You are feeling moody, and everyone is getting on your nerves.

Then, the cramps start, and a lightbulb goes on. Of course, it is almost that time of the month, and you are suffering from symptoms of PMS.

Most women know the drill. Premenstrual syndrome is just part of the deal. Some of us get a mild version every month, while some won’t even notice their period is on its way.

However, five percent of women will suffer from uncommon PMS symptoms that may indicate a more serious problem.

Suppose you are experiencing more severe symptoms before your period. In this case, you may be suffering from Premenstrual Dysphoric Disorder, which can be debilitating.

Keep reading to learn more about this disorder and some extreme PMS symptoms it may cause.

Understanding PMS Symptoms

Nobody has a good time when they have PMS.

However, sometimes, you might have such severe PMS symptoms that it is difficult to function. In this case, your mood swings and irritability can impact your relationships and ability to work.

PMS usually begins after ovulation if you are not pregnant. These physical and psychological changes will go away once you start menstruating.

Scientists link PMS to sensitivity to progesterone and estrogen, which peak and then fall after ovulation. These hormones impact the release of chemicals that regulate your mood and behavior.

Before understanding if you may suffer from Premenstrual Dysphoric Disorder, it is helpful to look at common PMS symptoms that women experience:

• Cramps
• Mood swings
• Headaches
• Tender breasts
• Irritability
• Feeling weepy or sad
• Bloating
• Pimples
• Food cravings

These symptoms are unpleasant, but we can able to manage them without them impacting our lives too much.

What Is Premenstrual Dysphoric Disorder?

Are your symptoms so bad that they impede your ability to live your life normally? If so, you might be suffering from Premenstrual Dysphoric Disorder (PMDD).

The primary symptoms are the same, but you will experience them to a much higher degree.

For example, instead of feeling a tad irritable or anxious, you might find yourself experiencing panic attacks or severe feelings of depression. Mood swings will be much more powerful, and you may also feel a sense of hopelessness.

While typical PMS symptoms bring food cravings, some women experience full-blown binge eating on their period. This may just be a form of an eating disorder. However, it can also be a symptom of PMDD.

Here are other uncommon PMS symptoms that may be a sign of PMDD.

• Extreme tiredness
• Poor memory
• Difficulty concentrating
• Stomach issues
• Severe emotional sensitivity
• Paranoia
• Body aches or spasms
• Dizziness
• Clumsiness
• Blurred vision
• Tingling skin
• Insomnia
• Respiratory problems
• Hot flashes
• Acne or other skin disorders

In some cases, women might be misdiagnosed with depression or anxiety when they are, in fact, suffering from PMDD.

Dealing With Uncommon PMS Symptoms

If you suspect your symptoms before your period are more severe than they should be, have a chat with your doctor. There are ways to treat uncommon PMS symptoms that could make your life much easier.

If you enjoyed this article, take a look around our blog for more useful information on women’s health.

It is said to aid digestion, eliminate toxins from the body, and increase energy levels. It’s also supposed to help you lose weight, prevent cancer, lower blood pressure, and heart disease.

Kombucha is a tea-fermented ‘living’ drink. Tea, sugar, and kombucha culture are the primary components. We make Organic kombucha that is prepared properly, it combines with the sugar and tea to produce a slightly effervescent beverage that is packed with nutrients and tastes fantastic. Depending on the type of tea and any herbal infusions added, the flavour might vary.

Kombucha is shrouded in legends about its medicinal benefits, and some claim it can perform “miracles.” None of this, however, has been confirmed and should thus be considered hearsay.

What can be said with confidence, however, is that Kombucha is a highly nutritious beverage with several health-promoting characteristics.

Because Kombucha has holistic characteristics, it acts on the human body, balancing PH levels and restoring the body’s natural levels, rather than focusing on individual diseases or locations.

Benefits:

Probiotics are beneficial to your immune system and digestion.

It can boost your energy levels.

Alcohol Alternative- for individuals who wish to stop drinking alcohol or are on the keto diet and don’t want to lose their ketosis. Kombucha tea is an excellent option since it gives a comparable relaxing effect without getting you intoxicated. It has a texture that is comparable to beer, although it is slightly carbonated.

Digestion – It will assist to acidify the stomach and aid in the digestion of proteins. The acids will activate enzymes that will aid in the dissolving of proteins, resulting in improved digestion.

