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Exam Code: IAHCSMM-CRCST Practice test 2022 by Killexams.com team IAHCSMM-CRCST Certified Registered Central Service Technician 2022 Certified Registered Central Service Technician (CRCST)
The Certified Registered Central Service Technician (CRCST) certification program is designed to recognize entry level and existing technicians who have demonstrated the experience, knowledge and skills necessary to provide competent services as a central service technician. CRCST's are integral members of the healthcare team who are responsible for decontaminating, inspecting, assembling, disassembling, packaging and sterilizing reusable surgical instruments or devices in a healthcare facility that are essential for patient safety.
To earn CRCST certification, candidates are required to successfully demonstrate skills through completion of hands-on work experience as well as successful completion of an examination developed to measure the understanding of general central services and infection prevention topics. CRCST certificants are required to recertify annually through completion of continuing education requirements.
The CRCST Certification is accredited by both the American National Standards Institute (ANSI) and the National Commission for Certifying Agencies (NCCA).
To prepare for the CRCST certification, the following options are available:
Online Course: Purdue University offers an online course that is designed to help prepare Central Service professionals for the CRCST exam. You can find out more about the course by calling 800.830.0269 or by visiting Purdue's website
Self Study: You may purchase reference materials and choose to study on your own to prepare for the CRCST exam. IAHCSMM's CS Technical Manual (8th ed.) was used as a reference in creating the exam, along with ANSI/AAMI's ST79 (2017 ed.), and AORN's Perioperative Standards and Recommended Practices. You can order these publications through the IAHCSMM store and the AORN website.
Work Experience: You may take the test based on your personal knowledge from experience in the field; it is not required that you take or pass a preparatory course nor study materials on your own. Applicants can apply directly to take the test without purchasing study materials or enrolling in a course.
CRCST certification requires that you pass the certification test and complete 400 hours of hands-on experience in a CS department. These hours can be completed before testing or within 6 months of passing the exam. IAHCSMM highly recommends completing, or at least beginning, your hours of experience before testing. Hands-on experience provides an invaluable resource with which to better understand the standards, knowledge, and practices needed to be successful in a CS department and on the CRCST Exam.
Content & Composition of the Examination
The CRCST test will test your proficiency in these areas:
- Cleaning, Decontamination & Disinfection
- Preparation & Packaging
- Sterilization Process
- Patient Care Equipment
- Sterile Storage & Inventory Management
- Documentation & Record Maintenance
- Customer Relations Certified Registered Central Service Technician 2022 IAHCSMM Registered health Killexams : IAHCSMM Registered health - BingNews
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https://killexams.com/exam_list/IAHCSMMKillexams : Registered Democrats are sick of the radical left—and some are switching sides
After living half of his life as a registered Democrat, Justin Roth, 42, re-registered in 2016 as an Independent — and then switched sides entirely to become a Republican in 2020.
“The reason I registered as a Republican has more to do with the Democrats than it does with Republicans,” said Roth, a single Staten Islander who teaches English as a second language. “I still consider myself liberal in a lot of ways, but I’m no longer a registered Democrat. They’ve just really gone off the rails for the past several years.”
As he’s watched the left wage cancel-culture wars and push for extreme political correctness, Roth said the Democrats have turned their backs on the issues that matter most to him.
“My top priorities right now are actually kitchen-table issues — inflation, the price of housing, food and gas. As a voter I really care about things that affect my life personally and the lives of my family members more than any of this culture war stuff.”
Roth is in good company. The social justice obsessed, ultra-progressive, increasingly illiberal Left is even alienating liberal celebrities. Once feted as a progressive darling, Tesla CEO Elon Musk tweeted in May that he can no longer support the Democrats.
“In the past I voted Democrat, because they were (mostly) the kindness party,” he wrote. “But they have become the party of division & hate, so I can no longer support them and will vote Republican.”
In June, he followed through on that promise by voting for Texas Republican Mayra Flores in a special House of Representatives election. Flores won in a massive upset, becoming the country’s first Mexican-born US congresswoman.
YouTube podcaster Dave Rubin resigned from his post in 2015 at The Young Turks, a popular left-wing news channel, after his own political awakening. He now dubs himself the “Why I Left the Left Guy.”
In a YouTube video that has garnered more than 15 million views, he made his position clear: “Today’s progressivism has become a faux-moral movement hurling charges of racism, bigotry, xenophobia, homophobia, Islamophobia and a slew of other meaningless buzzwords at anyone they disagree with. The battle of ideas has been replaced by a battle of feelings, and outrage has replaced honesty. Diversity reigns supreme unless it’s that pesky diversity of thought. This isn’t the recipe for a free society, it’s a recipe for authoritarianism.”
In November last year, HBO host Bill Maher echoed these same thoughts when he told Chris Cuomo on CNN that the Democratic Party was “toxic” because it had become “the party of no common sense.” He said he expected the Democrats to get “thumped” in the midterm elections this year.
He might just be right. According to an Associated Press report in June, more than 1 million voters in 43 states have left the Democratic Party for the Republican Party, especially in the suburbs, where swing voters can sway election results.
