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You’re doing cheap generic viagra it!. You’re working out, reaping all those benefits of exercise that have been drilled into your head.So you’re pedaling your heart out or running like you’re escaping a zombie horde. You’re feeling accomplished, on cloud nine, until cheap generic viagra … your stomach starts to churn.

You may even feel dizzy. Your feelings of accomplishment have turned to agony as you deal with a bout of nausea.Exercise-induced nausea is quite common, as are exercise-induced gastrointestinal (GI) problems in general, affecting perhaps up to 90% of endurance athletes.So why does this happen and, more cheap generic viagra important, how can you prevent it?. The Cause.

Competing DemandsWhen you exercise, skeletal muscles in your legs and arms contract. To work most cheap generic viagra efficiently, they need oxygen. So your heart muscle contracts, too, increasing blood flow through your body.

The hemoglobin molecules within your red blood cells carry oxygen to your working muscles.To maximize the amount of blood being delivered cheap generic viagra to the active muscles, your body diverts blood away from inactive areas – such as your gut. This diversion is overseen by the “fight or flight” branch of your nervous system. Known as the sympathetic nervous system, it causes some blood vessels to narrow, limiting blood flow.

You don’t have conscious control over this process, cheap generic viagra known as vasoconstriction.But your contracting skeletal muscles have a special power to preserve blood flow. They’re able to resist the call for vasoconstriction that helps divert blood away from inactive areas. This resistance to the effect of the sympathetic nervous system is called “functional sympatholysis.” cheap generic viagra Physiologists like me continue to work to understand the specific mechanisms by which this can occur.So why does limiting blood flow to the gut cause distress?.

The relative ischemia, or lack of blood flow, can have different effects. It can change how cells are able to absorb what has been digested and how broken-down food moves through the gut. Taken together, the changes result in an unpleasant feeling you may know all too well.The lack cheap generic viagra of blood flow is particularly challenging if the digestive system is actively trying to break down and absorb food, a main reason exercise-induced nausea can be worse right after you’ve eaten, especially if the pre-workout meal had a lot of fat or concentrated carbohydrates.The Cure.

Moderation and ModificationIt’s no fun to exercise if you’re doubled over with stomach cramps or running for the bathroom. So what can you do to limit symptoms or cheap generic viagra get rid of them when they crop up?. Moderate your exercise intensity.

Nausea is more common with high-intensity exercise, where the competing demands for blood flow are highest. Especially if you’re newer to working out, gradually increasing cheap generic viagra exercise intensity should help to minimize the likelihood of GI distress.Modify your exercise. Some evidence suggests that certain exercises, like cycling, can put the body in a position that’s more likely to cause gut problems.

Try different forms of exercise, or combinations of different modes cheap generic viagra to meet your fitness goals while minimizing discomfort. Be sure to properly warm up and cool down to prevent rapid changes in your body’s metabolism.Modify what and when you eat and drink. Stay hydrated!.

You’ve probably heard it before, but drinking enough is one of the best ways to prevent GI issues during and after exercise, particularly in hot cheap generic viagra or humid environments. It is possible to overhydrate, though. Aim for about half a liter per hour cheap generic viagra of fluids, including some low-carbohydrate and low-sodium sports drinks for high-intensity exercise.

It may take some experimentation with different foods and the timing of ingestion to figure out what works best for you and your training goals. You can also incorporate foods like ginger, crackers and coconut water that might help settle your stomach.The Caveat. When to Seek HelpWhile exercise-induced nausea is unpleasant to deal cheap generic viagra with, in general it isn’t a major health concern.

Most symptoms should resolve within an hour of finishing exercise. If problems cheap generic viagra persist either for long periods after exercise or each time you work out, it’s worth having a conversation with your doctor.Sometimes the GI distress during or after exercise can actually lead to vomiting. If you unfortunately do throw up, you’ll likely feel better but will also need to rehydrate and replenish the nutrition you lost.If you’re looking to start an exercise regimen or up the intensity of your current workouts, seeking the advice of trained professionals who can tailor a plan to your needs is often a smart approach.

