General Article

Why Prime Blood Drive in Being pregnant Bodes Sick for Long term Well being

News Picture: Why High Blood Pressure in Pregnancy Bodes Ill for Future Health

TUESDAY, Would possibly 10, 2022 (HealthDay Information)

Hypertension headaches all over being pregnant will also be frightening, however a brand new learn about warns additionally they considerably lift a girl’s chance for center illness later in lifestyles.

“Ladies with a historical past of gestational high blood pressure or preeclampsia must learn that they’ve an higher chance for heart problems,” mentioned learn about creator Jennifer Stuart. She is an affiliate epidemiologist within the department of girls’s well being at Brigham and Ladies’s Health center and Harvard Clinical Faculty, in Boston.

“Whilst the American Middle Affiliation and American School of Cardiology acknowledge those prerequisites as cardiovascular chance components, girls and their suppliers have lacked transparent route on what to do within the intervening years between supply of a hypertensive being pregnant and the onset of heart problems,” Stuart mentioned in a information unlock from the U.S. Nationwide Middle, Lung, and Blood Institute, which funded the learn about.

Hypertension, top ldl cholesterol, kind 2 diabetes and being obese or overweight after being pregnant account for many of the higher chance of long term center illness and occasions reminiscent of center assault or stroke, in keeping with the researchers.

For the learn about, they analyzed information from greater than 60,000 U.S. girls within the Nurses’ Well being Find out about II and located that almost 10% of them advanced hypertension all over their first being pregnant.

Amongst the ones girls, 3% advanced gestational high blood pressure (an building up in blood drive all over being pregnant) and six.4% advanced preeclampsia — a extra critical complication marked through a unexpected upward push in blood drive that may impact organs and pose dangers for each mom and child. Each prerequisites are regularly identified after 20 weeks of being pregnant.

After about 30 years, when the ladies’s reasonable age used to be 61, about 1.8% of analysis contributors had suffered a center assault, stroke or different cardiovascular tournament.

Total, girls who had hypertension headaches all over being pregnant had a 63% higher chance of center illness later in lifestyles. The chance of center illness, and the kind of center tournament and when it passed off, have been regularly related to particular hypertension headaches all over being pregnant, the investigators discovered.

In comparison to girls with standard blood drive in being pregnant, those that had gestational high blood pressure had a 41% higher chance of center illness and have been much more likely to have a stroke about 30 years after their first being pregnant, the findings confirmed.

Those that had preeclampsia had a 72% upper chance of center illness and have been much more likely to have a coronary artery tournament, reminiscent of a center assault, as early as 10 years after their first being pregnant, in keeping with the learn about printed Would possibly 9 within the Magazine of the American School of Cardiology.


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Power hypertension after being pregnant accounted for 81% of the higher center illness chance amongst girls who had gestational high blood pressure and for 48% of the higher chance amongst girls who had preeclampsia.

Most ladies who had hypertension all over being pregnant advanced persistent hypertension within the years or many years once they gave beginning, the learn about authors famous.

Weight problems and sort 2 diabetes have been additionally notable chance components for center illness.

Additional info

There may be extra on hypertension all over being pregnant on the American Academy of Circle of relatives Physicians.

SOURCE: U.S. Nationwide Middle, Lung, and Blood Institute, information unlock, Would possibly 9, 2022

By means of Robert Preidt HealthDay Reporter


Copyright © 2021 HealthDay. All rights reserved.

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General Article

Long run of COVID-19 Vaccines Brings Prime Hopes, Acquainted Hindrances

News Picture: AHA News: Future of COVID-19 Vaccines Brings High Hopes, Familiar Obstacles

FRIDAY, April 15, 2022 (American Middle Affiliation Information)

Taking a look again on a 12 months since most of the people in the USA changed into eligible for a COVID-19 vaccine, clinical mavens can have a good time a technological triumph whilst acknowledging unresolved demanding situations.

Taking a look forward, they see the similar: Thrilling technological attainable, with stumbling blocks that may require paintings past the lab.

From a systematic point of view, vaccines are poised to stay successful the combat in opposition to SARS-CoV-2, the virus that reasons COVID-19, stated Dr. John Cooke, professor and chair of the dep. of cardiovascular sciences at Houston Methodist Analysis Institute. “I feel that we have it at the run.”