Meanwhile, almost half of registered voters consider themselves Independents, compared to just more than a quarter who identify as Democrat or Republican.
Holden Culotta, a 20-year-old bartender and college freshman from Connecticut said he’s put off by the current Democratic Party. After watching the 2016 election unfold as a teenager, he switched his registration from Democrat to Independent.
“Looking back at the Democratic Party in the ’80s and ’90s, I think I probably would have been a Democrat,” he told The Post. “I realized both sides just looked like a clown show and were kind of missing the point. Today, I find myself in the disaffected center. I take some ideas from the left and some ideas from the right, but I don’t feel like I identify with any tribe.”
One big problem for Democrats, he said, is that “they lean a lot more towards censorship” — something that particularly affects his fellow members of Generation Z.
“I see self-censorship all the time. People will whisper, ‘Oh, yeah I agree with you, but I could never say that.’”
The left’s push for politically correct language can also undermine meaningful change, he said. For example, progressives have shamed members of their own party into using the term “Latinx” — a gender-neutral way to describe Hispanics. But a Gallup poll found that only 4% of Hispanics prefer the term, and another survey revealed that 40% are actually offended by the label.
“I think a lot of the cultural things the left is talking about today are really alienating,” Culotta said. “If we’re only talking about pronouns, we’re not really solving issues or moving the country forward.”
Another former Democrat, Michael Lee re-registered as a Libertarian in January 2021 and then as a Republican to vote in open primaries. Of today’s Democratic party, the 33-year-old software engineer based in West Chester, Penn., said: “There definitely are those who are too woke and too left in my taste and are alienating to centrists like myself.”
As a husband and father-of-onewho is concerned for his family’s safety, he was especially turned off by the party’s loudest left-wing members, such as Rep. Ilhan Omar and Rep. Alexandria Ocasio-Cortez, calling to defund the police in the wake of the death of George Floyd in 2020.
“Defunding the police,” he said, “may have been a new catchy slogan, but as an actual stance it’s highly impractical and will cause more problems.”
Lee said he’s also disillusioned by politicians who supposedly champion his values, like ending gun violence and making healthcare and housing more affordable, but fail to do anything about it.
“The Democrats do talk about the issues that I care about, but ultimately I see that even when they have power, they’re just serving their own party. The Democratic establishment isn’t really there to serve the people.”
One 40-year-old rabbi from Virginia, who asked to remain anonymous, described himself as socially liberal, fiscally moderate — and a big believer in the importance of government assistance. But while he generally favors candidates on the left, he said he is suspicious of the Democratic Party’s ability to lead.
“In an ideal world, I would want the Democrats to set the agenda and the Republicans to run the country,” he said. “The problem is that the Democratic Party is terrible at managing things. If you look at any place where they have a monopoly on power, it’s just doing terribly.”
A July poll commissioned by the New York Times showed that a whopping 58% of Americans from all political orientations say our current system isn’t working since Donald Trump lost the election and Joe Biden became president.
Activist, political candidate and Post columnist Michael Shellenberger is one who feels that way.
A former “very radical youth” who travelled to Nicaragua at 17 to help with a socialist revolution and later worked for the left-wing George Soros’ Open Society foundation, Shellenberger ran for governor of California this year on a pragmatic, solutions-oriented platform, ditching his lifelong Democratic affiliation to campaign as an Independent.
“I could no longer be a Democrat given what I knew about the party’s responsibility in causing the homelessness crisis,” said Shellenberger, 51, who lives in San Francisco. “To some extent I’ve moderated, but the left is just different now. They’ve gone absolutely crazy with things like identity politics and have just gotten really nasty and intolerant.”
Shellenberger came in third in California’s June 7 gubernatorial primary. Meanwhile, a recent Gallup poll showed that 62% of voters from across the political aisle crave a third-party option — whether it’s more independent-minded candidates like Shellenberger or new, larger political movements like Andrew Yang’s Forward Party, which advocates open primaries and ranked choice voting to fight polarization and party extremism.
“People who are disaffected are realizing there’s something wrong with this system,” Lee said. “As for me, I’m hoping Yang’s pragmatic approach could really fix the system so our democracy can work as it should.”
Christina Buttons, a 33-year-old artist and writer based in Tennessee, changed her voter registration from Democrat to Independent in 2020. One major issue that tipped the scales for her was Democrats’ unquestioning support of gender ideology, including the belief that transgender children should be allowed to undergo irreversible medical transitions as minors.
Buttons now calls herself a “reformed social justice warrior.”
“I was very much of the opinion that Republicans were, for a lack of a better word, evil,” Buttons said. “But I sought out some Republicans to speak to them and find out what they are actually like. Lo and behold, I found out that they are not actually evil. They just have different ideas about how the country would be run best. Demonizing the 50% of the country who are Republicans just doesn’t sit well with me.”
Former Young Turk Rubin agrees.
“I started talking to some people who were supposedly scary, mean right wingers, and I realized that even though we have political disagreements, they were thoughtful and willing to agree to disagree,” he told The Post. “That’s something that almost doesn’t exist on the left anymore.”