Blood sugar levels will improve, resulting in lower cholesterol, fewer cravings, and less hunger.

Reduces stress – Not just because of the beneficial acids in the combination, but also because of the B vitamins.

Sleep – half a container will enough; combine it with water and you will notice a significant improvement in your sleep quality. This is since increasing stomach acidity increases calcium and other mineral absorption.

It not only has the same health advantages as tea, but it also contains a lot of good bacteria. Kombucha also includes antioxidants, could destroy dangerous germs, and may aid in the treatment of a variety of ailments.

Our Kombucha is a fermented tea prepared with bacteria and yeast in a symbiotic culture. Sugarsweetened, brewed tea is also known as scoby. We cover the tea with a towel and leave it to ferment for 7-10 days. When the scoby consumes sugar, fermentation happens. The scoby is removed after fermentation, and the tea is bottled and carbonated. Scoby has a tangy, effervescent flavour to it.

Pay attention to the bottle Kombucha drink comes in while shopping. Because kombucha may breakdown and devour materials like plastics, always select a brand that comes in a glass bottle, such as Happy Kombucha where we provide all our kombucha with a glass bottle.

We also recommend looking at the ingredients list after glancing at the bottle and pick a brand with the smallest list: water, sugar, tea, and germs.

Imagine an acute shoulder joint pain that occurs with stiffness is such an uncomfortable situation for an individual. This symptom is scientifically called adhesive capsulitis. Commonly this stiffness and pain in the shoulder joint are called frozen shoulder. The pain related to the frozen shoulder starts gradually and recovers over a while. The sign, symptoms, and recovery cycle of acute shoulder pain (ปวดบริเวณหัวไหล่, which is the term in Thai) takes two to three years. 

This frozen shoulder scenario takes place because of immobility of the joint tissue due to scientific circumstances or a surgery that refrains the affected person from the usage of his shoulder common for an extended time. One can manage pain in the shoulder easily if one follows a proper exercise routine. Exercises to alleviate frozen shoulder frequently consist of movement sporting activities. However, if the patient encompasses a higher degree of frozen shoulder, doctors are likely to prescribe an injection and a complete medication course to the patient. 

What Causes Frozen Shoulder?

Frozen shoulder causes when the connecting tissue thickens. Once the tissue thickens, the area around it tightens, causing pain in the shoulder joint. The shoulder joint comprises bones, ligaments, and tendons encapsulated in the connecting tissue. When the tissue tightens because of thickness, the shoulder movement gets restricted, causing acute pain.

Who Is At Risk Of Frozen Shoulder?

We primarily see this medication condition in women at 40 years. People with prolonged shoulder rest because of a broken arm, stroke, rotator cuff injury, etc., are also at risk of frozen shoulder. Higher blood sugar levels, hyperthyroidism, hypothyroidism, heart diseases, and Parkinson’s disease are also at risk. 

What Is The Cycle Of Frozen Shoulder?

The symptoms of frozen shoulder do not occur overnight; it gradually occurs in stages and goes off with time. The frozen shoulder takes two to three years to normal shoulder mobility. 

• The initial stage is the freezing level, which barely limits your shoulder mobility. 
• The frozen stage is the middle or second phase of the frozen shoulder in which your shoulder becomes completely frozen, making motion harder. 
• The last is the thawing stage, where your shoulder mobility comes to normal. Finally, you can move your shoulder freely without experiencing any pain. 

Can We Prevent Frozen Shoulder?

Extreme immobility of shoulder tissue causes a frozen shoulder. If you feel a frozen shoulder for any reason or surgery, talk to your health care provider at the initial stage only, and he will prescribe you specific exercises to manage the pain. 

As a general rule, winter festivities are meant to be a time to relax and unwind. Re-energizing and planning for the New Year may be done via them. New Year’s resolutions for recovering alcoholics have previously been discussed in a blog post. To help you remain sober throughout the holidays, we’ll go into further detail in this post.

In any case, alcohol monitoring in stressful situations may seem to be an almost impossible task to some. However, this isn’t necessary. Those who are struggling with substance abuse or emotional well-being can choose between two options when the holidays arrive: either spend time with family and friends in the strongest way possible, or choose to go in a different direction and take advantage of this important time of renewal and reflection.