The Meals and Drug Management licensed the primary vaccine for emergency use within the U.S. for other people 16 and up on Dec. 11, 2020. However eligibility various by way of state, and the government directed all states to make it to be had by way of April 19, 2021. By means of June, vaccination had averted greater than 14 million COVID-19 instances, about 1.1 million hospitalizations and 240,797 deaths, in step with a find out about printed in January in JAMA Community Open.

Most of the people within the U.S. gained vaccines by way of Pfizer and Moderna, which used what is referred to as messenger RNA, or mRNA, to show the frame’s immune machine to acknowledge the virus. (A small proportion of other people gained Johnson & Johnson’s vaccine, which makes use of a special era.) The FDA granted complete approval of the Pfizer vaccine closing August for ages 16 and older. Approval of Moderna’s vaccine adopted in January for ages 18 and older.

“It used to be a era that used to be on the brink of blossom,” stated Cooke, who is also clinical director at Houston Methodist’s Heart for RNA Therapeutics. Despite the fact that mRNA remedies were in construction for many years and were examined in scientific trials for most cancers and rabies, the COVID-19 vaccine marked the era’s first popular use.

The velocity with which a success mRNA vaccines have been advanced presentations only one explanation why to be interested by the long run, Cooke stated. “It used to be implausible.”

Simply two weeks after Chinese language scientists printed the DNA collection of the coronavirus in mid-January 2020, Moderna had an mRNA-based vaccine able to fabricate. Inside of two months, it used to be able to be examined in other people. Cooke, whose middle works on techniques to lend a hand small builders deliver RNA-based remedies to marketplace, likens mRNA to organic tool that may be tailored briefly. “You’ll merely write the code for the healing protein that you wish to have. And that healing protein could be a vaccine for an infectious illness; it could be a vaccine for most cancers.”

That velocity could be crucial within the combat in opposition to an epidemic that already has mutated a number of occasions and is bound to stay evolving. Cooke stated long run vaccines will be capable to adapt briefly, too. Despite the fact that other people would possibly want an annual COVID-19 vaccine, the best way they do with influenza, “we now have were given some gear now to defeat any evolutions of the virus as the ones happen.”

Builders are the use of many approaches to expand next-generation COVID-19 vaccines, together with some that could be taken by way of mouth. However vaccines’ long run luck will probably be about greater than novel applied sciences, stated Maria Elena Bottazzi, co-director of the Texas Youngsters’s Health facility Heart for Vaccine Construction at Baylor Faculty of Drugs in Houston.

Bottazzi helped expand a vaccine that makes use of innocuous items of SARS-CoV-2’s notorious spike protein to cause the immune machine. The era at the back of such protein subunit vaccines is well-established.

The vaccine has been given emergency use authorization in India, the place it is referred to as Corbevax. Bottazzi stated it’s affordable and simple to retailer, and its creators are sharing it, patent-free, with the hope of spreading round no longer simplest production, however innovation.

For Bottazzi, the way forward for vaccination will contain blending science and international relations to ensure everybody could have get entry to and be secure. Another way, COVID-19 runs the chance of changing into “the following not noted illness of poverty,” she stated. Given how simply the coronavirus spreads, she added, it’s in everybody’s passion to ensure that does not occur.

She stated provide can also be larger by way of having producers and analysis groups with “cultural intelligence” who perceive native wishes. That aggregate can lend a hand construct accept as true with and battle incorrect information, which has been a barrier to vaccine use. Other folks may not

General Article

Is the CDC in Disaster? Former Company Administrators Debate Its Long run

News Picture: Is the CDC in Crisis? Former Agency Directors Debate Its FutureThrough Dennis Thompson HealthDay Reporter

THURSDAY, April 7, 2022 (HealthDay Information)

A handful of former administrators of the U.S. Facilities for Illness Regulate and Prevention say they improve a sweeping evaluation of the company that is been ordered up by way of CDC head Dr. Rochelle Walensky.

Previous this week, Walensky introduced that she has requested out of doors professionals to behavior a month-long evaluation of the company’s interior workings, as a way of bettering the CDC’s skill to trace and reply to public fitness threats. The company has come beneath heavy hearth for its dealing with of the COVID-19 pandemic.