Sat, 24 Sep 2022 01:49:00 -0500en-UStext/htmlhttps://nypost.com/2022/09/24/some-registered-democrats-sick-of-the-left-are-switching-sides/Killexams : Most registered voters say Trump shouldn’t be allowed to serve a second term, says new poll
With several investigations into Trump&#8217;s conduct ramping up, 51 percent of registered voters say that the allegations of wrongdoing are enough to preclude the former president from launching another campaign.
In comparison, just 35 percent of respondents believe that he should be able to run again.&nbsp;
The poll was conducted immediately after New York Attorney General Letitia James (D) filed a sweeping $250 million lawsuit against Trump, his family business and three of his children, alleging that they used false financial statements to mislead investors.&nbsp;
That lawsuit was only the latest in a series of mounting legal threats for Trump, who has openly floated the possibility of running for the White House in 2024.
He’s also facing a federal investigation into his removal of sensitive documents from the White House, as well as a criminal investigation in Georgia focusing on his and his allies’ attempts to overturn the results of the 2020 presidential election in the state.&nbsp;
The latest Yahoo News-YouGov poll suggests that Trump’s legal challenges may be catching up to him politically — even if he hasn’t been formally charged or convicted of a crime.
Still, there’s some evidence that he remains a potent political force.
The poll found that, in a hypothetical 2024 matchup against President Biden, Trump trails by only 2 percentage points. That’s down from a 6-point lead for Biden in a previous Yahoo News-YouGov poll.&nbsp;
But in another sign of potential weakness for Trump, fewer than half of Republican and GOP-leaning voters say they support him for the 2024 Republican presidential nomination, while 36 percent say they will back somebody else for the party’s nod. Seventeen percent are unsure.
That could suggest that GOP voters may be beginning to look past the former president as they consider who is best suited to take on Biden or another Democrat in 2024.&nbsp;
The Yahoo News-YouGov poll surveyed 1,566 registered voters nationwide from Sept. 23-27. It had a margin of sampling error of plus or minus 2.7 percentage points.
Fri, 30 Sep 2022 07:46:00 -0500en-UStext/htmlhttps://thehill.com/homenews/campaign/3669277-most-registered-voters-say-trump-shouldnt-be-allowed-to-serve-a-second-term-says-new-poll/Killexams : Registered sex offender sentenced to three years in prison
51 year old Glyn Frink was sentenced to 3 years in prison after running from a residential re-entry center last September.
Frink was ordered to stay in a halfway house in lieu of prison time.
Last September, he signed out of the home and never came back. And he failed to tell Albany police that he changed his address, which is required under sex offender registry laws.
Frink pled guilty this past June.
Thu, 29 Sep 2022 14:03:00 -0500en-UStext/htmlhttps://wnyt.com/top-stories/registered-sex-offender-sentenced-to-three-years-in-prison/Killexams : New York to raise starting salaries for registered nurses working for state agencies
Gov. Kathy Hochul's office says it'll nurses upstate will get up to $90K, while nurses downstate will get up to $108K.
Credit: Blue Planet Studio - stock.adobe
ALBANY, N.Y. — On Friday, New York Governor Kathy Hochul announced registered nurses within state goverment agencies will be getting a pay increase.
She says registered nurses in upstate will get up to $90,000 as a starting salary, while registered nurses downstate will get up to $108,000.
"After more than two years on the frontlines in the battle against COVID-19, New York nurses deserve more than our gratitude - they deserve fair and competitive pay," Hochul said."These wage increases reflect our state's commitment to supporting our healthcare workers and will help us retain and recruit the next generation of nurses to keep New Yorkers safe."
It'll affect about 6,500 New York State employees across 15 agencies.
Nurses in SUNY, the Office of Mental Health, Office for People with Developmental Disabilities, Department of Corrections and Community Supervision, Department of Health, and the Office of Addiction Services and Supports will see the bump in starting salaries.
New York State Department of Civil Service Commissioner Timothy Hogues said, "New York State employs thousands of nurses, who provide critical services across our state agencies to protect the health and wellbeing of New Yorkers. By offering our nurses with these well-deserved pay increases, our partner agencies will be better positioned to retain these talented and dedicated employees. Under the leadership of Governor Hochul, the Department of Civil Service is working hard to implement changes to best support and retain our current public workforce and to ensure our compensation is competitive to attract the next generation of talent to public service careers."
Hochul says it's about a 4.5 percent pay increase for nurses.
Fri, 14 Oct 2022 07:37:00 -0500en-UStext/htmlhttps://www.wgrz.com/article/news/health/new-york-to-raise-wages-for-registered-nurses-working-for-state-agencies/71-11152ab3-a6a2-4e79-b482-979e2d0ab47cKillexams : The newly registered voters that could play a major role in November
With midterm elections less than one month away, ABC15 data expert Garrett Archer takes a look inside the numbers to break down the latest voter registration data.
PHOENIX — As election officials would say, the “books are closed” for Arizona’s general election. Tuesday was the last day to register to vote, meaning any registrations received by the counties moving forward will have to wait until the next election cycle to cast a ballot.
