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  1. Last 7 days
  2. Oct 2019
    1. improvement of soil health should be a priority agenda in India’s agricultural policy. We need steps to check wind and water erosion of soils. We need innovative technologies to minimise physical degradation of soils due to waterlogging, flooding and crusting. We need to improve the fertility of saline, acidic, alkaline and toxic soils by reclaiming them
  3. Sep 2019
    1. Impact of staffing cap

      The impact of staffing caps has been highlighted by numerous commentators and almost certainly plays a significant role in putting pressure on the planning workforce.

    2. Staffing cap recommendation

      That government review NDIA data to determine if there are staffing issues limiting the number of planners relative to the demand for plans. If this is the case, we argue that government should relax staffing caps.

    1. People who frequently consume artificially sweetened drinks biologically look 5-10 years older compared to those who don’t
    1. If eating more realistic fake meat was about health, the offerings would be far lower in salt content, contain fewer calories and have a bit less dietary fat. None of them do, because the point was never to live up to the marketing of healthier eating. It was to simply act as a smooth replacement for the meat we worried about eating in our day-to-day lives

      Summary of the article. All goes down into marketing and human manipulation

    2. Most of us don't truly understand how to feed ourselves in a way that doesn’t leave us susceptible to life-threatening illnesses

      Knowing what to eat is a great mystery

    3. excessive amount of salt in one's diet has been linked in several different ways to heart disease

      Salt, just like red meat is dangerous for our heart

    4. Heart disease and cases of type 2 diabetes are on the rise, no matter where you look, and research has suggested that cutting red meat and processed meats (like bologna and other deli meats) might help people facing these conditions

      Research suggests that red meat and processed meat are a cause of heart disease and cases of type 2 diabetes

    5. In fact, when you start to compare all of these offerings to their meat-based counterparts, you realize it’s the same story no matter what brands you’re talking about — you might possibly save a few calories or carbs, but you'll probably get way more salt.

      Meatless (plant-based) burgers may have a little less calories, but more salt

  4. Aug 2019
    1. In 2017, Canadians were on waiting lists for an estimated 1,040,791 total procedures. Often, wait times are lengthy. For example, the median wait time for arthroplastic surgery (hip, knee, ankle, shoulder) ranges from 20 weeks to 52 weeks. In the British National Health Service, cancelations are common. Last year, the National Health Service canceled 84,827 elective operations in England for nonclinical reasons on the day the patient was due to arrive. The same year, it canceled 4,076 urgent operations in England, including 154 urgent operations canceled two or more times. Times of high illness are a key driver in this problem. For instance, in flu season, the National Health Service canceled 50,000 “non-urgent” surgeries. In Canada, private insurance is outlawed (as it would be under Sanders’ proposal). In 2017, “an estimated 63,459 Canadians received non-emergency medical treatment outside Canada.” In Britain, private insurance is permitted—but it is an additional cost to the taxes that British citizens pay for the National Health Service. Escaping the system is an option for the wealthy, or for those who are willing to forego other expenditures to get the care they want or need.

      A system cannot conduct healing, and refuses to take care of the sick. This has a great deal to do with humanity, and deviations from health care.

    2. A “single-payer” health system is a government-controlled health care system. Government is the “single-payer.” In most versions of single-payer, most private health insurance is either outlawed or restricted, and most public health programs are absorbed into the single, national health insurance program.

      Explain the "Single-payer" system.

    1. ObamaCare, is the product of a Conservative Think-Tank. 60% of citizens get private insurance from their employers, 15% receive Medicare (65 and older), and the federal gov’t funds Medicaid for low-income families (the allocation to this fund has been declining).

      Lucky, Trump removed that

    2. United States and its Health care:      The gov’t has some government-run programs and private insurance.

      U.S. health care system

    3. Health care spending was 12.4% of GDP in 2016. That is approximately $7,919.00 per person. There were 11.6% of people who skipped prescriptions because of cost.

      Switzerland Health Care System

    4. Mandate: The gov’t mandates that everyone buy health insurance, funding comes from payroll taxes.

      3

    5. Health care spending was 11% of GDP in 2016. Approximately $4,600.00 per person. 7.8% of patients skipped prescriptions because of cost. The life expectancy was 85.5 years in 2015.  

      France health care system

    6. 2-Tier: The gov’t pays two-thirds, and the private sector pays one-third.  

