way to calm ourselves in times of distress. After all, it’s not unusual for people to report feeling better after “a good cry” — but that relief may be kamagra 24 coming from unexpected places.The Psychology of CryingPerhaps the most compelling explanation for tearful crying is that it is driven by our social needs.

Crying is a distinct visual signal that something is wrong. In an instant, it communicates that someone might need help. When others attend to the crier, it contributes to a collaborative social environment that is highly complex in humans.Inquiries by Cornelius support this theory of tears as a quick and kamagra 24 effective social signal.

In a number of studies, he and colleagues showed photographs of faces to participants (under the guise of another purpose) and asked them to interpret the emotion. In some of the photos, people were crying real tears. In others, they had been digitally removed.When shown kamagra 24 the pictures with tears, almost every participant labelled the emotion as sadness or grief.

Tear-free crying faces, on the other hand, were confusing. €œWithout the tears, the emotion almost disappears,” Cornelius says. €œTheir judgments of the emotion don't tend to cluster around the ‘sad’ family of emotions kamagra 24 — they're all over the place.

And in fact, some people say there's no emotion there at all.”This indicated that crying is a strong signal to others of our immediate emotional state. It’s hard to fake real tears. And as researchers of crying can attest, it’s hard to induce genuine emotional crying in a lab setting — one of the reasons it’s challenging kamagra 24 to study.Solving an Evolutionary MysteryFrom an evolutionary perspective, some of our physiological reactions have a clear purpose.

It makes sense that we sweat when overheated, raise our voices when angry or tense up in fear. But at a distance, our tearful tendencies are just plain weird. Someone showing an alien around Earth kamagra 24 would have to explain that when humans (and only humans) feel distress or even overwhelming happiness, their faces get slightly wet and puffy.Animals do have lacrimal glands, which they use for reflex tears.

But in humans, something seems to have changed somewhere along the way. What started as distress calls that many animals make became connected with the production of tears, and experts still aren’t sure why. €œThere’s no answer, kamagra 24 sorry,” Baker says.

But there are a few theories.Clinical psychologist Ad Vingerhoets has suggested that crying might have been more advantageous than other kinds of noises because it suggests submissiveness and harmlessness to would-be predators, who might then reduce their aggression. But that still doesn’t explain the tears themselves or why animals wouldn’t benefit from them in the same way.For that, researchers point toward other, seemingly unrelated hallmarks of human physiology and development that could have led to tears. For one, we walk upright — unlike bears and wolves, who, in their position closer to kamagra 24 the ground, rely mostly on smells to signal distress.

Perhaps partially because of this, we rely heavily on visual cues to communicate in social situations. €œFrom a kind of evolutionary perspective, it makes sense that lots of our signals become visual signals, because we are just quite visual animals,” Baker says. We also kamagra 24 position ourselves forward.

Our faces, then, developed to become the most complex in the animal kingdom — especially on the top half of our face. €œOur kind of facial expressions far exceed almost every other animal, especially around the eyes,” he says. €œWe can do much more with the top half of our face.”An intricate facial musculature arose, and with it, machinery that kamagra 24 could induce crying.

Asmir Gračanin, a professor of psychology at the University of Rijeka in Croatia, and colleagues theorized that the orbicularis oculi muscle may have evolved along with our hyper-expressive faces. This eye socket muscle could have squeezed the corneal sensory nerves that trigger the production of tears by the lacrimal gland and proved advantageous to human babies as a call for immediate help.This also fits in with the uniqueness of human babies, who are much more helpless than other baby animals that come out of the womb ready to walk and perform other basic functions. Human babies need more help, cry for assistance and comfort, and then (largely) grow out of crying kamagra 24 as adults.But adults still do cry emotional tears — in sadness, happiness, awe or frustration.

€œIt's kind of what makes us human, almost,” says Baker, “[our] ability to share emotions very silently, with a small drop of saline solution from the eye.”The introduction of the contraceptive pill in the 1960s spurred a landmark moment for women, liberating many from the home and propelling them into the world. But this excitement overshadowed the side effects and hazards associated with the pill, which we now know may include a slightly increased risk of breast cancer.“A lot of women are unaware of the cancer risk associated with hormonal birth control because the advent of the pill freed up the lives of women to enter the workforce more effectively,” says Beverly Strassmann, a human evolutionary biologist at the University of Michigan. When radically altering the body with synthetic hormones, you can’t kamagra 24 assume there won’t be side effects, she says.

But the field hasn’t made significant progress, partly because contraceptives have provided women with tangible benefits. Sixty years on, pharmaceutical companies are still “resting on their laurels” and need to better evaluate the association between hormonal birth control and cancer, she adds. Research has also linked the pill to depression, decreased sexual desire, anxiety and an altered ability to form emotional memories kamagra 24.

Most physicians, however, still don’t closely follow research investigating the links between hormonal birth control and its psychological side effects, says evolutionary psychologist Sarah Hill, author of How the Pill Changes Everything. Your Brain on Birth Control. €œMost medication doesn’t kamagra 24 look at the full spectrum of side effects in the way people experience the world.

It’s not even in physicians’ peripheral vision,” Hill says. But women want the next birth control revolution. Younger women especially seek non-hormonal kamagra 24 options, Hill says.

€œA lot of women aren’t being served, and many are on the pill even though they don’t love it — their standards are low because there’s so few good options,” she says. In recent years, contraception apps have attracted a rise in users, which may suggest that many women no longer tolerate the impacts of hormonal birth control on their bodies. But these apps have faced criticism kamagra 24 over their efficacy.

A New Kind of PillAnother possibility. A non-hormonal pill. Now, University of Connecticut physiologist and geneticist Jianjun Sun is wading through the unknowns to formulate it.“We kamagra 24 know that, in humans, the ovulation process is triggered by a hormone surge, but how the egg is released is very precise.

The menstrual cycle is very tightly controlled and there are a lot of unknowns in this area,” he says. Sun does know that when a person ovulates, an egg that’s contained within a follicle bursts out of the ovary and sets off down the fallopian tube, where it can be fertilized. He’s hoping to formulate kamagra 24 a drug that stops the follicle from rupturing and releasing the egg.

Shutting off ovulation isn’t a new concept — hormonal contraception does this by tricking the body into thinking users aren’t pregnant. But he seeks a new way to halt egg release without the use of synthetic hormones. Crucially, Sun kamagra 24 has devised a way to analyze different compounds without relying on human subjects (which would complicate the process).

He realized that fruit flies ovulate in a similar way to people, and the fly’s ovulation process resembles that within mice. As this research took off, the Gates Foundation had begun supporting scientists developing non-hormonal contraceptives. The organization has funded Sun to kamagra 24 test compounds on flies.

Now, Sun is screening up to 500 compounds daily to see which ones prevent follicles from rupturing and releasing eggs. €œThe Gates are very excited now. They’re trying to kamagra 24 get us to find the target, then we can study this target using genetic tools,” he says.

Researchers could test the drug in humans eventually, Sun says. Unlike hormonal pills, users wouldn’t need to take it daily. To inhibit ovulation, you only need to take it for a week or so before the process begins.While this sounds tempting, many people don’t know when exactly they ovulate — and only 10 to kamagra 24 15 percent of women experience 28-day cycles.

And because the drug concept is so new, researchers aren’t sure what dosing might look like. €œIt’s still hypothetical in terms of how to use contraceptives targeting ovulation, since there’s no products on the market,” Sun says. A Dearth of ResearchDespite the kamagra 24 many unknowns, experts seem receptive to any new research in hormonal birth control alternatives.

In recent years, few studies have taken on this challenge.Hormonal contraceptives dominate at a time when, researchers argue, scientific and technological advances bring unprecedented opportunities for new drugs across medical fields. If Sun’s research is fruitful, it could attract more funding for other researchers working on these alternatives, says Bethan Swift, a PhD student at the University of Oxford who studies the epidemiology of women’s health. €œOne big barrier to kamagra 24 developing new contraception is that existing options work,” Swift says, “So there’s little demand from the pharmaceutical industry to put money into creating new compounds.” This shortage of funds places significant pressure on Sun.

The Gates Foundation hopes that at least one drug will hit the market by 2026, he says. But the bar for birth control approval is uniquely high. Because it isn’t meant to alleviate an illness, possible side effects kamagra 24 may not be worth the trade-off versus, for example, cancer treatments.

It will probably take between five and 10 years before a new drug is available, Sun says. “Developing new contraception isn’t easy because they’re going to healthy women, unlike other drugs, where it’s more accepted that there will be side effects,” Sun says. The final drug will likely cause some side effects, but fewer than hormone-based contraceptives, he kamagra 24 notes.

However, Hill is concerned that the end product could still affect the body’s natural hormone levels.Our bodies produce most sex hormones via ovulation, and high levels of estrogen propel monthly egg maturation. After an egg is released, the empty follicle releases progesterone — so levels would fall fairly low if you prevent ovulation, she says. €œStopping ovulation sounds perfect, but if you understand that’s kamagra 24 how the body makes hormones, you’d realize it’s not a panacea.”This article contains affiliate links to products.

Discover may receive a commission for purchases made through these links.Did you know that sleeping in a zero-gravity position may help alleviate symptoms from improve sleep disorders, relieve neck and back pain, and allow for better circulation and heart health?. An adjustable bed frame allows you to place your body in a zero-gravity position to enjoy all of these benefits and more as you sleep comfortably with optimal support throughout the night. If you’ve kamagra 24 been considering getting an adjustable bed, you’re not alone.

Many individuals are making the switch to enhance their comfort, improve their health, and, of course, to enjoy more restful sleep. Deciding which adjustable bed frame is right for you can be challenging. The market is overflowing with options, and sorting kamagra 24 through all these choices can be overwhelming.

Fortunately, our best adjustable beds reviews below can help you focus your search, narrow down your choices, and select the right model to help you mitigate sleep disorders, to sleep more comfortably, and to wake up feeling more rested. What is Zero Gravity?. Zero gravity refers to a specific kamagra 24 position where the body is a state of weightlessness.

NASA actually developed this term for astronauts to help them find the ideal position to keep their weight balanced and neutralized as they flew into space. Being in a zero-gravity position prevents gravity from affecting your body, which means that nothing is pulling your body down. Your body is in a zero-gravity kamagra 24 position when.

When your body is in the zero-gravity position, it should look like a V shape. This alignment helps ensure that your weight is distributed evenly. As you can imagine, sleeping kamagra 24 in this V-shaped position on a standard bed frame isn’t possible.

However, adjustable bed frames enable you to sleep in a zero-gravity position and prevent your body’s weight from placing pressure on your hips, spine, and other joints. Sleeping in a zero-gravity position offers a myriad of benefits. We’ll kamagra 24 explore these benefits in the next section.

Benefits of Sleeping in a Zero-Gravity Position with an Adjustable Bed Frame Adjustable beds have been used in hospitals for over a century due to their ability to properly position patients to facilitate recovery and reduce complications from surgeries and other medical procedures. If adjustable beds can protect the health of patients in a hospital, then it seems like a logical conclusion that they can also offer health benefits for individuals who use them at home. Indeed, there are many ways switching to an adjustable bed frame and sleeping in a kamagra 24 zero-gravity position can benefit your health.

These include. While some individuals snore every night, others are more prone to it only when they are congested. Adjustable beds can also help reduce snoring caused by congestion because keeping the head elevated can allow the sinuses to kamagra 24 drain.

Reduced sleep apnea. An adjustable bed may also reduce sleep apnea symptoms. Sleep apnea, which occurs when kamagra 24 an individual stops breathing during sleep, is also sometimes the result of an obstructed airway.

Elevating the head may open up the airway enough to prevent or lessen sleep apnea, allowing individuals get more restful sleep. Relief from neck, back, and joint pain. Sleeping kamagra 24 in a zero-gravity position can significantly increase your comfort and reduce your pain.

The reason for this benefit is that when you’re in the zero-gravity position, your weight is evenly distributed. This improved distribution of weight takes the pressure of your back, neck, and joints, which is often the main cause of pain. Laying on a flat mattress, on the other hand, does kamagra 24 not allow your weight to be evenly distributed.

This places unnecessary pressure on the spinal column and can result in a significant pain and discomfort. Adjustable beds may provide relief from pain caused from sciatica, fibromyalgia, arthritis, scoliosis, and other conditions. Improved kamagra 24 circulation.

Sleeping in a zero-gravity position allows more blood to flow to the heart. This increase of blood flow reaching the heart makes its muscles work harder to pump that blood throughout the body. Increased blood circulation can improve the overall health of your heart and other vital organs kamagra 24.