ABC15 looked at the data for newly registered people in Maricopa just in the past month. They have no voter history in the state, they are not on any candidate contact lists and they have almost certainly not been polled. With elections being so close in the state, this group of 20,386 registered voters could play a major role in deciding who wins what.
A little over half of the 20,386 newly registered voters chose to not register with any political party. Of those that did, slightly more of them chose to align themselves with the Republican party.
They are mainly young, and over two-thirds of them are under the age of 35. In fact, there are more 18- to 24-year-old newly registered voters in the county than newly registered people over the age of 45. This is common since the numbers include people who have moved into the eligible voting age. In Arizona, it is simple to get a driver's license and register to vote at the same time using servicearizona.com.
State law does not include gender or ethnicity on voter registration forms but using some basic analysis of first and last names, ABC15 estimates that 53% of these brand-new registered voters are men, reversing a trend seen in the summer when more women registered to vote. It is also estimated that 16% of the new voters are Hispanic.
The reality is that not all these new registrants will vote in November. About 65% of all Arizonans voted in the last mid-term and only half voted in 2014. The biggest predictor of voting behavior is, by far, age. It’s estimated that a little over half of the new voters under 35 will vote and about 3 in 4 of those over 35 will cast a ballot.
In a tight election, the 8,717 older voters may make all the difference.
ABC15 found that 46% of them registered as independents, and 911 more of them are Republicans than Democrats. 50% are men and about 11% are Hispanic.
Copyright 2022 Scripps Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
Wed, 12 Oct 2022 12:22:00 -0500entext/htmlhttps://www.abc15.com/news/political/elections/the-newly-registered-voters-that-could-play-a-major-role-in-novemberKillexams : Kaweah Health looks to hire RNs, LVNs
The facility is looking for more registered nurses and licensed vocational nurses, with 200+ positions open for bedside nurses.
Tuesday, September 20, 2022
FRESNO, Calif. (KFSN) -- Kaweah Health is hoping to welcome hundreds of new faces to its team by holding a career event in October.
The facility is looking for more registered nurses and licensed vocational nurses -- with more than 200 positions open for bedside nurses.
"It's not just the skills. It's the compassion and care that they have to have in order to care for the patients," explained nurse recruiter Karen Brooks-Harvey.
The opportunities are a good fit for new grads and experienced nurses.
"We have up to $47,500 tuition reimbursement, as well as loan repayment program," said Brooks-Harvey. "If they're wanting to work for a trauma hospital, we're a level three, and want to get into higher acuity of patients, then Kaweah is the place to come learn and grow their careers."
Kaweah is one of many facilities in the country feeling the impacts of an ongoing nursing shortage, which is getting some temporary relief from travel nurses.
Brooks-Harvey said hiring more RNs and LVNs will Boost stability inside patient rooms.
"We've got travelers kind of coming and going. So bringing these nurses in will eliminate that, where they have a standard care for patients," she said.
Interested candidates can attend the hiring event on October 19 from 1-6 p.m. It will be located inside the Marriott Ballroom at the Visalia Convention Center. Registration for the event is now open, but walk-ins are welcome.
More information, including how to schedule a tour of the facility or specific units, can be found here.
Tue, 20 Sep 2022 04:19:00 -0500entext/htmlhttps://abc30.com/kaweah-health-career-event-october-registered-nurses-licensed-vocational/12240817/Killexams : Event hoping to get Arkansans registered
A voter registration event that happened in Shiloh Square in Springdale on Sunday worked to make sure all Arkansans who are eligible to vote do so. Tinh Nguyen performed at the event with his breakdancing group Breaking Habits. The 29-year-old just registered to vote for the first time. "I feel like it's about the right time,” he said. “I feel like it's about the right age where I can you know pay attention more to the community and try and make a stand."Nguyen said he's going to make sure his dance crew is also registered."We can all do our best,” he said. “But whatever choice they make, we just gotta respect their choice. But it's still important to kind of reach out."Multiple organizations were on hand registering people to vote and talking to them about the issues that are on the ballot. There was also discussion panels focused on human rights. They said things like Arkansas's new voter ID law may cause hurdles for Arkansans to vote. They want people moving to northwest Arkansas to understand the voting process. "So we have people coming here every day from all over the country, maybe from other countries as well,” said Gennie Diaz, with the organization For Our People. “And we want to make sure that everybody knows that they have the right to get registered and then take on that responsibility of becoming voters." Davis said some changes in Arkansas voting laws may make it hard for people to vote.“In order to vote, and have your vote counted, you actually have to show up with a valid form of ID,” explained Davis. “And this is the first time that that’s required regardless of your background or circumstances.”Nguyen is ready to take on that responsibility."Gotta start being a leader,” he said. “And make a difference and you know what's going on and see what we can do."
A voter registration event that happened in Shiloh Square in Springdale on Sunday worked to make sure all Arkansans who are eligible to vote do so.
Tinh Nguyen performed at the event with his breakdancing group Breaking Habits. The 29-year-old just registered to vote for the first time.
