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El gobernador Sisolak firmó el proyecto de ley 342 del Senado
CARSON CITY, NV – Hoy, el gobernador de Nevada, Steve Sisolak, firmó el proyecto de ley 342 del Senado. The bill authorizes the Nevada System of Higher Education (NSHE) Board of Regents to enter into an agreement to affiliate with a publicly or privately- owned medical facility or related entity, whether for profit or not for profit, to further promote and enhance a medical education or health education program at a university. "Throughout the pandemic, we have relied on doctors, nurses and medical professionals to care for Nevadans in need. Legislation like this will help strengthen existing partnerships in the State so we can recruit, train and keep more medical professionals in Nevada,” said Gov. Sisolak. “I look forward to these continued partnerships to help our state for years to come.” Governor Sisolak was joined by University of Nevada Reno President and former Governor Brian Sandoval for the bill signing. “I wish to thank the members of the Nevada State Legislature and Governor Steve Sisolak for their support of this bill,” University of Nevada, Reno President Brian Sandoval said. “This collaborative and forward-thinking framework will provide cutting-edge patient care delivery, greater clinical research opportunities and will ensure that the next generation of medical providers in Nevada will receive the highest possible training. As the past year-plus has demonstrated, the health care environment in our state and throughout the country continues to be dynamic. The passage of this bill ensures that Nevada has the proactive tools to look to the future, so that we can meet our health care and medical education challenges.” “Aprecio y me complace mucho que el gobernador Sisolak y la legislatura hayan aprobado hoy el proyecto de ley 342 del Senado, que apoya la integración de la Facultad de Medicina de la University of Nevada, Reno con Renown Health”, declaró Anthony D. Slonim, MD, DrPH, FACHE, presidente y director ejecutivo de Renown Health, quien estuvo presente durante la firma del proyecto de ley. “Esta asociación mejorará la salud y la atención médica de los nevadenses y de todas las comunidades a las que servimos. With this new level of affiliation, we will be able to drive innovation, research, medical education, grant funding for public health, clinical trials and integrate our medical practices to improve access and affordability of care. Together, we are excited to create a healthier Nevada.” “We are so appreciative of the unanimous support of the legislature and now the Governor’s signature and support of this bill that provides guidance to the NSHE Board of Regents as it considers the approval of this critical affiliation between UNR Med and Renown Health. We are excited to move to the next step of seeking approval from the Board of Regents for the affiliation and the establishment of an integrated health care system that will enhance medical care delivery and medical education, will improve health care, and will benefit the health and well-being of all Nevadans,” said University of Nevada, Reno School of Medicine Dean and Vice President, Health Sciences, Thomas L. Schwenk, M.D. “The opportunities to take medical care, medical education and clinical research in Nevada to an entirely new level are unlimited and we thank Governor Sisolak for moving us to the next step in this endeavor.” Photos from the bill signing can be requested from the Nevada Governor's Office. Además, el gobernador Sisolak también ha firmado hoy los siguientes proyectos de ley: Proyecto de ley 17 del Senado – Revisa las disposiciones que rigen la renovación de ciertos permisos de instrucción para operar un vehículo motorizado o una motocicleta. Proyecto de ley 23 del Senado – Revisa las fronteras del área de las cuales se designan ciertos miembros de la Comisión de Conservación del Estado. Proyecto de ley 53 del Senado – Autoriza al Administrador de la División de Parques Estatales del Departamento Estatal de Conservación y Recursos Naturales a organizar las áreas bajo la jurisdicción de la División en regiones. Proyecto de ley 65 del Senado – Revisa las disposiciones relativas a la composición y administración del Departamento de Agricultura del Estado. Relaciones Públicas de la Oficina del Gobernador de Nevada, contacto con los medios E: press@gov.nv.gov
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Why Am I So Tired? 9 Reasons for Your Chronic Exhaustion
© Africa Images via Canva.com Do you find yourself struggling to stay awake during the day or having no energy? You’re not alone. Whether you’re a full-time employee, a student or retiree, that “I’m tired” feeling comes in all shapes and sizes. What’s even more frustrating is not knowing the source of your exhaustion. Dr. Brandon Flores, a sleep medicine physician with Renown Medical Group, breaks down nine key reasons why you may be feeling so fatigued. You did not get enough sleep, or your quality of sleep is poor. This may seem obvious, but in today’s “rise and grind” culture, sleep can be considered a luxury rather than what it really is: a necessity. Ensuring you get adequate hours of sleep between 6-9 hours and quality sleep is essential. You may not be breathing well during sleep. Interruptions to your breathing, such as snoring, can decrease airflow at night causing your sleep to be less restorative. This is often due to Obstructive Sleep Apnea (OSA). OSA can lead to daytime fatigue and sleepiness and can also impact other chronic health conditions, such as hypertension, diabetes, acid reflux, migraines and heart rhythm. You are not getting enough regular exercise, or you are exercising too much. Incorporating at least 30 minutes a day of physical activity can help keep you energized throughout the day. It has also been shown to increase deep slow wave sleep, which is often associated with feeling rested. On the other hand, getting too much exercise can tire you out more easily and heighten stress levels. You drink too much caffeine. This one may seem counterintuitive – caffeine is supposed to keep you awake, right? Well, overdoing it with your favorite coffee or soda could affect your sleep quality. Pay attention to your caffeine limits and have a cut-off time, as most caffeine should not be consumed past noon. You have a food allergy or intolerance. If you find yourself feeling especially tired after eating a lot of a certain food, you could have an allergy or intolerance to it – and vice versa. Consider speaking with your primary care provider (PCP) about a food allergy test or being referred to an allergist. You’re drinking too many alcoholic beverages. Alcohol is a depressant, which as the word implies, can make you feel especially tired during the day. It can also affect your breathing at night and disrupt your sleep cycle. Cutting back on alcoholic drinks may be beneficial to your overall health. You are anemic. This is the leading cause of fatigue in women but can affect people of all genders. It can be associated with low iron. Eating foods high in iron, including leafy greens and many different meats, can help your iron levels. A blood test ordered by your PCP can help you understand if you are iron deficient. You are experiencing depression or anxiety. Emotional exhaustion can be just as taxing as physical exhaustion. Prolonged feelings of sadness, hopelessness, nervousness or panic can be signs and symptoms of depression or anxiety. Speak with your provider about the many resources available to help you. You have an underactive thyroid. Feeling fatigued can also be a symptom of hypothyroidism, which affects your metabolism and energy levels. Medication can help get your thyroid back to normal. Your PCP can order a blood test to determine your thyroid levels. If you experience severe exhaustion that lasts six months or longer, worsens after physical or mental exertion and does not get better after resting, it could be a sign of myalgic encephalomyelitis, otherwise known as chronic fatigue syndrome (CFS). This is a diagnosis of exclusion, and other causes must be ruled out. While there are no tests that detect CFS, your provider can order blood and urine tests to rule out other causes of your fatigue and help develop a care plan.
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