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    • Miércoles, 01 de julio de 2020

    Renown concede subvenciones a 55 organizaciones del área que abordan la diversidad y la inclusión

    Renown Health, en consonancia con su misión, visión y valores y con su compromiso de larga data de abordar los determinantes sociales de la salud, ha anunciado hoy su apoyo de $145,000 a 55 organizaciones sin fines de lucro con proyectos destinados a aumentar la presencia y la participación de las mujeres, las minorías raciales y étnicas, las personas LBGTQ+, las personas con discapacidad, las personas de bajo nivel socioeconómico y otros grupos poco representados. “Improving the health of our community is the foundation of our work. Our mission, vision and values are the essence of what makes us Renown. We are committed to fostering an environment of diversity, inclusion and cultural competence where all are appreciated, fully engaged and motivated to make a genuine, positive difference in the health and well-being of the people and communities we serve,” said Tony Slonim, MD, D.Ph., Renown’s President & CEO. Annie Zucker, manager of community impact at Renown adds, “Social determinants of health have a major impact on health outcomes—especially for the most vulnerable populations. I am proud that Renown, as a not-for-profit healthcare organization, considers social determinants of health to enable more compassionate and comprehensive healthcare for the patients and families we serve.” The following organizations applied for and were awarded Diversity and Inclusiveness financial grants today from Renown Health:   Urban Roots Diversity and Inclusion in the Garden Sierra Nevada Ballet CLASES GRATUITAS DE BALLET SOLO PARA VARONES Eddy House Impulso para la difusión de Children’s Cabinet (EHCC) Terry Lee Wells Nevada Discovery Museum Cultural Competence Learning Institute de The Discovery Communities In Schools of Western Nevada Equipo de cambio para la diversidad, equidad e inclusión de CIS of Nevada Dress for Success Reno - Grupo de mujeres profesionales del norte de Nevada Nevada Elite Wrestling Nevada Elite Girls Youth Wrestling Arts for All Programa de residencias para artistas en Nevada Community Health Alliance Transmitir los valores de CHA en la orientación de para nuevos empleados Forever 14 Capacitar a los adolescentes para ir más allá de la experiencia Spread The Word Nevada Crear bibliotecas domésticas para la diversidad, cultura e inclusión Head Injury Association of Northern Nevada Entrenamiento físico para supervivientes de lesiones cerebrales traumáticas Urban Lotus Project Programa de formación del personal de servicios de Urban Lotus Project The Zawadisha Fund We Are Change Makers Tyler Robinson Foundation Programa de subvenciones familiares Note-Able Music Therapy Services Mejorar la capacidad de respuesta cultural y la diversidad organizativa Achievement Beyond Obstacles - Distrito Rotary Reno-Sparks 5190 Academia de liderazgo de Achievement Beyond Obstacles Nevada Volunteers La inclusión empieza por eliminar las barreras lingüísticas Special Olympics Nevada Special Olympics Nevada Awaken Centro de acogida de Awaken Nevada Humanities La democracia y el ciudadano informado: An Online Salon Series   Nevada Gay Men's Chorus  Happy Holiday's, a Welcome Back Concert  Big Brothers Big Sisters of Northern Nevada   General Mentoring Program High Sierra Industries,  Inc . X-treme Ability Challenge  Junior League of Reno  Safe Embrace Children's Playroom  ReDirect Youth Outreach  ReDirect Youth Outreach & Boxing   Boys & Girls Clubs of Western Nevada  Positive Action for Low-Moderate Income Youth   Domestic Violence Resource Center Domestic Violence Resource Center American Cancer Society Nevada HPV Cancer Prevention Collaborative Reno Cancer Foundation Reno Cancer Foundation under served population grant Pinocchio's Moms on the Run Pinocchio's Moms on the Run Temple Sinai Reno Access for All Sierra Arts Foundation Road Maps The All Of Us Project Reno-Sparks Negro Business & Professional Women's Clubs, Inc. Reno-Sparks Negro Business & Professional Women's Club Sierra Nevada Journeys Sierra Nevada Journeys’ Community Needs Assessment Sierra Nevada Journeys Sierra Nevada Journeys’ Community Needs Assessment Reno Little Theater Reno Little Theater- IDEA Grant Reno Little Theater Reno Little Theater- IDEA Grant High Fives Nonprofit Foundation Peer Mentorship Program High Fives Nonprofit Foundation Peer Mentorship Program Nevada Diabetes Association Changing Outcomes for Young Adults  Nevada Diabetes Association Changing Outcomes for Young Adults  Sky Tavern Sky Tavern Ability Sports Day Sky Tavern Sky Tavern Ability Sports Day Reno Bike Project Future Cycle Tu Casa Latina Outreach to Underserved Communities Sierra Association of Foster Families CELEBRATING THE HOLIDAYS WITH HEALTHY BODIES! Women and Children's Center of the Sierra Regrouping and Moving Forward during the Pandemic Ridge House, Inc. Educación sobre salud y reclutamiento de grupos poco representados Alzheimer’s Association Alcance de la comunidad latina/Grupo de apoyo para cuidadores de habla hispana On Common Ground On Common Ground: kits de cocina en casa para el Programa The Heart of Community University Studies Abroad Consortium University Studies Abroad Consortium: beca de estudios en el extranjero sobre diversidad e inclusión de Renown Health University of Nevada, Reno Foundation University of Nevada, Reno Foundation: construir la inclusión a través de la colaboración en la recuperación University of Nevada, Reno Foundation University of Nevada, Reno Foundation: evaluación de la salud de los latinos del norte de Nevada Catholic Charities of Northern Nevada Alimentar a los necesitados Reno Sparks NAACP Simposio sobre la salud de las minorías en el norte de Nevada Sierra Kids Foundation Sierra Kids Foundation ACCEPT Acción positiva y educación de salud para reducir el riesgo de VIH/SIDA Northern Nevada Literacy Council Capacitación mediante becas de alfabetización y educación United Way of Northern Nevada and the Sierra Comunidad de aprendizaje sobre equidad Nevada Volunteers La inclusión empieza por eliminar las barreras lingüísticas Renown Health publicó una solicitud de propuestas el 18 de junio y había previsto financiar a 8 organizaciones. El Comité de Diversidad, Equidad e Inclusión de los empleados quedó impresionado por la respuesta de la comunidad y el Dr. Tony Slonim, presidente y director ejecutivo, decidió apoyar las 55 solicitudes. He notified all not-for-profit agency leaders today in a virtual meeting. Members of Renown Health’s Diversity & Inclusion Committee include: Mitch Harper, Gretna Canterbury Amber Marraccini, Rebecca Doheny, Sean Savoy, Savanah Gonzalves, Jen Walker, Barbara Mader Scherrer, Kristy Cahoon, Katie Mercer, Kara Martinezmoles, Julia Page Hensen, Annie Zucker, Meghan Meagher, Michelle Hernandez, Vivian Cruz, Mary-Ann Brown, Julia Miod and Heather Bridges. As non-profit hospitals, Renown must meet community benefit requirements to qualify for tax-exempt status, this includes funding programs that respond to public health needs and improve overall community health.     About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project® . Visite renown.org para obtener más información.