"I feel like it's about the right time,” he said. “I feel like it's about the right age where I can you know pay attention more to the community and try and make a stand."
Nguyen said he's going to make sure his dance crew is also registered.
"We can all do our best,” he said. “But whatever choice they make, we just gotta respect their choice. But it's still important to kind of reach out."
Multiple organizations were on hand registering people to vote and talking to them about the issues that are on the ballot. There was also discussion panels focused on human rights.
They said things like Arkansas's new voter ID law may cause hurdles for Arkansans to vote. They want people moving to northwest Arkansas to understand the voting process.
"So we have people coming here every day from all over the country, maybe from other countries as well,” said Gennie Diaz, with the organization For Our People. “And we want to make sure that everybody knows that they have the right to get registered and then take on that responsibility of becoming voters."
Davis said some changes in Arkansas voting laws may make it hard for people to vote.
“In order to vote, and have your vote counted, you actually have to show up with a valid form of ID,” explained Davis. “And this is the first time that that’s required regardless of your background or circumstances.”
Nguyen is ready to take on that responsibility.
"Gotta start being a leader,” he said. “And make a difference and you know what's going on and see what we can do."
Sun, 18 Sep 2022 13:13:00 -0500entext/htmlhttps://www.4029tv.com/article/event-hoping-to-get-arkansans-registered/41272885Killexams : TRxADE Health Announces Pricing of $1.8 Million Registered Direct Offering
LUTZ, FL / ACCESSWIRE / October 4, 2022 / TRxADE HEALTH, INC. MEDS ("TRxADE" or the "Company"), a health services IT company focused on digitalizing the retail pharmacy experience by optimizing drug procurement, the prescription journey and patient engagement in the U.S., today announced that it has entered into a securities purchase agreement with a single institutional investor to purchase approximately $1.8 million of its common stock (or pre-funded warrants in lieu thereof) in a registered direct offering and warrants to purchase common stock in a concurrent private placement. The combined effective purchase price for one share of common stock (or pre-funded warrant in lieu thereof) and associated warrants will be $1.15.
Under the terms of the securities purchase agreement, TRxADE has agreed to sell 1,521,740 shares of common stock (or pre-funded warrants in lieu thereof). In a private placement, which will be consummated concurrently with the offering, TRxADE also has agreed to issue warrants to purchase up to an aggregate of 2,663,045 shares of common stock. The warrants will be exercisable upon receipt of shareholder approval of the offering, will expire 5 years from the date of such shareholder approval and will have an exercise price of $1.50 per share of common stock.
Maxim Group LLC is acting as the sole placement agent for the offering.
The offering is expected to close on or about October 7, 2022, subject to the satisfaction of customary closing conditions.
The shares of common stock and pre-funded warrants are being offered pursuant to a shelf registration statement on Form S-3 (File No. 333-266432) previously filed and declared effective by the Securities and Exchange Commission (SEC). The offering of the shares of common stock and pre-funded warrants will be made only by means of a prospectus supplement that forms a part of the registration statement. The warrants issued in the concurrent private placement and the shares issuable upon exercise of such warrants were offered in a private placement under Section 4(a)(2) of the Securities Act of 1933, as amended (the "Act"), and Regulation D promulgated thereunder and have not been registered under the Act or applicable state securities laws.
This press release does not constitute an offer to sell or the solicitation of an offer to buy, nor will there be any sales of these securities in any jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of such jurisdiction. A prospectus supplement relating to the shares of common stock and pre-funded warrants will be filed by TRxADE with the SEC. When available, copies of the prospectus supplement relating to the registered direct offering, together with the accompanying prospectus, can be obtained at the SEC's website at www.sec.gov or from Maxim Group LLC, 300 Park Avenue, New York, NY 10022, Attention: Syndicate Department, or via email at email@example.com or telephone at (212) 895-3745.
About TRxADE HEALTH, Inc.
TRxADE HEALTH, Inc. MEDS is a health services IT company focused on digitalizing the retail pharmacy experience by optimizing drug procurement, the prescription journey and patient engagement in the U.S. The Company operates the TRxADE drug procurement marketplace serving a total of 13,815+ members nationwide, fostering price transparency and under the Bonum Health brand, offering patient centric telehealth services and tele vet services. For more information on TRxADE Health, please visit the Company's IR website at investors.trxadehealth.com.
