Okay, weight issues. I have a cousin
who works in a primary care clinic in Illinois and she copied and pasted
this for me thinking I might want to share.
Question 1
of 5
Correct
According to research, which words do patients' prefer that their health care providers use when discussing weight?
Your Answer
Weight, excess weight, or BMI
Question 2
of 5
Incorrect
Research shows that experiencing weight bias makes overweight and obese individuals vulnerable for: (Choose all that apply.)
Your Answer
Low self-esteem
You Missed
Suicidal thoughts and behaviors
You Missed
Body dissatisfaction
Question 3
of 5
Incorrect
How does weight bias contribute to the health complications associated with obesity? (Choose all that apply)
Your Answer
People
who experience weight bias are more vulnerable to depression, which is
associated with multiple physical health complications.
You Missed
People
who experience weight bias are more likely to engage in binge eating
behaviors in response to being stigmatized, which may result in excess
weight
gain and other health problems.
You Missed
Children
and adults who experience weight-based teasing are more likely to avoid
physical activity, which may lead to poor health.
You Missed
People
who experience weight bias in health care are more likely to delay or
forgo cancer screenings, which can result in undetected risks.
Question 4
of 5
Incorrect
What
are key changes that can be made to the medical environment to optimize
health care experiences for obese patients? (Choose all that apply)
Your Answer
Provide gowns that are sized to accommodate obese patients; locate the scale in a private area; and provide armless room chairs.
You Missed
Provide easy access to x-large blood pressure cuffs and provide a scale that weighs over 350 pounds.
Question 5
of 5
Incorrect
Which
of the following practices will help reduce weight bias and improve the
quality of care for overweight and obese patients: (Choose all that
apply.)
Your Answer
Provide
sensitivity training to all physicians and staff members to learn
effective strategies for communicating with obese patients
You Missed
Assess the environment and supplies for weight suitability
So that’s what they’re training with – there was a 16 minute video with this my cousin says.
What do you think?
Sounds good but I wonder what else they could do?
My grandfather was once told he was
“morbidly obese” by the PA (physician’s assistant) as he walked him back
to the lobby, in front of me and everyone else.
I thought, “Huh?”
And this wasn’t that long ago. Probably 2013.
Just put him on blast right there in the lobby right in front of everyone.
Here's C.I.'s "Iraq snapshot:"
Friday, December 8, 2017. In the last year of Barack Obama's presidency veterans homelessness increased (despite his pledge to end it), PBS misleads regarding Iraqi militias and much more
Starting with a report from last night's THE NEWHOUR (PBS -- link is video and transcript):
But armed militias didn't mobilize within weeks.
Why can't PBS demand accuracy?
The militias existed. They were barred from participating by Iraqi law.
But they existed -- and they usually terrorized local communities.
The remarks by Grand Ayatollah Ali al-Sistani didn't mean new groups sprung up.
It just meant these thugs went in and became part of the Iraqi armed forces -- something that Hayder al-Abadi and the Parliament then illegally enforced.
In fact, why can't PBS point that out?
Without context, it's not news, it's just blather.
I also missed, in last night propaganda, the fact that the militias have threatened US forces.
20 hours ago?
Thursday morning. More than enough time to make Thursday night of a 'news' broadcast by PBS.
And that wasn't the first threat to attack US troops made by Shi'ite militias.
We've discussed this topic repeatedly -- most recently in the November 30th snapshot, following militia leader Hadi al-Ameri's threat to US troops who did not leave Iraq.
In 2015, Maria Fantappie and Peter Harling (International Crisis Group) observed:
Here is a new Iraqi paradox: whatever progress the Shi’ite Muslim-dominated Baghdad government makes against jihadi insurgents occupying large swathes of north-western Iraq, it is simultaneously undermining what is left of the Iraqi state, whose frailty and malfunctions created the environment in which jihadism was able to surge in the first place.
The dereliction of the Iraqi state was already powerfully illustrated by the takeover of one-third of Iraq, including the city of Mosul, by Islamic State (also known as ISIL or ISIS) in June 2014. Security forces proved rotten to the core despite a decade of training and expansion. Local Sunni Arab elites were revealed to have turned their backs on their constituencies in favor of a corrupt, corrosive relationship with authorities in Baghdad. Power struggles in the capital often deteriorated into sectarian fear-mongering.