Exercise physiologists or certified personal trainers can provide exercise programming of appropriate intensity, and registered dietitian nutritionists can discuss individual nutritional needs and strategies. Your primary care provider can help to screen for cheap generic viagra more serious medical issues and should be informed of your exercise routine as well.Anne R. Crecelius is an Associate Professor of Health and Sport Science, University of Dayton.

This article is republished from The Conversation under a cheap generic viagra Creative Commons license. Read the original article.Japanese chemist Kikunae Ikeda had an obsession. A flavor he couldn’t quite put his finger on kept showing up in his meals, whether he was eating cheeses and tomatoes in Germany or dashi, a broth he knew from home.

After several years of investigating the savory quality, Ikeda proposed in 1909 that the sensation was cheap generic viagra a fifth taste — one he dubbed “umami.”Ikeda then went further. He found that the flavor came from a compound called glutamate, and when you merge that with sodium, it can add the umami taste to something as plain as a glass of water. Eventually, he and his business partner produced the sodium and glutamate combination for consumers who wanted to infuse their foods with the cheap generic viagra savory taste.

The product was monosodium glutamate, or MSG.Americans likely know MSG best as a component of Chinese food. It also has an unfounded reputation for causing headaches, weakness or numbness after eating dishes seasoned with it. But not only has research failed to connect MSG to any ill symptoms or health problems, the cheap generic viagra flavor agent is also one of the most widely-consumed food additives around.

MSG is a staple ingredient in commercially produced soups, chips, crackers — anything that can benefit from a punch of savoriness. Two Familiar FacesMSG combines an element and a compound that our bodies cheap generic viagra know well. The first, sodium, is one of two ions that make up table salt.

The second, glutamate, is an amino acid that gets put to work in all kinds of physical systems. It helps deliver messages in the nervous system, it functions as one of the many building blocks we rely cheap generic viagra on to create proteins, and it interacts with taste receptors in our mouths. Our bodies can make glutamate, and it also shows up naturally in foods like scallops and tomatoes, as well as fermented products like parmesan cheese.

When merged with sodium, cheap generic viagra the resulting product so efficiently adds depth and enjoyable flavor to a dish that by 1969, the U.S. Was producing 58 million pounds of MSG a year and incorporating it into TV dinners, cereals, condiments and more. Despite the ingredient appearing organically in common foods and manufacturers adding it into Western dietary staples, a letter about “Chinese restaurant syndrome,” published in the New England Journal of Medicine in 1968, sparked worries about ingesting MSG.

The author, identified as Robert Ho Man Kwok, reported feeling numbness in the back of his neck and general weakness after eating at Chinese restaurants, and cheap generic viagra suggested that a potential culprit could be the MSG added to the dishes. The list of supposed symptoms attributed to MSG grew in the following decades to include headaches, sweating, nausea and chest pains. Panic about how Chinese restauranteurs used the additive cheap generic viagra grew, too.

In New York, health authorities wrote letters targeting Chinese food producers, warning them to keep MSG levels low — with no such letters sent to other food producers. And when a healthcare professional suggested renaming the "Chinese restaurant syndrome" with a title that didn't specify a certain cuisine (since the ingredient appeared in all kinds of foods), "such suggestions were ultimately ignored cheap generic viagra and the vast majority of studies continued to refer to MSG-related reactions as the Chinese restaurant syndrome well into 1980s," wrote Ian Mosby, a food historian at York University, in a Social History of Medicine paper. Lacking EvidenceResearch hasn't backed up claims that physical symptoms develop after eating MSG.

Study participants given MSG or a placebo capsule are typically just as likely to get headaches or numbness, no matter which one they consumed. And these vague cheap generic viagra symptoms seem to stem from a range of foods. One study of 60 individuals, for example, found that two people who had ingested MSG broth felt tightness or numbness — but so did six people who had coffee and spiced tomato juice which didn't contain MSG.

