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#Jamaica Plain VA Medical Center
legacyridenow · 2 years
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Veterans Transportation Program (VTP)
VA’s Veterans Transportation Program (VTP) proffers Veterans many travel answer to and from their VA health care amenities. This plan offers these services at modest or no fixed cost to competent Veterans during the following services:
·         Beneficiary Travel (BT)
·         Veterans Transportation Service (VTS)
·         Highly Rural Transportation Grants (HRTG)
Transportation to the VA and Other Medical amenities
·         Ride Match - online, searchable folder of public as well as private transportation provider in Legacy Transport Services
·         Your local transit ability – many serve VA facilities and other key purpose and tender discounts for veterans
·         Health care transport services and long-distance medical transport
·         Recipient travel compensation to eligible beneficiaries for some transportation-related expenses from the Veterans Health Administration
·         Federal VA transportation plans
·         Disabled American Veterans (DAV) Volunteer VA Hospital Transportation: helper drivers offer transportation to VA care. phone the VA hospital transportation coordinator with trip needs
·         VA transport from the Bedford, Boston, and Northampton amenities
·         Norfolk County volunteer driver plan
·         Nathan Hale proffer transportation from the Plymouth area to the Brockton, Jamaica Plain, and West Roxbury VA Centers
·         Veterans as well as Families Call Center: Soldier On and the Berkshire Regional Transit Authority cohort to offer transportation to veterans and their families in County. Transportation is obtainable Monday through Friday from 8 AM to 5 PM to the medical appointments,  VA Medical Centers at Leeds, MA and Albany, education,  NY, the Pittsfield outpatient clinic, work, and shopping.
Offer Veterans Transportation Care
The disabled veterans may have tribulations traveling to VA medical services on their own and so you will be doing a great thing to them by providing free transport to these places. The Disabled American Veterans is an organization that offers such services and thus you can volunteer as a VAN driver, or you can also bestow a motor vehicle that can assist the transportation of the immobilize veterans if you have one that you are not using.
Driving Resources
·         Automobiles and particular Adaptive Equipment Grants: one-time payment from the Veterans profit Administration for purchase a car or installing adaptive apparatus
·         Driving resources for older adults, citizens with disabilities, and low-income drivers in Legacy Transport Services
Help Arranging Transportation  
·         How to look for transportation options in Legacy Transport Services
·         Veterans’ Service Officers provide each town in Legacy Transport Services as well as can assist you look for transportation
·         Veteran Outreach Centers may offer transportation services
VA SMT (special mode transport): this is transport that VA itself Veterans Transportation Care. The criterion on this is a little overcast and is often evaluate on a casing by case basis, but as a statute of thumb, the veteran must be wheelchair or stretcher jump and have some sort of service allied issue, medical or mental health. A talk to travel has to be placed in order to decide if the Veterans Transportation Care is accepted for VA SMT. Consults for travel can be located by any member of the veteran’s medical or mental health squad, not just by the social worker.
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issuewire · 4 years
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Lori B. Lerner, MD, a Urologist with Jamaica Plain VA Medical Center
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perspectief1 · 6 years
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The Vicious Cycle of Childhood Obesity and Snoring
The Vicious Cycle of Childhood Obesity and Snoring is courtesy of https://www.perspectief.org/
In a new longitudinal observational study, scientists at Beth Israel Deaconess Medical Center (BIDMC) looked at the relationships among maternal snoring, childhood snoring and children’s metabolic characteristics—including body mass index (BMI) and insulin resistance, which reflects future risk for developing diabetes and cardiovascular disease—in approximately 1,100 children followed from gestation through early adolescence. Led by endocrinologist Christos S. Mantzoros, MD, DSc, the team demonstrates a bidirectional relationship between snoring and body weight in children. Their findings are published in the journal Metabolism.
“Excess body weight and child snoring were each predictive of the other among the children and adolescence in this cohort, creating a vicious metabolic cycle,” says Mantzoros, director of the Human Nutrition Unit in the Division of Endocrinology, Diabetes, and Metabolism at BIDMC, in a release. “Our findings confirm the existence of a physiologic loop between worsening obesity and worsening sleep apnea, which in turn leads to worsening obesity and higher risk for diabetes and cardiovascular disease later in life.”