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    • Martes 16 de junio de 2020

    Renown celebra el Mes del Orgullo y las comunidades LGBTQ+ con amor

    Rainbow lights illuminate Renown’s iconic “LOVE” sculpture, and powerful employee stories shared during Pride Month. Reno, Nev. (16 de junio de 2020) – Para celebrar el Mes del Orgullo y las comunidades LGBTQ+ de Reno, la escultura “LOVE” de Renown, una obra de arte de una tonelada de aluminio soldado con letras de 10 pies de alto y 8 pies de ancho, se iluminará con luces LED de los colores del arcoíris durante el mes de junio. La escultura “LOVE” se encuentra en la entrada principal del Renown Regional Medical Center, en Mill Street en 1155 Mill Street in Reno, Nevada, y es visible para los vehículos y peatones a lo largo de los corredores de Mill Street y Ryland Street. Dr. Tony Slonim, president and CEO of Renown says, “At Renown, we are proud to support our LGBTQ+ communities. During Pride Month and beyond, we are honored to offer an inclusive, safe environment for our staff and patients—one that celebrates diversity in all its forms. La escultura “LOVE” ya ha traído una luz resplandeciente a nuestro mundo, y estoy deseando ver la alegría que traerá a todos los que la vean con los colores del arcoíris”. Para conmemorar el Mes del Orgullo, Renown se ha comprometido a destacar a algunas de las personas LGBTQ+ que son parte de sus 7,000 empleados. Sean Savoy, director de Atención Espiritual de Renown, comparte cómo sus experiencias como hombre gay afectan positivamente a su carrera en sanación espiritual y a la compasión que muestra a los demás. “La base de la atención espiritual es la compasión: acompañar a las personas necesitadas al prestarles atención, darles apoyo y demostrarles empatía, y promover un sentido de bienestar”, afirmó Savoy. Ser miembro de la comunidad LGBTQ+ aporta ese profundo sentido de compasión y empatía de una manera muy especial y única. He descubierto que la convergencia de mi yo gay y mi yo espiritual ha sido una bendición en mi vida”. La escultura “LOVE”, creada por la artista Laura Kimpton y fabricada por Jeff Schomberg, apareció por primera vez en Burning Man, en 2019. Gracias a una asociación con la organización sin fines de lucro Artown, la escultura se inauguró en Renown en abril de 2020 y, desde entonces, ha servido como símbolo de esperanza y determinación para el personal del hospital, los pacientes y los miembros de la comunidad durante la pandemia de COVID-19. Generosos donantes y la Renown Health Foundation financiaron la instalación de la escultura.   ###   About Renown Health  Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org. Media Contact: Public Relations M: 775-691-7308 E: news@renown.org

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    • Miércoles, 17 de junio de 2020

    Renown Health concede subvenciones a organizaciones del área que abordan la diversidad y la inclusión

    Funds used to support those addressing demographic diversity and Social Determinants of Health to improve the health of our community. Renown Health, en consonancia con su misión, visión y valores y con su compromiso de larga data de abordar los determinantes sociales de la salud, ha anunciado hoy que pondrá a disposición hasta $20,000 durante el año fiscal 2020 para financiar proyectos y organizaciones cuyo objetivo sea aumentar la presencia y la participación de las mujeres, las minorías raciales y étnicas, las personas LBGTQ+, las personas con discapacidad, las personas de bajo nivel socioeconómico y otros grupos poco representados. Renown Health strongly prefers proposals that convincingly demonstrate their potential to improve the health and wellness of northern Nevadans. The organization wishes to express its interest in supporting programs that enhance collaboration, health literacy and communication, and enhance cultural competency. “Improving the health of our community is the foundation of our work. Our mission, vision and values are the essence of what makes us Renown. We are committed to fostering an environment of diversity, inclusion and cultural competence where all are appreciated, fully engaged and motivated to make a genuine, positive difference in the health and well-being of the people and communities we serve,” said Tony Slonim, MD, DrPH, Renown’s President & CEO. As the Kaiser Family Foundation noted in recent research: “Los investigadores descubrieron que los factores sociales, como la educación, la segregación racial, los apoyos sociales y la pobreza, representaban más de un tercio del total de muertes en los Estados Unidos en un año”. https://www.ajmc.com/contributor/sophia- bernazzani/2016/05/the-importance-of-considering-the-social-determinants-of-health# Annie Zucker, gerente de Impacto Comunitario de Renown, añade: “Los determinantes sociales de la salud tienen una gran repercusión en los resultados de salud, especialmente para las poblaciones más vulnerables. I am proud that Renown, as a not-for-profit healthcare organization, considers social determinants of health to enable more compassionate and comprehensive healthcare for the patients and families we serve.” According to the CDC, it has been well-established that poverty inhibits access to healthy foods and safe neighborhoods, and that higher levels of education influence better health. El impacto de estos factores en la salud se define en Healthy People 2020 como determinantes sociales de la salud: “Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.” When resources are available to overcome negative social determinants of health, they can have a significant impact on improving population health outcomes. “Through diversity, inclusiveness and cultural competence we are able to better understand and respond to the health needs of our communities. We are committed to continually cultivating an environment of cultural inclusiveness. When you have a culture that acknowledges and engages everyone, the opportunities for personal growth and organizational effectiveness are limitless,” said Hector Boirie, MBA, Chief Strategy Officer. “Renown Health provides access to care with dignity and respect for all. We recognize and respect every human being, regardless of race, creed, gender, age, handicap, national origin or ability to pay. We give competent, considerate and respectful care in a safe setting that fosters a person’s comfort and dignity and is free from all forms of abuse and harassment, including gender identity or gender expression,” says Melinda Mendoza, BSN, JD, CPC, CHC, CHPC, Chief Compliance Officer. “This is a Renown Health patient right and we are proud of our organizational commitment.” Renown Health is also an Equal Opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status. “I am so pleased to serve as Renown’s Chief Financial Officer. En los EE. UU., menos del 13 % de los puestos de director financiero están ocupados por mujeres. How proud I am to help lead an organization that focuses on attracting talent based on individual competency and kindness, rather than gender, race, religion or sexual orientation,” says Ann Beck. Renown Health prefiere enfáticamente que las propuestas sumen un total aproximado de $2,500 o menos, ya que prevé financiar a 8 organizaciones. Renown Health ha puesto a disposición esta financiación adicional para el año fiscal 2020. Normalmente, financia proyectos solo durante 6 meses, y recibe las solicitudes de renovación de la financiación en los años posteriores. Se invita a todas las organizaciones 501c3 sin fines de lucro con oficinas que sirvan a los residentes del norte de Nevada a que presenten sus propuestas antes del jueves, 25 de junio de 2020. Renown Health revisará las propuestas y tomará decisiones de financiación antes del lunes, 29 de junio de 2020. Renown Health desembolsará los fondos de las subvenciones antes del martes, 30 de junio de 2020. As non-profit hospitals, Renown must meet community benefit requirements to qualify for tax- exempt status, this includes funding programs that respond to public health needs and improve overall community health. To submit a ‘Renown supports Diversity & Inclusivity grant proposal,’ fill out the grant proposal submission form. Si tiene preguntas, comuníquese con Annie Zucker, gerente de Impacto Comunitario, por correo electrónico a azucker@renown.org.     About Renown Health Renown Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status. Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, Renown Children’s Hospital, Renown Rehabilitation Hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. Visite renown.org para obtener más información.