Even studies that did find some correlation between MSG consumption and physical effects only turned up evidence that was cheap generic viagra weak at best. For instance, researchers who recorded the responses of 130 people who thought they were sensitive to MSG found that some individuals may show more symptoms when eating the ingredient without any other food. But when participants ingested the MSG serving as part of their breakfast, their symptoms disappeared.Some of the world's largest food safety governing bodies have approved the ingredient, too.

The FDA considers MSG to be "generally recognized as safe." Many other organizations have decided the same, including JECFA, an international scientific committee administered jointly by the Food and Agriculture Organization cheap generic viagra of the United Nations and World Health Organization.Despite this research, the consequences of consuming MSG still seem real for many Americans. A 2018 survey of U.S. Consumers showed that respondents still had negative opinions of the ingredient, even though some people were confused about the difference between MSG and regular table salt.In early December, Indonesia announced an unusual plan cheap generic viagra for vaccinating its populace against erectile dysfunction treatment.

Instead of giving treatments to endangered groups like healthcare workers and the elderly — like virtually every other country that has released a vaccination plan — Indonesia will give the treatments to normal, healthy adults aged 18 to 59.The aim of the plan is to end the outbreak in Indonesia by targeting not vulnerable people but those who disproportionately transmit the viagra — the hubs of the country’s social network. €œOur aim is herd immunity,” said Amin Soebandrio, a biologist and director at the Eijkman Institute for Molecular Biology in Jakarta, Indonesia.But there’s one major problem with the Indonesian plan. No one knows if the first cheap generic viagra wave of successful erectile dysfunction treatments can bring about herd immunity.

Trials have shown the treatments can prevent people from getting sick, not that they prevent people from getting infected with the viagra and passing it on.The distinction is often ignored, but some researchers say it is central in determining the long-term course of the viagra, not just in Indonesia but around the world. Despite the often unspoken assumption that treatments will return us to something like regular life — a deus ex medica ending to the horror story — it is not yet clear if they will have cheap generic viagra that power.Not a Holy GrailWhile treatments are known as one of medicine’s most valuable tools, their function is more complicated than people often realize. At their best, treatments can be sledgehammers that crush pathogens.

treatments for smallpox and polio, for instance, have entirely eradicated the former and may soon finish off the latter. One key to these successes is that these treatments provide sterilizing immunity — recipients are not infected by the viagraes that cause the cheap generic viagra diseases and don’t pass it on. When a sufficiently large percentage of the population is immunized, it reaches herd immunity.

The pathogen can’t find enough new cheap generic viagra hosts to keep propagating, and outbreaks peter out.But smallpox and polio aren’t typical. More often, treatments do not perfectly protect recipients from getting infected and transmitting the pathogen. With flu, for instance, the viagra can invade the cells of some treatment recipients, reproduce inside them without causing any symptoms, and then go on to infect other people who can get sick or even die.

Instead of severing chains of transmission, vaccinated individuals can serve as links in the chain, bringing the pathogen to vulnerable hosts who haven’t been cheap generic viagra vaccinated. This scenario is common among respiratory diseases like erectile dysfunction treatment, since it’s easy for pathogens to invade our respiratory tracts and reproduce there before triggering a major immune response. If treatments do cheap generic viagra not achieve sterilizing immunity, experts say it’s likely that the viagra will continue circulating and we won’t see an abrupt end to the viagra, even when a big majority of people have access to a treatment and they agree to take it.

Instead, there will probably be a gradual easing back of restrictions as transmission slows, more vulnerable people are protected by vaccination, and as we better understand and control the disease risks. €œHow fast we can expect to return to normalcy is difficult to say,” says Dobromir Dimitrov, a senior staff scientist at the Fred Hutchinson Cancer Research Center in Seattle. €œIt is also cheap generic viagra likely to vary from country to country, and even region to region.

In many ways, it will be a new normal.” Researchers agree that mask-wearing and some level of social distancing will need to continue for quite some time.No Guarantee of NormalcyReturning to the unfettered social activities we used to do routinely in the “before times” of 2019 will be a tricky and vague process — and its dynamics will depend heavily on how well treatments prevent transmission.“I honestly think this is the most important question, that affects daily life the most,” says Larry Corey, a virologist at Fred Hutch. Corey offered an example to illustrate the quandaries cheap generic viagra we will face next year. An office party to celebrate a colleague’s promotion.