Mantzoros and colleagues examined the relationships among maternal snoring, child snoring, and child metabolic outcomes in humans. Their findings build on animal data suggesting maternal sleep may affect metabolic outcomes in the next generation. In rodent studies, female rats were exposed to intermittent hypoxia late in pregnancy to mimic maternal sleep apnea. Their male offspring weighed more and ate more, and blood work revealed they had higher fasting levels of insulin, triglycerides, and cholesterol levels—the major metabolic biomarkers risk for developing diabetes and cardiovascular disease later in life.
The team analyzed data from Project Viva, a study that recruited expectant mothers from Atrius Harvard Vanguard Medical Associates—a network of 34 medical clinics in eastern Massachusetts—between 1999 and 2002. Mothers filled out annual questionnaires sent in the mail or via email. In combination with blood samples and measurements obtained at in-person research visits at roughly 7 and 13 years of age, the data provided scientists with a trove of information. Data points included but were not limited to: participants’ sleep schedules, television watching habits, fast food and sugar-sweetened beverage consumption, body composition, body mass, blood glucose and cholesterol levels, insulin resistance, and overall metabolic risk score.
“We found strong associations between body weight measures and cardiometabolic biomarkers with the later development of sleep apnea in early adolescence,” says Mantzoros, who is also a professor of medicine at Harvard Medical School and chief of the endocrinology section at the VA Boston Healthcare System. “These results suggest that in children, early interventions including both targeted weight loss and appropriate treatments for OSA are critical to breaking this vicious cycle between poor sleep and obesity in order to prevent chronic disease later in life.”
The team found that, although maternal snoring had no major effect on children, children who snored were at much higher risk of developing higher body fat mass and obesity late in childhood or adolescence. Biomarkers indicated they were also more likely to develop diabetes and cardiovascular disease later in life.
Mantzoros and colleagues also found that children who snored were more likely to become heavier teenagers and that parent-reported child snoring in early adolescence was strongly correlated to body weight measures such as BMI and measures of central body fat deposition in the body trunk—metabolically the most dangerous fat—as well as to blood levels of the hunger hormone leptin, HDL cholesterol levels, and overall metabolic risk scores. Loud snoring showed even more pronounced associations.
Revealing the bidirectional relationship between obesity and OSA in children has major public health implications given that the earlier obesity appears in life, the greater the risk of developing diabetes and its comorbidities earlier in adult life.
To follow up, Mantzoros and his BIDMC colleagues plan to collaborate with metabolism and sleep experts from major Harvard institutions, including BIDMC, Brigham and Women’s Hospital, and Massachusetts General Hospital, to test the effects of weight loss and OSA treatment in preventing diabetes and other metabolic complications.
In addition to Mantzoros, study authors include first author Oliva M. Farr, PhD, of the Department of Neurology at BIDMC; Sheryl L. Rifas-Shiman and Emily Oken of the Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School and the Department of Nutrition, Harvard School of Public Health; and Elsie M. Taveras, MD, of the Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children.
This work is supported by grants from the National Institutes of Health (K24 HD069408, P30 DK092924, P30 DK040561, 2K24DK081913.) Project Viva is also supported by grants from the National Institutes of Health (R01 HD034568, UG3OD023286, 1U54CA155626). This research is the result of work supported with resources and the use of facilities at the VA Boston Healthcare System at Jamaica Plain, MA.
from Sleep Review http://www.sleepreviewmag.com/2018/08/childhood-obesity-snoring/
from https://www.perspectief.org/the-vicious-cycle-of-childhood-obesity-and-snoring/
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ellymackay · 6 years
Text
The Vicious Cycle of Childhood Obesity and Snoring
The following blog post The Vicious Cycle of Childhood Obesity and Snoring was first seen on Elly Mackay
In a new longitudinal observational study, scientists at Beth Israel Deaconess Medical Center (BIDMC) looked at the relationships among maternal snoring, childhood snoring and children’s metabolic characteristics—including body mass index (BMI) and insulin resistance, which reflects future risk for developing diabetes and cardiovascular disease—in approximately 1,100 children followed from gestation through early adolescence. Led by endocrinologist Christos S. Mantzoros, MD, DSc, the team demonstrates a bidirectional relationship between snoring and body weight in children. Their findings are published in the journal Metabolism.