Since June, matters have got worse, particularly in the current battle for the Sunni-populated town of Tikrit, where much of the fighting is by Shi’ite militias under the guidance of Iranian Revolutionary Guard commanders. Though Iraqi elites and foreign officials alike have signaled they understand the gravity of such shortcomings, they have done little beyond professing intent to shore up the military, re-empower Sunni Arabs through local governance and provision of security and launch an inclusive political process in the capital.
At the same time, the new prime minister, Haider al-Abadi, has been all but sidelined by the massive expansion, multiplication and professionalization of so-called “popular mobilization” groups (Hashid al-Shaabi) – in effect Shi’ite militias – that enjoy considerable support in some segments of society and have taken the lead in the single-minded pursuit of defeating Islamic State by military means.
This decentralized fight has reduced the army to playing a bit role at best, which in turn has reduced the role of the prime minister, its commander in chief. In the vacuum, these militias operate beyond the control of the state, erode its credibility and cannibalize its resources. Their victories — in Tikrit and elsewhere — most likely will further entrench and normalize their role at the state’s expense, which would mark a decisive turn away from the state-building process meant to be ushered in by the 2003 U.S. invasion.
Abadi professes a reform agenda, but he has not been empowered to deliver on it. On one side, he derives little power from control over national security institutions that have been thoroughly discredited; the interior and national security ministries, in particular, are in the hands of political rivals and essentially serve as the militias’ logistical backbone. On the other, he faces open resistance in parliament, especially from Iran-backed hardline Shi’ite factions, to efforts to reach out to Sunni Arabs and return them to politics.
The risk is that, as the balance of forces tilts further to the militias’ advantage, they will have the power to decide what happens during and after military operations. There have been troubling signs that, calls for restraint notwithstanding, they have engaged in the same brutal, sectarian-based practices as their Islamic State adversaries, including summary executions and population displacement in mixed Sunni-Shi’ite areas.
Moreover, there is danger the aftermath of battle might include reprisals against local elements under the banner of transitional justice, targeting anyone thought to be associated with Islamic State, reminiscent of de-Baathification after 2003. Without local institutions or acknowledged leaders to govern Sunni Arab areas, militias could end up having to promote local proxies lacking legitimacy. This would be especially damaging for the process of appointing and recruiting local police.
2015 is the same year that Michael Weiss and Michael Pregent (FOREIGN POLICY) observed:
Chairman of the Joint Chiefs Martin Dempsey told Congress on March 3: “What we are watching carefully is whether the militias — they call themselves the popular mobilization forces — whether when they recapture lost territory, whether they engage in acts of retribution and ethnic cleansing.” He needn’t watch any longer. They are engaging in exactly that.
The crimes of war
On March 10, the United Nations Office of the High Commissioner for Human Rights (OHCHR) released a comprehensive study of human rights violations committed by both IS and pro-Iraqi forces. The Islamic State, OHCHR concluded, has likely committed genocide against the Yazidis, a ethno-religious minority in Iraq, in a catalogue of war crimes and crimes against humanity that include gang-rape and sexual slavery. But OHCHR’s language is equally unambiguous in condemning the other side on the battlefield: “Throughout the summer of 2014,” the report noted, “[PMUs], other volunteers and [Shiite] militia moved from their southern heartlands towards [Islamic State]-controlled areas in central and northern Iraq. While their military campaign against the group gained ground, the militias seem to operate with total impunity, leaving a trail of death and destruction in their wake.” [Italics added.]
Sunni villages in Amerli and Suleiman Bek, in the Salah ad-Din province, have been looted or destroyed by militiamen operating on the specious assumption that all inhabitants once ruled by IS must be IS sympathizers or collaborators. Human Rights Watch has also lately discovered that the “liberation” of Amerli last October — another PMU/Iranian-led endeavor, only this one abetted by U.S. airstrikes in the early stages — was characterized by wide-scale abuses including the looting and burning of homes and business of Sunni residents of villages surrounding Amerli. The apparent aim was ethnic cleansing.
And a year earlier, Tirana Hassan (FOREIGN POLICY) was documenting the ethnic cleansing taking place in the name of 'liberation':
There is mounting evidence that Iraq’s Shiite militias are using the fight against the Islamic State as cover for a campaign of sectarian violence targeting Sunni Arab communities. The Baghdad authorities have turned a blind eye to these militias’ crimes, while foreign governments have ignored the militias’ use of their military aid to pursue their campaign against Sunni Arabs. If the central Iraqi government doesn’t rein in Shiite militias and hold them and their commanders to account for their crimes — including war crimes — Iraq may enter even more terrible times.