Decreased swelling. Another benefit of improved circulation is decreased swelling. When kamagra 24 the body lays flat, blood and other fluids may accumulate the in the lower body since the heart isn’t able to keep blood flowing effectively.

This can result in inflammation or swelling. However, with the increased blood flow that results from sleeping in a zero-gravity position, fluids won’t accumulate in the extremities, and swelling may be reduced. Improved digestion kamagra 24.

Digestion can also be improved by sleeping on an adjustable bed frame. Sleeping flat can make it more difficult for the body to digest food properly. Sleeping flat kamagra 24 can also aggravate acid reflux, heartburn, and GERD (gastroesophageal reflux disease.

Elevating the head about six inches can reduce these symptoms. This position removes pressure from the digestive track and makes it more difficult for stomach acids to go up into the throat. Better breathing kamagra 24.

When you sleep in the zero-gravity position, the pressure placed on your lungs and airway is reduced. As a result, your body can breathe more easily and can limit the impact asthma, allergies, and congestion can have on your sleep. Best Adjustable Bed Reviews Whether you’re looking for the best split king adjustable bed reviews kamagra 24 or the best adjustable twin, queen, or full bed frames, we have you covered.

We have selected some of the top models currently available that will help you stay comfortable while you sleep and will enable you to enjoy the benefits described above. Read on to discover which adjustable bed frame is right for you. GhostBed Adjustable Base If you’re looking for an adjustable bed frame with luxury features kamagra 24 for a budget-friendly price, consider the GhostBed Adjustable Base.

This fully-adjustable frame allows you to customize your position for ultimate comfort. The fully adjustable head and foot sections allow for an unlimited number of options, including a zero-gravity position. This bed frame also offers 15 head and foot massage modes to deliver additional comfort and kamagra 24 relaxation.

Furthermore, it is equipped with two USB ports on each side to allow for easy charging and convenient access to electronic devices. Under-bed LED lights are also integrated into the design to provide soft lighting if you wake up in the middle of the night. The included backlit remote makes it easy to adjust the kamagra 24 bed to the ideal position for sleeping or relaxing.

Use the foot and head up/down buttons to move the frame to the exact position you desire. The remote can also save your favorite position for sleeping and return you to it with just a press of a button. Additionally, the remote kamagra 24 offers preset positions for zero-gravity, watching TV, and lounging.

With the remote, you can even control the under-bed lighting and turn on the head or foot massage and adjust their intensity. The GhostBed Adjustable Base features a sturdy steel frame. It also has a retainer bar kamagra 24 and non-skid surface to ensure the mattress stays in place.

This adjustable bed frame is available in twin XL, queen, and split king sizes. Split king adjustable beds offer the added benefit of allowing each partner to customize their own position. All kamagra 24 orders include free shipping and a limited lifetime warranty.

Puffy Adjustable Base Premium The Adjustable Base Premium from Puffy Sleep is another top contender when you’re looking for the best adjustable bed frame. The head on this model adjusts up to 60 degrees and the legs adjust up to 45 degrees to help each individual find their most comfortable sleeping position. The adjustable bed frame from Puffy Sleep is available in twin, twin XL, full, queen, king, kamagra 24 and split-king sizes.

Use the included remote to customize your position whether reading a book in bed, watching TV, or drifting off to dreamland. The remote also has a memory feature that can save your favorite position. Some of the other kamagra 24 remote settings include zero gravity, watching TV, and anti-snore.

Puffy Sleep has some of the best split king adjustable beds reviews. With the split king adjustable frame, you and a partner can each set the bed to the position that is most comfortable for you. This can help ensure that each of kamagra 24 you get the restorative sleep that need.

For a nominal additional fee, you can upgrade the Puffy Sleep Adjustable Base to include head and food massage features and dual USB ports for charging electronic devices. This adjustable frame is constructed from coated metal for lasting durability. Each purchase kamagra 24 is protected by a 10-year warranty and includes free shipping.

Layla Adjustable Base Plus This motorized and fully adjustable base from Layla Sleep also has a lot to offer users. It is available in twin XL, queen, king, and split king sizes. A wireless remote is included with the frame for kamagra 24 easy operation.

The remote includes preset buttons for moving the frame to zero-gravity, anti-snore, or flat positions. You can also set the remote to remember up to three of your preferred positions. A mobile app is available for controlling the bed frame with a smartphone or tablet, and the frame is even compatible with Amazon’s Alexa and the Google Assistant for kamagra 24 voice command operations.

Layla Sleep incorporated some upgraded features into the design of this frame. The frame features dual-zone vibrating massage motors at the head and foot of the frame. There are three massage intensities to choose from, as well as an auto-shutoff timer to stop the vibrations at a set kamagra 24 time.

Each side of the frame features two ports to keep your devices charged and within easy reach. Some of the other notable features of this adjustable bed frame include the under-bed lighting and wall-hugging technology that keeps the head of the bed at the same distance from the wall regardless of the incline angle. Layla Sleep backs this bed frame with a 10-year kamagra 24 warranty.

They also offer free-shipping and a 30-night money-back guarantee. Sweet Night Tranquil Adjustable Bed Frame Last, but certainly not least, we also think you’ll love the Tranquil Adjustable Bed Frame from Sweet Night. Available in twin XL, full, kamagra 24 queen, and split California king sizes, this bed frame delivers the ability to tailor your position for enhanced comfort.

Adjust the head incline between 0 and 60 degrees and the foot incline between 0 and 40 degrees for a nearly endless number of positioning options. The Tranquil Adjustable Bed Frame from Sweet Night can be controlled using the included wireless remote or with an app on your smartphone or tablet. Use the kamagra 24 remote or app to adjust the head and foot inclines or to select one of the preset positions including anti-snore, zero gravity, watching TV, or lying down flat.

In addition to allowing you to adjust your position, this bed frame includes some other helpful and impressive features. Each side of the frame offers dual USB ports for charging your phone, tablet, or other devices. There is also a pocket on each side to hold kamagra 24 a smartphone and keep it within easy reach.

Remote-controlled LED under-bed lights, provide low lighting if needed at night or in the morning. The frame is made using a sturdy aluminum alloy that can support up to 705 pounds. All kamagra 24 orders include free shipping and free returns.

Adjustable Bed Frame Buying Guide If you’re interested in taking advantage of all the benefits associated with using an adjustable bed frame, it is imperative to note that each model is slightly different. There are a number of important considerations to keep in mind as you shop for an adjustable bed frame. Read through our buying guide below to learn kamagra 24 more about these considerations and choose the best adjustable bed frame to match your needs.

Mattress Compatibility If you’re planning to use your existing mattress, the first thing you should do is to confirm compatibility. Most adjustable bed frames are designed to be compatible with different mattress brands, but some manufacturers recommend only using their mattresses on their proprietary frames. Keep in mind that most innerspring mattresses are too inflexible to work kamagra 24 well with an adjustable frame.

Hybrid, foam, or latex mattresses are more flexible and will work best. Size After determining if your current mattress is compatible with the bed frame or if you need to purchase a new mattress with your new bed frame, then you will need to evaluate if each model is available in your desired sire. Obviously, the bed frame must match the size of the mattress you are planning to use on it, so you won’t want to waste your time kamagra 24 looking at a model that isn’t even available in your preferred size.

Settings and Operation Before making a purchase, look at the range of motion of each bed frame. Some adjustable bed frames offer more adjustability than others. This flexibility, or lack of it, could certainly make one model more appealing than another kamagra 24.

The head can often be elevated between 60 and 80 degrees, while the range of motion for the lower portion of the mattress is typically between 30 and 40 degrees. If there is a specific angle you’d prefer, then confirm it is possible with each bed frame you’re considering. Next, look at how easy it will be to kamagra 24 adjust the bed frame.

Does it include a remote control?. Are there any preset positions or memory features?. Can you download an app to control the bed frame kamagra 24 using a smart device?.

Additional Features Some manufacturers include additional features to make their adjustable bed frames more user-friendly. These features may include heat and massage functions, under-bed lighting, USB charging ports, and built-in speakers. If any of these kamagra 24 features are important to you, look for a manufacturer that integrates them into their design of their adjustable bed frame.

Frequently Asked Questions Can you use a regular mattress on an adjustable bed frame?. Yes, most regular mattresses can be used on an adjustable bed frame. Many frames are compatible with latex, kamagra 24 foam, and hybrid mattresses.

Unfortunately, most innerspring mattresses are too rigid to move with an adjustable frame. What is a split king adjustable bed?. Split king adjustable beds allow the right and left sides to adjust independently of one another kamagra 24.

This means that each partner can elevate their head and feet to their exact comfort level without needing to make compromises with their partner. Are adjustable beds worth the additional cost?. This is a personal question that will come down to your priorities and financial kamagra 24 situation.

Many people find that adjustable beds are worth the additional cost due to how much better they sleep and all the other health benefits they offer, such as reduced back and neck pain, better circulation, decreased swelling, and improved digestion. Split king adjustable beds can be particularly beneficial for partners who prefer different sleeping positions or who are facing different health issues. With a split king adjustable bed, each partner can independently adjust their own side of the bed.

How can you get into a zero-gravity position with an adjustable bed?. You need to elevate your legs and feet to a higher level than your head and your heart to achieve a zero-gravity position. This position alleviates pressure placed on your joints to relieve back pain and is also beneficial for improving the body’s circulation.

How do you keep sheets on an adjustable bed?. When shopping for sheets for an adjustable bed, the first thing to do is to check the depth of the mattress and confirm that the pocket-depth of the fitted sheet is sufficient for a proper fit. Choosing a sheet that is not deep enough for your mattress will almost certainly cause the corners to slip off as the bed adjusts.

When making the bed, tuck the edges of the flat sheet under the mattress. You can also find some flat sheets that include corner straps. These corner straps grip on to the fitted sheet and will help ensure that the flat sheet stays in place.

If these ideas still don’t work, sheet suspenders are another option. A sheet suspender is a large band designed to ensure a flat sheet doesn’t slip off a mattress..

This article right here contains affiliate links to products discount kamagra review. Discover may receive a commission for purchases made through these links.Over the last few years, the demand for CBD products has only continued to increase. As customers seek natural alternative options to treat everyday ailments, a growing number of people have turned to CBD as a way discount kamagra review to feel better physically and mentally. If you’re interested in adding CBD oil as part of your daily self-care routine, you may be wondering what CBD oil is, what it’s made out of, and how it works.

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CBD, also known as discount kamagra review cannabidiol, is one of many cannabinoids produced by hemp. The compound is extracted and processed into a variety of products, including oils, gummies, capsules, and topicals. Despite what you may have read or heard, CBD is non-intoxicating and doesn’t have any psychoactive effects. One of discount kamagra review the biggest misconceptions about CBD is that it’s just like THC.

While THC is known to cause a “high,” making users feel euphoric and sometimes anxious, CBD has just the opposite effect. CBD is best known for calming the mind and body. Many people use it discount kamagra review to ease their stress and anxiety, allowing them to remain balanced and focused. How CBD Oil Works When ingested, CBD interacts with the endocannabinoid system (ECS).

This is a complex signaling system that works to maintain homeostasis. It also discount kamagra review plays a role in mood, appetite, sleep, and other functions. ECS receptors are found throughout the body, and cannabinoids like CBD interact with them. Specifically, CBD interacts with CB1 and CB2 receptors.

The cannabinoid discount kamagra review influences receptor activity while also encouraging the body to produce more natural endocannabinoids. Beyond the ECS, CBD also interacts with dopamine, serotonin, and opioid receptors. Because of its ability to positively interact with so many different systems, CBD and other cannabinoids may become the future of medical and psychiatric care. Types of CBD Extract Not all CBD oils discount kamagra review are the same.

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If you’re looking for pure CBD oil, you’ll want to choose one that’s made with CBD isolate. This is the purest form of CBD, discount kamagra review as the compound has been isolated from all of the other naturally occurring plant compounds. Opposite of isolate is full spectrum. This type of extract contains all of the plant compounds, including other cannabinoids, terpenes, fatty acids, and flavonoids.

Full spectrum extract does contain THC, but levels must be below 0.3% discount kamagra review in order for the product to be legal. Broad spectrum is similar to full spectrum extract, with the only difference being that all traces of THC are removed. This is a great option for anyone who wants to benefit from the whole plant compounds without worrying about being exposed to CBD. Benefits of CBD Oil While there is still a lot to learn about CBD, including the growing need for human studies, what we discount kamagra review know so far is extremely promising.