The 5 former CDC heads who spoke at a Harvard T.H. Chan Faculty of Public Well being discussion board on Tuesday all agreed it is a sensible transfer for the embattled company.

“I’d say it is very wholesome to invite for out of doors lend a hand,” stated Dr. Invoice Foege, who served as CDC director from 1977 to 1983 beneath Presidents Jimmy Carter and Ronald Reagan.

The fast tempo set for the evaluation additionally makes sense, added Dr. Invoice Roper, CDC director from 1990 to 1993 beneath President George H.W. Bush.

“This must be executed as swiftly as conceivable as a result of, heavens, you’ll create a scope so giant and so difficult that shall we do a 10-year find out about and it would not in reality be sufficient,” Roper stated. “I feel her calling for a one-month evaluation is a extremely smart thought.”

Walensky introduced the evaluation in an e mail despatched to company workers, and adopted the announcement with transient public remarks that looked as if it would recognize grievance of the best way the CDC has treated the pandemic.

“By no means in its 75-year historical past has [the] CDC needed to make choices so briefly, in accordance with ceaselessly restricted, real-time and evolving science,” Walensky stated within the remark. “… As we now have challenged our state and native companions, we all know that now’s the time for CDC to combine the teachings realized into a technique for the longer term.”

Alternatively, the previous CDC administrators differed when it got here to different ways to give a boost to the CDC’s stature and regain believe that is been misplaced right through the pandemic.

For instance, they break up dramatically over a invoice sooner than Congress that might grant the company extra independence however require Senate affirmation of long term appointees to the company’s most sensible task.

Dr. Robert Redfield, CDC director beneath President Donald Trump, stated, “There is a bonus to get the CDC director to be appointed very similar to the FBI director, the place it is a 7- to 10-year appointment. I feel there is a bonus for the director no longer to answer the Secretary of Well being, however to be impartial and so to run that task as they really feel is in the most efficient hobby.”

Will have to CDC head want Senate approval?

Roper agreed, noting that different outstanding health-related positions are Senate-confirmed, together with the Secretary of Well being, Meals and Drug Management commissioner, Nationwide Institutes of Well being director, and the top of the Facilities for Medicare and Medicaid Products and services.

“Find it irresistible or no longer, the Senate affirmation procedure is a measure of the credibility and significance that the Congressional department places to the location,” Roper stated.

Different former administrators disagreed, bringing up the polarized nature of Washington politics and caution that the transfer may make the task extra, reasonably than much less, political.

“To position it bluntly, with the headaches of our political machine at the moment, I simply cannot see that that is going to be a part of the answer,” stated Dr. Julie Gerberding, CDC director beneath President George W. Bush. “It is going to aggravate the placement, no longer make it higher.”

“Making this place Senate-confirmed would politicize the method of naming a brand new director, with contentious partisan debate delaying affirmation probably in the midst of a fitness emergency,” stated Dr. Tom Frieden, CDC director beneath President Barack Obama.

“There is additionally a possibility that individuals shall be nominated no longer for his or her technical experience or their skill to regulate a public fitness downside, however for his or her trade or political connections,” Frieden persevered. “Even supposing meant to make the company extra nonpartisan, making the CDC director a Senate-confirmed place would most likely do the other. It is a unhealthy thought.”

The administrators additionally mentioned different manner of bettering the CDC, together with some concepts which were mentioned for years and others that don’t seem to be discussed ceaselessly.

Roper and Foege argued for better cooperation and coordination between the CDC and the county, town and state public fitness officers who’re at the entrance

General Article

FDA Panel Meets to Craft Long term Vaccine Technique

Newest Prevention & Wellness Information

News Picture: FDA Panel Meets to Craft Future Vaccine StrategyBy way of Robert Preidt and Robin Foster HealthDay Newshounds

WEDNESDAY, April 6, 2022 (HealthDay Information)

An advisory panel to the U.S. Meals and Drug Management will meet Wednesday to speak about one of the simplest ways ahead with coronavirus vaccines, as proof grows that variants are eroding the ability of the rustic’s present pictures.