Most people have been vaccinated, but someone in the office lives with an elderly relative with a significant pre-existing health condition. The potential risk to the relative could be very different if we have a treatment that prevents 50 percent cheap generic viagra of s than if we have one that prevents 90 percent. €œCan you have this party without feeling guilty?.

How are you cheap generic viagra going to decide?. € Corey asks. €œThese are the everyday decisions we’ll have to make.

It affects the behavior of people and the behavior of societies.”Dimitrov and several other infectious-disease researchers recently posted a preprint study using a model to quantify the potential health cheap generic viagra effects of different kinds of treatments. They found that a treatment that prevented 90 percent of symptomatic illness and most s could relatively easily reduce cases and deaths by 50 percent in 2021, as the treatment is rolled out. A treatment that prevented 90 percent of illness but did not prevent most s would require cheap generic viagra vaccinating twice as many people to provide the same health benefit, they found.Symptom-Reducing or Transmission-Blocking?.

So will the real erectile dysfunction treatments ward off the viagra itself?. All the trials that have been publicized so far look at how treatments prevent symptomatic cases, but we do have some hints that they might reduce asymptomatic ones, as well. Moderna, whose cheap generic viagra mRNA-based treatment was just granted emergency authorization by the FDA, recently announced some relevant data from its phase 3 trial.

The company’s treatment includes two shots given four weeks apart. When participants came back for the second shot, 38 subjects in the placebo group tested positive cheap generic viagra for the viagra. Among the treatment group, only 14 did, suggesting a two-thirds decrease in s.

AstraZeneca, whose treatment may have more global impact than the mRNA treatments from Moderna and Pfizer, since it can be stored in a regular fridge and should cost only around $4, has also announced that the treatment decreased s, but it hasn’t released any of the data. Corey says the best way to understand the treatments is to run a trial where researchers closely follow participants to watch the cheap generic viagra viral dynamics of everyone who gets infected. €œYou have to vaccinate people and essentially swab them every day and test the samples every day.

It might end up being a million samples,” he cheap generic viagra says. He hopes to secure funding to run such a study on a college campus in the spring. Without a study like that, we could glean similar information by watching rates in vaccinated populations over the long term, says Corey, “but do you really want to wait until 2022 to answer this?.

€In the meantime, researchers are continuing to work on dozens of other treatment candidates that cheap generic viagra might be cheaper, more effective against , or superior in some other way to the first wave of treatments. Paul Griffin, an infectious-disease expert at the University of Queensland, is helping to run trials on four treatments, including one intriguing candidate from the company Symvivo that comes in a capsule that can be stored at room temperature and taken easily by mouth. €œIt’s highly likely we won’t ever find a perfect treatment,” says cheap generic viagra Griffin.

€œThey all have strengths and weaknesses.”You can feel it coming on — that sudden urge to nearly unhinge your jaw and suck in as much air as your lungs can handle. But what cheap generic viagra makes you do it?. Yawning is a ubiquitous activity in humans, and many other species as well.

But few hypotheses as to why we do it have been rigorously tested, leaving researchers with a whole lot of ideas and not much evidence to back them up. To this day, there is no general consensus on why we yawn — though some theories hold more weight than others.Gimme OxygenOne of the oldest theories cheap generic viagra about yawning — dating back to Hippocrates’ time — is that it can increase blood circulation to the brain. But in recent decades, research has shown that there isn’t evidence to back up this idea.A widely-cited study published in 1987 tested this idea on a cohort of 18 college students.

They were asked to breathe in air with varying concentrations of oxygen and carbon dioxide, though cheap generic viagra the researchers did not tell them what concentrations they were inhaling at the time. In the end, the different concentrations of gasses had no impact on how often the students yawned, showing that yawning was not necessary for their bodies to make up for lack of breathable oxygen in some conditions. However, yawning might have a different benefit to the brain, one that has some evidence to back it.