One of the most popular reasons why people use CBD is for it’s anti-anxiety and stress-relieving properties. CBD is known to calm the mind and body. We’ve all had those extremely stressful days when we’re overly discount kamagra review worried and unproductive because of stress. A daily dose of CBD can relieve stress and anxiety while also improving focus and concentration.

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Here are four of the top CBD oil manufacturers that are known for creating high quality and discount kamagra review delicious products. 1. Verma Farms Verma Farms may be best known for their island inspired CBD gummies, but the brand’s line of CBD oil are just as delectable. If you want to escape to discount kamagra review your own tropical paradise and wash stress away with the crash of each wave, Verma Farms is the company for you.

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Embrace a chill, calm, relaxed life by adding Penguin CBD oil as part of your daily wellness routine. 3. Evn CBD Evn CBD can help you make it discount kamagra review through the toughest of days. Whether you're stressed to meet a deadline, want better sleep at night, or want natural relief from daily aches and pains, this oil is formulated to help you feel your best from the inside out.

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Evn CBD oil is available in 500 mg and 1000 discount kamagra review mg strengths. 4. Joy Organics Joy Organics is one of the first CBD oil tinctures on the market to be made entirely of USDA Certified Organic ingredients. This is a brand that doesn't compromise on quality, using only the highest quality ingredients discount kamagra review such as broad and full spectrum CBD, along with organic MCT oil, stevia, and oil-based flavoring.

Joy Organics CBD oil is available in palate-pleasing flavors, including Orange Bliss, Summer Lemon, Tranquil Mint, and Fresh Lime. Bottles are available in several strengths, including 450 mg, 900 mg, 1350 mg, and 2250 mg. Manage your stress, get better sleep, and enjoy a more balanced life with CBD discount kamagra review oil from Joy Organics. Final Thoughts Pure CBD oil can benefit your physical and mental wellbeing.

Whether you want a natural treatment for chronic pain, want help meeting a demanding deadline, or simply want to approach life more balanced and in-sync, high quality CBD oil can help you achieve just that.This article appeared in the September/October 2021 issue of Discover magazine as "Frontline Fatigue." Become a subscriber for unlimited access to our archive.In February 1945, U.S. Navy nurse Dorothy discount kamagra review Still was a prisoner of war in the Japanese-occupied Philippines. Along with 11 other Navy nurses, Nurse Still provided care for civilian inmates in a prison camp where food was scarce and guards were brutal. Few inmates weighed more than 100 pounds, and most were dying from malnutrition.

On the night of Feb discount kamagra review. 22, Nurse Still and the other inmates watched as their captors set up guns around the perimeter of the camp and turned the barrels inward. Other guards dug shallow graves. The inmates had long suspected the camp commander planned to massacre them discount kamagra review all, and it seemed the rumors were coming true.

Yet Nurse Still and another Navy nurse reported to the infirmary for the night shift. They had little medicine or food to offer their patients. Comfort and kindness were all they had left discount kamagra review to give. Nurse Still heard gunfire the next morning at dawn and assumed the massacre had begun.

She steeled herself to glance out the infirmary window and saw parachutes gliding to the ground. Liberation had come just discount kamagra review in time!. U.S. And Filipino forces swiftly evacuated the 2,400 inmates to safety.

But that wasn’t discount kamagra review the end of Nurse Still’s journey. She was haunted by the horrors she witnessed in the prison camp, and the trauma stuck with her for the rest of her life. Now nursing leaders and advocates are saying the problem of not addressing nurses’ mental health needs has again reached a critical point. Nurses have been on the front lines of the erectile dysfunction treatment crisis, but most aren’t receiving comprehensive mental discount kamagra review health screening or treatment.

Nursing advocacy groups and scholars who study PTSD in nursing warn that leaving nurses’ mental health needs untreated could lead to a nursing shortage, much as it did after World War II.Taken as prisoners of war in 1942, Dorothy Still and 11 other Navy nurses provided medical care in the midst of brutal suffering at Los Baños Internment Camp. (Credit. Courtesy of Bureau of Medicine and Surgery) Suffering in Silence Back in the States, Nurse Still was tasked with speaking at war bond drives about the three years she was a prisoner discount kamagra review of war. She found the experience troubling and requested a transfer to Panama, but her memories followed her to her new post.

At times, she was depressed. Other times, she couldn’t stop thinking about all she discount kamagra review had endured. She sometimes cried without provocation and struggled to stop crying once she had started. On advice of her fiancé, she booked an appointment with a naval physician.

During her appointment, Nurse Still told the physician she had been a prisoner of war for more than three years, and asked discount kamagra review for a medical discharge based on the trauma she was experiencing. The doctor asked when Nurse Still was liberated. The date was the same as the raising of the flag at Iwo Jima. The physician said those men were discount kamagra review heroes, but Nurse Still was a woman and a nurse, and therefore, did not suffer.

Denied treatment, Nurse Still left the appointment shaking. She vowed she would keep her pain to herself. The Navy nurses weren’t the only medical care providers taken prisoner during WWII discount kamagra review. Sixty-six U.S.

Army nurses as well as hundreds of physicians, pharmacists, and medical assistants were also held captive in the South Pacific. But at the end of the war, as the discount kamagra review U.S. Prepared to welcome home millions of men and women who served their country, mental health treatment was limited — and reserved for men. Nurses, it was assumed, did not suffer.

At the discount kamagra review time, the U.S. Military was the largest employer of nurses, and it had established an expected code of silence regarding how nurses responded to their own trauma. In 1947, an article in the American Journal of Psychiatry claimed a military hospital was a controlled environment that insulated nurses from the brutality of war. The study’s author discount kamagra review claimed that nurses’ mental health needs were “less complex,” and that nursing fulfilled women by catering to their natural instinct to care for men.

€œThey were supplying a service which gratified the passive needs of men. And which identified these women with the mother, the wife, or the sweetheart back home.”Many nurses, including Nurse Still, responded to the lack of mental health treatment by leaving both the military and nursing. The late 1940s saw a shortage in discount kamagra review nurses at time when hospital admissions rose by 26 percent. The shortage persisted until the late 1960s when wages began to increase.After three years as POWs, the Navy nurses were liberated in 1945.

Here, they speak with Admiral Thomas C. Kinkaid after their release, and are discount kamagra review shown next to the aircraft that brought them from the South Pacific to Hawaii. (Credit. U.S.

Navy Bureau of Medicine and Surgery)A Looming Crisis The erectile dysfunction treatment kamagra has meant that for the first time since WWII, the discount kamagra review vast majority of U.S. Nurses are embroiled in fighting a common enemy. It’s a demanding and emotional battle that advocates say adds a deeper stress to an already taxing job.Across the country, nurses have been caring for patients dying from erectile dysfunction treatment who do not have the support of family at their bedside due to visitor restrictions. €œThe nurses are often the ones who are serving as the loved one and helping the patient navigate the end-of-life journey,” says Holly Carpenter, a senior policy advisor discount kamagra review with the American Nurses Association.

In addition to caring for dying erectile dysfunction treatment patients, Carpenter says, many nurses were not properly equipped at the height of the kamagra with the personal protection equipment needed to avoid . These nurses lived in fear of being infected or transmitting the kamagra to loved ones at home. And on top of these stressors, nurses are discount kamagra review also still coping with the usual demands of the job. €œThere are the things that have always been there — long shifts, sometimes mandatory overtime, a workload that’s heavier than you’re comfortable with, having to work through breaks or lunchtime, having to come in early and stay late,” Carpenter says.

Prior to the kamagra, studies estimated that as many as half of critical-care nurses experienced post-traumatic stress disorder (PTSD). Since the kamagra began, researchers have found the crisis has discount kamagra review amplified symptoms of mental health problems. A 2020 study in General Hospital Psychiatry found that 64 percent of nurses in a New York City medical center reported experiencing acute stress. €œAcute stress included symptoms like nightmares, inability to stop thinking about erectile dysfunction treatment, and feeling numb, detached, and on guard,” says study leader Marwah Abdalla, a clinical cardiologist and assistant professor of medicine at Columbia University Medical Center.

€œThis is discount kamagra review concerning. We know that if these symptoms persist for more than a month, it can lead to PTSD.” Some nurses experienced PTSD before erectile dysfunction treatment, but the conditions of the kamagra have amplified mental health problems. (Credit. Eldar Nurkovic/Shutterstock)A discount kamagra review person is diagnosed with PTSD if they meet criteria outlined by the DSM-5, the psychiatric profession’s official manual.

Criteria include experiencing, witnessing or learning about a traumatic event (such as death, serious injury, or sexual violence). Intrusive symptoms like dreams and flashbacks. Avoidance of reminders of the event discount kamagra review. Negative changes in thoughts and moods.

And behavioral changes. A person discount kamagra review can also develop PTSD if they are repeatedly exposed to details of a traumatic event. Suffering from undiagnosed or untreated PTSD is a life-altering condition with diverse ramifications, and may lead a nurse to leave health care. €œWe’re potentially setting up an occupational health care crisis,” Abdalla says.

€œThis has long-term implications for the health care industry and our ability to deliver adequate health care for our patients.” Carpenter says health care organizations must be proactive with screening nurses for symptoms related to anxiety, depression, discount kamagra review and PTSD. Such screenings must be confidential and come with the assurance that a nurse’s license or job will not be compromised. Organizations also need to work to destigmatize mental health diagnosis and treatment. €œHistorically, nurses are always discount kamagra review looked upon as the healers and the helpers,” Carpenter says.

€œThey feel they need to be strong for other people. What do you do when the hero needs help?. €For Nurse discount kamagra review Still, help never came. She left the Navy and nursing, married, and had three children.

She returned to nursing in the late 1950s after her husband died suddenly and she needed to support her family.Only in the 1990s did she begin speaking about her experiences in interviews with oral historians and documentary producers. She also wrote a memoir, but kept the story light and did not disclose her extensive suffering.The profession has advanced discount kamagra review since Nurse Still’s 1940s appeal for mental health support was rejected. €œWe do recognize the full PTSD, compassion fatigue, and burnout of nurses. It’s been chronicled now and we understand it,” Carpenter says.

Now the challenge is encouraging each nurse to seek and receive help discount kamagra review. Otherwise, advocates warn, their health and wellbeing will continue to decline, and history may repeat as stressed nurses leave a strained profession. Emilie Le Beau Lucchesi is a journalist in the Chicago area and the author of This is Really War. The Incredible True Story of a Navy Nurse POW in the Occupied Philippines.It’s pretty obvious when discount kamagra review a dog is sad.

It might whine or whimper, knit its brow, or turn its big, imploring eyes upward at you. But it would be another thing entirely to see a big tear rolling down your canine companion’s face.Animals simply don’t cry. Or at least, discount kamagra review they don’t shed emotional tears. The only creatures who have evolved to do so, it turns out, are humans.

We snivel at sad movies, well up at weddings and blink away hot tears of frustration during arguments. €œWe appear to be the only animal that sheds tears for emotional reasons,” says Randolph Cornelius, a professor of psychological science at Vassar College in New York and an expert on human emotion.There are many theories on the evolution and purpose of emotional tears discount kamagra review. Experts even have a few ideas why animals — who do experience emotions — don’t weep like we do. But why we evolved to eject liquid out of our eyes as a signal of distress, rather than some other reaction, is still far from settled.The Biology of CryingFrom a biological perspective, there are three types of tears.

One is basal tears, which our discount kamagra review eyes create automatically to lubricate and clean our eyes. These come from our accessory lacrimal glands, located under the eyelids. Then there are reflex tears, which you’re likely acquainted with if you’ve ever cut an onion or been poked in the eye. The third is emotional tears — the only variety that we can control, discount kamagra review to some extent.

These latter two types come from lacrimal glands on the upper outside of our eye sockets.“One argument is that [emotional crying] is almost like an emotional reflex as opposed to just a physical reflex,” says Marc Baker, a teaching fellow at the University of Portsmouth in England who researches adult emotional crying.Indeed, some have hypothesized that the purpose of crying is itself just another biological function. For example, biochemist William Frey theorized in the 1980s that crying balances levels of hormones in our body to relieve stress. He also suggested that discount kamagra review crying clears our body of toxins, though subsequent studies have largely disproven this. English naturalist Charles Darwin, the father of evolution, believed children cried to experience physical relief from negative emotions.In these theories, crying is something that restores us to equilibrium.