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    • lunes, 4 de mayo de 2020

    La gratitud toma vuelo en Renown Health durante la celebración de la Semana del Personal de Enfermería y del Hospital

    La Unidad de Cirugía General de Renown estrena un par de alas de ángel elaboradas por el personal y sus familias para conmemorar la Semana del Personal de Enfermería y del Hospital, del 4 al 10 de mayo. Una obra de arte especial en la Unidad de Cirugía General de Renown Health aporta color y alegría a todos los que pasan por allí. The unit’s new angel wings backdrop is made up of individually-decorated feathers – created by Renown nurses, certified nursing assistants, unit clerks, supervisors, staff’s family members and anyone else who wanted to contribute their creativity. Este adorno angelical se creó para celebrar la Semana del Personal de Enfermería y del Hospital en Renown, que se celebra del 4 al 10 de mayo, y arroja luz sobre algunas de las cosas por las que nuestro personal de enfermería está más agradecido. “This art project was a month in the making,” said nurse manager of Renown’s general surgical unit, Deanna Olson. “A true collaborative effort, our staff, and even some of their children, would use their breaks and downtime to cut out and decorate feathers. Some focused on using bright, vibrant colors, while others wrote about what they are grateful for and the things that make them happy.” Doodles of pets, names of family members and inspirational quotes are just a few of the things featured on the feathers. Los nombres de los 110 empleados que trabajan en la unidad también se pueden encontrar en las alas de ángel. The idea behind the backdrop theme was inspired by nurse Melissa Vierra, who spent her last night as part of the general surgical unit working with a few team members to build the angel wings. Vierra now serves as a nursing administrative manager for Renown. “It takes an angel to be selfless enough to devote oneself to the care of others,” said Vierra. All our angels are as unique as the feathers in the wings, but together, we are united as a team to provide the best care possible for our patients. I am extremely grateful for my nursing family and all the lives they touch, including mine, every day.” A few Renown nurses joined Vierra in expressing their gratitude:   “I am grateful that I have a job and for everything I have in my life.” – Elizabeth Rios, CNA “I am grateful for my family.” – Jena Smith, RN “I am grateful for my health.” – Mary Gutierrez, UC “I am grateful that I am not sick.” – Barby Workman, CNA “I am grateful for my life.” – Sierra Genz, RN “I am grateful for my health.” – Alyssa Daly, RN “I am grateful to be working.” – Skye Sauls, RN “I am grateful for my pets and my family.” – Colette Chapman, RN “I am grateful for the Bob Ross-esque landscapes.” – Tahni Murphy, RN “I am grateful for my family, my health and having a job that I love.” – Deanna Olson, RN During times of uncertainty, it’s these things, coupled with our amazing patients and teammates that keep us going,” added Olson. “I’m lucky to have the angel wings right outside my office. Seeing our angels from all departments take photos in front of the wings and hearing the love and happiness in their voices gives me hope to look towards the future – our community is in amazing hands.” ###   About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000 empleados. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. Visite renown.org para obtener más información. Media Contact: Public Relations M: 775-691-7308 E: news@renown.org

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    • Jueves, 01 de octubre de 2020

    abordaje de la igualdad en la salud para las comunidades de color

    Area Church Pastors, the City of Reno, the City of Sparks, the Washoe County School District, REMSA and Renown will be available to discuss the impact of COVID-19 on communities of color, and how they have joined together to provide free COVID-19 testing to area residents. DE QUÉ SE TRATA Los medios de comunicación están invitados a entrevistar a los líderes de la comunidad para saber cómo nos unimos para hacer frente a las disparidades en la salud y promover la igualdad en el acceso y la prestación de la atención médica. El primer proyecto para apoyar a nuestra comunidad y abordar la equidad en materia de salud es asociarnos con los pastores del área para proporcionar pruebas gratuitas de COVID-19 mediante hisopado nasal para los adultos y niños de organizaciones religiosas, las iglesias y los niños que asisten a la escuela. El primer centro de pruebas, que ofrecerá pruebas sin salir del automóvil y sin cita (por orden de llegada), se realizará el sábado, 26 de septiembre, de 1 p. m. a 4 p.m., en el Ministerio Fuente de Vida del pastor Cesar Minera. Las pruebas se ofrecerán a los miembros del Ministerio Palabra de Vida (Word of Life Ministries) y de la Asociación de Ministros Evangelicos (A.M.E.N.), una red de más de 15 iglesias en el área de Reno, Sparks y Carson City, así como a estudiantes y familias del distrito escolar del condado de Washoe (WCSD) que viven en esa área. REMSA staff will conduct the nasal swab testing and Renown Health will process the tests. No es necesario tener síntomas de COVID-19 para realizar la prueba. CUÁNDO Jueves, 24 de septiembre a las 1:45 p.m. DÓNDE Ministerio Palabra de Vida 2375 S Virginia St, Reno, NV 89502 OPORTUNIDADES VISUALES Y DE ENTREVISTA Pastor Cesar Minera Un miembro de la congregación de la iglesia Representantes de la ciudad de Reno (vicealcalde Reese), la ciudad de Sparks, WCSD, REMSA y Renown Health POR QUÉ Según la American Hospital Association, la pandemia de COVID-19 está afectando de forma desproporcionada a nuestras comunidades negras, indígenas y de color. Black and Latino Americans are three times more likely than white people to contract COVID-19. Los Centros para el Control y la Prevención de Enfermedades informan que la tasa de hospitalización por COVID-19 de las personas latinas y de raza negra también se enfrenta a tasas de hospitalización sombrías similares, entre 4.7 y 4.6 veces más altas, respectivamente, en comparación con las personas blancas. Las personas de raza negra mueren a una tasa casi dos veces mayor (24 %) que su porcentaje de población (13 %), y, en 42 estados, incluido Nevada, los latinos representan una proporción mayor de casos confirmados que su porcentaje de población, según el proyecto de seguimiento de datos de COVID de The Atlantic. En apoyo a la proclamación del gobernador Sisolak de que el racismo es una crisis de salud pública, una asociación de organizaciones religiosas, iglesias y pastores, junto con líderes comunitarios, reconocen que es fundamental cambiar la cultura de la medicina al abordar el racismo y los prejuicios implícitos que contribuyen a las disparidades en materia de salud. El grupo de líderes de la comunidad del norte de Nevada incluye a la alcaldesa de Reno, Hillary Schieve; el concejal de Sparks Kristopher Dahir, capellán de Northern Nevada Veterans Home y presidente de la Junta Directiva de Excel Christian School; Angela D. Taylor, Ph.D. de la Junta Directiva del Distrito Escolar del Condado de Washoe, ministra ordenada y pastora adjunta en Greater Light Christian Center; el pastor sénior Cesar Minera, del Ministerio Palabra de Vida (Word of Life Ministries) y presidente de A.M.E.N. (Asociación de Ministros Evangélicos de Nevada), una red de más de 15 iglesias en el área de Reno, Sparks y Carson City; el pastor Nathan DuPree, de Living Stones Church, director ejecutivo de 360 Blueprint (una colaboración de los organismos de aplicación de la ley locales, el distrito escolar del condado de Washoe y los líderes de la comunidad local) y copresidente del African American Clergy Council of Northern Nevada (AACCoNN), un consejo conformado por organizaciones religiosas, iglesias y pastores que se unen para apoyar a nuestra comunidad y se enfoca en las familias, la salud, la educación, el desarrollo laboral y la prevención de delitos; Norris DuPree, Jr., Ph.D. y presidente de Transformations Therapy and Behavioral Consultation; el pastor DeSean Horne de Second Baptist Church; Dean Dow, MBA, CMTE, presidente y director ejecutivo de REMSA, y Anthony Slonim, MD, DrPH, presidente y director ejecutivo de Renown. El primer proyecto para apoyar a nuestra comunidad y abordar la equidad en materia de salud es asociarnos con los pastores del área para proporcionar pruebas gratuitas de COVID-19 mediante hisopado nasal para los adultos y niños de organizaciones religiosas, las iglesias y los niños de WCSD. There is no cost to be tested. Those with insurance will be asked to provide an insurance card, all others will be tested free, with thanks to the Renown Community Benefits fund.      About Renown Health Renown Health is Reno’s only locally owned, charitable, not-for-profit integrated health network. Being not-for-profit means that all income stays in the community— and is reinvested in programs, people and equipment to improve the health of the community. Renown directly contributes to the community’s overall well-being with a Community Benefit mission to reduce health disparities, promote community wellness and improve access to care for vulnerable populations. This includes offering free and discounted care to those unable to afford healthcare, and partnerships with others to address health and well-being. In partnership with many community-based organizations, area schools, human and social service agencies, and government and business leaders, Renown supports many educational, public health outreach, and community development initiatives throughout Nevada. En el año fiscal 2019, Renown Health, una red de salud comunitaria sin fines de lucro y de propiedad local, invirtió más de $158 millones en educación de salud, iniciativas comunitarias y servicios de atención médica no reembolsables. En el año fiscal 2020, el Dr. Tony Slonim, director ejecutivo, destinó $150,000 en fondos a 60agencias locales para apoyar los esfuerzos de diversidad e inclusión y los determinantes sociales de la salud.