Changing topics . . .
The announcement?
The so-called 'resistance' ignored the issue to instead focus on whether Donald Trump was drunk or had bad dentures.
Expect them to continue to avoid the issue, Hillary's on record supporting this move going back to 1999. In addition, her supporters support her on this as CNN noted in June 2016:
Sanders' backers want to exclude references to Jerusalem as belonging wholly to Israel, which Palestinians contest, and consider language that labels Israeli settlements in the West Bank "an occupation," a notion adamantly opposed by Clinton supporters who warn it would undermine the peace process.
Let's wind down with this from IAVA:
And the following community sites -- plus THE GUARDIAN -- updated:
Starting with a report from last night's THE NEWHOUR (PBS -- link is video and transcript):
- Reza Sayah:
At a training camp just outside of the city of Kirkuk, a rare glimpse of America’s newest problem in Iraq, the Popular Mobilization Forces, PMF, for short, Hashd al-Shaabi in Arabic, an armed militia more than 100,000 fighters strong who helped crush ISIS in Iraq, many armed, funded, and trained by America’s longtime foe the Islamic Republic of Iran, with no plans to disband. - Abu Ali Beyk (through Interpreter):
The PMF has reached a place where no one can stop it, and this is a blow to U.S. interests in the Middle East. - Reza Sayah:
Abu Ali Beyk is the face of America’s newest problem, a battle-scarred PMF commander committed to God and driven by duty, and in no small measure, revenge.
When Beyk was a child, Iraqi dictator Saddam Hussein, a Sunni Muslim, executed his Shia father. Beyk and his family fled to neighboring Iran, the leading Shia power in the region, where they lived for more than a decade. Twenty years later, he was back in Iraq fighting ISIS, a terrorist organization many here believe was made up of Sunni remnants of Saddam Hussein’s forces, and supported, Beyk says, by Washington’s Sunni Arab allies. - Abu Ali Beyk (through Interpreter):
Everyone knows ISIS was manufactured by America’s allies in the region. The PMF, backed by Iran, defeated ISIS, so those American allies are not happy. - Reza Sayah:
It was the threat of ISIS in Iraq that spawned the PMF in 2014. With most U.S. forces gone and Iraqi forces too weak to take on ISIS, the Iraqi government called on Iran for help, and Iraq’s highest religious authority, Shia cleric Ayatollah Ali Sistani, called for volunteer fighters.
Within weeks, armed militias mobilized, backed by Iran. - Abu Ali Beyk (through Interpreter):
While the whole world watched as Iraq was collapsing, in fact, it was only Iran that stood with us by providing us moral and material support. - Reza Sayah:
The PMF acknowledged support from Iran. Many fighters say they have traveled there. We heard several speak the Iranian language of Farsi. - Haji Jawdat Assaf:
We love Iranians. - Reza Sayah:
But PMF spokesman Haji Jawdat Assaf insists they’re not beholden to Iran, and never use Iranian soldiers.
But armed militias didn't mobilize within weeks.
Why can't PBS demand accuracy?
The militias existed. They were barred from participating by Iraqi law.
But they existed -- and they usually terrorized local communities.
The remarks by Grand Ayatollah Ali al-Sistani didn't mean new groups sprung up.
It just meant these thugs went in and became part of the Iraqi armed forces -- something that Hayder al-Abadi and the Parliament then illegally enforced.
In fact, why can't PBS point that out?
Without context, it's not news, it's just blather.
I also missed, in last night propaganda, the fact that the militias have threatened US forces.
#Breaking US ally against ISIS War in Iraq, Shiite paramilitary Harakat Hezbollah Al-Nujaba threatened to attack the U.S. military in Iraq following President Donald Trump’s decision to recognize Jerusalem as Israel’s.
20 hours ago?
Thursday morning. More than enough time to make Thursday night of a 'news' broadcast by PBS.
And that wasn't the first threat to attack US troops made by Shi'ite militias.
We've discussed this topic repeatedly -- most recently in the November 30th snapshot, following militia leader Hadi al-Ameri's threat to US troops who did not leave Iraq.
In 2015, Maria Fantappie and Peter Harling (International Crisis Group) observed:
Here is a new Iraqi paradox: whatever progress the Shi’ite Muslim-dominated Baghdad government makes against jihadi insurgents occupying large swathes of north-western Iraq, it is simultaneously undermining what is left of the Iraqi state, whose frailty and malfunctions created the environment in which jihadism was able to surge in the first place.