“As we get ready for long term wishes to deal with COVID-19, prevention within the type of vaccines stays our absolute best protection in opposition to the illness and any doubtlessly serious penalties,” Dr. Peter Marks, director of the FDA’s Middle for Biologics Analysis and Analysis, stated in a information unlock saying the panel assembly closing month.

“Now could be the time to speak about the will for long term boosters as we goal to transport ahead safely, with COVID-19 changing into an endemic like others corresponding to influenza that we get ready for, offer protection to in opposition to and deal with,” Marks added. “Bringing in combination our panel of knowledgeable medical exterior advisors in an open, clear dialogue about booster vaccination is crucial step to achieve perception, enter and knowledgeable recommendation as we start to formulate the most productive regulatory option to deal with COVID-19 and virus variants going ahead.”

All over the assembly, the panel will listen from a variety of professionals, together with the ones from the U.S. Facilities for Illness Regulate and Prevention, the FDA’s Place of work of Vaccine Analysis, the U.S. Nationwide Institutes of Well being and the International Well being Group.

Panel participants will even listen from Sharon Alroy-Preis, director of public well being products and services for Israel’s Well being Ministry, who will describe fresh analysis on Israel’s enjoy with giving a 2d booster shot for the ones 60 and older previous this yr.

No legit vote is deliberate, and no explicit vaccine merchandise shall be mentioned, CNN reported.

Many scientists imagine that present vaccines wish to be reconfigured to take care of the brand new coronavirus because it evolves. Federal officers need to resolve how to do this prior to a imaginable fall resurgence of the virus, and the panel has been requested to lend a hand information that technique, The New York Instances reported.

Closing week, the FDA approved a 2d booster for folks 50 and older, and CDC director Dr. Rochelle Walensky really useful the ones boosters for folks 65 and older, together with the ones ages 50 to 64 with severe well being prerequisites.

For now, “there are two problems which are happening” in the case of the way forward for COVID booster pictures, Dr. Anthony Fauci, leader clinical adviser to President Joe Biden, informed CNN closing week.

There’s what the longer term may seem like for adults elderly 50 and older, who can now get a 2d booster shot of a COVID vaccine.

“Will my getting a vaccine now by some means intrude with the effectiveness if I desire a spice up within the fall?” Fauci requested. “It may be able to be that if the safety begins to wane, the ones people in a definite class age-wise or [with an] underlying situation may in fact require that further spice up, and getting it now for the aged person must now not obstruct at the entire feasibility of your getting it as we input into the autumn.”

The second one factor comes to looking to make a decision what the longer term may seem like for most people on how steadily booster pictures might be wanted.

For Fauci, the important thing query stays unanswered: “Will it [circulating virus levels] in the long run get to this type of low degree that we’d now not even desire a spice up annually?” he requested.

One knowledgeable thinks booster pictures it will be vital going ahead.

“We most probably will want some type of periodic vaccination. Now, whether or not that is annual or each and every two years or each and every 5 years, we do not in reality know that but. I feel that that can emerge as we accumulate extra knowledge,” Dr. Archana Chatterjee, dean of the Chicago Scientific College at Rosalind Franklin College and a member of the FDA’s vaccine advisory panel, informed CNN in March.

“However I do look forward to that this shall be required on a periodic foundation to stay it beneath keep watch over,” stated Chatterjee, who wired that her feedback don’t mirror the critiques of the committee or the FDA.


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General Article

Are Well being Care Apps in Your Long run?

Newest Prevention & Wellness Information

News Picture: Are Health Care Apps in Your Future?

FRIDAY, March 4, 2022 (HealthDay Information)

Are you managing a protracted well being downside, be it weight problems or diabetes or center illness or bronchial asthma?

There may be most likely an app for that.

Well being apps are turning into an increasing number of refined, providing smartphone customers assist in coping with power diseases, mentioned Dr. David Bates, leader of inner drugs at Brigham and Girls’s Health center in Boston, and an across the world famend knowledgeable in affected person protection and well being care era.

“It varies moderately so much by means of app, however probably the most apps had been demonstrated to lead to advantages,” Bates mentioned throughout a HealthDay Now interview. “One of the most weight reduction apps actually do assist other folks drop a few pounds. In a similar fashion, probably the most diabetes apps mean you can keep watch over your [blood] sugar extra successfully.”