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    • Viernes, 18 de noviembre de 2022

    UNR Med and Renown Health Recognize Transgender Day of Remembrance

    Medical Students Recognize Transgender Lives Lost to Violence, Address Inequities in Health The month of November includes Transgender Awareness Week, which concludes with Transgender Day of Remembrance (TDOR), on Sunday, November 20, a day for people to come together to recognize the many transgender lives lost to violence over the last year. Transgender people remain one of the most underserved groups of people across several domains, including health care. The Transgender Day of Remembrance and Resilience memorializes people who have passed due to transphobic violence. The Transgender community is an umbrella term used by people who do not identify with the gender associated with the sex they were assigned at birth. Not everyone identifies with the term transgender, and there are many self-identifier terms for people who do not identify with their assigned sex at birth (e.g., woman, man, trans, non-binary, gender nonconforming, gender fluid, gender queer, and more). Transgender Day of Remembrance is held in November to honor Rita Hester, whose murder on Nov. 28, 1998, launched the “Remembering Our Dead” web project and a San Francisco vigil the following year. The event provides a forum for transgender communities and allies to raise awareness of the threat of violence faced by gender variant people and the persistence of prejudice felt by the transgender community. Communities organize events and activities including town hall style "teach-ins," photography and poetry exhibits and candlelit vigils. These activities make anti-transgender violence visible to stakeholders like police, the media, and elected officials. In 2010, TDoR was observed in over 185 cities throughout more than 20 countries. Here in Reno, the University of Nevada, Reno School of Medicine (UNR Med) hosts Diversity Dialogues, a series hosted by the Office of Diversity and Inclusion. This month, the Medical Student Pride Alliance of UNR Med honored transgender people whose lives were lost in acts of anti-transgender violence, that included a medical student-led discussion regarding ways to help raise visibility and awareness for transgender people and the issues faced by the community. Diversity Dialogues is an open discussion of diversity and inclusion issues and the diversity initiatives at UNR Med. The UNR Med Diversity Dialogues included a reading of the names of those who died from October 1st of the former year to September 30th of the current year, and education on transgender and gender non-conforming people. Medical students recommend ways that healthcare providers can help support the community including: Being open to feedback, criticism, and new information Contributing to a LGBTQ+ safe space by using pronoun pins, flags, inclusive language Registering your practice on Nevada Gender Affirming Healthcare Project (NGAHP), GLMA: Health Professionals Advancing LGBTQ Equality, Outcare Health, & other provider lists Reading new research in academic journals and stay up to date with guidelines including World Professional Association for Transgender Health (WPATH) Version 8 and attending CME courses on LGBTQ+ Care. The general public can support the community by: Standing up for trans people in your life, in the media, and amongst your peers, and be an active, proud ally to the community Respecting people’s identities and fluidity and learn to use different pronouns Consuming trans-friendly and LGBTQ+ friendly media (tv shows, movies, music, podcasts) Following trans people on social media, specifically activists/educators, to learn from them This month, the Human Rights Campaign (HRC) Foundation, the educational arm of the Human Rights Campaign, the nation’s largest lesbian, gay, bisexual, transgender and queer (LGBTQ+) civil rights organization, released “An Epidemic of Violence: Fatal Violence Against Transgender and Gender Non-Conforming People in the United States in 2022” a report honoring the lives of at least 32 transgender and gender non-conforming people killed in 2022 and shining a light on data that HRC has continued to collect on the epidemic of violence. HRC has officially recorded at least 300 violent deaths of transgender and gender non-conforming people, including 32 in 2022 alone, since the organization began tracking this violence ten years ago. Overall, transgender and gender non-conforming victims of violence are overwhelmingly Black, under 35, and killed with a firearm. The highest known single-year total of fatal deaths of transgender and gender non-conforming people was in 2021, when at least 57 trans & gender non-conforming people were violently killed. Worse, these disturbing numbers likely underreport the deadly violence targeting transgender and gender non-confirming people, who may not be properly identified as transgender or gender non-conforming by police, media or other sources. In 2022, the Human Rights Campaign Foundation recognized Renown Regional Medical Center in Reno, Nev. as the first and only hospital in Nevada at the highest level of support as “LGBTQ+ Healthcare Equality Leader.” El Índice de igualdad en la atención médica (Healthcare Equality Index, HEI) es la encuesta de referencia más importante del país de los centros de atención médica sobre las políticas y prácticas dedicadas al tratamiento igualitario y la inclusión de pacientes, visitantes y empleados de la comunidad LGBTQ+. For more on LBGTQ+ care and providers at Renown, visit renown.org/diversity/lgbtq-at-renown/. The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Desde 1969, UNR Med ha capacitado a más de 3,900 estudiantes, residentes y becarios. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. Renown Health is Nevada's largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children's hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health.

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    • Martes, 12 de abril de 2022

