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Jul222015

The Estimated Impact Of Reform Through 2019

Andrea M. Sisko1,*,

Christopher J. Truffer2,

Sean P. Keehan3,



John A. Poisal4,

M. Kent Clemens5 and

Andrew J. Madison6

1Andrea M. Sisko (DNHSatcms.hhs.gov) is an economist in the Office of the Actuary, Centers for Medicare and Medicaid Services (CMS), in Baltimore, Maryland.

2Christopher J. Truffer is an actuary in the CMS Office of the Actuary.

3Sean P. Keehan is an economist in the CMS Office of the Actuary.

4John A. Poisal is deputy director of the National Health Statistics Group, CMS Office of the Actuary.

5M. Kent Clemens is an actuary in the CMS Office of the Actuary.

6Andrew J. Madison is an actuary in the CMS Office of the Actuary.



*Corresponding author

This paper presents updated national health spending projections for 2009-2019 that take into account recent comprehensive

health reform legislation and other relevant changes in law and regulations. Relative to our February 2010 projections under

prior law, average annual growth in national health spending over the projection period is estimated to be 0.2 percentage

point higher than our previous estimate. The health care share of gross domestic product (GDP) is expected to be 0.3 percentage

point higher in 2019. Within these net overall impacts are larger differences for trends in spending and spending growth by

payer, attributable to reform's many major changes to health care coverage and financing.





Received July 23, 2010.



Accepted August 19, 2010.




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Jul222015

Majority prefer driverless technology

While only a small percentage of drivers say they would be completely comfortable in a driverless car, a sizable amount would have no problem as long as they retain some control, according to a University of Michigan report.

Researchers Brandon Schoettle and Michael Sivak of the U-M Transportation Research Institute examined motorists' preferences for vehicle automation, including their overall concern about riding in self-driving cars.



They surveyed 505 licensed drivers and found about 44 percent prefer to retain full control while driving. Nearly 16 percent would rather ride in a completely self-driving vehicle, while almost 41 percent said they prefer a partially self-driving vehicle with only occasional control by the driver.



Male drivers and drivers under 45 are more likely to favor partially or completely self-driving vehicles, the researchers say.



"Self-driving vehicles are often discussed in regard to their potential safety, energy-consumption and environmental benefits, or the existing technical challenges that must be overcome for their successful implementation," Schoettle said. "However, less attention has been paid to considering the actual level of automation, if any, that drivers desire in their vehicle."





While about two-thirds of those surveyed said they are at least moderately concerned about riding in completely self-driving vehicles, that percentage drops to less than half for partially self-driving cars. Women and those 45 and older are more apt to have concerns with either level of automation.







According to the U-M report, nearly all respondents (96 percent) would want to have a steering wheel and gas and brake pedals available in completely self-driving vehicles.





As for partially self-driving vehicles, 59 percent of those surveyed said they prefer a combination of three warning modes (sound, visual, vibration) to notify drivers when to take control of the vehicle. About 19 percent thought that sound and visuals would be enough.



Schoettle and Sivak defined the three levels of automation as:





Completely self-driving: The vehicle will control all safety-critical functions, even allowing the vehicle to travel without a passenger if required.Partially self-driving: The driver will be able to hand over control of all safety-critical functions to the vehicle; only occasional control by the driver will be required.No self-driving: The driver will always be in complete control of all safety functions, but the driver will be assisted with various advanced technologies.



Explore further:

Despite expected benefits, concerns about self-driving vehicles still exist




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Jul222015

Mental Health VS. Emotional Health-Are they related?

By Nancy Philpott

The official guide to Women's Issues

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Mental Health VS. Emotional Health-Are they related?

The direct correlation between mental health versus emotional health is a bit like talking about apples and oranges. While they might both appear to be identical, they are not actually the same thing at all. Most people would tend to describe themselves as either an intellectual person or a more emotional person. A healthy individual would say they are balance of both.

The Mental and Emotional Connection

However, in our understanding that mental health and emotional health tackle two different parts of our personality, processing and reasoning, they are very much intertwined. Without a sense of high-quality mental health our emotions can run wild and wreak havoc on our personality, along with the decisions we make and how we act and react to life's situations. Alternately, should we have a low-quality emotional health, our mental acuity can easily become disoriented and make it nearly impossible to function normally.

What Is Mental Health?

The state of your mental health involves successful cognitive thinking, or the ability to stay focused with sustained, divided and selective attention, and the capability to process information, store information in our long-term memory, the ability to understand what we hear and see, along with the function of logical processing and reasoning. Additionally, it involves volitional reasoning, or the ability to make a conscious choice or a reasonable decision through willful determination.

What is Emotional Health?



One useful and positive definition of emotional health might be the capability to express all of your emotions in an appropriate way. This definition is tricky though, in that a two-year-old might run the gamut of all different types of emotions, which although might be normal for them, is totally inappropriate for an adult. Typically, a good definition of optimal emotional health is positive management and an expression of your emotional actions and reactions void of any unhealthy stress or depression.

