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Most users should sign in with their email address. If you originally registered with a username please use that to sign in. Oxford University Press is a department of the University of Oxford.
Books by Keith Boothroyd
It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Sign In. Advanced Search. Article Navigation. Close mobile search navigation Article Navigation. Volume Oxford Academic. Google Scholar. Li Lu. Bethany L Veo. Bin Liu. Cristian Coarfa. Mohamed Mostafa Kamal.
Dina Hamada Kassem. Khushboo Irshad. Yungang Lu. Since their move to the area from New Jersey many years ago, the Manjons have had their hands in several dining endeavors, and have found their calling with this latest project. The dining room is tastefully remodeled to make one feel as if they are spending a sultry evening in Havana. The beautiful wooden bar area was transferred from Pittsburgh, and the walls are adorned with dozens of photos and paintings that celebrate the rich culture of our neighbors to the south.
Arranged in clusters, they depict Cuban hero Jose Marti, author Ernest Hemingway, Cuban architecture, cars, and photos of the owners. Expansion of the second floor to a banquet room is being planned, which might be necessary given the regular crowds that the restaurant has attracted. The food and service were terrific, with pleasing tastes and presentation, reasonable prices, and ample portions. On two occasions there, Pat Manjon and our delightful server, Dina, were knowledgeable and helpful in describing the unique cuisine of Cuba. Appetizers included vegetable empanadas on a bed of cabbage, ceviche shrimp and bay scallops with plantain chips , and ensalata de aguacate delicate greens with a perfect avocado, in a light red wine vinaigrette.
The entrees were appetizing, with sides of rice served as attractive pyramids. The overall seasoning fortunately lacks the biting heat of food from other Caribbean lands,.
Many of the dishes feature plantains, served either as tostones earthy and salty or as maduros soft and sweet. Highlights of the dozen or so options on the menu include lechon asado slow roasted pork shoulder marinated in mojo , ropa vilea shredded brisket in a tangy base of olives, garlic and bell pepper , anes relleno roasted red bell pepper stuffed with yellow rice, onion, peas and crimini mushrooms, served over a black bean puree , and croquettes ham or chicken, served with fresh lime wedges.
Choices included pastelito warm guava and cream cheese in a puff pastry , arroz con leche rice pudding with cinnamon, vanilla and dark raisins , and tres leches three milk cake topped with whipped cream. Already popular in its rookie year, only a flood can stop Los Tres Cubanos from continued success!
However, despite these many hurdles, resident physicians at all times must be ready to face the needs of both their patients and the community they serve. Physicians can become leaders of change within Dauphin County, and I am excited to be a patient advocate within the community. Jason R. Woloski, MD.
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During the past few years, the Penn State Hershey Family Medicine residents have increased efforts toward population health initiatives. Beginning in the intern year of residency, the family medicine resident completes a series of longitudinal population health experiences.
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In addition to didactics, community site visits are completed to increase awareness of community resources. Following intern year, residents then embark on a personalized initiative and partnership with a community organization. It is well known that physicians at times find great difficulty in addressing end-of-life care and treatment of patients with incurable diseases. It affects the entire family, not just the patient involved. Community engagement is one way every physician can help contribute to the elimination of health disparities. The partial budget released some much-needed funding to schools and social service agencies, and a number of programs of interest to physicians.
The legislature has yet to reach final agreement on the remaining budget items that the Governor reduced or vetoed. In the midst of the ongoing budget standoff, there have also been developments on a few measures of importance to physicians and patients over the last few months.
Below are a few highlights on that legislative activity. Jesse Topper R-Bedford County. CRNPs have a collaborative agreement with a physician in order to diagnose, treat and prescribe to patients in Pennsylvania. PAMED is strongly opposed to the legislation. The information Peton presented countered claims that nurse practitioners are more likely to practice in rural areas after gaining independent practice authority. The House Professional Licensure Committee also heard testimony from a panel of individuals in support of HB and the independent practice of nurse practitioners.
Committee members then had an opportunity to ask questions of those who testified. Of the plus amendments filed to SB 3, one particular amendment reflects recommendations issued by a House workgroup this past summer. The workgroup, which was comprised of legislators with varying opinions on medical marijuana legalization, was charged by House Republican leadership to come up with a compromise proposal that would garner enough support to pass the lower chamber. Matt Baker R-Tioga introduced legislation late in that aims to improve the physician credentialing process in Pennsylvania, making it timelier and more uniform across insurers.
HB specifically addresses the problem of unwarranted delays by health insurers in credentialing applicants for inclusion in their networks. Hospitals and physician practices routinely face the situation where a newly hired health care professional who is fully licensed and qualified to provide care is not reimbursed by insurers for months while the insurers work their way through an unnecessarily and cumbersome credentialing process.
This costs hospitals and physicians money, drives up the cost of health care, and limits access to care by keeping fully licensed and qualified providers on the sidelines until they are credentialed by insurers. Pat Vance R-Cumberland County. SB 3, which would legalize marijuana for medicinal use in Pennsylvania, passed the Senate overwhelmingly in May of last year, but has not yet reached a final vote in the House.
With over amendments to the bill having been filed and the General Assembly still struggling to complete the state budget, it is unclear when the issue of medical marijuana will be taken up again. Governor Wolf has indicated, however, that passage of medical marijuana legislation is one of his top three priorities for PAMED remains opposed to broadbased legalization of marijuana for medical use.
Given that public opinion is overwhelmingly supportive of marijuana legalization, however,. HB will establish a standardized process and timeline for insurer action on credentialing applications.
Previous Issues
The legislation introduced would require all insurers in Pennsylvania to accept the Council for Affordable Quality Healthcare CAQH credentialing application and provide for provisional credentialing of a provider when Continued on page 30 Central PA Medicine Spring HB is currently awaiting consideration by the House Health Committee.
Marguerite Quinn R-Bucks County will soon be introducing legislation to streamline and standardize the prior authorization process in Pennsylvania. Many health plans require physicians to obtain prior authorization for certain procedures or treatments before they can be administered. While the process is intended to minimize overuse of health care services, it often becomes an extremely burdensome.
Lack of transparency and standardization in prior authorization requirements not only makes the process difficult and time consuming, but can also result in delays in needed care for Pennsylvania residents. These steps will go a long way toward addressing administrative waste in our health care delivery system, resulting in both cost savings and improved access to care. HB , sponsored by Rep. In August of last year, Gov. Similar days have been declared in many other countries. The idea came from Eudora Brown Almond, wife of Dr. Charles B. Almond, and the date chosen was the anniversary of the first use of general anesthesia in surgery—March 30, , in Jefferson, Ga.
Becoming a doctor involves years of extensive education and training. Depending on whether you plan to work as a general physician or as another type of doctor, training can take between eleven and sixteen years.
Most doctors complete at least four years of undergraduate school, followed by four years of medical school and then three to eight years of residency programs. Fellowships can last an additional one to three years. Doctors of all specializations often work long hours and can have hectic schedules.
Even when not working, they may be on call. More than the application of science and technology, medicine is a special calling, and those who have chosen this profession in order to serve others understand the tremendous responsibility it entails.