    Renown Regional nombrado líder de igualdad en la salud de Nevada

    Reconocido como líder nacional en el cuidado de la comunidad LGBTQ+ por la fundación de Human Rights Campaign en 2022 Todas las personas que necesitan atención médica deben poder ver a su médico o tener una visita al hospital sin preocuparse porque las maltraten, las acosen o les nieguen el servicio sin razón. Los datos de la encuesta nacional de Center for American Progress (CAP) muestran que las personas que pertenecen a la comunidad LGBTQ+ experimentan discriminación en entornos de atención médica, y que esto los disuade de buscar el cuidado médico que necesitan. Estos resultados resaltan la importancia de proteger a las personas de la comunidad LGBTQ+ de la discriminación en el entorno de la atención médica. Los cuidadores de Renown Health y la UNR Med, con el apoyo de la comunidad LGBTQ+ y los aliados transgénero y sus parejas, trabajan para acortar la brecha para los pacientes LGBTQ+ y sus familias, y para convertirse en una organización más inclusiva. Esta semana, la fundación de Human Rights Campaign reconoció al Renown Regional Medical Center en Reno, Nevada, como el primer y único hospital de Nevada nombrado con un puntaje perfecto, y con el nivel más alto de apoyo, como “Líder en la igualdad de atención médica para la comunidad LGBTQ+”. El Índice de igualdad en la atención médica (Healthcare Equality Index, HEI) es la encuesta de referencia más importante del país de los centros de atención médica sobre las políticas y prácticas dedicadas al tratamiento igualitario y la inclusión de pacientes, visitantes y empleados de la comunidad LGBTQ+. “Nos esforzamos constantemente por estar entre los mejores del país en cuanto a calidad, seguridad y experiencia del paciente”, afirmó el Dr. Thomas Graf, director ejecutivo interino, director clínico y director de Calidad. “Este reconocimiento confirma el compromiso del equipo de Renown Health, que es brindarle el mejor cuidado posible al paciente. La calidad y la seguridad son responsabilidad de todos los empleados y médicos de Renown, y estamos orgullosos de que el equipo del Renown Regional Medical Center haya sido elegido entre los mejores del estado y el país por su compromiso con el cuidado centrado en el paciente LGBTQ+”. “Renown Health se enorgullece de unirse al estado de Nevada, que también obtuvo las mejores calificaciones en el Índice de igualdad estatal de Human Rights Campaign, y a la ciudad de Reno con la Tarjeta de puntuación de igualdad municipal para la igualdad de las personas LGBTQ+”, manifestó Sy Johnson, MBA, presidente interino y jefe de personal. “El HEI de Human Rights Campaign ofrece a las organizaciones una manera poderosa de afirmar que están comprometidas con el cuidado centrado en el paciente LGBTQ+ y extender las protecciones contra la discriminación a nuestros empleados LGBTQ+, quienes desempeñan una función clave en garantizar un cuidado sensible y experto para las personas de esta comunidad”. “En la UNR Med estamos muy orgullosos de colaborar con Renown en este esfuerzo”, dijo Nicole Jacobs, Ph.D. (ella), decana asociada, Diversidad e Inclusión; psicóloga clínica y profesora; Departamento de Psiquiatría y Ciencias Conductuales de la UNR Med. “La designación de ‘Líder en la igualdad de atención médica para la comunidad LGBTQ+’ demuestra el fuerte compromiso de Renown para promover la atención médica igualitaria en Nevada, nuestros valores centrales y compartidos, y nuestra misión compartida de abordar las desigualdades en torno a la atención médica que existen en nuestra área”. Un récord de 906 centros de atención médica participaron activamente en la encuesta del HEI 2022 y, 496 de ellos recibieron la designación de “Líder en la igualdad de atención médica para la comunidad LGBTQ+”. El Renown Regional Medical Center es el primer y único hospital de Nevada que cuenta con un reconocimiento de Human Rights Campaign. Ningún otro hospital del estado cumplió con sus estrictos estándares para el ranking de 2021. “Todas las personas merecen tener acceso a una atención médica de calidad, ser respetadas y escuchadas por su médico y sentirse seguras en las instalaciones donde reciben cuidado médico”, afirmó Tari Hanneman, (ella), directora de Salud y Envejecimiento en Human Rights Campaign. “El Índice de igualdad en la atención médica, en su esencia, se esfuerza por garantizar que las personas LGBTQ+ estén protegidas y respaldadas por sus proveedores de atención médica y se sientan seguras a la hora de buscar servicios. Nuestros participantes activos del HEI son auténticos pioneros en la industria de la atención médica porque implementan políticas integrales y sólidas de inclusión de la comunidad LGBTQ+ que, debido a lo que hacen, esperamos que se conviertan en una práctica habitual. El HEI evalúa y califica a los centros de atención médica según criterios detallados que se clasifican en cuatro pilares centrales: Políticas fundamentales y capacitación en la atención centrada en el paciente LGBTQ+ Servicios y apoyo para el paciente LGBTQ+ Beneficios y políticas para los empleados Participación de los pacientes y la comunidad Suzanne Hendery, MA, APR, directora de Clientes, quien dirigió el proceso de solicitud de Renown, indicó que el notable progreso reflejado en la presentación del HEI 2022 del equipo incluye los siguientes aspectos: Se actualizaron los registros médicos con el nombre y los pronombres preferidos. Kathleen Zaski, BSN, RN, directora de Aplicaciones de TI, explica por qué esto es tan importante. “Su nombre e identidad son inherentes a su persona y aquí, en Renown, nuestro objetivo es cuidarlo como persona en su totalidad y brindar el más alto nivel de atención de calidad a nuestra comunidad, todo mientras nos aseguramos de que la experiencia sea excepcional y personalizada para cada persona. Nuestro sistema de registros médicos apoya a nuestros médicos, profesionales de enfermería y equipo de atención en la recopilación de esta información importante. Ahora podemos registrar el nombre preferido, el sexo y la orientación sexual de cada persona para cuidarla mejor”. Se permitieron las visitas sin tener en cuenta la orientación sexual o la identidad de género. Whitney Hansen, PhD, directora de Excelencia de Servicio, afirma: “Sé lo importante que es para nuestros pacientes y sus familias que Renown sirva a toda nuestra comunidad y que brindemos un espacio agradable y seguro y un sentido de pertenencia a todos. Estamos orgullosos de la política de visitantes de Renown, inspirada por miembros familiares que solicitaron que la política permitiera que dos familiares al día pudieran a visitar a un ser querido internado en Renown”. Se colocaron baños sin distinción de género. Chris Baker, CHFM, director de Ingeniería de Instalaciones, cuyo equipo ha creado más de 48 baños sin distinción de género en Renown, afirma: “Garantizar que los baños privados estén igualmente disponibles para todos en nuestro campus es solo una forma de proporcionar un espacio más inclusivo y atento para las personas a las que prestamos servicios”. Además, los médicos y cuidadores de Renown recibieron reconocimientos en las siguientes áreas: Todos los miembros del personal reciben capacitación sobre el cuidado centrado en el paciente LGBTQ+. Tanto la “orientación sexual” como la “identidad de género” se incluyen en la política de no discriminación de pacientes y en la política de no discriminación de empleo de Renown. Se ofrecen beneficios de atención médica que incluyen a las personas transgénero a empleados y miembros del plan de salud sin fines de lucro de Renown, Hometown Health. Se proporciona apoyo sustancial y se otorgan subvenciones a organizaciones del área que abordan la diversidad y la inclusión, los eventos del Orgullo LGBTQ+ y la colaboración con organizaciones LGBTQ+ como aliado. “Estoy muy orgulloso de las personas con las que trabajo todos los días que hacen que los logros sean posibles”, dice Brian Colonna CHC, CHPC, CHRC, director de Cumplimiento. “Esta es una designación significativa”, dijo Bethany Sexton, MA, directora de Transformación. “Me siento muy orgullosa de ser parte de un equipo y una organización que ayuda a traducir nuestra misión como organización en una acción significativa para cada miembro de nuestra comunidad”. Mitch Harper, director de Desempeño de la Red, expresó: “Acabamos de comenzar este viaje. Reconocemos que todavía hay mucho más por mejorar para convertirnos en una organización inclusiva. Estamos trabajando para crear un entorno seguro y agradable para nuestra comunidad y nuestros empleados. El acceso a servicios humanos básicos no debe estar supeditado a características como el color de piel, el origen étnico, el sexo, la identidad de género, la orientación sexual, la edad, la discapacidad o las creencias de una persona”. Sean Savoy, encargado de la atención espiritual en Renown, dijo: “¡Muy buenas noticias! Me alegra mucho que Renown Health haya alcanzado este hito con HRC, líder en derechos civiles para minorías de identidad de género y orientación sexual. Espero con ansias el continuo trabajo y esfuerzo por lograr equidad clínica, competencia cultural y respeto por nuestros pacientes y empleados LGBTQIA”. Para obtener más información sobre la atención y los proveedores para pacientes LBGTQ+ en Renown, visite renown.org/diversity/lbgtq-at-renown/ Únase al equipo de Renown Renown Health está contratando personas para ocupar puestos clave en la organización para apoyar la salud y el bienestar de nuestra comunidad. Para unirse a la familia de Renown y luchar por la causa justa, postúlese en línea en careers.renown.org/ Acerca de la Fundación Human Rights Campaign La Fundación Human Rights Campaign es la parte educativa de Human Rights Campaign (HRC), la organización de derechos civiles más grande de los Estados Unidos que trabaja por lograr equidad para personas lesbianas, gays, bisexuales, transgénero y queer (lesbian, gay, bisexual, transgender, queer, LGBTQ+). Mediante sus programas, la Fundación HRC busca generar cambios transformadores en la vida cotidiana de las personas LGBTQ+, arrojando luz sobre la desigualdad y profundizando la comprensión del público sobre los problemas de la comunidad LGBTQ+, con un claro enfoque en la promoción de la justicia transgénero y racial. Su trabajo ha transformado el panorama para más de 15 millones de trabajadores, 11 millones de estudiantes, un millón de clientes en el sistema de adopción y cuidado tutelar, y mucho más. La Fundación HRC ofrece consultas directas y asistencia técnica a instituciones y comunidades, de esta forma impulsa la promoción de políticas y prácticas inclusivas; desarrolla la capacidad de los futuros líderes y aliados mediante programas de becas y capacitación; y, con la firme convicción de que estamos trabajando juntos, forja sociedades con defensores en los EE. UU. y en todo el mundo para aumentar nuestro impacto y dar forma al futuro de nuestro trabajo. Acerca de Renown Health Renown Health es la red de atención médica integrada de administración local y sin fines de lucro más grande de la región, que presta servicios a Nevada, Lake Tahoe y el noreste de California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.