The dereliction of the Iraqi state was already powerfully illustrated by the takeover of one-third of Iraq, including the city of Mosul, by Islamic State (also known as ISIL or ISIS) in June 2014. Security forces proved rotten to the core despite a decade of training and expansion. Local Sunni Arab elites were revealed to have turned their backs on their constituencies in favor of a corrupt, corrosive relationship with authorities in Baghdad. Power struggles in the capital often deteriorated into sectarian fear-mongering.
Since June, matters have got worse, particularly in the current battle for the Sunni-populated town of Tikrit, where much of the fighting is by Shi’ite militias under the guidance of Iranian Revolutionary Guard commanders. Though Iraqi elites and foreign officials alike have signaled they understand the gravity of such shortcomings, they have done little beyond professing intent to shore up the military, re-empower Sunni Arabs through local governance and provision of security and launch an inclusive political process in the capital.
At the same time, the new prime minister, Haider al-Abadi, has been all but sidelined by the massive expansion, multiplication and professionalization of so-called “popular mobilization” groups (Hashid al-Shaabi) – in effect Shi’ite militias – that enjoy considerable support in some segments of society and have taken the lead in the single-minded pursuit of defeating Islamic State by military means.
This decentralized fight has reduced the army to playing a bit role at best, which in turn has reduced the role of the prime minister, its commander in chief. In the vacuum, these militias operate beyond the control of the state, erode its credibility and cannibalize its resources. Their victories — in Tikrit and elsewhere — most likely will further entrench and normalize their role at the state’s expense, which would mark a decisive turn away from the state-building process meant to be ushered in by the 2003 U.S. invasion.
Abadi professes a reform agenda, but he has not been empowered to deliver on it. On one side, he derives little power from control over national security institutions that have been thoroughly discredited; the interior and national security ministries, in particular, are in the hands of political rivals and essentially serve as the militias’ logistical backbone. On the other, he faces open resistance in parliament, especially from Iran-backed hardline Shi’ite factions, to efforts to reach out to Sunni Arabs and return them to politics.
The risk is that, as the balance of forces tilts further to the militias’ advantage, they will have the power to decide what happens during and after military operations. There have been troubling signs that, calls for restraint notwithstanding, they have engaged in the same brutal, sectarian-based practices as their Islamic State adversaries, including summary executions and population displacement in mixed Sunni-Shi’ite areas.
Moreover, there is danger the aftermath of battle might include reprisals against local elements under the banner of transitional justice, targeting anyone thought to be associated with Islamic State, reminiscent of de-Baathification after 2003. Without local institutions or acknowledged leaders to govern Sunni Arab areas, militias could end up having to promote local proxies lacking legitimacy. This would be especially damaging for the process of appointing and recruiting local police.
2015 is the same year that Michael Weiss and Michael Pregent (FOREIGN POLICY) observed:
Chairman of the Joint Chiefs Martin Dempsey told Congress on March 3: “What we are watching carefully is whether the militias — they call themselves the popular mobilization forces — whether when they recapture lost territory, whether they engage in acts of retribution and ethnic cleansing.” He needn’t watch any longer. They are engaging in exactly that.
The crimes of war
On March 10, the United Nations Office of the High Commissioner for Human Rights (OHCHR) released a comprehensive study of human rights violations committed by both IS and pro-Iraqi forces. The Islamic State, OHCHR concluded, has likely committed genocide against the Yazidis, a ethno-religious minority in Iraq, in a catalogue of war crimes and crimes against humanity that include gang-rape and sexual slavery. But OHCHR’s language is equally unambiguous in condemning the other side on the battlefield: “Throughout the summer of 2014,” the report noted, “[PMUs], other volunteers and [Shiite] militia moved from their southern heartlands towards [Islamic State]-controlled areas in central and northern Iraq. While their military campaign against the group gained ground, the militias seem to operate with total impunity, leaving a trail of death and destruction in their wake.” [Italics added.]
Sunni villages in Amerli and Suleiman Bek, in the Salah ad-Din province, have been looted or destroyed by militiamen operating on the specious assumption that all inhabitants once ruled by IS must be IS sympathizers or collaborators. Human Rights Watch has also lately discovered that the “liberation” of Amerli last October — another PMU/Iranian-led endeavor, only this one abetted by U.S. airstrikes in the early stages — was characterized by wide-scale abuses including the looting and burning of homes and business of Sunni residents of villages surrounding Amerli. The apparent aim was ethnic cleansing.