It is the idea of crying as catharsis, or a way to calm ourselves in times of distress. After all, it’s not unusual for discount kamagra review people to report feeling better after “a good cry” — but that relief may be coming from unexpected places.The Psychology of CryingPerhaps the most compelling explanation for tearful crying is that it is driven by our social needs. Crying is a distinct visual signal that something is wrong. In an instant, it communicates that someone might need help.

When others attend to the discount kamagra review crier, it contributes to a collaborative social environment that is highly complex in humans.Inquiries by Cornelius support this theory of tears as a quick and effective social signal. In a number of studies, he and colleagues showed photographs of faces to participants (under the guise of another purpose) and asked them to interpret the emotion. In some of the photos, people were crying real tears. In others, discount kamagra review they had been digitally removed.When shown the pictures with tears, almost every participant labelled the emotion as sadness or grief.

Tear-free crying faces, on the other hand, were confusing. €œWithout the tears, the emotion almost disappears,” Cornelius says. €œTheir judgments of the emotion don't tend discount kamagra review to cluster around the ‘sad’ family of emotions — they're all over the place. And in fact, some people say there's no emotion there at all.”This indicated that crying is a strong signal to others of our immediate emotional state.

It’s hard to fake real tears. And as researchers of crying can attest, it’s hard to induce genuine emotional crying in a lab setting — one of the reasons it’s challenging to study.Solving an discount kamagra review Evolutionary MysteryFrom an evolutionary perspective, some of our physiological reactions have a clear purpose. It makes sense that we sweat when overheated, raise our voices when angry or tense up in fear. But at a distance, our tearful tendencies are just plain weird.

Someone showing an alien around Earth would have to explain that when discount kamagra review humans (and only humans) feel distress or even overwhelming happiness, their faces get slightly wet and puffy.Animals do have lacrimal glands, which they use for reflex tears. But in humans, something seems to have changed somewhere along the way. What started as distress calls that many animals make became connected with the production of tears, and experts still aren’t sure why. €œThere’s no discount kamagra review answer, sorry,” Baker says.

But there are a few theories.Clinical psychologist Ad Vingerhoets has suggested that crying might have been more advantageous than other kinds of noises because it suggests submissiveness and harmlessness to would-be predators, who might then reduce their aggression. But that still doesn’t explain the tears themselves or why animals wouldn’t benefit from them in the same way.For that, researchers point toward other, seemingly unrelated hallmarks of human physiology and development that could have led to tears. For one, we walk upright — unlike bears discount kamagra review and wolves, who, in their position closer to the ground, rely mostly on smells to signal distress. Perhaps partially because of this, we rely heavily on visual cues to communicate in social situations.

€œFrom a kind of evolutionary perspective, it makes sense that lots of our signals become visual signals, because we are just quite visual animals,” Baker says. We also discount kamagra review position ourselves forward. Our faces, then, developed to become the most complex in the animal kingdom — especially on the top half of our face. €œOur kind of facial expressions far exceed almost every other animal, especially around the eyes,” he says.

€œWe can do much more with the top half of our face.”An intricate facial musculature arose, and with it, machinery that could induce crying discount kamagra review. Asmir Gračanin, a professor of psychology at the University of Rijeka in Croatia, and colleagues theorized that the orbicularis oculi muscle may have evolved along with our hyper-expressive faces. This eye socket muscle could have squeezed the corneal sensory nerves that trigger the production of tears by the lacrimal gland and proved advantageous to human babies as a call for immediate help.This also fits in with the uniqueness of human babies, who are much more helpless than other baby animals that come out of the womb ready to walk and perform other basic functions. Human babies discount kamagra review need more help, cry for assistance and comfort, and then (largely) grow out of crying as adults.But adults still do cry emotional tears — in sadness, happiness, awe or frustration.

€œIt's kind of what makes us human, almost,” says Baker, “[our] ability to share emotions very silently, with a small drop of saline solution from the eye.”The introduction of the contraceptive pill in the 1960s spurred a landmark moment for women, liberating many from the home and propelling them into the world. But this excitement overshadowed the side effects and hazards associated with the pill, which we now know may include a slightly increased risk of breast cancer.“A lot of women are unaware of the cancer risk associated with hormonal birth control because the advent of the pill freed up the lives of women to enter the workforce more effectively,” says Beverly Strassmann, a human evolutionary biologist at the University of Michigan. When radically altering the body with synthetic hormones, you can’t discount kamagra review assume there won’t be side effects, she says. But the field hasn’t made significant progress, partly because contraceptives have provided women with tangible benefits.

Sixty years on, pharmaceutical companies are still “resting on their laurels” and need to better evaluate the association between hormonal birth control and cancer, she adds. Research has also linked the discount kamagra review pill to depression, decreased sexual desire, anxiety and an altered ability to form emotional memories. Most physicians, however, still don’t closely follow research investigating the links between hormonal birth control and its psychological side effects, says evolutionary psychologist Sarah Hill, author of How the Pill Changes Everything. Your Brain on Birth Control.

€œMost medication doesn’t look discount kamagra review at the full spectrum of side effects in the way people experience the world. It’s not even in physicians’ peripheral vision,” Hill says. But women want the next birth control revolution. Younger women especially discount kamagra review seek non-hormonal options, Hill says.

€œA lot of women aren’t being served, and many are on the pill even though they don’t love it — their standards are low because there’s so few good options,” she says. In recent years, contraception apps have attracted a rise in users, which may suggest that many women no longer tolerate the impacts of hormonal birth control on their bodies. But these apps discount kamagra review have faced criticism over their efficacy. A New Kind of PillAnother possibility.

A non-hormonal pill. Now, University of Connecticut physiologist and geneticist Jianjun Sun is wading through the unknowns to formulate it.“We know that, in humans, the ovulation discount kamagra review process is triggered by a hormone surge, but how the egg is released is very precise. The menstrual cycle is very tightly controlled and there are a lot of unknowns in this area,” he says. Sun does know that when a person ovulates, an egg that’s contained within a follicle bursts out of the ovary and sets off down the fallopian tube, where it can be fertilized.

He’s hoping to formulate a drug that stops discount kamagra review the follicle from rupturing and releasing the egg. Shutting off ovulation isn’t a new concept — hormonal contraception does this by tricking the body into thinking users aren’t pregnant. But he seeks a new way to halt egg release without the use of synthetic hormones. Crucially, Sun has devised a way to analyze different compounds without relying on human subjects (which would complicate the discount kamagra review process).

He realized that fruit flies ovulate in a similar way to people, and the fly’s ovulation process resembles that within mice. As this research took off, the Gates Foundation had begun supporting scientists developing non-hormonal contraceptives. The organization has funded discount kamagra review Sun to test compounds on flies. Now, Sun is screening up to 500 compounds daily to see which ones prevent follicles from rupturing and releasing eggs.

€œThe Gates are very excited now. They’re trying to get us to find the target, then we can study this discount kamagra review target using genetic tools,” he says. Researchers could test the drug in humans eventually, Sun says. Unlike hormonal pills, users wouldn’t need to take it daily.

To inhibit ovulation, you only need to take it for a week or so before the process begins.While this sounds tempting, many people don’t know when exactly they ovulate — and only 10 to 15 percent of women experience 28-day cycles discount kamagra review. And because the drug concept is so new, researchers aren’t sure what dosing might look like. €œIt’s still hypothetical in terms of how to use contraceptives targeting ovulation, since there’s no products on the market,” Sun says. A Dearth of discount kamagra review ResearchDespite the many unknowns, experts seem receptive to any new research in hormonal birth control alternatives.

In recent years, few studies have taken on this challenge.Hormonal contraceptives dominate at a time when, researchers argue, scientific and technological advances bring unprecedented opportunities for new drugs across medical fields. If Sun’s research is fruitful, it could attract more funding for other researchers working on these alternatives, says Bethan Swift, a PhD student at the University of Oxford who studies the epidemiology of women’s health. €œOne big barrier to developing new contraception is that existing options work,” Swift says, “So there’s little demand from the pharmaceutical industry to put money into creating new compounds.” This discount kamagra review shortage of funds places significant pressure on Sun. The Gates Foundation hopes that at least one drug will hit the market by 2026, he says.

But the bar for birth control approval is uniquely high. Because it isn’t discount kamagra review meant to alleviate an illness, possible side effects may not be worth the trade-off versus, for example, cancer treatments. It will probably take between five and 10 years before a new drug is available, Sun says. “Developing new contraception isn’t easy because they’re going to healthy women, unlike other drugs, where it’s more accepted that there will be side effects,” Sun says.

The final drug discount kamagra review will likely cause some side effects, but fewer than hormone-based contraceptives, he notes. However, Hill is concerned that the end product could still affect the body’s natural hormone levels.Our bodies produce most sex hormones via ovulation, and high levels of estrogen propel monthly egg maturation. After an egg is released, the empty follicle releases progesterone — so levels would fall fairly low if you prevent ovulation, she says. €œStopping ovulation sounds perfect, but if you understand that’s how the body makes hormones, you’d realize it’s not a panacea.”This article discount kamagra review contains affiliate links to products.

Discover may receive a commission for purchases made through these links.Did you know that sleeping in a zero-gravity position may help alleviate symptoms from improve sleep disorders, relieve neck and back pain, and allow for better circulation and heart health?. An adjustable bed frame allows you to place your body in a zero-gravity position to enjoy all of these benefits and more as you sleep comfortably with optimal support throughout the night. If you’ve been considering getting discount kamagra review an adjustable bed, you’re not alone. Many individuals are making the switch to enhance their comfort, improve their health, and, of course, to enjoy more restful sleep.

Deciding which adjustable bed frame is right for you can be challenging. The market is overflowing with options, and sorting through discount kamagra review all these choices can be overwhelming. Fortunately, our best adjustable beds reviews below can help you focus your search, narrow down your choices, and select the right model to help you mitigate sleep disorders, to sleep more comfortably, and to wake up feeling more rested. What is Zero Gravity?.

Zero gravity refers to a specific position where discount kamagra review the body is a state of weightlessness. NASA actually developed this term for astronauts to help them find the ideal position to keep their weight balanced and neutralized as they flew into space. Being in a zero-gravity position prevents gravity from affecting your body, which means that nothing is pulling your body down. Your body is discount kamagra review in a zero-gravity position when.

When your body is in the zero-gravity position, it should look like a V shape. This alignment helps ensure that your weight is distributed evenly. As you can imagine, sleeping in this V-shaped position on discount kamagra review a standard bed frame isn’t possible. However, adjustable bed frames enable you to sleep in a zero-gravity position and prevent your body’s weight from placing pressure on your hips, spine, and other joints.

Sleeping in a zero-gravity position offers a myriad of benefits. We’ll explore these benefits in the discount kamagra review next section. Benefits of Sleeping in a Zero-Gravity Position with an Adjustable Bed Frame Adjustable beds have been used in hospitals for over a century due to their ability to properly position patients to facilitate recovery and reduce complications from surgeries and other medical procedures. If adjustable beds can protect the health of patients in a hospital, then it seems like a logical conclusion that they can also offer health benefits for individuals who use them at home.

Indeed, there are many ways switching to an adjustable bed frame and sleeping in a zero-gravity discount kamagra review position can benefit your health. These include. While some individuals snore every night, others are more prone to it only when they are congested. Adjustable beds can also help reduce snoring caused by congestion because keeping the head elevated can allow the sinuses to discount kamagra review drain.

Reduced sleep apnea. An adjustable bed may also reduce sleep apnea symptoms. Sleep apnea, discount kamagra review which occurs when an individual stops breathing during sleep, is also sometimes the result of an obstructed airway. Elevating the head may open up the airway enough to prevent or lessen sleep apnea, allowing individuals get more restful sleep.

Relief from neck, back, and joint pain. Sleeping in a zero-gravity position can significantly increase your comfort discount kamagra review and reduce your pain. The reason for this benefit is that when you’re in the zero-gravity position, your weight is evenly distributed. This improved distribution of weight takes the pressure of your back, neck, and joints, which is often the main cause of pain.

Laying on a flat mattress, on the other hand, does not allow your weight to be evenly distributed discount kamagra review. This places unnecessary pressure on the spinal column and can result in a significant pain and discomfort. Adjustable beds may provide relief from pain caused from sciatica, fibromyalgia, arthritis, scoliosis, and other conditions. Improved discount kamagra review circulation.

Sleeping in a zero-gravity position allows more blood to flow to the heart. This increase of blood flow reaching the heart makes its muscles work harder to pump that blood throughout the body. Increased blood circulation can improve the overall health of your heart and other vital organs discount kamagra review. Decreased swelling.