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    • Diversidad
    • Educación

    SOGI – The Most Important Terms to Know

    SOGI stands for sexual orientation and gender identity. Being a SOGI-inclusive medical facility means regardless of our differences, we treat others with dignity and respect. Sean Savoy, Renown Health Manager of Spiritual Care, explains SOGI terms and their importance in a healthcare setting below. SOGI History Although the UN passed a historic resolution on SOGI in 2016, it is still a relatively new term for some. Above all, an inclusive environment where every patient feels safe and valued, improves the quality of care in our community. In reality, defining gender and sexuality can be confusing. However, the terms we use to define gender and sexuality are an important influence on how we relate to each other. Generally, "sex" refers to the biological differences between males and females. Still the term “sex” doesn’t fully capture the complex biological, anatomical and chromosomal variations that can occur. Accordingly, having only two (binary) options – biological male or biological female – might not describe what’s going on inside a person’s body. In essence, assigned sex (also called "biological sex) is given at birth based on medical factors. These include your hormones, chromosomes and genitals. Most people are assigned male or female, and this is what’s put on their birth certificate. When someone’s sexual and reproductive anatomy isn’t clearly female or male, that person may be described as “intersex.”  However, a person’s biological or assigned sex may be different from a person’s actual or perceived gender identity or expression. The word “gender,” therefore, is more difficult to define. It could refer to the gender or sex role society determines is acceptable, desirable or appropriate based on a person’s perceived sex. Likewise, it could refer to an individual’s own gender identity or preferred gender expression. What is Gender Identity? To summarize, gender identity is one's innermost concept of self as male, female, a blend of both or neither. To clarify - how individuals perceive themselves and what they call themselves. Of course sometimes a person's genetically assigned sex does not line up with their gender identity. These individuals might refer to themselves as transgender, non-binary, or gender-nonconforming, for example. Another key point is the process of gender transition. This specifically refers to more closely aligning your internal knowledge of gender with your outward appearance. According to the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM), the term – which replaces Gender Identity Disorder – "is intended to better capture the experiences of affected children, adolescents, and adults." What is Sexual Orientation? Sexual orientation is an internal or enduring emotional, romantic or sexual attraction to other people. For example, you could be heterosexual (straight), gay, lesbian, bisexual or even pansexual. SOGI Terms to Know Below are some common SOGI terms according to the National LGBT Health Education Center and the Human Rights Campaign. The following list is not meant to represent every term (or definition) used by the LGBTQ+ community. LGBTQ+ Stands for lesbian, gay, bisexual, transgender and queer (or questioning). The plus encompasses other identities that fall under the queer umbrella with one common theme: they are not strictly straight or cisgender. Queer An umbrella term used by some to describe people who think of their sexual orientation or gender identity as outside of societal norms. Some people view the term “queer” as more fluid and inclusive than traditional SOGI identities. Due to its history as a derogatory term, the term is not always embraced or used by all members of the LGBTQ+ community. Sexual Orientation Terms Asexual (adj.) – Describes a person who experiences little or no sexual attraction to others. Asexuality is not the same as celibacy. Bisexual (adj.) – A sexual orientation that describes a person who is emotionally and sexually attracted to people of their own gender and people of other genders. Gay (adj.) – A sexual orientation that describes a person who is emotionally and sexually attracted to people of their own gender. It can be used regardless of gender identity, but is more commonly used to describe men attracted to other men. Heterosexual or Straight (adj.) – A sexual orientation that describes a person whose sexual or emotional attractions and behaviors focus exclusively or mainly on members of the opposite sex or gender identity. Lesbian (adj., noun) – A sexual orientation that describes a woman who is emotionally and sexually attracted to other women. Pansexual or Omnisexual (adj.) – A sexual orientation that describes a person who is sexually and emotionally attracted to people of any sex or gender identity. Pansexual people may refer to themselves as gender-blind, asserting that gender and sex are insignificant or irrelevant in determining whether they will be sexually attracted to others. Gender Identity Terms Bigender or Binary (adj.) – Describes a person whose gender identity is a combination of two genders. Cisgender (adj.) – A person whose gender identity aligns with the assigned sex at birth or biological sex. Gender non-conforming (adj.) – Describes a gender expression that differs from a given society’s norms for males and females. Gender transition (noun) - The process by which some people strive to more closely align their internal knowledge of gender with its outward appearance. Some people socially transition, whereby they might begin dressing, using names and pronouns and/or be socially recognized as another gender. Others undergo physical transitions in which they modify their bodies through medical interventions. Intersex (adj.) - A variation in sex characteristics including chromosomes, gonads, or genitals that do not allow an individual to be distinctly identified as male or female. Non-binary Alternate terms are gender queer and gender non-conforming. Transgender (adj.) – Describes a person whose gender identity and assigned sex at birth do not correspond. Also used as an umbrella term to include gender identities outside of male and female. Sometimes abbreviated as trans. SOGI Awareness Again, not all people use the above terms in the same way, so respect and sensitivity are key. And the healthcare setting is an especially vulnerable one. Maintaining the dignity and humanity of every individual during a medical interaction is essential. The U.S. Department of Health and Human Services requires all Electronic Health Record (EHR) systems be able to collect SOGI information from patients. This promotes better understanding of health treatment outcome disparities in order to reduce them. Renown Health’s mission is to make a genuine difference in the health and well-being of the people and communities we serve.