And a year earlier, Tirana Hassan (FOREIGN POLICY) was documenting the ethnic cleansing taking place in the name of 'liberation':
There is mounting evidence that Iraq’s Shiite militias are using the fight against the Islamic State as cover for a campaign of sectarian violence targeting Sunni Arab communities. The Baghdad authorities have turned a blind eye to these militias’ crimes, while foreign governments have ignored the militias’ use of their military aid to pursue their campaign against Sunni Arabs. If the central Iraqi government doesn’t rein in Shiite militias and hold them and their commanders to account for their crimes — including war crimes — Iraq may enter even more terrible times.
Changing topics . . .
- Trump's #Jerusalem announcement will be used by terrorist recruiters, Iraqi Vice President Iyad Allawi tells #IISSMD17. Summit info: http://go.iiss.org/MD17agenda
The announcement?
I am unable to find the words to adequately describe the reckless stupidity of this decision.
Jerusalem
ABC NewsThe so-called 'resistance' ignored the issue to instead focus on whether Donald Trump was drunk or had bad dentures.
Expect them to continue to avoid the issue, Hillary's on record supporting this move going back to 1999. In addition, her supporters support her on this as CNN noted in June 2016:
Sanders' backers want to exclude references to Jerusalem as belonging wholly to Israel, which Palestinians contest, and consider language that labels Israeli settlements in the West Bank "an occupation," a notion adamantly opposed by Clinton supporters who warn it would undermine the peace process.
#Basra: Iraqi demonstrators angered by U.S. President @realDonaldTrump for recognising #Jerusalem as the Israeli capital.
- Iraqi Cleric Moqtada Al-Sadr calls on ‘Saudi led coalition’ to end wars in Yemen, Bahrain & Syria and head towards #Jerusalem to liberate it
Let's wind down with this from IAVA:
New York, NY (December 7, 2017) — This week, The Department of Housing and Urban Development (HUD) released an assessment of national homelessness that showed veteran homelessness increased by 1.5% between January 2016 and January 2017. According to the report, more than 40,000 veterans were experiencing homelessness. IAVA, the leading voice of the Post-9/11 generation of veterans, calls the increase in veterans homelessness a national shame. This is the first time since 2010 that veterans homelessness has increased, and IAVA calls on leaders in Washington to react quickly to reverse this unconscionable trend.
Especially shocking is that this crisis disproportionately affects women veterans. In the past year, women veterans homelessness increased by 7%, while male veteran homelessness rose by 1%, adding to the evidence that women veterans are not getting the services and support they need. In 2017 IAVA launched the groundbreaking She Who Borne The Battle Campaign to recognize and support women vets.
“IAVA is dedicated to ending veteran homelessness,” said Paul Rieckhoff, Founder and CEO of IAVA. “And our government must be dedicated as well. The White House, Congress and VA must continue to push for innovative solutions addressing veteran homelessness impacting changing populations. This is especially true for women veterans, who are more likely to experience homelessness. It is critical that the Department of Veterans Affairs and the housing community provide safe facilities for women that will address their specific needs. We were glad to see Secretary Shulkin withdraw a proposal that would have ended specific funding toward this critical program, which was strongly criticized by IAVA, allies and HUD. But there’s much more to be done, especially to support women veterans.”
In IAVA’s most recent Member Survey:
-23% of IAVA members did not have housing secured when they transitioned out of service.
-About 1% of IAVA members reported that they did not have a place to live and could not afford one at the time of taking the survey.
IAVA’s She Who Borne the Battle Campaign aims ensure that the service and support women veterans need is readily available to them — so that they never have to face homelessness or housing insecurity. The IAVA-backed Deborah Sampson Act will expand the services available to women veterans that may be at risk for homelessness or housing insecurity due to legal issues or financial insecurity.
And the following community sites -- plus THE GUARDIAN -- updated:
- Bryan The Molestor Singer8 hours ago
- Black holes8 hours ago
- Fruits and vegetables8 hours ago
- THE INTERCEPT9 hours ago
- Harold Ford remains a creep9 hours ago
- Avocados? Brussell Sprouts?9 hours ago
- GE brings nothing to life9 hours ago
- We need a responsive government9 hours ago
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