“Excess body weight and child snoring were each predictive of the other among the children and adolescence in this cohort, creating a vicious metabolic cycle,” says Mantzoros, director of the Human Nutrition Unit in the Division of Endocrinology, Diabetes, and Metabolism at BIDMC, in a release. “Our findings confirm the existence of a physiologic loop between worsening obesity and worsening sleep apnea, which in turn leads to worsening obesity and higher risk for diabetes and cardiovascular disease later in life.”
Mantzoros and colleagues examined the relationships among maternal snoring, child snoring, and child metabolic outcomes in humans. Their findings build on animal data suggesting maternal sleep may affect metabolic outcomes in the next generation. In rodent studies, female rats were exposed to intermittent hypoxia late in pregnancy to mimic maternal sleep apnea. Their male offspring weighed more and ate more, and blood work revealed they had higher fasting levels of insulin, triglycerides, and cholesterol levels—the major metabolic biomarkers risk for developing diabetes and cardiovascular disease later in life.
The team analyzed data from Project Viva, a study that recruited expectant mothers from Atrius Harvard Vanguard Medical Associates—a network of 34 medical clinics in eastern Massachusetts—between 1999 and 2002. Mothers filled out annual questionnaires sent in the mail or via email. In combination with blood samples and measurements obtained at in-person research visits at roughly 7 and 13 years of age, the data provided scientists with a trove of information. Data points included but were not limited to: participants’ sleep schedules, television watching habits, fast food and sugar-sweetened beverage consumption, body composition, body mass, blood glucose and cholesterol levels, insulin resistance, and overall metabolic risk score.
“We found strong associations between body weight measures and cardiometabolic biomarkers with the later development of sleep apnea in early adolescence,” says Mantzoros, who is also a professor of medicine at Harvard Medical School and chief of the endocrinology section at the VA Boston Healthcare System. “These results suggest that in children, early interventions including both targeted weight loss and appropriate treatments for OSA are critical to breaking this vicious cycle between poor sleep and obesity in order to prevent chronic disease later in life.”
The team found that, although maternal snoring had no major effect on children, children who snored were at much higher risk of developing higher body fat mass and obesity late in childhood or adolescence. Biomarkers indicated they were also more likely to develop diabetes and cardiovascular disease later in life.
Mantzoros and colleagues also found that children who snored were more likely to become heavier teenagers and that parent-reported child snoring in early adolescence was strongly correlated to body weight measures such as BMI and measures of central body fat deposition in the body trunk—metabolically the most dangerous fat—as well as to blood levels of the hunger hormone leptin, HDL cholesterol levels, and overall metabolic risk scores. Loud snoring showed even more pronounced associations.
Revealing the bidirectional relationship between obesity and OSA in children has major public health implications given that the earlier obesity appears in life, the greater the risk of developing diabetes and its comorbidities earlier in adult life.
To follow up, Mantzoros and his BIDMC colleagues plan to collaborate with metabolism and sleep experts from major Harvard institutions, including BIDMC, Brigham and Women’s Hospital, and Massachusetts General Hospital, to test the effects of weight loss and OSA treatment in preventing diabetes and other metabolic complications.
In addition to Mantzoros, study authors include first author Oliva M. Farr, PhD, of the Department of Neurology at BIDMC; Sheryl L. Rifas-Shiman and Emily Oken of the Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School and the Department of Nutrition, Harvard School of Public Health; and Elsie M. Taveras, MD, of the Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children.
This work is supported by grants from the National Institutes of Health (K24 HD069408, P30 DK092924, P30 DK040561, 2K24DK081913.) Project Viva is also supported by grants from the National Institutes of Health (R01 HD034568, UG3OD023286, 1U54CA155626). This research is the result of work supported with resources and the use of facilities at the VA Boston Healthcare System at Jamaica Plain, MA.
from Sleep Review http://www.sleepreviewmag.com/2018/08/childhood-obesity-snoring/
from Elly Mackay - Feed https://www.ellymackay.com/2018/08/20/the-vicious-cycle-of-childhood-obesity-and-snoring/
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marclefrancois1 · 6 years
Text
The Vicious Cycle of Childhood Obesity and Snoring
e0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eee0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eepostlinke0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eee0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22ee was originally seen on MLF
In a new longitudinal observational study, scientists at Beth Israel Deaconess Medical Center (BIDMC) looked at the relationships among maternal snoring, childhood snoring and children’s metabolic characteristics—including body mass index (BMI) and insulin resistance, which reflects future risk for developing diabetes and cardiovascular disease—in approximately 1,100 children followed from gestation through early adolescence. Led by endocrinologist Christos S. Mantzoros, MD, DSc, the team demonstrates a bidirectional relationship between snoring and body weight in children. Their findings are published in the journal Metabolism.