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    • Salud del hombre
    • Vida activa

    Testosterone, Men and Health: lo que necesita saber

    You probably know testosterone (T) plays an important role in how boys physically develop into men. But is that all you know? What happens when a man's T levels are off? Are there symptoms men should look for? And what are the treatment options? Dr. Bobby Kahlon, MD, Renown Medical Group provides answers in a Testosterone Q&A.   What does testosterone do for men?  "Testosterone is known as the 'manly hormone' for a reason," says Dr. Kahlon. "Though women also naturally produce small amounts of it, men produce testosterone at much higher concentration levels. And it affects men in more physical and obvious ways. How much hair a man has on his chest, how deep his voice is, or how muscular he is are all attributable in some way to testosterone. It's also responsible in large part for sex drive and bone strength and affects how men think, learn and experience their surroundings."  Testosterone in men:   Powers virilization (male physical characteristics) and sexual function Builds muscle mass and strength  Supports bone density  Improves cognition  T Trivia: Discover Magazine reveals that “manly” testosterone and other sex hormones evolved long before we did — 500 million years ago — from the ultimate “female” hormone, estrogen. Can you have too much or too little testosterone?  Though high testosterone isn't a concern for most men, low testosterone or low T occurs more frequently and develops for two primary reasons.  Dr. Kuhadiya explains, "Subnormal testosterone concentrations occur either due to pituitary or testicular failure and the causes for each need to be discussed with your physician."  Pituitary failure: Approximately one-third of men with obesity, type 2 diabetes, or metabolic syndrome (which includes increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels) have low free — or "bioavailable" — testosterone. These health conditions can cause the pituitary gland to "fail" to release follicle stimulating hormone (FSH) and luteinizing hormone (LH) which are essential for triggering testosterone and sperm production. And that can cause low testosterone (hypogonadism). Testicular failure: Though less common than pituitary failure, testicular failure may also be responsible for low T. It's caused by diseases or illnesses affecting the testicles, injury or trauma to the testicles, or certain medicines and treatments such as chemotherapy or opioid pain medication. Providing your complete medical history to your doctor is always the first step toward a proper diagnosis.  What are the symptoms of low T?  The following indicators could be a sign that you have low T, say the doctors.  Lack of motivation and determination, including mild depression  Loss of physical endurance and muscle strength  Loss of or diminished early morning erections  Reduced libido (sex drive)   Erectile dysfunction (ED — difficulty achieving or maintaining an erection)   Gynecomastia (male breasts)  Small testes  T and Time: T levels in men naturally begin to decline by about 1% a year starting at age 30.  How do you test for low T?  "There are different methods for testing testosterone levels," says Dr. Kuhadiya. "Each approach uses a blood sample to evaluate total testosterone, which includes free and attached testosterone that combines with proteins albumin and sex hormone-binding globulin (SHBG). For the most accurate results, testing is based on samples collected in the morning after fasting, and from tests on two different days."  What treatment options are available?  "Well, your best natural option may be YOU," says Dr. Kahlon. "Men with pituitary failure are often able to treat their low T by losing weight to increase levels of the hormone. And even if you don't lose weight, exercise can help boost your testosterone. Unfortunately, if you have testicular failure, weight loss and exercise may not have the same effect."  So, are there other options? "You may want to consider Testosterone Replacement Therapy (TRT)," says Dr. Kuhadiya. "TRT is only available to men who are hypogonadal — with a clinical diagnosis of low T. Injection, gel, skin patch and nasal spray are available TRT options. The best option is the one that works best for the patient. Convenience, insurance coverage and cost are all factors to consider." Dr. Kahlon's TRT preference? Daily gel treatments, which are applied directly to the skin. On the other hand, Dr. Kuhadiya recommends intramuscular injections, which take place once a week or every two weeks.  But both doctors agree on this: physicians and their patients need to weigh the benefits and risks of TRT before proceeding with treatment — especially if your low T condition may require lifelong treatment. "In my clinical practice, I have seen some very good long-term results with an improved quality of life," says Dr. Kuhadiya. "However, in certain situations, TRT may increase the risk of heart disease and is not recommended for men with a history of prostate cancer." Dr. Kahlon adds, "Patients receiving any type of hormone therapy need to be closely monitored throughout the treatment process for any changes in their health."   How do you feel about steroids and T boosters?  "I don't recommend them, certainly not for hypogonadism," advises Dr. Kahlon. "There is no evidence to support anabolic-androgenic steroids or testosterone boosters as a safe or effective treatment for low T in men."  "In fact, there continues to be emerging evidence they may lead to side effects that could potentially harm the liver and the pituitary and endocrine functions of the body," warns Dr. Kuhadiya. "And that damage may be irreversible."

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    • Atención primaria
    • Diversidad
    • Salud pública

    Apoyo a la salud de la comunidad LGBTQ+: por qué es importante

    Renown Health has long supported northern Nevada’s LGBTQ+ community Pride events with sponsorship, and we’ve collaborated with local and regional LGBTQ+ organizations as an ally. Renown’s Pride Committee works to deepen and broaden our external and internal efforts around LGBTQ+ community engagement, advocacy, and healthcare issues related to sexual and gender minorities, which is part of the greater Diversity, Equity and Inclusion efforts Renown is undertaking. According to Harvard Chan School, data shows that nearly a sixth of LGBTQ+ adults feel they were discriminated against based on their sexual orientation and gender identity. As a result, this brings to light the important need for education within the healthcare setting. Renown Health is bridging the gap for our LGBTQ+ population, and we know more work needs to take place in order to become an inclusive organization. Below are a few ways we’re working on improving our response to LGBTQ+ needs, and celebrate, respect and honor our diversity by being inclusive. Diversity, Equity and Inclusion The Diversity, Equity and Inclusion subcommittee was formed to heighten the awareness and develop a plan on how to better serve all of our diverse populations, including our LGBTQ+ patients. As the largest healthcare provider in northern Nevada, we knew that we could do a better job. The subcommittee provides us a forum to discuss ideas and develop plans to provide better care to these populations. Updated Medical Records with Preferred Name and Pronouns Of course healthcare is personal. We meet patients at their most vulnerable states. And relating to every person by the correct pronoun shows we respect their gender identity. A new medical records update supports our doctors, nurses and care team in capturing this vital information. We are now able to capture every person’s preferred name, sex and sexual orientation to better care for them. Kathleen Zaski BSN, RN, Manager of Clinical Informatics and IT Applications at Renown explains why this is so important. “Your name and identity are core to who you are as a person, and here at Renown, we aim to take care of you as a whole person and to provide the highest level of quality care to our community – all while ensuring the experience is exceptional and tailored to the individual. In other words, having the patient’s preferred name and pronoun in the medical record is important to validate their identity, and show we care, in an already high stress environment. Specifically, giving our providers easy access to the patients preferred name and pronoun in the medical record, allows them to properly address their health concerns. This also helps the health care provider foster a closer relationship with the patient. Studies have found this actually increases the quality of care by creating a more open and comfortable environment.” Gender Neutral Restrooms Mitch Harper, Senior Program Development Manager at Renown, recognizes there’s still so much more to improve upon in becoming an inclusive organization. “At the end of the day, it’s about creating a safe and welcoming environment for our community and our employees. Access to basic human services shouldn’t be contingent on an individual’s skin color, ethnicity, sex, gender identity, sexual orientation, age, disability, or beliefs. Ensuring that private restrooms are equally available to everyone on our campus is just one way we can provide a more inclusive, caring space for the people we serve.” Updated restroom locations: Roseview Tower: 10 Sierra Tower: 14 Tahoe Tower: 14 Helping to Lead and Influence Change Sean Savoy, Manager of Spiritual Care at Renown "The foundation of spiritual care is compassion – being with people in need by caring, supporting, and showing empathy, and promoting a sense of well-being. Being a member of the LGBTQ+ community informs that deep sense of compassion and empathy in a very special and unique way. Our human value, social validity, the very reality of who and what we are, even our right to exist, love and just be, are often called into question. This, in turn, can cause many of us to question ourselves and wonder about our self-worth. This experience should engender compassion and empathy so that we can better recognize, listen to and meet others’ needs to help them achieve inner peace, explore coping strategies to overcome obstacles during illness or crisis, and even find new balance by re-conceptualizing themselves in the context of health and illness. I have found that the intersectionality of my gay and spiritual selves has been a blessing in my life." Matthew Maloy, Team Lead Applications Specialist at Renown “I am a Team Lead Epic analyst in the IT department that is responsible for clinical based workflows for ED, Trauma, and Critical Care and have worked at Renown for 15 years. Being a part of the LGBTQ+ community influences my daily work by ensuring the Electronic Health Record reflects best practices such as giving clinicians the ability to document a preferred name, and displaying that throughout the medical record for consistency. Having the ability to influence decisions that move our community toward human value for all of us is a priority in my daily work.” Our Mission Renown Health’s mission is to make a genuine difference in the health and well-being of the people and communities we serve, including the LGBTQ+ community. We continue to build relationships to improve care, fostering better health outcomes for ALL of our patients by creating a more inclusive health system.