You have the right to a break, regardless of your level of confidence or lack thereof in that area, regardless of where you were born or your own set of experiences.

Making a Personal Choice

You should always put your own interests ahead of everyone else’s. Even if you have coping mechanisms in place, it’s not always the greatest choice to be around other people.

To remain clean, you’ll need to make some modifications if this is too difficult for you. Spending time alone or meeting new individuals who share your interests may be quite beneficial.

You may meet new individuals in a variety of ways. These are worth a shot. Soberlink is another fantastic method to remain clean. On the internet, Soberlink has received a lot of positive feedback through Soberlink reviews. 

As a result of Soberlink’s extensive alcohol monitoring system, it is able to develop an accountability structure. There are various advantages to responsibility in recovery, according to research.

Nevertheless, what is the mechanism through which this gadget operates? The Soberlink gadget combines a breathalyzer and a mobile phone in one device. The results of your breathalyzer test are sent to a cloud-based website through this phone (for a probation department to review or your close family). What a clever little gadget! The camera is also embedded within the gadget. During the test, the camera will snap a photo of the user to verify their identification.

Soberlink, the industry leader in remote alcohol monitoring, continues to innovate. The new Connect Device combines eight years of this leading expertise with the most recent technologies. There are several new features that make it much easier and more covert to conduct tests.

Using a thorough approach to track alcohol use, Soberlink helps people hold themselves accountable for their recovery. The portable design and state-of-the-art technologies include face recognition, tamper detection, and real-time results that are delivered to approved persons.

The best gadgets

Impressive is the level of precision of Soberlink. It is one of the most precise gadgets on the market, with an accuracy of 0.005 percent and a detection range of 0.000 percent to 0.400 percent. Additionally, it has a customer support team that is available around the clock. To get help or to transmit findings to a specific individual, clients may call the firm or email them. As a result of Soberlink, it’s hard to cheat on treatment and conceal your alcohol consumption. As a place to work, Soberlink is also a terrific place to be. Positive Soberlink reviews aren’t written by its staff for nothing. The products and technologies used by the organization indicate that they care about their workers.

Its properties are proven in the scientific field and have been used as a base for cosmetic treatments, such as in a wide variety of shampoos.

The dried leaves of this plant allow you to enjoy a delicious tea or infusion that provides benefits to the digestive and neurological systems, among others. In this article, we will explain the main advantages of chamomile.

What is chamomile, and what is it used for?

It is difficult not to have heard of chamomile, as it is widely known in natural medicine. It is a plant that originated in Western Europe, and it manages to reach 60 centimeters in height. It has some daisy-like flowers and is often used to relieve digestive problems.

Initially it was used to reduce fever and treat various ailments in ancient Egypt and is known as an herb with great beneficial potential for health.

Its efficiency in the dermis has been proven so that you can get different chamomile-based creams or lotions.

10 Health Benefits of Chamomile

The properties of wild chamomile are mainly used in infusions or tea, which can calm nerves or anxiety. However, its beneficial contributions are not limited to this field since it has been pointed out that it relieves cold symptoms, alleviates pain, and even promotes slimming diets.

Next, we will indicate the main ten benefits of chamomile for health.

combat insomnia

Chamomile is an antioxidant with apigenin, which makes it possible for the body to relax. Its chemical structure induces drowsiness. That is, it encourages sleep, thanks to its sedative property and serotonin and melatonin levels.

Reduces skin irritation

Chamomile has anti-inflammatory and antibacterial properties. Therefore, it can be used to soothe skin irritations (after hair removal) or acne irritations and after sun exposure and heal superficial wounds.

ISDIN AFTER SUN LOTION 200ml repairs the skin thanks to its properties.

Cosmetic products have been created with chamomile to provide a sensation of relief and nutrition to the skin of the face. You can also apply chamomile infusion as a herb on the front to deflate the look and provide a more rested facial appearance.

Cleanses and revitalizes the skin

Its antibacterial property makes it possible to achieve deep skin cleansing and eliminate likely bacteria. It can be used as a facial toner, even on sensitive skin. Chamomile helps the pores close, and the skin is ready to be hydrated.

Controls excess oil in the hair

Chamomile fortifies the hair bulb and balances the scalp’s oils, reducing the appearance of diseases such as seborrheic dermatitis ( seborrhea; sebum) and even dandruff. 