Note on Forward-looking Statements
This press release may contain forward-looking statements, including information about management's view of TRxADE's future expectations, plans and prospects, within the meaning of the federal securities laws, including the safe harbor provisions under The Private Securities Litigation Reform Act of 1995. In particular, when used in the preceding discussion, the words "may," "could," "expect," "intend," "plan," "seek," "anticipate," "believe," "estimate," "predict," "potential," "continue," "likely," "will," "would" and variations of these terms and similar expressions, or the negative of these terms or similar expressions are intended to identify forward-looking statements. Any statements made in this news release other than those of historical fact, about an action, event or development, are forward-looking statements. These statements involve known and unknown risks, uncertainties and other factors, which may cause the results of TRxADE, its divisions and concepts to be materially different than those expressed or implied in such statements. These risks include risks relating to the closing of the offering, agreements with third parties, including Coborn's and Galt Pharmaceuticals; our ability to raise funding in the future, as needed, and the terms of such funding, including potential dilution caused thereby; our ability to continue as a going concern; the planned benefits, expected users of, and projected revenues of our venture with Exchange Health; amounts we owe and may owe to Exchange Health in connection with the arrangement with Exchange Health; security interests under certain of our credit arrangements; the fact that we are exploring strategic alternatives for our Bonum Health, Inc. subsidiary; our operations not being profitable; the commercial viability of new business lines, applications, products and technologies, and the costs of such items; the Company's stock repurchase program; the adoption of the Company's product offerings; claims relating to alleged violations of intellectual property rights of others; our ability to monetize our technological solutions; technical problems with our websites, apps and products; risks relating to implementing our acquisition strategies; challenges to the pharmaceutical supply chain posted by the COVID-19 pandemic and related matters; our ability to manage our growth; negative effects on our operations associated with the opioid pain medication health crisis; regulatory and licensing requirement risks; risks related to changes in the U.S. healthcare environment; the status of our information systems, facilities and distribution networks; risks associated with the operations of our more established competitors; regulatory changes; new competitors which may have more resources than we do; increases in direct to consumer sales of drugs; healthcare fraud; COVID-19, governmental responses thereto, economic downturns and increased inflation and possible recessions caused thereby; changes in laws or regulations relating to our operations; privacy laws; system errors; dependence on current management; our growth strategy; dilution which may be caused by future offerings; increased inflation, increases in interest rates and supply chain issues; and others that are included from time to time in filings made by TRxADE with the Securities and Exchange Commission, including, but not limited to, in the "Risk Factors" sections in its Form 10-Ks and Form 10-Qs and in its Form 8-Ks, which it has filed, and files from time to time, with the U.S. Securities and Exchange Commission (SEC), and more particularly in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2022, and our Annual Report on Form 10-K for the year ended December 31, 2021. These reports are available atwww.sec.gov. Other unknown or unpredictable factors also could have material adverse effects on TRxADE's future results and/or could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements. The forward-looking statements included in this press release are made only as of the date hereof. TRxADE cannot certain future results, levels of activity, performance or achievements. Accordingly, you should not place undue reliance on these forward-looking statements. We undertake no obligation to update publicly any of these forward-looking statements to reflect actual results, new information or future events, changes in assumptions or changes in other factors affecting forward-looking statements, except to the extent required by applicable laws. If we update one or more forward-looking statements, no inference should be drawn that we will make additional updates with respect to those or other forward-looking statements.
Tue, 04 Oct 2022 10:45:00 -0500text/htmlhttps://www.benzinga.com/pressreleases/22/10/ac29147224/trxade-health-announces-pricing-of-1-8-million-registered-direct-offeringKillexams : ‘4-alarm blaze’: New York’s public health crises converge
The Omicron variant emerged in December, causing cases to increase ten-fold in one month and forcing the department of health to put its post-Covid strategy plans on hold. | John Minchillo/AP Photo
This past winter, as Covid cases were beginning to decline, state health officials in New York were expecting a respite after two exhausting years and a chance to refocus on run-of-the-mill public health duties.
Almost a year later, they are still waiting.
The Omicron variant emerged in December, causing cases to increase ten-fold in one month and forcing the department of health to put its post-Covid strategy plans on hold. In May, monkeypox began to spread, spurring officials to scramble to find and distribute vaccines. And in July, a patient in New York tested positive for polio, triggering frantic attempts to pinpoint how a once-nearly-eradicated virus was spreading.
“We’re now in a four-alarm blaze again,” Loretta Santilli, the department’s director of the Office of Public Health Practice, said in an August interview. “[We’re] … trying to keep the embers from spreading to the next house.”
Despite being bolstered by more public health funding per capita than most states, New York public health officials are trying to cope with the threat of three simultaneous disease outbreaks, according to interviews conducted over the last two months with more than six New York state health officials and public health experts.
The strain, coupled with a lack of available shots nationally, limited the department’s ability to quickly distribute the monkeypox vaccine in the early days of the outbreak. It also slowed the office’s efforts to innovate ways for New Yorkers to access geographic-based health information and to finalize a critical review, known in public health as a “hot wash,” of its Covid work that would inform its future responses.
“They’re basically leaning on a skeleton crew of people and then have to deal with one emergency after the other,” said Jay Varma, director of the Center for Pandemic Prevention and Response at Weill Cornell Medicine. “The reality is they should be getting a lot more money and all the other states should be getting more, too.”
New York’s situation underscores how, even after the lessons of the Covid pandemic, the country’s public health infrastructure is still not set up to tackle multiple disease outbreaks on top of other public health needs.
“By having a perfect storm of all three diseases circulating at the same time, it is a crushing blow to health departments,” said Lawrence Gostin, a professor of public health law at Georgetown University, referring to New York. “While this clearly should have ushered in a blaring alarm to advance our preparedness, health systems and response, the exact opposite has happened. Investments in public health have plummeted over decades.”