A few studies in recent years have shown that yawning could help with temperature regulation for our most vital organ.Overheated NogginsIn 2014, researchers in cheap generic viagra Austria and the U.S. Published a report where they surveyed 120 participants on how often they yawned after viewing images of other people yawning during either winter or summer. They found that the proportion of reactionary yawns was significantly cheap generic viagra higher in the summer than in the winter — 41.7 percent to 18.3 percent, respectively — suggesting that the involuntary action might have something to do with how our bodies regulate to keep cool in warmer temperatures.And a few years later, another group of researchers tested the thermoregulation hypothesis on people with medically-induced fevers.

Twenty-two participants either got a shot that included a pyrogen — an agent found in bacteria such as E. Coli that causes fevers — or a placebo. Then, the researchers monitored the participants cheap generic viagra and videotaped their reactions to see how often they yawned in the four hours following their injection.

Those with fevers yawned much more than those who got the placebo shot, particularly when their body temperatures were increasing immediately after injection. The authors cheap generic viagra also noted that higher yawning frequency did seem to correlate with less sickness symptoms and feelings of nausea in participants with fevers. That points to another question — does yawning have any outstanding benefit to the rest of our bodies?.

Many hypotheses have cropped up over the years to suggest that yawning could have a benefit for the lungs, for example. One idea is that a yawn can help distribute a protective wetting agent called surfactant cheap generic viagra in the lungs and prevent them from collapsing. But there is little-to-no data to support that claim, or many others of similar fare.

However, one of the most intriguing finds that's come out of research in the last few decades is that yawning is influenced by social factors.Social cheap generic viagra SwayYou might find yourself yawning as you read this. That’s because yawning is highly contagious — even when we’re just thinking about it, or just looking at photos of people with their mouths stretched and eyes squinted in that ever-so-recognizable way. Studies have shown that dogs can pick up yawns from their owners, and chimpanzees frequently catch yawns from others around them.

Some researchers hypothesize cheap generic viagra that this is due to empathy. Humans and chimpanzees have both exhibited a tendency to be more susceptible to the yawns of those they’re close with. Although we still don't have a clear understanding of why we feel the urge to yawn, one thing's for sure — it's hard to escape that cheap generic viagra feeling once it grips you.While I was growing up in the ’90s, my parents had a way of mollifying frequent aches and pains that arose in my sensitive bones and muscles.

€œIt’s just growing pains.” Essentially, childhood taught me that these so-called growing pains could be attributed to just about any vague throbbing. And I’m hardly alone.“My parents said the exact same thing,” says Rebecca Carl, a pediatrician who specializes in sports medicine and orthopedics at Lurie Children’s Hospital of Chicago. €œI could fall and break a bone and my cheap generic viagra parents would be like, ‘Growing pains.’”It should go without saying that broken bones are not growing pains.

And in case you're wondering, growing pains are a real thing — though the term itself is a misnomer.Growing pains occur in nearly one out of four children, based on the research that Carl has reviewed and conducted during her career. While the cheap generic viagra medical world still doesn’t know what triggers them, physicians have honed in on some possible causes and helpful treatments. They've also highlighted some misconceptions about these pangs of youth.The Origin of 'Growing Pains'The term first appeared in medical literature nearly 200 years ago, when a French physician, Marcel Duchamp (not the French-American artist), named this common syndrome in kids.

His description of recurrent leg pains in children was included in his book, Maladies de la Croissance, or “diseases of growth,” in 1823.His description of recurrent leg pain in children is consistent with what many doctors and parents still hear today, particularly from kids between the ages of 2 and 12. But research has failed to connect these pains to periods of sudden, rapid growth, as you might expect from the name.Physicians have coined new terms for the condition, but none cheap generic viagra of them exactly roll off the tongue. €œbenign nocturnal limb pains of childhood” or “recurrent limb pain of childhood.” Another study describes it as “idiopathic nocturnal pains of childhood.” Thus, “growing pains” persists in our vocabularies.What’s Actually Happening?.