You Cannot Have One without the Other

It would be impossible to suggest that all of our volitional reasoning, or the ability to make a willfully determined choice, is made solely as a mental processing function. Many of the choices we make are based on how we feel, who we love and how we wish to serve and be served by others. Likewise, many of the feelings and emotions we experience are due to cognitive reasoning, in the understanding of what we see and hear, along with the logical processing it takes to find reason in our interactions with others and how we communicate in our relationships.



In our search to discover the differences of mental health versus emotional health, it quickly becomes apparent that they are very much different, while being very much the same. Effectively managing both of these functions of our personality is a way to optimize their health. Doing so can eliminate high levels of stress and anxiety, fear, anger, depression and worry. Deep inside us all, we have the emotional resilience we need to tackle life's daily challenges to live with optimal mental and emotional health. However, it might take some volitional reasoning to bring it o

Author's Bio: 



Nancy Philpott R.N, Emotional Health Coach, and Consulting Hypnotist, believes the power to transform our emotions, health, and our destiny is waiting within each of us. Nancy, a contributing author to the #1 Best Selling book series, Wake Up. Live the Life You Love, offers individual and group coaching programs. Go Now to EmotionalHealthCoaches.com and learn more about Nancy's FREE "Emotional Health Secrets to Reprogram Your Emotions "webinars. Visit EmotionalHealthCoaches.com and find self help for depression and anxiety.




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Jul222015

Site Technology

Site Technology group is a leading turnkey solutions provider of Technology Website a wide range of services from design, supply, installation, commissioning, maintenance and operations of all systems and equipment in different specialized activity sectors.

After 25 years of operations, the group employs more than 1,000 people, in several geographic areas mainly: Abu Dhabi - Dubai - Riyadh - Jeddah - Khobar - Doha and Beirut

Site Technology structure offers customers a single point of contact at a local level for operations and brings together focused teams to meet local needs Technology Website and deliver customized solutions.



Our mission is to expand services and operations across

the MENA region and Technology Website lead the market by providing value added services, exceeding customer expectations, and gaining market trust through exceptional performance, matchless quality and unrivaled standards.

The company has 10 business activities:







1-    Low Current & Integrated Security

2-    Network Integration Systems

3-    Audio Visual systems



4-    Power Systems



5-    Uninterrupted Power Supply

6-    Batteries

7-    Transmission & Distribution Networks

8-    Telecommunication Networks

9-    Civil Works

10-  Biometric systems


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Jul222015

Congressional report urges FDA to regulate e-cigarette marketing

A new Congressional report released Monday sounds the alarm on marketing of electronic cigarettes, especially efforts made by companies to sell their products to young people.



The report, written by the staff of Illinois Sen. Dick Durbin, Iowa Sen. Tom Harkin, California Rep. Henry Waxman and other lawmakers, underscores the need to regulate the fast-growing industry, including the lack of uniform age restrictions and warning labels.



E-cigarettes are battery-powered devices that heat a liquid nicotine solution and create vapor that's inhaled.

While the Food and Drug Administration plans to set marketing and product regulations for electronic cigarettes in the near future, for now, almost anything goes. A 2009 law gave the FDA the power to regulate a number of aspects of tobacco marketing and manufacturing, though it cannot ban nicotine or cigarettes outright.

The agency first said it planned to assert authority over e-cigarettes in 2011 but hasn't yet. The proposed FDA regulation was submitted to the Office of Management and Budget for review in October.

"I can't understand why the FDA is taking this long," Durbin said in an interview with The Associated Press. "It is clear that the longer they wait, the more young people will be addicted."





Though the FDA has been slow to regulate electronic cigarettes, the agency has taken measures to bring to light the dangers posed by the devices. Last month the FDA released a report that found e-cigarettes liquids are behind a growing number phone calls made to poison control centers throughout the country.

The new Congressional report follows an investigation launched by the congressional delegation in September into the practices of nine e-cigarette makers. The staffs surveyed the companies for information on their marketing practices, steps taken to restrict sales to minors, types of warning labels and touting claims of health benefits or reduced exposure to potentially harmful or addictive substances.

Among the findings, the report says six of the companies surveyed spent more than $59 million on advertising and promotion of their e-cigarettes in 2013. Several of the companies reported that their marketing spending more than doubled between 2012 and 2013, and two of the companies' marketing expenses increased more than 300 percent during that time. Sales of e-cigarettes, which are sold under more than 200 brand names, are estimated to have reached nearly $2 billion in 2013.

The report also observes companies have specifically chosen marketing strategies that appeal to teenagers. In particular, makers of e-cigarettes use social media to connect with younger consumers. Seven of the companies surveyed by the authors use websites such as Facebook, Twitter, Pinterest, YouTube and Instagram. In many cases it's not possible for companies to limit access on social media sites, which means their marketing message is more likely to reach young people.

Durbin said that if the FDA "accepts responsibility for this product as they have for tobacco," it can start establishing standards for sales and marketing.

"If they fail to do that, I'm afraid it's going to continue reach into the ranks of our children," he said.






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