At the outset
Since the pandemic started, state and local health departments have received tens of millions of dollars from federal agencies, such as the Centers for Disease Control and Prevention, to help with critical tasks such as data infrastructure and innovation, according to federal budget data. But overall, spending since 2010 for state public health has plummeted by 16 percent per capita, according to an analysis by Kaiser Health News and The Associated Press.
Concerns over federal support for public health come at a time when public health workers are leaving their jobs in droves. Meanwhile, opioid overdoses and sexually transmitted diseases are at record levels, and infant mortality and racial inequities are on the rise.
“I have a lot of confidence actually in our ability to respond to all of these threats,” said Mary Bassett, New York’s health commissioner in an interview in September. “What I do worry about is … as public health increasingly is seen as responding to microbes, [there] are other challenges — reproductive health, injury prevention and addressing environmental exposures … that people will see as no longer in our purview. That would be a tragic mistake. I’m hopeful that we can also begin to turn our attention to those as well.”
In New York, Covid-19 is still infecting thousands every day, the monkeypox outbreak has infected more than 3,800. Officials said they worry about what the state and the country could see if people who are unvaccinated do not sign up for the polio shot and if Covid cases spike alongside the yearly rise in influenza cases.
The New York state budget sets aside $349 million for public health, which includes funding for 212 full-time employees at the state department of health, and $25.7 million in 2023 and $51.5 million in 2024 to help finance local district public health offices.
Asked whether her office has enough support and resources to tackle the myriad of health issues the department is tasked with handling, Bassett said: “The answer to that is no.”
“I’m not just talking about New York State — I’m talking about the investment in public health nationally. We will meet the challenge. But it’s done by people working very long hours and losing sleep,” Bassett said.
The converging health emergencies in New York come amid a broader leadership shakeup over the last year that includes a new commissioner, several new agency heads and a department reorganization following its handling of Covid-19 under former Gov. Andrew Cuomo. Dozens of staffers left the office after Cuomo resigned.
“What we’re seeing now is that people are exhausted. And many people here in New York and across the country have left public health,” said Ursula Bauer, the deputy commissioner for public health, in an August interview. “Public health has always been about optimizing outcomes with limited resources. But now we’re really seeing that we have tapped out our human resources. And that’s something that will take time to rebuild.”
Department spokesperson Samantha Fuld did not answer questions about how many positions are still open, but said about 1,123 new staff have been hired since December 2021.
Another rare virus
Early this spring, New York state health officials said they were feeling like their work had finally begun to return to a normal pace.
But in late May, New York reported its first case of monkeypox, a virus that has been found in Africa for decades and spreads through close contact with another individual. It causes painful nodules to emerge on the skin. Some strains can be deadly.
Cases slowly rose — there were 10 cases in New York City by June. Officials realized they were dealing with yet another rare infectious disease outbreak — one that would require the overworked and exhausted public health department to work even harder.
“To have [an emergency] so quickly on the heels of Covid … I think [it] was a bit traumatic for some of the staff who are coming off an exhausting few years,” Santilli said. “They were hoping for a nice quiet summer and they did not get what they were looking for.”
Monkeypox had circulated in Europe for weeks before the first case was reported in the U.S. Still, health officials across the country, including in New York, were caught off guard. The vaccine and drugs that help combat the virus were in short supply and it was unclear whether or when the federal government would dole out more to states.
“We were very surprised … to see monkeypox emerge in this community and spreading among people through intimate skin-to-skin contact,” Bauer said. “We did not, in New York, anticipate a monkeypox outbreak in our future. Clearly, the U.S. government did not anticipate this.”
For weeks, the Biden administration scrambled to get vaccine vials out the door. The U.S. had contracted with Danish pharmaceutical company Bavarian Nordic for millions of smallpox vaccines — doses that could also be used to treat monkeypox. But the supply was limited.
“The demand for vaccine has really outstripped the supply of the vaccine,” Travis O’Donnell, associate director of the health department’s AIDS Institute who helped work on the monkeypox response, said in an August interview. “Our ability to vaccinate all eligible persons in New York state remains paramount. [But] until the vaccine supply is fully there, we’re not going to be able to do that.”
Throughout the summer, cases rose quickly in New York City, mostly among men who had sex with men. By mid-July, more than 460 people living in the city had contracted the virus.
The lack of consistent and early vaccine supply spurred complaints among those who had contracted monkeypox in New York City. Sensing the frustration, officials, armed with a limited number of vials provided by the federal government, launched a public health messaging campaign that sought input from New Yorkers for ways to decrease the spread. Officials also tried to find innovative ways to get shots out to New Yorkers.
“There’s feedback related to the limited amount of vaccine that’s available to the states. The limitations … have a domino effect on how we are able to supply each of the regions,” said Johanne Morne, the department’s deputy commissioner of health equity and human rights, in an August interview. “And there have been concerns … as it relates to the access points, particularly for black and brown individuals.”
Morne said her team has worked on building trust with members of the community to address their concerns.
“I spend my days often talking about the fact that the work that we do and the milestones we’ve achieved and other public health arenas would not have been capable if it weren’t for the insight and the willingness of community members to share their own lived experiences.”