      2

    7. Health Care spending was 10.6% of Canada’s GDP in 2016 and 10.5% of patients skipped prescriptions because of cost.

      Canada health care system

    8. Single-Payer: The gov’t taxes its citizens to pay for health care.

      1

    9. Single-Payer, 2-Tier, and Mandate systems.

      three definitive models for Universal Health Care

    1. Research from Chelsea and Westminster Hospital has found that placing art in the NHS trust has helped to improve patient wellbeing, decrease hospital stays and reduce anxiety, depression and pain.
    1. When researchers at Johns Hopkins gave psilocybin to healthy participants with no history of hallucinogen use, nearly eighty percent reported that their experiences "increased their current sense of personal well-being or life satisfaction 'moderately' or 'very much'"—effects that persisted for more than a year.‌
    2. Similarly, while psilocybin has shown potential as a treatment for depression and anxiety, physicians could also prescribe the drug to promote the well-being of healthy individuals.
  5. Jul 2019
    1. To find a cure for what ails America, Chetty will need to understand all of this wild variation. Which factors foster opportunity, and which impede it? The next step will be to find local interventions that can address these factors—and to prove, with experimental trials, that the interventions work

      I suspect that racial inequalities like Redlining, school support, and public housing issues (including evictions and predatory lending) will overlay these unmobile areas. cf Scarlet E series from On the Media.

    1. Reporting on a study at Queensborough Community College, also in the CUNY system, Sheila Beck notes that the library’s reserve textbook collection is “heavily used,” however, staffing and other concerns have prompted librarians to consider “less labor intensive and less costly alternatives.“ Beyond textbook reserves, academic librarians can help students to locate required course readings in other ways: older editions of their required textbook, pre- or post-prints of articles in institutional repositories, articles or other texts in databases subscribed to by the library, or readings that may be in the public domain or otherwise available on the open web.

      The basic economics of this system would indicate (especially as classes become larger and larger) that more careful consideration of choice, economics, accessibility, availability, etc. on a larger institutional level creates larger marginal gains for those in the class. If a staff librarian, teacher, or someone else within the system does the leg-work up front and does it well, then the dozens or even hundreds of students in the course don't need to spend (read: waste) their own time re-inventing the proverbial textbook wheel once they're in the class.

      Portions of the situation here make me wonder if we might pull a page from Dr. Peter Pronovost's playbook in the health care space and create a simple checklist of what to do when planning for textbooks and readings. Checklists that include things like:

      • will the texts actually be used?
      • will they be primary to the subject or are they supplementary?
      • What are their prices?
      • Are alternate materials available?
      • Are older editions available?
      • are public domain or open web versions available?
      • are there copies in the library? reserves? pirated versions? pre/post prints?
      • etc.

      Once such a checklist is available, institutions should require that it be available along with syllabi and other course listings.

      cross references:

    1. She's since learned her allergies and asthma are conditions she's had since childhood that have nothing to do with her weight, and her migraines are hormonal. She's now on meds for these conditions.

      Ignoring the fact that 'morbidly obese' by itself is a serious health condition

  6. Jun 2019
    1. patients in groups like these have been shown to have significantly better outcomes for an array of conditions, including diabetes and depression, than similar patients not in groups.
    2. healthy community norms are particularly evident in certain places with strong outcome-to-cost ratios, like Sweden
    3. she has concluded that a key motivator for healthy behavior is feeling integrated in a community where that behavior is commonplace
    1. But, if you take a supplement containing 1,250 milligrams, your body seems to realize that’s too much—and so, clamps down on absorption at the intestinal lining level, and you end up absorbing less than half.

      (see 45 seconds into video)

      This could be very handy for lowering the pH of the gut (increasing the acidity). As explained in other Greger videos, an acidic gut is desirable because good gut bacteria produce acids and thus are the bacteria that thrive in an acidic environment.

      Currently, I'm taking magnesium citrate, and my concern is that the unabsorbed magnesium is alkalinizing my gut. Vitamic C should be able to counteract this if it is indeed an issue.