The temporary aches or throbs typically occur in the legs — especially near the shins and calves or behind the knees cheap generic viagra or thighs. They also seem to strike at night and after excessive activity.In-depth studies on growing pains are lacking. This is partly because the syndrome seems benign, with limited concerns about impacting other aspects of health, Carl says.

Medical research money tends to go toward more threatening cheap generic viagra maladies. One 2015 study evaluated 120 Turkish children to test whether vitamin D deficiency plays a role in growing pains. Researchers reported cheap generic viagra observing positive results in participants who took vitamin D supplements.

However, the study lacked a control group, which makes the results less reliable. €œThat could be placebo effect,” says Carl, who was not part of that study but has published her own findings in other papers. Further studies are needed to confirm the theories surrounding vitamin D.Based on her reviews of published research and experience treating patients, Carla considers it to cheap generic viagra be a muscular issue.

€œIt’s so similar to a cramp that it seems to be related to muscle,” she says. And yet, the details behind why cramping occurs in human bodies also remain fuzzy in medical research.In addition to a vitamin D deficiency, other potential causes that have been studied include bone growth changes, foot positioning, fatigue and differences in pain perception, according to Sarah Ringold, a pediatric cheap generic viagra rheumatologist at Seattle Children’s Hospital. There could also be a hereditary component.

€œThere is some indication that growing pains may run in families,” Ringold says. €œParents of children with growing pains cheap generic viagra may recognize the symptoms from their own childhood.” None of this research has landed on firm conclusions. As to whether these pains are conceived of in the mind, Carl says that’s unlikely.

€œMental health can affect how we perceive pain,” cheap generic viagra she says, noting stress and anxiety as two common examples. €œWe do not think this is purely related to psychological issues.”Tips for ParentsGrowing pains don’t generally need clinical attention. But making that judgment as a parent or caretaker requires knowing your child well and being able to identify the ailment.An episode of growing pains can range from mild to severe, often includes both legs and typically lasts between 10 and 30 minutes (and sometimes more than an hour), according to resources from The Cleveland Clinic.

Carl says pediatricians can be a great resource for parents wanting to learn more, including how to identify and treat cheap generic viagra growing pains.A key thing to assess is whether your child has issues beyond isolated pain in the legs. Red flags that could signal something other than growing pains. Limping, avoidance of daily activities or other signs of illness, such cheap generic viagra as a fever.

Instances of pain also should not be regularly waking a child at night. For home remedies during growing pains flare-ups, physicians recommend gentle stretching of the muscles, applying heat to relax the muscles and gently massaging the area..

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€‹15 full-time vardenafil vs viagra Seroquel pill cost equivalent specialist counsellors will be deployed across rural NSW to help prevent suicide, with the first two counsellors starting in the Eurobodalla and Snowy Mountains regions.NSW Mental Health Minister Bronnie Taylor said the relatively high rates of suicide in rural areas are devastating families and communities, and the $6.75 million investment will add another layer of help.“Many factors can contribute to suicide, from domestic violence, to relationship issues or unemployment, to stress and hardship,” Mrs Taylor said. €œThese specialist mental health counsellors are there on the ground to support people thinking of suicide or impacted by suicide, and I encourage communities across the state to lean on them for support.”Director Mental Health Drug and Alcohol for Southern NSW Local Health District Damien Eggleton said he wants more people to ask for help when they need it. €œOur rural communities have proven beyond a doubt they’re resilient and fearless when faced with adversity, whether that be geographic isolation, searing drought or the impact of the current vardenafil vs viagra viagra – but they don’t need to go it alone,” Mr Eggleton said.

€œThe support provided by these counsellors will complement the peer work and drought support provided by our Farm Gate Counsellors and Drought Counsellors.”Rural counsellor Samara Byrne said she wants young people to know there are people you can turn to when feeling overwhelmed with life or feeling like a burden on others. €œWe are here for you and here to listen if you are feeling distressed, anxious or a burden vardenafil vs viagra to loved ones. The service is easily accessible through the Mental Health Line.