But amid the scramble to respond to monkeypox, a new threat emerged.
On July 18, Bryon Backenson, director of the department’s Bureau of Communicable Diseases, received a call from Kirsten St. George, director of virology and chief of the laboratory of viral diseases at the Wadsworth Center, the state’s public health lab. The health department had, days earlier, reminded health care providers to watch out for signs and symptoms of acute flaccid myelitis, a polio-like disease.
“It just so happened that that advisory showed up … pretty much the day before the individual who turned out to be our polio case presented at the hospital,” Backenson said in August. ”This particular advisory that we put out … had really put in the forefront of their minds to be on the lookout.”
St. George was one of the first to find out about the positive case in a person living in Rockland County.
“The molecular supervisor from the lab appeared in the doorway of my office and said, simply, ‘Kirsten, that paralysis case down in the city … we have the result: It’s probably a Type 2 polio,’’’ St. George recalled. “I simply looked at him and said, ‘You’re kidding.’”
She asked for the sequence to be run again.
“As soon as he told me the result, my mind, your mind, I think, for anyone in that situation, starts to run in quite a few different directions at once,” St. George said. “The importance of the finding, the public health implications, the many people who need to be notified … the consequences. But also just a single thought: Where on earth did it come from?”
Scientists at the center had no immediate answer.
Flooded with thoughts about the worst-case scenario, St. George and her team at the Wadsworth Center contacted the CDC. The CDC, members of the Wadsworth Center and officials from the health department convened via phone to develop a plan to determine how the individual contracted the virus and the exact degree to which it was spreading. It’s still not completely clear, officials said.
The CDC is testing New York wastewater to get a sense of where the virus may be circulating. Samples have tested positive in several counties, including New York City, Sullivan, Rockland and Orange.
Epidemiologists have determined that the Rockland case is genetically linked to a sample pulled from wastewater in Israel and the United Kingdom — but that doesn’t mean the individual contracted the virus there. It means that the mutations in the wastewater samples are similar.
“We don’t really know where the transmission occurred,” said Emily Lutterloh, director of the division of epidemiology at the health department, in an August interview.
And that’s part of what’s causing anxiety within the department. Polio can spread undetected — and at least one of the counties where wastewater samples have tested positive has a lower rate of polio vaccination than many other areas in the state.
“I’m thinking about people not taking polio seriously,” Backenson said. “Because it spreads somewhat invisibly … [and] the vast majority of people don’t have any signs and symptoms, we can rapidly increase the amount of polio that may be circulating in a particular area, which just increases the risk. And it gets us to the point where we’re going to see additional cases of paralytic polio.”
As officials worked quickly to respond to a possible spread of polio, monkeypox cases kept climbing. By August, New York City reported almost 2,700 cases.
On Aug. 9, the White House announced that the Food and Drug Administration was proposing an alternative method of administering the monkeypox vaccine to help increase the number of doses available. The shots, the FDA said, should be given intradermally, or in between the layers of the skin. The new method, officials said, would increase vaccine supply by five-fold.
Since then, monkeypox cases in New York have leveled off, bringing much-needed relief to the health department.
But concerns about polio only seem to be growing.
Over the past several weeks, health department officials and top Biden health and White House officials have debated ways to ramp up vaccinations in communities that traditionally resist shots. On Sept. 9, Gov. Kathy Hochul announced a public health emergency for polio, hoping it will convince more people in the state to get vaccinated. And last week, Bassett declared poliovirus an imminent threat to public health, opening up additional state resources for local health departments to increase vaccinations.
“Human resources are the crux of public health infrastructure,” Santilli said. “Being able to really support [staff] … is really going to be critical to making sure that infrastructure can continue to support the responses and the everyday public health activities.”
Sat, 01 Oct 2022 23:40:00 -0500entext/htmlhttps://www.politico.com/news/2022/10/02/newyork-monkeypox-omicorn-polio-crises-00059799Killexams : Egypt has over 37 registered centers for organ transplantation: Health ministry
File Photo: Cardiovascular surgeons Susana Villar (C) and Elsa Rios (R) prepare a patient to receive a new heart from a donor in an operating room in Puerta de Hierro University Hospital in Majadahonda, near Madrid. AFP
In statements to Sada el-Balad TV channel’s ‘Newsroom’ TV show, Abdel-Ghaffar said that a new organ transplantation centre that will be established in the medical city of Nasser Institute will cover all types of organ transplants.
He noted that a database will be prepared for organ transplants in Egypt, which will contribute to preventing organ trafficking. Establishing the new database will take no more than six months, the health ministry spokesperson added.
Last week, President Abdel-Fattah El-Sisi issued directives to establish the largest organ transplant centre in the Middle East and Africa in Cairo, in cooperation with international companies.
The centre will be located in Cairo’s new integrated medical city, which is being developed at Nasser Medical Institute.
Egypt has had laws regulating organ transplants and donations since 2010.
According to the Doctors Syndicate, an average of 370 liver transplant operations are conducted annually in the country across private and public hospitals, including the Nasser Medical institute.
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