It is generous with the scalp, reducing the possibility of irritation or itching, ideal for use on young children.

It strengthens the hair texture and prevents hair loss. For example, you can apply a little chamomile to your regular shampoo or purchase a chamomile-based pharmaceutical shampoo.

It gives light to the hair.

Chamomile lightens the hair color by 1 or 2 tones, and this is because it has a natural yellowish pigment. In this way, the hair absorbs the dye. Of course, it should be noted that it does not radically change the color of the hair but rather gives it some light.

Rays of light are usually perceived as natural highlights, and it is ideal for blonde people.

Relaxes swollen and sore areas

Its vasodilator property makes the muscles relax (those that control the muscle tone of the blood vessels). 

So, it is a great ally to treat all kinds of body pain and inflammation such as spasms fever. It reduces the belly inflammation associated with premenstrual syndrome, among others.

It is digestive

The infusion favors the digestive system, reducing the feeling of heaviness after meals. It calms intestinal colic, deflates gastrointestinal tissues, reduces flatulence, relieves stomach problems, etc.

Relieve the stress

Its relaxing and calming properties significantly affect the central nervous system, providing a sedative effect in anxiety, fear, or stress situations. 

Its rich, gentle aroma allows patients to calm down almost immediately. Relieves headache.

to lose weight

Chamomile by itself does not lose weight. However, it has a low caloric intake, stimulates the digestive system, and fights constipation. In addition, it is a diuretic. Therefore, it reduces excess fluid in the body.

It is recommended to consume infusions in the morning, preferably on an empty stomach. It can also be included before meals. Do not exceed 3 cups daily. In this way, it can be used as a complement to a balanced diet to lose weight.

Relieves eye irritation

Its anti-inflammatory and antibacterial effect allows patients with conjunctivitis to feel relief after applying chamomile water to the eyes.

Reduces redness and itchy eyes. The infusion should be applied at a temperature from warm to cool.

What properties does chamomile have?

• It is a diuretic, antioxidant.
• Has anti-inflammatory properties
• It is antibacterial
• It’s relaxing
• Has anticoagulant properties
• Some clinical studies indicate that it favors the reduction of the glycemic index.
• Has cleansing and exfoliating properties

How is chamomile used?

Chamomile or chamomile is commonly used in infusions,

In capsules or tablets. You can get pills to promote the digestive system.

Cosmetic products. Chamomile oils can be used in shampoos to treat scalp problems or restore the beauty of the hair. Chamomile gel promotes intimate hygiene.

Infusions You can get dried leaves at herbalists or pharmacies to make tea or infusion. The herb can also be used naturally to make homemade infusions.

Side effects

This plant is generally safe. But when it is used naturally in infusions, it can have adverse effects.

• Allergic reactions may occur. In these cases, its consumption should be stopped and see a doctor immediately.
• Nausea and vomiting. Excess consumption of chamomile can be counterproductive. Although it can be consumed daily, it is better not to exceed the dose of 3 cups daily.

Chamomile contraindications

This plant is contraindicated in the following circumstances:

• Its consumption should be limited during pregnancy or lactation.
• Hypoglycemic patients should altogether avoid chamomile consumption.
•  It should not be consumed together with contraceptives. The consumption of chamomile can lower the level of protection of hormonal contraceptives.
• Do not consume it together with anticoagulants. An excess of anticoagulants can cause adverse effects. 

In conclusion, chamomile is a plant of significant contribution to health, but it must be used correctly and consider contraindications to avoid secondary or adverse effects.

There are several benefits of physical therapy that one can get from therapists. Some of the benefits comprise the following – relief from pain and a much lesser need for opioids. Then, it can also happen that with the help of physical therapy you can avoid major surgeries. Through physical therapy, there can be enhanced mobility and movement that you may feel. Physical therapy or PT helps one in recovering from an injury including that trauma. Many people who have suffered from stroke and paralysis also have recovered from the same. With the help of physical therapy, one can prevent falls and do better balancing. Plus, the management of age-connected medical issues can be solved with the help of PT. 

Help to Athletes – 

Many people have the question how physical therapy can help you? There are many ways in which physical therapy can help like the ones mentioned above. Besides that, physical therapy can also help the sports person i.e., it can assist the athlete in increasing their performance by strengthening the specific body parts using the muscles in some ways. Apart from that a PT or other doctor can advise the individual about the advantages of therapy to their personal medical history and need for the treatment. 