Just ask for the Rural Counsellor.”“Having moved from Sydney in 2016 to our beautiful farm in SNSW, I am so pleased to be able to do what I am most passionate vardenafil vs viagra about, supporting people’s wellbeing in Rural Australia and building on the natural local community resilience”.Minister Taylor urges people in the bush to get help by contacting these rural counsellors. €œSupport is available, all you need to do is pick up the phone and make an appointment by calling the NSW Mental Health Line on 1800 011 511.”The 15 rural counselling positions are part of the Towards Zero Suicides. A $87 million investment vardenafil vs viagra over three years in new suicide prevention initiatives.

A NSW Premier’s Priority, this is a whole-of-government commitment to transforming the way we identify and support anyone impacted by suicide.If you, or someone you know, is thinking about suicide or experiencing a personal crisis or distress, please seek help immediately in a life-threatening situation by calling 000 or seek support though one of these services:Lifeline 13 11 14Suicide Call Back Service 1300 659 467NSW Mental Health Line 1800 011 511.

€‹15 full-time equivalent specialist counsellors will be deployed across rural NSW to help prevent suicide, with the first two counsellors starting in the Eurobodalla and Snowy Mountains regions.NSW Mental Health Minister Bronnie Taylor said the relatively high rates of suicide in rural areas are devastating families and communities, and the $6.75 million investment will add another layer of cheap generic viagra help.“Many factors can contribute to suicide, from domestic violence, to relationship issues or unemployment, to stress and hardship,” Mrs Taylor said. €œThese specialist mental health counsellors are there on the ground to support people thinking of suicide or impacted by suicide, and I encourage communities across the state to lean on them for support.”Director Mental Health Drug and Alcohol for Southern NSW Local Health District Damien Eggleton said he wants more people to ask for help when they need it. €œOur rural communities have proven beyond a doubt they’re resilient and fearless when faced cheap generic viagra with adversity, whether that be geographic isolation, searing drought or the impact of the current viagra – but they don’t need to go it alone,” Mr Eggleton said.

€œThe support provided by these counsellors will complement the peer work and drought support provided by our Farm Gate Counsellors and Drought Counsellors.”Rural counsellor Samara Byrne said she wants young people to know there are people you can turn to when feeling overwhelmed with life or feeling like a burden on others. €œWe are here for you and here cheap generic viagra to listen if you are feeling distressed, anxious or a burden to loved ones. The service is easily accessible through the Mental Health Line.

Just ask for the Rural Counsellor.”“Having moved from Sydney in 2016 to our beautiful farm in SNSW, I am so pleased to be able to do what I am most passionate about, supporting people’s wellbeing in Rural Australia and building on the natural local community resilience”.Minister Taylor urges people in the bush to get help by contacting these cheap generic viagra rural counsellors. €œSupport is available, all you need to do is pick up the phone and make an appointment by calling the NSW Mental Health Line on 1800 011 511.”The 15 rural counselling positions are part of the Towards Zero Suicides. A $87 million investment cheap generic viagra over three years in new suicide prevention initiatives.

A NSW Premier’s Priority, this is a whole-of-government commitment to transforming the way we identify and support anyone impacted by suicide.If you, or someone you know, is thinking about suicide or experiencing a personal crisis or distress, please seek help immediately in a life-threatening situation by calling 000 or seek support though one of these services:Lifeline 13 11 14Suicide Call Back Service 1300 659 467NSW Mental Health Line 1800 011 511.

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NCHS Data viagra pill cvs wikipedia reference Brief No. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is associated with an increased risk for chronic conditions such viagra pill cvs as cardiovascular disease (1) and diabetes (2). Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition. Menopause is “the permanent cessation of menstruation that occurs after viagra pill cvs the loss of ovarian activity” (3).

This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this viagra pill cvs analysis, 74.2% of women are premenopausal, 3.7% are perimenopausal, and 22.1% are postmenopausal. Keywords. Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to viagra pill cvs sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on average, in a 24-hour period (35.1%) (Figure 1).

Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period. Figure 1 viagra pill cvs. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, 2015image icon1Significant quadratic trend by menopausal viagra pill cvs status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last viagra pill cvs menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data viagra pill cvs table for Figure 1pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble falling asleep four times or more in the past week varied by menopausal status.Nearly one in five nonpregnant women aged 40–59 had trouble viagra pill cvs falling asleep four times or more in the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week. Figure 2 viagra pill cvs.

Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant viagra pill cvs linear trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if viagra pill cvs they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table viagra pill cvs for Figure 2pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble staying asleep four times or more in the past week (26.7%) viagra pill cvs (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women.

Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week. Figure 3 viagra pill cvs. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status viagra pill cvs (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal viagra pill cvs if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure viagra pill cvs 3pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well viagra pill cvs rested 4 days or more in the past week increased from 47.0% among premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week. Figure 4 viagra pill cvs. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status.

United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle.

Access data table for Figure 4pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5). Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion.

DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?. €. 2) “Do you still have periods or menstrual cycles?.

€. 3) “When did you have your last period or menstrual cycle?. €. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries.

Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less. Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?. €Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?.

€Trouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?. € Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis.

NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS. For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States.

The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS. Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics.

The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report. ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.

Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 141.

Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF. Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon.

2016.Santoro N. Perimenopause. From research to practice. J Women’s Health (Larchmt) 25(4):332–9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al.

Recommended amount of sleep for a healthy adult. A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software]. 2012.

Suggested citationVahratian A. Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286. Hyattsville, MD. National Center for Health Statistics.

2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J. Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J.

Blumberg, Ph.D., Associate Director for Science.

NCHS Data cheap generic viagra Brief No http://www.modernamenity.com/ebook/. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is associated with an increased risk for chronic conditions such as cardiovascular disease cheap generic viagra (1) and diabetes (2).

Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition. Menopause is “the permanent cessation of menstruation that occurs cheap generic viagra after the loss of ovarian activity” (3). This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status.

The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% of cheap generic viagra women are premenopausal, 3.7% are perimenopausal, and 22.1% are postmenopausal. Keywords.

Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on average, in a cheap generic viagra 24-hour period (35.1%) (Figure 1). Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period.

Figure 1 cheap generic viagra. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, 2015image icon1Significant quadratic trend by menopausal status (p < cheap generic viagra.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if cheap generic viagra they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data cheap generic viagra table for Figure 1pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who had trouble falling asleep four times or more in the past week varied by menopausal status.Nearly one in five nonpregnant women aged 40–59 had trouble falling asleep four times or more in cheap generic viagra the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week.

Figure 2 cheap generic viagra. Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, cheap generic viagra 2015image icon1Significant linear trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer cheap generic viagra had a menstrual cycle and their last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table cheap generic viagra for Figure 2pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women cheap generic viagra aged 40–59 who had trouble staying asleep four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week.

Figure 3 cheap generic viagra. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant cheap generic viagra linear trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their cheap generic viagra last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table for cheap generic viagra Figure 3pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well rested 4 days or more in the past week increased from 47.0% among premenopausal women cheap generic viagra to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week.

Figure 4 cheap generic viagra. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 4pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.

SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories.

Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5). Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion. DefinitionsMenopausal status.

A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?. € http://gwinnettpearlsofservice.com/http:/http:/gwinnettpearlsofservice.com/.

2) “Do you still have periods or menstrual cycles?. €. 3) “When did you have your last period or menstrual cycle?.

€. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries.

Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less. Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?.

€Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?. €Trouble falling asleep.

Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?.

€ Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis. NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone.

Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS. For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States.

The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS. Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option.

Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics. The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report.

ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454.

2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB. Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50.

2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 141.

Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF.

Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon. 2016.Santoro N.

Perimenopause. From research to practice. J Women’s Health (Larchmt) 25(4):332–9.

2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended amount of sleep for a healthy adult. A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society.

J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International.

SUDAAN (Release 11.0.0) [computer software]. 2012. Suggested citationVahratian A.

Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286. Hyattsville, MD.

National Center for Health Statistics. 2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J.

Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J.

Blumberg, Ph.D., Associate Director for Science.

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