Sadly, it may be arduous to determine which app is highest, given the baffling collection to be had to the typical particular person.

In 2020 on my own, greater than 90,000 new well being apps become to be had at the Apple and Google app retail outlets.

“There are in fact a number of hundred thousand at the market, which is solely bewildering as a affected person,” Bates mentioned. That suggests many people with power sicknesses are not benefiting from those new equipment, in line with a contemporary HealthDay/Harris Ballot survey.

About 61% of other folks residing with a protracted situation mentioned they use some kind of well being app, however handiest 14% mentioned they’re the usage of an app particularly geared against managing or monitoring their explicit well being downside, the survey discovered.

One-third of other folks with a protracted sickness mentioned they do not hassle with an app as a result of they do not really feel the want to continuously observe their well being, the ballot effects confirmed. And 1 / 4 of other folks with power prerequisites mentioned they are involved concerning the privateness and safety of clinical knowledge they percentage with the app. About 17% mentioned they only can not come up with the money for well being apps, and 14% mentioned they to find them too sophisticated.

Bates’ personal analysis into well being app utilization exposed identical developments.

“There may be moderately standard use amongst numerous age teams, however they are in particular in style amongst people who find themselves younger and tech savvy,” Bates advised HealthDay Now. This is the total interview beneath:

Bates pointed to 1 contemporary find out about amongst other folks with both language limitations or little schooling. It discovered that “everyone sought after so that you could use the apps, however many of us struggled with doing even easy duties, like as a diabetic getting into your blood sugar [numbers],” he mentioned.

Privateness issues additionally determine into other folks’s resistance to well being apps.

“The privateness problems are an actual worry, and the apps aren’t doing as excellent a task as they could when it comes to protective our privateness,” Bates mentioned. “That is one thing we want to proceed to concentrate on. A lot of this sort of information isn’t that non-public, however a few of it’s.”

Other people available in the market for a well being app will have to know that on-line rankings within the app retail outlets “are not essentially a actually excellent predictor of ways excellent the app goes to be for you,” Bates mentioned.

Bates and his colleagues have prompt that an unbiased 1/3 birthday celebration get started ranking well being apps, so other folks will be capable of to find high quality merchandise that go well with their wishes.


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“We want to do one thing to restrict the volume of selection, as a result of when you’ve got that many choices other folks frequently simply can not make a selection. It is too arduous,” Bates mentioned.

Proscribing the quantity reasonably can be actually useful, he prompt. “As an example, in England they have got about 60 apps which might be counseled nationally and promoted. There may be a large number of festival to get into that team, however that makes it a lot more straightforward to pick out which of them could be related for you,” he defined.

With the appearance of telemedicine, apps are turning into much more necessary, Bates added.

Sufferers frequently must take their very own essential indicators and observe their very own well being information, so they may be able to record their findings to their physician throughout a telemedicine seek advice from.

General Article

Top Blood Power Might Elevate Long run Kidney Illness Chance For Pregnant Girls

News Picture: AHA News: High Blood Pressure May Raise Future Kidney Disease Risk For Pregnant Women

FRIDAY, Feb. 25, 2022 (American Center Affiliation Information)

Girls with hypertension prerequisites all the way through being pregnant would possibly face double the danger for kidney illness inside of a number of years after giving delivery, consistent with a brand new find out about that reveals the danger climbs to almost fourfold for ladies who already had hypertension ahead of being pregnant.

The find out about, revealed Friday within the American Center Affiliation magazine High blood pressure, discovered the danger was once upper for Black girls than white girls.

Whilst earlier analysis has checked out pregnancy-related hypertension and kidney illness, the brand new find out about’s authors mentioned the ones analyses didn’t come with a various racial illustration – although Black girls have upper charges of those prerequisites than their white friends. In keeping with the Facilities for Illness Keep an eye on and Prevention, Black girls are also 3 times much more likely to die from pregnancy-related issues than white girls.

All of it underscores the will for excellent prenatal care, mentioned find out about co-author Dulaney Wilson, a analysis assistant professor within the division of public well being sciences on the Scientific College of South Carolina in Charleston.