Some of the important types of therapy that the PT can choose to give to their patients are – you can call us today for more info. – 

Orthopaedic physical therapy – 

In this form of therapy, musculoskeletal injuries that comprise the muscles, ligaments, bones, fascia, and tendons are treated. The condition of the patient can be that of a fracture, chronic health problem, sprains, bursitis, tendinitis, and rehab and recovery from surgery. Patients can be treated in this therapy by joint mobilization, strength training, manual therapy, other modalities, and mobility training. 

Geriatric physical therapy – 

This is one such therapy that is used for older adults and they are the ones who develop conditions that affect their movements and other physical functions are restricted. It comprises osteoporosis, arthritis, Alzheimer’s disease, balance disorder, hip, and joint replacement, and others. This therapy aims to solve their movement problems, lessen the pain and enhance physical fitness. 

Other Therapies – 

Some other types of therapies used by the PT are – Neurological physical therapy, Cardiovascular and pulmonary rehabilitation, Wound care therapy, Vestibular therapy, Decongestive Therapy, and Pelvic floor rehabilitation. 

Have you ever wished to take your exercises to the next level?

Nope, we’re just planning to run more kilometres and can do more strength training talking rather than adopting clever, efficient exercise suggestions to make use of all the motions or routines that are currently performed.

In truth, these shouldn’t have to be significant adjustments: minor changes to your exercise regimen may substantially impact your ability to use all of each hard workout.

Either you want to gain muscle, enhance your cardiovascular fitness, boost your stamina, or move more quickly and pleasantly in your daily life.

So, implementing these exercise suggestions will help you join a gym prepared to smash your objectives and use all your stay there.

However, there are gyms in Bhubaneswar that provide you tips before having the workout-

1. Take a few moments to relax

Being in the correct mentality is the first stage of a great exercise. Really! You may not have been giving it your all if you’re preoccupied with your to-do checklist or the melodrama on last evening’s Bachelor.

You may even use your smartphone to perform a fast-inhaling video practice to bring yourself into the current moment.

However, use the correct exercise when you are in gyms in Bhubaneswar.

2. Build yourself up

Assure oneself to see you’ve got something after you’ve regained your attention.

Maybe it’s because your powerful legs can squat with great form, or your stomach has grown to the point where you can execute a drive with your feet off the floor of gyms in Bhubaneswar.

This mindset will begin your exercise on a thankful, optimistic note. Then, you write it down on paper, put it into the Notes app on a smartphone, or endlessly regurgitate it to yourself there a few moments as a slogan.

And it’s possible that having happy ideas can help you perform better throughout your exercise: positive self-talk was already linked to enhanced sports performance in several studies.

3. Put on some energising music

Self-talk was not the only technique to get into the appropriate frame of mind.

One of her best exercise recommendations is to listen to her favourite songs a couple of times throughout the exercise in gyms in Bhubaneswar.

Making a playlist of your favourite songs can not only put you in a positive mood but may also help you boost your physical performance.

4. Remove all potential sources of distraction

Put your finger on aeroplane time to prevent being able to take time away from your workout. Be self-centred! It’s a good idea to be identified throughout your exercise, so concentrate on yourself.

Taking occasional phone pauses, especially if you’re trying to improve your stamina, can undercut your aim, the last thing you want.

5. Be adaptable

Your software indicates it’s now for chest rows; however, the seat is currently in use by someone who doesn’t appear to be finished time soon.

But rather than waiting for it to clear up, go on to the next section of your exercise and return later. The same may be said for any cardio machines you intend to utilise.

Yes, you should have a strategy, but you should also be flexible—you might not want to lose any positive momentum you’ve built up in the middle of your exercise!

As many states across the nation legalize cannabis for medical and recreational use, this plant has almost certainly landed on your radar. Many questions have undoubtedly popped up as a result, such as, “Where can I buy legal weed in New Hampshire?” If that’s the case, then simply use this guide to learn the answers to all your most pressing questions.

Is Recreational Cannabis Legal in New Hampshire?

Unlike many other states across the United States, recreational cannabis is not yet legal in New Hampshire. Cannabis is decriminalized, however, which means that possession of ¾ of an ounce or less only results in a fine. Medical cannabis is legal for authorized use as well.