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    • Salud mental

    How to Spot Depression in Men

    Has a male in your life been affected by depression? It could be your father, husband, or son. Or maybe your brother, a friend – or even, your co-worker. They all have one thing in common, they’re men and they may not always be able recognize when they need help. Here’s how you can support the men in your life by understanding their unique signs of depression. Dr. Coard, Ed.D., Psychologist with Renown Behavioral Health, weighs in on the topic of depression and the warning signs. More than 6 million men are diagnosed with depression each year, and surprisingly, depression in men can differ from women. The signs of depression are not easily recognized and it’s common for men to be in denial about what they’re going through. They can demonstrate anger and aggression instead of sadness – making it difficult for loved ones, or even their providers, to recognize. Behavioral Signs of Depression in Men High levels of the hormone cortisol are released during stressful situations affecting the neurotransmitter, serotonin (a feel good hormone), contributing to depression. You can identify depression or suicidal tendencies by paying close attention to the following behavioral changes: Anger, irritability, or aggression Avoiding family or social situations Losing interest in family responsibilities, passions and hobbies Lack of sex drive Becoming controlling/abusive in relationships Risk-taking behavior such as; unsafe sex, overspending or gambling Not being able to concentrate or remember details Excessive drinking or drug use Having frequent thoughts about death Talking about suicide Attempting suicide Factors That Lead to Depression in Men Life Events Work stress or long-term unemployment can be huge contributing factors relating to depression. This type of life event can be overwhelming, making it impossible for a man to cope. Changes in Relationships The loss of a relationship can be a significant contributing factor to the emergence of depressive symptoms and past experienced physical, sexual, or emotionally abusive relationships. With this in mind, counseling can often help individual to overcome this type of trauma. Grief and Loss Overwhelming sadness due to the loss of a loved one can trigger depression. Although normal, each person goes through their own grieving period. For example, normal responses to death are insomnia, poor appetite and loss of interest in activities. Pay attention if grief seems prolonged or out of the ordinary. Health Problems In particular, depression coexists with medical conditions. As men age, this can be passed off as normal aging, but it could be more serious. In addition, illnesses such as thyroid disorders, Addison’s disease and liver disease can cause depressive symptoms. Diabetes, cancer, heart disease, or Parkinson’s disease can affect any age, thus triggering or worsening depression. Some older men also feel like they may be suffering from dementia because of difficulties with memory this may be a symptom of depression. A trip to the doctor may be in order to help alleviate concern and worry. Depression in Men and Suicide Frequently the emotional pain occurring with depression can distort a man’s ability to see a solution beyond suicide. Individuals with depression become very rigid and constricted in the way they solve problems. The statistics below speak for themselves, helping us understand the need to reach out to those who need our support. Male suicide rates are on rising – men die by suicide 3.53 times more often than women, accounting for 70% of all suicides. Sadly, every day 129 men commit suicide. White males accounted for 69.67% of suicide deaths in 2017. In 2017, firearms accounted for 50.57% of all suicide deaths. Middle aged Men who are middle aged have the highest suicide rates. 40% of those identifying as transgender have attempted suicide in their lifetime. Males who are guy or transgendered are at an increased risk for suicide attempts, especially before age 25. Veterans often suffer from post-traumatic stress disorder (PTSD) and depression, and are more likely to act on a suicide plan. How You Can Help Now that you can identify some of the warning signs of depression, here’s how you can help: Talk about your concern and communicate that you’re there to help him. Let him know depression is a medical condition and will usually get better with treatment. Suggest professional help from a Primary Care Provider, Psychologist or Therapist. Help set up appointments and offer to accompany him – let him make the decision, but make it clear you’re there for him, no matter what he decides. If you feel he is in a dire or life-threatening situation, contact 911. Call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) to talk to a trained counselor. Call the Veteran’s Crisis Line at 1-800-273-TALK (1-800-273-8255) and press “1”

    Read More About How to Spot Depression in Men

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    • Salud del hombre
    • Visita virtual

    Take Charge of Your Sexual Health

    Much like general physical and mental health, sexual health is an essential aspect of your overall well-being. Therefore, educating yourself on your sexual health is an important piece regarding your overall wellness. Secure & Private Virtual Visits Did you know that many sexually transmitted disease appointments can happen virtually, in the privacy of your own home? Our providers can perform a screening examination for sexually transmitted illness (without symptoms) when it’s convenient for you. This is a great option if the topic makes you uncomfortable during an in-person visit, or if you can’t find time to visit your primary care provider or local urgent care. After the telehealth appointment, your provider will determine the  next steps for you. Remember, in-person visits are always an option as well.   Here’s how you can take charge of your sexual health:  Get Comfortable with Getting Tested  Surprisingly, some people with STDs don't show symptoms, meaning they may not even know they have an STD unless they get tested. Even if an STD shows no symptoms, the result of non-treatment can be serious. Bret Michael Bellard, MD, with Renown Medical Group, shares that it’s important for people to get tested for STDs because if left untreated, they can cause the following health problems: Loss of fertility Pregnancy complications Other health issues  When to Visit Your Primary Care Provider  Who should get tested and how often? “The recommendations are that everyone from ages 13 to 64 should get tested at least once for HIV. All sexually active adults should also be tested for other STDs once a year, and all pregnant women should be tested at the start of their pregnancy,” says Dr. Bellard. Some STDs, like syphilis, can be passed from mother to baby, so it's important for women to get tested as soon as they know they’re pregnant.  Dr. Bellard recommends going to your primary care provider for testing. “They can also give advice on prevention and other health topics.” If you don’t have a primary care provider, this is a great reason to get established with one. Women with an established OB/GYN can have STD testing done simultaneously with their annual pelvic exam. The providers in Renown's network care for patients of all ages and specialize in family medicine, internal medicine, pediatrics and OB/GYN.   Practice Safe Sex  STDs are preventable. Practicing safe sex and getting tested routinely are your best defenses against all types of STDs.  For many, the conversation about sexually transmitted diseases is awkward and many avoid it. To lower your risk of contracting an STD, don’t wait until you’re “in the moment” to have the conversation with your partner about the last time you were both last tested. If you haven’t gotten tested in-between new partners, use latex condoms every time you have sex until you are both confirmed negative of STDs. Condoms are not 100% effective at preventing disease or pregnancy. However, they are extremely effective if used properly.   To establish Primary Care, visit renown.org/virtualvisits or call 775-982-5000

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