“Whoever is caring for those girls, they wish to remember that kidney illness – despite the fact that the entire price remains to be low – generally is a major problem,” Wilson mentioned. “That is one thing we might like to forestall if in any respect imaginable.”

Greater than 15% of girls are suffering from some form of pregnancy-related high blood pressure all the way through their reproductive years, consistent with an AHA clinical remark revealed in December. The prerequisites come with preeclampsia, which will have an effect on the kidney, liver, lungs and mind; eclampsia, when preeclampsia progresses to seizures or coma; gestational high blood pressure, a upward thrust in blood drive after 20 weeks of being pregnant; and protracted high blood pressure, hypertension ahead of or all the way through the primary 19 weeks of being pregnant and greater than 12 weeks after the child is born. Those problems may end up in demise or organ harm, together with end-stage kidney illness, when the kidneys can now not serve as on their very own.

Researchers analyzed medical institution information for 391,838 girls who gave delivery in South Carolina between 2004 and 2016, together with related delivery and demise certificates knowledge. About 35% of the ladies had been Black and 65% had been white. They ranged in age from 12 to 49 on the time they gave delivery and had been adopted at 3, 5 and 14 years after supply.

The danger of kidney illness after 3 years was once 2.29-fold in girls who advanced pregnancy-related high blood pressure in comparison to girls with out blood drive issues. However the possibility was once easiest amongst girls who additionally had hypertension previous to being pregnant. Those girls had been 3.8 instances as prone to broaden kidney illness inside of 3 years after giving delivery than their friends who had no blood drive problems. By way of 14 years after supply, it lowered to a 2.7-fold upper possibility in comparison to girls who had no blood drive problems ahead of or all the way through being pregnant.

When the effects had been damaged down by means of race, the danger for Black girls was once even better. Black girls who had each hypertension previous to being pregnant and pregnancy-related high blood pressure problems had triple the danger for creating kidney illness inside of 14 years of supply in comparison to Black girls with out a blood drive problems, while white girls had 1.97 instances better possibility than their friends.


Conception: The Superb Adventure from Egg to Embryo
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Whilst she anticipated to search out disparities between Black and white girls, Wilson mentioned, “I used to be actually stunned by means of the magnitude of the adaptation.”

“This find out about lends additional improve to the concept that being pregnant is usually a window into your long term well being,” mentioned Judette Louis, an affiliate professor and chair of the dept of obstetrics and gynecology on the Morsani School of Medication on the College of South Florida in Tampa.

Maximum research of hypertension all the way through being pregnant have serious about next cardiovascular possibility to the mummy, mentioned Louis, who was once no longer concerned within the find out about. However this new analysis suggests the tension of being pregnant could also be exacerbating or unearthing different underlying prerequisites.

The find out about, she mentioned, additionally exposes extra tactics during which the social determinants of well being – the prerequisites within the puts other people reside, paintings and play – could also

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Health And Fitness

Teaching And Learning For A Sustainable Future

Mental health care is a very broad area and gives a wide range of psychological health jobs. To ensure that a candidate to sit for an exam they will need to have either a bachelor’s, grasp’s, or doctoral degree from an accredited establishment, and an official transcript that reveals a major in health education, Neighborhood Health Schooling, Public Health Training, or College Health Education, and so forth.

The Competency Replace Venture (CUP), 1998-2004 revealed that there were increased levels of health education practitioners, which is the reasoning for the developments for the MCHES. The only accreditation accessible on this discipline was for varsity health and public health skilled preparation packages.

Advocate for improved health sources, insurance policies, procedures and services that promote health. Health education academics are vital to making sure that health care positions are stuffed by knowledgeable and properly-trained health training professionals. The transcript will probably be accepted if it reflects 25 semester hours or 37 quarter hours in health training preparation and covers the 7 responsibilities covered in the framework.

As one in all our students put it, Health Training is helping individuals help themselves. Try some of the practicum experiences and practicum websites where previous Health Training college students have served. Our Master of Public Health – Health Education program focuses on educational, interpersonal, group, and legislative factors that promote optimistic health behaviors.

Many of these health trade workers want on-going coaching as a result of fast advances in health care expertise and health services. In June 1988, the National Activity Drive within the Preparation and Apply of Health Educators grew to become the National Fee for Health Training Credentialing, Inc.