“Excess body weight and child snoring were each predictive of the other among the children and adolescence in this cohort, creating a vicious metabolic cycle,” says Mantzoros, director of the Human Nutrition Unit in the Division of Endocrinology, Diabetes, and Metabolism at BIDMC, in a release. “Our findings confirm the existence of a physiologic loop between worsening obesity and worsening sleep apnea, which in turn leads to worsening obesity and higher risk for diabetes and cardiovascular disease later in life.”
Mantzoros and colleagues examined the relationships among maternal snoring, child snoring, and child metabolic outcomes in humans. Their findings build on animal data suggesting maternal sleep may affect metabolic outcomes in the next generation. In rodent studies, female rats were exposed to intermittent hypoxia late in pregnancy to mimic maternal sleep apnea. Their male offspring weighed more and ate more, and blood work revealed they had higher fasting levels of insulin, triglycerides, and cholesterol levels—the major metabolic biomarkers risk for developing diabetes and cardiovascular disease later in life.
The team analyzed data from Project Viva, a study that recruited expectant mothers from Atrius Harvard Vanguard Medical Associates—a network of 34 medical clinics in eastern Massachusetts—between 1999 and 2002. Mothers filled out annual questionnaires sent in the mail or via email. In combination with blood samples and measurements obtained at in-person research visits at roughly 7 and 13 years of age, the data provided scientists with a trove of information. Data points included but were not limited to: participants’ sleep schedules, television watching habits, fast food and sugar-sweetened beverage consumption, body composition, body mass, blood glucose and cholesterol levels, insulin resistance, and overall metabolic risk score.
“We found strong associations between body weight measures and cardiometabolic biomarkers with the later development of sleep apnea in early adolescence,” says Mantzoros, who is also a professor of medicine at Harvard Medical School and chief of the endocrinology section at the VA Boston Healthcare System. “These results suggest that in children, early interventions including both targeted weight loss and appropriate treatments for OSA are critical to breaking this vicious cycle between poor sleep and obesity in order to prevent chronic disease later in life.”
The team found that, although maternal snoring had no major effect on children, children who snored were at much higher risk of developing higher body fat mass and obesity late in childhood or adolescence. Biomarkers indicated they were also more likely to develop diabetes and cardiovascular disease later in life.
Mantzoros and colleagues also found that children who snored were more likely to become heavier teenagers and that parent-reported child snoring in early adolescence was strongly correlated to body weight measures such as BMI and measures of central body fat deposition in the body trunk—metabolically the most dangerous fat—as well as to blood levels of the hunger hormone leptin, HDL cholesterol levels, and overall metabolic risk scores. Loud snoring showed even more pronounced associations.
Revealing the bidirectional relationship between obesity and OSA in children has major public health implications given that the earlier obesity appears in life, the greater the risk of developing diabetes and its comorbidities earlier in adult life.
To follow up, Mantzoros and his BIDMC colleagues plan to collaborate with metabolism and sleep experts from major Harvard institutions, including BIDMC, Brigham and Women’s Hospital, and Massachusetts General Hospital, to test the effects of weight loss and OSA treatment in preventing diabetes and other metabolic complications.
In addition to Mantzoros, study authors include first author Oliva M. Farr, PhD, of the Department of Neurology at BIDMC; Sheryl L. Rifas-Shiman and Emily Oken of the Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School and the Department of Nutrition, Harvard School of Public Health; and Elsie M. Taveras, MD, of the Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children.
This work is supported by grants from the National Institutes of Health (K24 HD069408, P30 DK092924, P30 DK040561, 2K24DK081913.) Project Viva is also supported by grants from the National Institutes of Health (R01 HD034568, UG3OD023286, 1U54CA155626). This research is the result of work supported with resources and the use of facilities at the VA Boston Healthcare System at Jamaica Plain, MA.
from Sleep Review http://www.sleepreviewmag.com/2018/08/childhood-obesity-snoring/
from https://www.marclefrancois.net/2018/08/20/the-vicious-cycle-of-childhood-obesity-and-snoring/
0 notes