Another benefit of improved circulation is decreased swelling. When the body lays flat, discount kamagra review blood and other fluids may accumulate the in the lower body since the heart isn’t able to keep blood flowing effectively. This can result in inflammation or swelling. However, with the increased blood flow that results from sleeping in a zero-gravity position, fluids won’t accumulate in the extremities, and swelling may be reduced.

Improved digestion discount kamagra review. Digestion can also be improved by sleeping on an adjustable bed frame. Sleeping flat can make it more difficult for the body to digest food properly. Sleeping flat can discount kamagra review also aggravate acid reflux, heartburn, and GERD (gastroesophageal reflux disease.

Elevating the head about six inches can reduce these symptoms. This position removes pressure from the digestive track and makes it more difficult for stomach acids to go up into the throat. Better breathing discount kamagra review. When you sleep in the zero-gravity position, the pressure placed on your lungs and airway is reduced.

As a result, your body can breathe more easily and can limit the impact asthma, allergies, and congestion can have on your sleep. Best Adjustable Bed Reviews Whether you’re looking for the best split king discount kamagra review adjustable bed reviews or the best adjustable twin, queen, or full bed frames, we have you covered. We have selected some of the top models currently available that will help you stay comfortable while you sleep and will enable you to enjoy the benefits described above. Read on to discover which adjustable bed frame is right for you.

GhostBed Adjustable Base discount kamagra review If you’re looking for an adjustable bed frame with luxury features for a budget-friendly price, consider the GhostBed Adjustable Base. This fully-adjustable frame allows you to customize your position for ultimate comfort. The fully adjustable head and foot sections allow for an unlimited number of options, including a zero-gravity position. This bed discount kamagra review frame also offers 15 head and foot massage modes to deliver additional comfort and relaxation.

Furthermore, it is equipped with two USB ports on each side to allow for easy charging and convenient access to electronic devices. Under-bed LED lights are also integrated into the design to provide soft lighting if you wake up in the middle of the night. The discount kamagra review included backlit remote makes it easy to adjust the bed to the ideal position for sleeping or relaxing. Use the foot and head up/down buttons to move the frame to the exact position you desire.

The remote can also save your favorite position for sleeping and return you to it with just a press of a button. Additionally, the discount kamagra review remote offers preset positions for zero-gravity, watching TV, and lounging. With the remote, you can even control the under-bed lighting and turn on the head or foot massage and adjust their intensity. The GhostBed Adjustable Base features a sturdy steel frame.

It also has a retainer bar and non-skid surface to ensure the mattress stays discount kamagra review in place. This adjustable bed frame is available in twin XL, queen, and split king sizes. Split king adjustable beds offer the added benefit of allowing each partner to customize their own position. All orders discount kamagra review include free shipping and a limited lifetime warranty.

Puffy Adjustable Base Premium The Adjustable Base Premium from Puffy Sleep is another top contender when you’re looking for the best adjustable bed frame. The head on this model adjusts up to 60 degrees and the legs adjust up to 45 degrees to help each individual find their most comfortable sleeping position. The adjustable bed frame from Puffy Sleep is available in discount kamagra review twin, twin XL, full, queen, king, and split-king sizes. Use the included remote to customize your position whether reading a book in bed, watching TV, or drifting off to dreamland.

The remote also has a memory feature that can save your favorite position. Some of the other remote settings include zero gravity, discount kamagra review watching TV, and anti-snore. Puffy Sleep has some of the best split king adjustable beds reviews. With the split king adjustable frame, you and a partner can each set the bed to the position that is most comfortable for you.

This can help ensure that discount kamagra review each of you get the restorative sleep that need. For a nominal additional fee, you can upgrade the Puffy Sleep Adjustable Base to include head and food massage features and dual USB ports for charging electronic devices. This adjustable frame is constructed from coated metal for lasting durability. Each purchase is discount kamagra review protected by a 10-year warranty and includes free shipping.

Layla Adjustable Base Plus This motorized and fully adjustable base from Layla Sleep also has a lot to offer users. It is available in twin XL, queen, king, and split king sizes. A wireless remote is included with the frame for easy discount kamagra review operation. The remote includes preset buttons for moving the frame to zero-gravity, anti-snore, or flat positions.

You can also set the remote to remember up to three of your preferred positions. A mobile app is available for controlling the bed discount kamagra review frame with a smartphone or tablet, and the frame is even compatible with Amazon’s Alexa and the Google Assistant for voice command operations. Layla Sleep incorporated some upgraded features into the design of this frame. The frame features dual-zone vibrating massage motors at the head and foot of the frame.

There are three massage intensities to choose from, as well discount kamagra review as an auto-shutoff timer to stop the vibrations at a set time. Each side of the frame features two ports to keep your devices charged and within easy reach. Some of the other notable features of this adjustable bed frame include the under-bed lighting and wall-hugging technology that keeps the head of the bed at the same distance from the wall regardless of the incline angle. Layla discount kamagra review Sleep backs this bed frame with a 10-year warranty.

They also offer free-shipping and a 30-night money-back guarantee. Sweet Night Tranquil Adjustable Bed Frame Last, but certainly not least, we also think you’ll love the Tranquil Adjustable Bed Frame from Sweet Night. Available in twin XL, full, queen, and split California king sizes, this bed frame delivers the ability to tailor your discount kamagra review position for enhanced comfort. Adjust the head incline between 0 and 60 degrees and the foot incline between 0 and 40 degrees for a nearly endless number of positioning options.

The Tranquil Adjustable Bed Frame from Sweet Night can be controlled using the included wireless remote or with an app on your smartphone or tablet. Use discount kamagra review the remote or app to adjust the head and foot inclines or to select one of the preset positions including anti-snore, zero gravity, watching TV, or lying down flat. In addition to allowing you to adjust your position, this bed frame includes some other helpful and impressive features. Each side of the frame offers dual USB ports for charging your phone, tablet, or other devices.

There is also a pocket on each side to hold a smartphone and keep it within discount kamagra review easy reach. Remote-controlled LED under-bed lights, provide low lighting if needed at night or in the morning. The frame is made using a sturdy aluminum alloy that can support up to 705 pounds. All orders include free discount kamagra review shipping and free returns.

Adjustable Bed Frame Buying Guide If you’re interested in taking advantage of all the benefits associated with using an adjustable bed frame, it is imperative to note that each model is slightly different. There are a number of important considerations to keep in mind as you shop for an adjustable bed frame. Read through our buying guide below to learn more about these considerations and choose the best adjustable bed frame to match your discount kamagra review needs. Mattress Compatibility If you’re planning to use your existing mattress, the first thing you should do is to confirm compatibility.

Most adjustable bed frames are designed to be compatible with different mattress brands, but some manufacturers recommend only using their mattresses on their proprietary frames. Keep in mind that discount kamagra review most innerspring mattresses are too inflexible to work well with an adjustable frame. Hybrid, foam, or latex mattresses are more flexible and will work best. Size After determining if your current mattress is compatible with the bed frame or if you need to purchase a new mattress with your new bed frame, then you will need to evaluate if each model is available in your desired sire.

Obviously, the bed frame must match the size of the mattress you are planning to use on it, so you won’t want to discount kamagra review waste your time looking at a model that isn’t even available in your preferred size. Settings and Operation Before making a purchase, look at the range of motion of each bed frame. Some adjustable bed frames offer more adjustability than others. This flexibility, or discount kamagra review lack of it, could certainly make one model more appealing than another.

The head can often be elevated between 60 and 80 degrees, while the range of motion for the lower portion of the mattress is typically between 30 and 40 degrees. If there is a specific angle you’d prefer, then confirm it is possible with each bed frame you’re considering. Next, look discount kamagra review at how easy it will be to adjust the bed frame. Does it include a remote control?.

Are there any preset positions or memory features?. Can you download an app to control discount kamagra review the bed frame using a smart device?. Additional Features Some manufacturers include additional features to make their adjustable bed frames more user-friendly. These features may include heat and massage functions, under-bed lighting, USB charging ports, and built-in speakers.

If any of these features are important to you, look for a manufacturer that integrates them into their design of their adjustable bed frame. Frequently Asked Questions Can you use a regular mattress on an adjustable bed frame?. Yes, most regular mattresses can be used on an adjustable bed frame. Many frames are compatible with latex, foam, and hybrid mattresses.

Unfortunately, most innerspring mattresses are too rigid to move with an adjustable frame. What is a split king adjustable bed?. Split king adjustable beds allow the right and left sides to adjust independently of one another. This means that each partner can elevate their head and feet to their exact comfort level without needing to make compromises with their partner.

Are adjustable beds worth the additional cost?. This is a personal question that will come down to your priorities and financial situation. Many people find that adjustable beds are worth the additional cost due to how much better they sleep and all the other health benefits they offer, such as reduced back and neck pain, better circulation, decreased swelling, and improved digestion. Split king adjustable beds can be particularly beneficial for partners who prefer different sleeping positions or who are facing different health issues.

With a split king adjustable bed, each partner can independently adjust their own side of the bed. How can you get into a zero-gravity position with an adjustable bed?. You need to elevate your legs and feet to a higher level than your head and your heart to achieve a zero-gravity position. This position alleviates pressure placed on your joints to relieve back pain and is also beneficial for improving the body’s circulation.

How do you keep sheets on an adjustable bed?. When shopping for sheets for an adjustable bed, the first thing to do is to check the depth of the mattress and confirm that the pocket-depth of the fitted sheet is sufficient for a proper fit. Choosing a sheet that is not deep enough for your mattress will almost certainly cause the corners to slip off as the bed adjusts. When making the bed, tuck the edges of the flat sheet under the mattress.

You can also find some flat sheets that include corner straps. These corner straps grip on to the fitted sheet and will help ensure that the flat sheet stays in place. If these ideas still don’t work, sheet suspenders are another option. A sheet suspender is a large band designed to ensure a flat sheet doesn’t slip off a mattress..

Kamagra green

A ransomware attack on the healthcare administrative-service provider CaptureRx has exposed patient information from multiple provider systems.According to reporting from HIPAA Journal, tens like it of thousands kamagra green of patients from at least five health systems had their data stolen in the incident. "The investigation determined that, at the time of the incident, the relevant files contained first name, kamagra green last name, date of birth, and prescription information," said CaptureRx in a press statement.WHY IT MATTERS On February 6, attackers gained access to and acquired files that CaptureRx had received from healthcare providers. From February 19 through March 19, CaptureRx began reviewing the contents of the files to confirm the scope of affected individuals and associated covered entities. On March kamagra green 30, it began notifying healthcare providers of the incident.As HIPAA Journal reported, the full breadth of provider clients affected is currently unknown, but at least five have been affected:17,655 patients at Faxton St.

Luke’s Healthcare in New York6,777 patients at Gifford Health Care in Vermont4,200 patients at Brownsville Community Health Center in TexasAn unknown number of patients at Lourdes Hospital in New York3,958 patients at Thrifty Drug Stores, a Midwest-based pharmacy chain ZDNet also reports that 7,400 patients at UPMC Cole and UPMC Wellsboro were affected. CaptureRx said that it had confirmed the security of its systems kamagra green in response to the attack. It is reviewing all policies and procedures, along with conducting additional workforce training, to reduce the likelihood of a repeat occurrence.Experts say healthcare providers present a juicy target for bad actors. "Besides intimate medical data nobody wants to have exposed, kamagra green hackers can get their hands on other private information, such as patients’ home addresses, social security numbers, and banking information.

If stolen, this data can end up in financial or identity theft scams," said Oliver Noble, a cybersecurity expert at NordLocker, in a statement sent to Healthcare IT News. THE LARGER TRENDRansomware has been kamagra green a pervasive threat in the healthcare industry for years, with sometimes hefty price tags. This past year, healthcare hackers demanded an average ransom of $4.6 million. But it's not just direct hits kamagra green on health systems.Sometimes (as with kamagra oral jelly online shop CaptureRx), bad actors target third-party vendors for side-door access to patient information.

A recent attack on a radiation treatment software company impacted at least 170 hospitals and health systems across the country this past month. ON kamagra green THE RECORD "You can always get a new credit card or change your leaked passwords, but your DNA is for life," said Noble. Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail.

Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.The Commercial Bank of Australia has bought Whitecoat, Australia's largest digital healthcare services directory, to expand its presence in the healthcare sector.WHY IT MATTERS Whitecoat connects patients with more than 300,000 health service providers. They can also make payments and claims on the platform.The acquisition supports the company's focus on healthcare as a "growth sector and a strategic priority to provide the best digital services and experiences to its customers," according to Mike Vacy-Lyle, CBA Group executive for business banking.In addition, the commercial bank will integrate the digital payments and claims solution into practice management platforms for healthcare practitioners. This in turn will increase efficiency through streamlined back-office administration, practice management software integrations, payment reconciliations, real-time reporting, and the ability to process various claims.THE LARGER TRENDThe health payments market in Australia was estimated to be around A$180 billion. "Australia is fortunate to have one of the world’s best healthcare systems and we want to ensure it is supported by the best payment systems," said Vacy-Lyle.Banks have been looking to gain a foothold in the healthcare space.

Bank of America just acquired health payments firm Axia Technologies in April. OCBC Bank in Singapore also launched a telehealth services app last year.ON THE RECORD"By integrating Whitecoat into CBA, we are seeking to provide the best integrated digital solution in the market. It will see us differentiate our customer proposition in the healthcare sector and is well aligned [with] our aspiration to grow in business banking," said Vacy-Lyle..

A ransomware attack on the healthcare administrative-service provider CaptureRx has exposed patient information from multiple provider systems.According to reporting from HIPAA Journal, tens of thousands of patients from at least five health systems had their data stolen in the incident discount kamagra review. "The investigation determined that, at the time of the incident, the relevant files contained first name, last name, date of birth, and prescription information," said CaptureRx in a press statement.WHY IT MATTERS On February 6, attackers gained access to and acquired files that CaptureRx had discount kamagra review received from healthcare providers. From February 19 through March 19, CaptureRx began reviewing the contents of the files to confirm the scope of affected individuals and associated covered entities.

On March 30, it began notifying healthcare providers of the incident.As HIPAA Journal reported, the full breadth of discount kamagra review provider clients affected is currently unknown, but at least five have been affected:17,655 patients at Faxton St. Luke’s Healthcare in New York6,777 patients at Gifford Health Care in Vermont4,200 patients at Brownsville Community Health Center in TexasAn unknown number of patients at Lourdes Hospital in New York3,958 patients at Thrifty Drug Stores, a Midwest-based pharmacy chain ZDNet also reports that 7,400 patients at UPMC Cole and UPMC Wellsboro were affected. CaptureRx said that it had confirmed the security of discount kamagra review its systems in response to the attack.

It is reviewing all policies and procedures, along with conducting additional workforce training, to reduce the likelihood of a repeat occurrence.Experts say healthcare providers present a juicy target for bad actors. "Besides intimate medical data nobody wants to have exposed, hackers can get their hands on other private information, such as patients’ home discount kamagra review addresses, social security numbers, and banking information. If stolen, this data can end up in financial or identity theft scams," said Oliver Noble, a cybersecurity expert at NordLocker, in a statement sent to Healthcare IT News.

THE LARGER TRENDRansomware has been a pervasive threat in the healthcare industry for discount kamagra review years, with sometimes hefty price tags. This past year, healthcare hackers demanded an average ransom of $4.6 million. But it's discount kamagra review not just direct hits on health systems.Sometimes (as with CaptureRx), bad actors target third-party vendors for side-door access to patient information.

A recent attack on a radiation treatment software company impacted at least 170 hospitals and health systems across the country this past month. ON THE RECORD "You can always get a new credit card or change your leaked passwords, but your DNA is for life," said Noble discount kamagra review. Kat Jercich is senior editor of Healthcare IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.The Commercial Bank of Australia has bought Whitecoat, Australia's largest digital healthcare services directory, to expand its presence in the healthcare sector.WHY IT MATTERS Whitecoat connects patients with more than 300,000 health service providers. They can also make payments and claims on the platform.The acquisition supports the company's focus on healthcare as a "growth sector and a strategic priority to provide the best digital services and experiences to its customers," according to Mike Vacy-Lyle, CBA Group executive for business banking.In addition, the commercial bank will integrate the digital payments and claims solution into practice management platforms for healthcare practitioners.

This in turn will increase efficiency through streamlined back-office administration, practice management software integrations, payment reconciliations, real-time reporting, and the ability to process various claims.THE LARGER TRENDThe health payments market in Australia was estimated to be around A$180 billion. "Australia is fortunate to have one of the world’s best healthcare systems and we want to ensure it is supported by the best payment systems," said Vacy-Lyle.Banks have been looking to gain a foothold in the healthcare space. Bank of America just acquired health payments firm Axia Technologies in April.

OCBC Bank in Singapore also launched a telehealth services app last year.ON THE RECORD"By integrating Whitecoat into CBA, we are seeking to provide the best integrated digital solution in the market. It will see us differentiate our customer proposition in the healthcare sector and is well aligned [with] our aspiration to grow in business banking," said Vacy-Lyle..

Does kamagra make you last longer

About This does kamagra make you last longer DashboardThis dashboard monitors the status of PEPFAR countries’ progress buy kamagra pills toward global HIV targets in 2019 and 2020. It includes data for 53 countries, including PEPFAR’s 13 high-burden countries, required to develop a PEPFAR Country or Regional Operational Plan (COP/ROP) in FY 2020. To use the dashboard, click on any indicator and select a year to see country-level data for that year. Click on Trends Over Time to see the progress countries does kamagra make you last longer have made in recent years.

Data are from UNAIDS AIDSinfo database and were last updated in July 2021. Data for the latest available year are for 2020. KFF will continue to track PEPFAR country progress on these indicators and update the dashboard as new data become available.Related Content.

About This DashboardThis dashboard monitors the status of PEPFAR countries’ progress toward discount kamagra review global HIV targets http://coolcycledude.com/instant-bolt-on-style-for-harley-davidsons-softail-slim/ in 2019 and 2020. It includes data for 53 countries, including PEPFAR’s 13 high-burden countries, required to develop a PEPFAR Country or Regional Operational Plan (COP/ROP) in FY 2020. To use the dashboard, click on any indicator and select a year to see country-level data for that year. Click on Trends Over Time to see the progress countries have made in recent discount kamagra review years. Data are from UNAIDS AIDSinfo database and were last updated in July 2021.

Data for the latest available year are for 2020. KFF will continue to track PEPFAR country progress on these indicators and update the dashboard as new data become available.Related Content.

Kamagra fast uk

As U.S health care spending continues to grow faster than the economy, several health care reform proposals would leverage Medicare’s payment structure in order to buy kamagra online with free samples help control health care kamagra fast uk costs while also improving consumers’ access to health coverage. Notably, Democratic presidential nominee Joe Biden has proposed a “public option” that would allow eligible individuals to kamagra fast uk choose between private insurance or a publicly sponsored plan, similar to Medicare. While Biden has not specified how much health care providers would get paid under the public option, a campaign document says it would be administered by Medicare. His proposal would also lower the age of Medicare eligibility to 60, giving older adults the option to choose coverage under Medicare.Amidst the debate on health care reform, some have expressed concerns that an approach that adopts Medicare payment rates, or a multiplier of Medicare rates, kamagra fast uk would jeopardize providers’ financial viability, leading physicians to “opt out” of the Medicare program, potentially leading to a shortage of physicians willing to treat Medicare beneficiaries and compromising patients’ access to care. This issue takes on even greater importance during the erectile dysfunction kamagra, with erectile dysfunction treatment deaths surpassing 200,000, including a disproportionate share of older adults.This analysis examines the extent to which non-pediatric physicians are opting out of Medicare, by specialty, and by state, based on data kamagra fast uk published by the Centers for Medicare &.

Medicaid Services (CMS) as of September 2020. For the total number of active state-licensed physicians, we use data from Redi-Data, Inc.Key TakeawaysOne percent of all non-pediatric physicians have formally opted-out of the Medicare program in 2020, with the share varying by specialty, and highest for psychiatrists (7.2%).Psychiatrists account for the largest share (42%) of all non-pediatric physicians who have opted out of Medicare in 2020.In all states except for 3 [Alaska, kamagra fast uk Colorado, Wyoming], less than 2% of physicians in each state have opted-out of the Medicare program.BackgroundCurrently, physicians and other health care providers may register with traditional Medicare under three options. 1) participating provider, 2) non-participating provider, or 3) an opt-out provider.Participating Providers. Under this option, participating providers agree to accept “assignment” on all Medicare claims for all their Medicare patients, which means that they have signed a participation agreement with Medicare, kamagra fast uk agreeing to accept Medicare’s fee schedule amounts as payment-in-full for all Medicare covered services. Medicare beneficiaries seeing a kamagra fast uk participating provider can only be liable for the cost sharing required by Medicare.

Providers have several incentives to be participating providers, such as being paid higher rates (5% higher) than the rates paid to non-participating providers. The vast majority (97%) of physicians and practitioners billing Medicare are kamagra fast uk participating providers.Non-participating providers. Providers in this category accept Medicare patients, but can choose whether to take assignment (i.e., Medicare’s approved amount) on a claim-by-claim basis. Unlike participating providers, who are paid the full Medicare allowed payment amount, nonparticipating physicians who kamagra fast uk take assignment are limited to 95% of the Medicare approved amount. In 2018, 99.6% kamagra fast uk of fee schedule claims by non-participating providers were paid on assignment.

Physicians who choose to not accept assignment can charge beneficiaries more than the Medicare-approved amount, but not exceeding 15% of the fee-schedule allowed amount. Medicare patients kamagra fast uk are financially liable for this additional amount (“balance bill”), plus applicable deductibles and coinsurance amounts.Opt-out providers. Physicians and practitioners under this option have signed an affidavit to “opt-out” of the Medicare program entirely. Instead, these providers enter into private contracts with their kamagra fast uk Medicare patients, allowing them to bill their Medicare patients any amount they determine is appropriate. Of note, providers who have opted-out of the Medicare program must kamagra fast uk opt-out for all of their Medicare patients.

Medicare patients seeing a provider who has opted out of the Medicare program must sign this agreement and agree to be financially responsible for the entire cost of any services received. Neither the provider nor the patient can kamagra fast uk submit a bill to Medicare for reimbursement. Past analyses have found that few (less than 1%) physicians have chosen to opt-out of Medicare.The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) (Pub. L.114-10) made it easier for physicians and practitioners to opt-out of kamagra fast uk the Medicare program by lifting the requirement that physicians file opt-out affidavits every 2 years to renew their status. Prior to changes in law made in 2015, physicians and practitioners were required to opt-out of Medicare for all of their Medicare patients for a 2-year period and were also required to file a new affidavit to renew their opt-out.Past proposals, including a 2019 executive order issued by President Trump, have called for policy changes that would make it easier for physicians and kamagra fast uk other practitioners to enter into private contracts with their Medicare patients and therefore bill patients higher fees than the Medicare allowed amount.With health care reform proposals—including a “public option” supported by Vice President Biden—potentially on the agenda after the 2020 presidential election, this brief examines the share of non-pediatric physicians opting out of Medicare, by specialty and state in 2020.Key FindingsOnly 1 percent of non-pediatric physicians have formally opted-out of the Medicare program.

As of September 2020, 9,541 non-pediatric physicians have opted out of Medicare, representing a very small share (1.0 percent) of the total number active physicians, similar to the share reported in 2013.Figure 1. Few Physicians Have Formally Opted-Out of Medicare in 2020While the overall opt-out kamagra fast uk rate is 1 percent, opt-out rates are somewhat higher for certain specialties, such as psychiatry and plastic and reconstructive surgery. In 2020, 7.2 percent of psychiatrists opted out of Medicare, followed by 3.6% of physicians specializing in plastic and reconstructive surgery and 2.8 percent of physicians specializing in neurology (Figure 2). Psychiatrists are disproportionately represented kamagra fast uk among the 1.0 percent of active physicians who have opted out of Medicare. As of kamagra fast uk September 2020, psychiatrists account for the largest share (42%) of opt-out physicians, followed by physicians in family medicine (19%), internal medicine (12%), and obstetrics/gynecology (7%) (Figure 3).Figure 3.