As for recreational users, they’ll have to wait until legislation lands on the ballot in 2022 or beyond before enjoying cannabis in the comfort of their New Hampshire home. There’s no guarantee it will pass, however, so it’s best to keep Massachusetts dispensaries in mind until it does.

Where Can NH Residents Buy Cannabis?

New Hampshire residents can legally go across state lines to Massachusetts to buy recreational cannabis at the local dispensaries, like Uma Flowers. At this dispensary near New Hampshire, you’ll find all the top cannabis products, including flowers, pre-rolls, edibles, and concentrates.

If you’re not sure what you’d like to get, you can count on friendly and knowledgeable staff to help out.

Is It Okay to Bring Weed from Massachusetts Back Home?

Unfortunately, despite buying it legally, it’s not legal to bring the cannabis products back home afterward. Just being in possession of cannabis products is illegal in New Hampshire even when purchased in a legal dispensary across state lines.

If caught, offenders could end up with a $100 fine for their first two offenses. After that, the fine goes up considerably. On top of that, the officers may confiscate your cannabis, putting you further in the hole after completing your purchase.

Is It Possible to Visit Medical Dispensaries in New Hampshire?

If you need cannabis for authorized health reasons, you can get a medical cannabis card by visiting a doctor. With that card, you’ll gain access to your medical cannabis dispensary of choice and make purchases anytime you wish. You can only buy up to two ounces of cannabis every 10 days and cannot carry more than that on your person without getting into trouble.

Furthermore, you cannot just stop in any of the dispensaries. You must register with them first, and then only shop at your selected location. You have five medical cannabis dispensaries, or Alternative Treatment Centers as they’re officially known, to shop at in New Hampshire.

If you do not have any qualifying medical conditions, you’ll have to wait for New Hampshire laws to change before enjoying recreational cannabis at home. In the meantime, you can visit our team at Uma Flowers in Massachusetts to purchase your favorite products, and then enjoy them during your stay in our wonderful state.

Security guards are responsible for protecting patients and visitors in hospitals. They provide protection and security to the hospital and its staff.

Security guards are a vital part of the hospital’s operation, as they keep the hospital safe from intruders, violence, theft, vandalism or property damage.

The role of security guards is to protect patients and visitors from intruders, violence, theft, vandalism or property damage. They also provide protection and security to the hospital and its staff. Security guards are an essential part of the hospital’s operation

What is the Importance of Security Guards for Hospital?

Security guards are the first line of defense when it comes to protecting hospital staff, patients, and visitors.

The security guards at the hospital play a crucial role in keeping everyone safe. They are responsible for providing 24/7 protection to the hospital premises and its patients. They also provide security and safety in all areas of the hospital including patient wards, emergency rooms, and operating theaters. The security guards also help maintain a safe environment for patients during transport from one place to another.

Security guards provide an important layer of protection that is essential for hospitals all over the world.

Why Should You Hire Security Guards For Your Hospital?

As hospitals become more and more advanced, they are also becoming more vulnerable to criminal activity. This is why hospital safety is a very important issue.

Hospitals are often targets for criminals because of their large volume of patients and the amount of valuables that it stores. In fact, many hospitals have been robbed in recent years.

Security guards with semi automatic shotguns can be a great solution to this problem as they can provide protection from crime and help with the overall security operation at the hospital.

The Cost of Hiring Security Guards Vs. Medical Costs

In this article, we will be comparing the cost of hiring security guards to the medical costs associated with a hospital.

The security guards cost is around $4,000/year and the medical costs for a hospital are around $1,500/year. The average cost per patient that is treated in a hospital is $3500 and has an average length of stay of 3 days. This means that the overall cost for one patient treated in a hospital is about $7,500.

How Much Will You Pay to Keep Your Patients Safe & Healthy?

The cost of keeping patients safe and healthy can be quite high. Hospitals have to pay for staff, equipment, supplies, and more.

The cost of keeping patients safe and healthy can be quite high. Hospitals have to pay for staff, equipment, supplies, and more. From a global perspective, the estimated amount of money the world spends on hospital-acquired conditions is $1 trillion per year.

With the rise in technology in recent years, hospitals are now able to reduce their costs by investing in technology that helps them better monitor patients’ health and safety. These tools are used by hospitals to improve patient outcomes while reducing costs.