Among all physicians opting-out of Medicare in 2020, psychiatrists account for the largest share of opt-out providersIn addition to physicians, another 4,075 select clinical professionals with doctorate degrees (i.e., chiropractors, oral surgeons, podiatrists, and optometrists) have also opted-out of the Medicare program, with oral surgeons accounting for the vast majority (95%) of this group (Table 1).In 47 states, less than 2 percent of active non-pediatric physicians in each state have opted out of Medicare. As of September 2020, Alaska (3.3%), Colorado (2.1%), and Wyoming (2.0%) have the highest rates of non-pediatric physicians who have opted out of Medicare (Table 2) kamagra fast uk. Nine states (Iowa, Michigan, Minnesota, Nebraska, North Dakota, Ohio, South Dakota, West Virginia and Wisconsin) have less than 0.5% of non-pediatric physicians opting out of Medicare.DiscussionOur analysis shows that relatively few physicians are opting-out of Medicare, similar to prior analyses. Notably, we find that psychiatrists kamagra fast uk have the highest opt-out rates and are disproportionately represented among physicians who have opted out of Medicare in 2020. This is consistent with previous analyses that found that psychiatrists are less likely than other physician specialties to accept new patients with Medicare or private insurance, suggesting that psychiatrists may prefer to be paid directly from patients kamagra fast uk rather than insurers, to avoid the administrative burden and have the flexibility to charge higher fees.

The relatively high rates of psychiatrists opting of Medicare is a particularly salient concern for older adults during the erectile dysfunction treatment kamagra and resulting economic recession, with one in four older adults reporting symptoms of anxiety or depressive disorder.Our analysis also finds little state-level variation in the percent of physicians opting-out, with only 3 states (Alaska, Colorado, Wyoming) having opt-out rates at or above 2.0% in 2020. Further research is needed to examine the extent to which opt out rates may be higher or lower in certain geographic areas, and whether there is an association between opt-out rates and physician and practice-level characteristics, and community characteristics.While our analysis finds that the vast majority of non-pediatric physicians kamagra fast uk have not “opted-out” of Medicare, past analyses have reported that some kamagra jelly price in canada physicians are not accepting any new patients, including patients with Medicare and private insurance (i.e., closed practices). Past analysis found that 21% of non-pediatric primary care physicians accept Medicare but are not taking any new Medicare patients, as compared to 14% who are not taking new patients with commercial insurance. Further, according to a recent analysis by MedPAC, Medicare beneficiaries have stable access to care, with the majority reporting having a usual source of care (92% of beneficiaries) and having no trouble finding a new primary care physician (72% of beneficiaries) or specialist (85% of beneficiaries).With health care reform potentially on the agenda if Biden wins the 2020 presidential election, including proposals that would kamagra fast uk adopt elements of Medicare in a public option or lower the age of Medicare eligibility, some critics have argued that these proposals would lead to more physicians opting out of Medicare, creating barriers to care for people with Medicare. Our analysis finds that despite changes in law that have made it easier for physicians and practitioners to opt-out of the Medicare program, few physicians kamagra fast uk are doing so.

If a public option moves forward, and if current opt-out rules apply to both Medicare and the public option, physicians may be even less likely to opt out to retain their patients and revenue. At the same time, if the public option adopts rates linked to Medicare, there is some kamagra fast uk risk that the number of physicians opting out would increase, although they would have fewer patients available to charge higher prices. The details of a public option – including provider payment rates and how closely tied provider participation is to Medicare – could have big implications for how many physicians participate as well as the potential savings.This work was supported in part by Arnold Ventures. We value our funders kamagra fast uk. KFF maintains full editorial control over all of its policy kamagra fast uk analysis, polling, and journalism activities.

This analysis uses Medicare opt-out affidavit data from the Centers for Medicare &. Medicaid Services (CMS), as kamagra fast uk of September 2020 ( https://data.cms.gov/Medicare-Enrollment/Opt-Out-Affidavits/7yuw-754z). The scope of our analysis was limited to non-pediatric physicians, given its Medicare focus, as well as a select group of other clinicians with doctorates. Chiropractors, optometrists, oral surgery, kamagra fast uk and podiatrists. Therefore, pediatricians and other non-physician kamagra fast uk specialists, such as certified nurse midwives, clinical social workers, and physician assistants, were excluded from the total number of opt-out physicians.

Of note, while some clinicians under the oral surgery specialty group may also hold a medical degree (MD or DO), for the purpose of our analysis, we grouped these physicians in accordance with the primary specialty (oral surgery) associated with their National Provider Identifier (NPI) in CMS’ opt-out file.We obtained data on the number of active allopathic and osteopathic physicians by specialty and state from Redi-data, Inc, which utilizes data from the American Medical Association (AMA) Physician Masterfile. One limitation of this analysis is that due to data source limitations, we were unable to exclude active physicians in professional activity other than patient care, such as research and administration.The specific physician specialty groups identified in this analysis kamagra fast uk were selected if they were included in the list of opt-out providers provided by CMS. In order to gain a more complete picture of the distribution of opt-out providers in each specialty category, we grouped some subspecialties under a broader specialty category, consistent with the specialty cross-walk provided by Redi-Data, Inc.Specifically, anesthesiology includes pain management as a subspecialty, obstetrics/gynecology includes reproductive endocrinology, and preventive medicine includes occupational medicine. The specialty kamagra fast uk group of internal medicine includes the following subspecialties. Internal medicine (not otherwise specified), kamagra fast uk critical care medicine, gastroenterology, hematology, hospice &.

Palliative medicine, infectious disease, nephrology, pulmonary disease, and rheumatology. The “surgery” specialty consists of the following kamagra fast uk surgical subspecialties. cardiac surgery, colorectal surgery, general surgery, hand surgery, thoracic surgery, and vascular surgery. The following subspecialties are included in kamagra fast uk the “other” specialty. addiction medicine, cosmetic surgery anesthetic medicine, Doctor of Medicine, hospitalist, integrative medicine, undefined physicians, sleep medicine, kamagra fast uk osteopathic manipulative medicine.As the 2020 Election Day approaches, many candidates continue to focus on health care issues, including on the public health and economic response to erectile dysfunction treatment, the future of the Affordable Care Act, health care costs and abortion.To help reporters understand and cover these issues, KFF offers independent, non-partisan policy analysis, polling and other research and has experts who can provide context, explain trade-offs and provide key data points on health care issues that may arise in the debates and broader campaign.

Some key resources:OverviewThis overview slideshow compares President Trump’s record and Democratic nominee Biden’s positions across a wide range of key health issues. This JAMA Health Forum column kamagra fast uk also summarizes key differences.This brief reviews the Trump administration’s record on a wide range of health issues.The October KFF Health Tracking Poll assesses voters’ views of the presidential candidates on key health care issues. The KFF/Cook Political Report’s Sun Belt Voices Project polls voters in Arizona, Florida and North Carolina, three critical battleground states.These health care snapshots provide state-specific health policy data on costs, Medicaid, Medicare, private insurance, the uninsured, women’s health, health status, and access to care.erectile dysfunction treatmentThis overview and detailed side-by-side compares President Trump and Democratic nominee Biden on their records, actions and proposals related to the erectile dysfunction treatment kamagra.Our September poll examines the public’s knowledge and views of the erectile dysfunction outbreak, and their trust in public health experts and institutions, including concerns about how political pressure may affect treatment development.KFF President and CEO Drew Altman’s essay in The BMJ examines two fundamental policy decisions made by the Trump administration that set the U.S. On the controversial and highly criticized course it has taken on erectile dysfunction treatment.This topic kamagra fast uk page highlights several pieces on how people of color have fared worse during the kamagra and also provides data on underlying health care disparities and racial inequities.The post looks at how insurers could treat erectile dysfunction treatment as a pre-existing condition if the federal protections in the ACA were overturned as a result of a pending case before the Supreme Court.Affordable Care Act and Coverage ExpansionsThis explainer examines the potential impact of the Texas v. California case, supported by the Trump administration, that aims to kamagra fast uk overturn the ACA.

The U.S. Supreme Court kamagra fast uk is scheduled to hear the case on Nov. 10, a week after the election. This analysis examines key provisions of the law and how they impact nearly every American, with national, state, and public opinion data.This analysis estimates the number and share of people by state with pre-existing conditions that kamagra fast uk would have prevented them from buying health insurance based on the underwriting practices in place in most states prior to the ACA. This post looks at variation by age, kamagra fast uk gender and in and outside metro areas.This analysis examines the impact of expanding ACA premium subsidies as Democratic nominee Biden has proposed on the cost of Marketplace coverage.This post looks at what we know about recent trends in health insurance coverage.

This report assesses the effects of the ACA’s Medicaid expansion on coverage, access to care, state budgets, and the economy.This brief provides key public opinion data about the public’s views and knowledge about the ACA.Prescription Drug and Health CostsThis slideshow explains the similarities and differences among major proposals to lower prescription drug costs introduced by the Trump Administration, members of Congress, and the Biden campaign.This explainer examines key issues regarding importation of drugs from Canada and other countries.This brief looks at Medicare negotiation of drug prices.This analysis estimates how often consumers receive surprise medical bills when getting emergency room and hospital care, and describes key proposals to protect consumers. This brief looks at the chance of getting an unexpected out-of-network medical bill for different health conditions, including heart attacks and mastectomies.This slideshow captures key polling data on Americans’ views and experiences with prescription drug costs, and this data note looks at Americans’ experiences with surprise medical bills.Abortion and Reproductive HealthThis brief looks at the potential implications of the presidential election on women’s health issues, while this one summarizes four state ballot initiatives related to abortion, sex education and paid leave.This poll explores the public’s views and knowledge about abortion and reproductive health issues, including Roe v. Wade, state-level restrictions, and family planning services.This analysis examines the likely impact of Trump administration regulations, currently blocked by court orders, for abortion coverage in ACA marketplace plans.This slideshow looks at the impact of state abortion policies on clinical practice.If you have questions about any of these resources or want to talk to a KFF expert, please contact Rakesh Singh, Craig Palosky or Chris Lee for assistance..

As U.S health care spending continues to grow faster than the economy, several health care reform proposals would leverage Medicare’s payment discount kamagra review structure in order to help control health care costs while also improving consumers’ access to health coverage. Notably, Democratic presidential nominee Joe Biden has proposed discount kamagra review a “public option” that would allow eligible individuals to choose between private insurance or a publicly sponsored plan, similar to Medicare. While Biden has not specified how much health care providers would get paid under the public option, a campaign document says it would be administered by Medicare. His proposal would also lower the age of Medicare eligibility to 60, giving older adults the option to choose coverage under Medicare.Amidst the debate on health care reform, some have expressed concerns that an approach that adopts Medicare payment rates, or a multiplier of Medicare rates, would jeopardize providers’ financial viability, leading physicians to “opt out” of the Medicare program, potentially leading to a discount kamagra review shortage of physicians willing to treat Medicare beneficiaries and compromising patients’ access to care. This issue takes on even greater importance during the erectile dysfunction kamagra, with erectile dysfunction treatment deaths surpassing discount kamagra review 200,000, including a disproportionate share of older adults.This analysis examines the extent to which non-pediatric physicians are opting out of Medicare, by specialty, and by state, based on data published by the Centers for Medicare &.

Medicaid Services (CMS) as of September 2020. For the total number of active state-licensed physicians, we use data from Redi-Data, Inc.Key TakeawaysOne percent of all non-pediatric physicians have formally opted-out of the Medicare program in 2020, with the share varying by specialty, and highest for psychiatrists (7.2%).Psychiatrists account for the largest share discount kamagra review (42%) of all non-pediatric physicians who have opted out of Medicare in 2020.In all states except for 3 [Alaska, Colorado, Wyoming], less than 2% of physicians in each state have opted-out of the Medicare program.BackgroundCurrently, physicians and other health care providers may register with traditional Medicare under three options. 1) participating provider, 2) non-participating provider, or 3) an opt-out provider.Participating Providers. Under this option, participating providers agree to accept “assignment” on all Medicare claims for all their Medicare patients, which means that they have signed a participation agreement with Medicare, agreeing to accept Medicare’s fee schedule amounts as payment-in-full for discount kamagra review all Medicare covered services. Medicare beneficiaries seeing a participating provider can only be liable for the cost discount kamagra review sharing required by Medicare.

Providers have several incentives to be participating providers, such as being paid higher rates (5% higher) than the rates paid to non-participating providers. The vast majority discount kamagra review (97%) of physicians and practitioners billing Medicare are participating providers.Non-participating providers. Providers in this category accept Medicare patients, but can choose whether to take assignment (i.e., Medicare’s approved amount) on a claim-by-claim basis. Unlike participating providers, who are paid the full Medicare allowed payment amount, nonparticipating physicians who take assignment are limited discount kamagra review to 95% of the Medicare approved amount. In 2018, 99.6% of fee schedule claims by non-participating providers were paid discount kamagra review on assignment.

Physicians who choose to not accept assignment can charge beneficiaries more than the Medicare-approved amount, but not exceeding 15% of the fee-schedule allowed amount. Medicare patients discount kamagra review are financially liable for this additional amount (“balance bill”), plus applicable deductibles and coinsurance amounts.Opt-out providers. Physicians and practitioners under this option have signed an affidavit to “opt-out” of the Medicare program entirely. Instead, these providers enter into private contracts with their Medicare patients, allowing them to bill their Medicare discount kamagra review patients any amount they determine is appropriate. Of note, providers who have opted-out of the Medicare program must opt-out for all of discount kamagra review their Medicare patients.

Medicare patients seeing a provider who has opted out of the Medicare program must sign this agreement and agree to be financially responsible for the entire cost of any services received. Neither the provider nor the patient can submit a bill discount kamagra review to Medicare for reimbursement. Past analyses have found that few (less than 1%) physicians have chosen to opt-out of Medicare.The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) (Pub. L.114-10) made it easier for physicians and practitioners to opt-out of the discount kamagra review Medicare program by lifting the requirement that physicians file opt-out affidavits every 2 years to renew their status. Prior to changes in law made in 2015, physicians and practitioners were required to opt-out of Medicare for all of their Medicare patients for a 2-year period and were also required to file a new affidavit to renew their opt-out.Past proposals, including a 2019 executive order issued by President Trump, have called for policy changes that would make it easier for physicians and other practitioners to enter into private contracts with their Medicare patients and therefore bill patients higher fees than the Medicare allowed amount.With health care reform proposals—including a “public option” supported by discount kamagra review Vice President Biden—potentially on the agenda after the 2020 presidential election, this brief examines the share of non-pediatric physicians opting out of Medicare, by specialty and state in 2020.Key FindingsOnly 1 percent of non-pediatric physicians have formally opted-out of the Medicare program.

As of September 2020, 9,541 non-pediatric physicians have opted out of Medicare, representing a very small share (1.0 percent) of the total number active physicians, similar to the share reported in 2013.Figure 1. Few Physicians Have Formally Opted-Out of Medicare in 2020While the overall opt-out rate is 1 percent, opt-out rates are somewhat higher for certain specialties, such as discount kamagra review psychiatry and plastic and reconstructive surgery. In 2020, 7.2 percent of psychiatrists opted out of Medicare, followed by 3.6% of physicians specializing in plastic and reconstructive surgery and 2.8 percent of physicians specializing in neurology (Figure 2). Psychiatrists are discount kamagra review disproportionately represented among the 1.0 percent of active physicians who have opted out of Medicare. As of September 2020, psychiatrists account for the largest share (42%) of opt-out physicians, followed by physicians in family medicine (19%), internal medicine (12%), and obstetrics/gynecology (7%) discount kamagra review (Figure 3).Figure 3.

Among all physicians opting-out of Medicare in 2020, psychiatrists account for the largest share of opt-out providersIn addition to physicians, another 4,075 select clinical professionals with doctorate degrees (i.e., chiropractors, oral surgeons, podiatrists, and optometrists) have also opted-out of the Medicare program, with oral surgeons accounting for the vast majority (95%) of this group (Table 1).In 47 states, less than 2 percent of active non-pediatric physicians in each state have opted out of Medicare. As of September 2020, Alaska (3.3%), Colorado (2.1%), and Wyoming (2.0%) have the discount kamagra review highest rates of non-pediatric physicians who have opted out of Medicare (Table 2). Nine states (Iowa, Michigan, Minnesota, Nebraska, North Dakota, Ohio, South Dakota, West Virginia and Wisconsin) have less than 0.5% of non-pediatric physicians opting out of Medicare.DiscussionOur analysis shows that relatively few physicians are opting-out of Medicare, similar to prior analyses. Notably, we find discount kamagra review that psychiatrists have the highest opt-out rates and are disproportionately represented among physicians who have opted out of Medicare in 2020. This is consistent with previous analyses that found that psychiatrists are less likely than other physician specialties to accept new patients with Medicare or private insurance, suggesting that psychiatrists may prefer discount kamagra review to be paid directly from patients rather than insurers, to avoid the administrative burden and have the flexibility to charge higher fees.

The relatively high rates of psychiatrists opting of Medicare is a particularly salient concern for older adults during the erectile dysfunction treatment kamagra and resulting economic recession, with one in four older adults reporting symptoms of anxiety or depressive disorder.Our analysis also finds little state-level variation in the percent of physicians opting-out, with only 3 states (Alaska, Colorado, Wyoming) having opt-out rates at or above 2.0% in 2020. Further research is needed to examine the extent to which opt out rates may be higher or lower in certain geographic areas, and whether there is an association between opt-out rates and physician and practice-level characteristics, and community characteristics.While our analysis finds that the vast majority of non-pediatric physicians have not “opted-out” of Medicare, past analyses have reported that some physicians are not accepting any new patients, including discount kamagra review patients with Medicare and private insurance (i.e., closed practices). Past analysis found that 21% of non-pediatric primary care physicians accept Medicare but are not taking any new Medicare patients, as compared to 14% who are not taking new patients with commercial insurance. Further, according to a recent analysis by MedPAC, Medicare beneficiaries have stable access to care, with the majority reporting having a usual source of care (92% of beneficiaries) and having no trouble finding a new primary care physician (72% of beneficiaries) or specialist (85% of beneficiaries).With health care reform potentially discount kamagra review on the agenda if Biden wins the 2020 presidential election, including proposals that would adopt elements of Medicare in a public option or lower the age of Medicare eligibility, some critics have argued that these proposals would lead to more physicians opting out of Medicare, creating barriers to care for people with Medicare. Our analysis finds that despite changes in law discount kamagra review that have made it easier for physicians and practitioners to opt-out of the Medicare program, few physicians are doing so.

If a public option moves forward, and if current opt-out rules apply to both Medicare and the public option, physicians may be even less likely to opt out to retain their patients and revenue. At the same time, if the public option adopts rates discount kamagra review linked to Medicare, there is some risk that the number of physicians opting out would increase, although they would have fewer patients available to charge higher prices. The details of a public option – including provider payment rates and how closely tied provider participation is to Medicare – could have big implications for how many physicians participate as well as the potential savings.This work was supported in part by Arnold Ventures. We value discount kamagra review our funders. KFF maintains full editorial control over all of its policy discount kamagra review analysis, polling, and journalism activities.

This analysis uses Medicare opt-out affidavit data from the Centers for Medicare &. Medicaid Services (CMS), as of discount kamagra review September 2020 ( https://data.cms.gov/Medicare-Enrollment/Opt-Out-Affidavits/7yuw-754z). The scope of our analysis was limited to non-pediatric physicians, given its Medicare focus, as well as a select group of other clinicians with doctorates. Chiropractors, optometrists, oral discount kamagra review surgery, and podiatrists. Therefore, pediatricians and other non-physician specialists, such as certified discount kamagra review nurse midwives, clinical social workers, and physician assistants, were excluded from the total number of opt-out physicians.

Of note, while some clinicians under the oral surgery specialty group may also hold a medical degree (MD or DO), for the purpose of our analysis, we grouped these physicians in accordance with the primary specialty (oral surgery) associated with their National Provider Identifier (NPI) in CMS’ opt-out file.We obtained data on the number of active allopathic and osteopathic physicians by specialty and state from Redi-data, Inc, which utilizes data from the American Medical Association (AMA) Physician Masterfile. One limitation of this analysis is that due to data source limitations, we were unable to exclude active physicians in professional activity other than patient care, such as research and administration.The specific physician specialty discount kamagra review groups identified in this analysis were selected if they were included in the list of opt-out providers provided by CMS. In order to gain a more complete picture of the distribution of opt-out providers in each specialty category, we grouped some subspecialties under a broader specialty category, consistent with the specialty cross-walk provided by Redi-Data, Inc.Specifically, anesthesiology includes pain management as a subspecialty, obstetrics/gynecology includes reproductive endocrinology, and preventive medicine includes occupational medicine. The specialty discount kamagra review group of internal medicine includes the following subspecialties. Internal medicine discount kamagra review (not otherwise specified), critical care medicine, gastroenterology, hematology, hospice &.

Palliative medicine, infectious disease, nephrology, pulmonary disease, and rheumatology. The “surgery” specialty discount kamagra review consists of the following surgical subspecialties. cardiac surgery, colorectal surgery, general surgery, hand surgery, thoracic surgery, and vascular surgery. The following subspecialties are included in the discount kamagra review “other” specialty. addiction medicine, cosmetic surgery anesthetic medicine, Doctor of Medicine, hospitalist, integrative medicine, undefined physicians, sleep medicine, osteopathic manipulative medicine.As the 2020 discount kamagra review Election Day approaches, many candidates continue to focus on health care issues, including on the public health and economic response to erectile dysfunction treatment, the future of the Affordable Care Act, health care costs and abortion.To help reporters understand and cover these issues, KFF offers independent, non-partisan policy analysis, polling and other research and has experts who can provide context, explain trade-offs and provide key data points on health care issues that may arise in the debates and broader campaign.

Some key resources:OverviewThis overview slideshow compares President Trump’s record and Democratic nominee Biden’s positions across a wide range of key health issues. This JAMA Health Forum column also summarizes key differences.This brief reviews the Trump administration’s record on a wide range of health issues.The October KFF Health Tracking Poll assesses discount kamagra review voters’ views of the presidential candidates on key health care issues. The KFF/Cook Political Report’s Sun Belt Voices Project polls voters in Arizona, Florida and North Carolina, three critical battleground states.These health care snapshots provide state-specific health policy data on costs, Medicaid, Medicare, private insurance, the uninsured, women’s health, health status, and access to care.erectile dysfunction treatmentThis overview and detailed side-by-side compares President Trump and Democratic nominee Biden on their records, actions and proposals related to the erectile dysfunction treatment kamagra.Our September poll examines the public’s knowledge and views of the erectile dysfunction outbreak, and their trust in public health experts and institutions, including concerns about how political pressure may affect treatment development.KFF President and CEO Drew Altman’s essay in The BMJ examines two fundamental policy decisions made by the Trump administration that set the U.S. On the controversial and highly criticized course it has taken on erectile dysfunction treatment.This topic page highlights several pieces on how people of color have fared worse during the kamagra and also provides data on underlying health care disparities and racial inequities.The post looks at how insurers could treat erectile dysfunction treatment as a pre-existing condition if the federal protections in the ACA were overturned as a result of a pending case before the Supreme Court.Affordable Care Act and Coverage ExpansionsThis discount kamagra review explainer examines the potential impact of the Texas v. California case, supported by the Trump administration, that discount kamagra review aims to overturn the ACA.

The U.S. Supreme Court is scheduled to discount kamagra review hear the case on Nov. 10, a week after the election. This analysis examines key provisions of the law and how they impact nearly every American, with national, state, and public opinion data.This analysis estimates the number and share of people by state with pre-existing conditions that would have prevented them discount kamagra review from buying health insurance based on the underwriting practices in place in most states prior to the ACA. This post looks at variation by age, gender and in and outside metro areas.This analysis examines the impact of expanding ACA premium subsidies as Democratic nominee Biden has proposed on the cost of Marketplace discount kamagra review coverage.This post looks at what we know about recent trends in health insurance coverage.

This report assesses the effects of the ACA’s Medicaid expansion on coverage, access to care, state budgets, and the economy.This brief provides key public opinion data about the public’s views and knowledge about the ACA.Prescription Drug and Health CostsThis slideshow explains the similarities and differences among major proposals to lower prescription drug costs introduced by the Trump Administration, members of Congress, and the Biden campaign.This explainer examines key issues regarding importation of drugs from Canada and other countries.This brief looks at Medicare negotiation of drug prices.This analysis estimates how often consumers receive surprise medical bills when getting emergency room and hospital care, and describes key proposals to protect consumers. This brief looks at the chance of getting an unexpected out-of-network medical bill for different health conditions, including heart attacks and mastectomies.This slideshow captures key polling data on Americans’ views and experiences with prescription drug costs, and this discount kamagra review data note looks at Americans’ experiences with surprise medical bills.Abortion and Reproductive HealthThis brief looks at the potential implications of the presidential election on women’s health issues, while this one summarizes four state ballot initiatives related to abortion, sex education and paid leave.This poll explores the public’s views and knowledge about abortion and reproductive health issues, including Roe v. Wade, state-level restrictions, and family planning services.This analysis examines the likely impact of Trump administration regulations, currently blocked by court orders, for abortion coverage in ACA marketplace plans.This slideshow looks at the impact of state abortion policies on clinical practice.If you have questions about any of these resources or want to talk to a KFF expert, please contact Rakesh Singh, Craig Palosky or Chris Lee for assistance..