  7. May 2019
  8. Apr 2019
    1. They had been told that the insulin that their son was supposed to be taking for his Type 1 diabetes was poison, Solis testified. Timothy Morrow, a herbalist based in Torrance, Calif., had instead told them to rub lavender oil on the boy’s spine and prescribed herbal medicine that he claimed would cure Lopez for life.
    1. ​Technology is in constant motion. If we try to ignore the advances being made the world will move forward without us. Instead of trying to escape change, there needs to be an effort to incorporate technology into every aspect of our lives in the most beneficial way possible. If we look at the ways technology can improve our lives, we can see that technology specifically smartphones, have brought more benefits than harm to the academic and social aspects of teenagers lives, which is important because there is a constant pressure to move away from smart devices from older generations. The first aspect people tend to focus on is the effect that technology has on the academic life of a teen. Smartphones and other smart devices are a crucial part of interactive learning in a classroom and can be used as a tool in increasing student interest in a topic. For example, a popular interactive website, Kahoot, is used in many classrooms because it forces students to participate in the online quiz, while teachers can gauge how their students are doing in the class. Furthermore, these interactive tools are crucial for students that thrive under visual learning, since they can directly interact with the material. This can be extended to students with learning disabilities, such as Down Syndrome and Autism,​ research has shown that using specialized and interactive apps on a smart device aids learning more effectively than technology free learning. Picture Picture Another fear regarding technology is the impact it has on the social lives of young adults, but the benefits technology has brought to socializing outweighs any possible consequences. The obvious advantage smartphones have brought to social lives is the ability to easily communicate with people; with social media, texting, and calling all in one portable box there is no longer a struggle to be in contact with family and friends even if they are not in your area. Social media can also be used for much more In recent years, social media has been a key platform in spreading platforms and movements for social change. Because social media websites lower the barrier for communicating to large groups of people, it has been much easier to spread ideas of change across states, countries, or the world. For example, after Hurricane Sandy tore apart the northeastern United States, a movement called "Occupy Sandy" in which people gathered to provide relief for the areas affected was promoted and organized through social media. Other movements that have been possible because of social media include #MeToo, March for Our Lives, #BlackLivesMatter, and the 2017 Women's March. ​

  9. Mar 2019
    1. The HMO Act of 1973 changed that premise. It authorized for-profit IPA-HMOs in which HMOs may contract with independent practice associations (IPAs) that, in turn, contract with individual physicians for services and compensation. By the late 1990s, 80 percent of MCOs were for-profit organizations, and only 68 percent or less of insurance premiums went toward medical care.

      The HMO Act of 1973 resulted in for profit health care.

    1. Nixon signed into law, the Health Maintenance Organization Act of 1973, in which medical insurance agencies, hospitals, clinics and even doctors, could begin functioning as for-profit business entities instead of the service organizations they were intended to be. 

      In the 1970s health care was allowed to change from a non-profit to a for profit.

    1. a group of teachers created a program through Baylor University Hospital where they would agree to pre-pay for future medical services (up to 21 days in advance). The resulting organization was not-for-profit and only covered hospital services. It was essentially the precursor to Blue Cross.

      Baylor University's teacher's created one of the first "employee insurance companies" which turned into Blue Cross.

    2. Since U.S. businesses were prohibited from offering higher salaries, they began looking for other ways to recruit new employees as well as incentivizing existing ones to stay. Their solution was the foundation of employer-sponsored health insurance as we know it today.

      The result of the Stabilization Act of 1942 was for employers to provide health care benefits to employees.

    1. Because health benefits could be considered part of compensation but did not count as income, workers did not have to pay income tax or payroll taxes on those benefits. Thus, by 1943, employers had an increased incentive to make health insurance arrangements for their workers, and the modern era of employer-sponsored health insurance began

      After WWII companies started providing health insurance to employees. Somewhere along the way this translated into employers co-oping with private insurance companies to provide health insurance as opposed to paying the employees medical bills or providing their own doctors and clinics.

    1. This is a scholarly article about mhealth (mobile health) which is a way to bring about health-related learning via mobile devices (or even wearable devices) in bite-sized ways. I am not qualified to evaluate the article but this does appear to be solid as far as I can tell. rating 4/5

    1. High-quality protein The reason why animal proteins are generally considered “higher quality” when it comes to building muscle is down to the type of amino acids they contain. Amino acids, in particular one called leucine, are thought to be key to driving muscle protein synthesis. In general, animal proteins have a higher proportion (9%-13%) of leucine than plant proteins (6%-8%). Plus, animal-based proteins usually contain all nine essential amino acids whereas most plant-based proteins are missing one or more of these amino acids. There are exceptions such as maize protein, which boasts a 12% leucine content, and quinoa, which has a full complement of all essential amino acids. So it may be that certain plant proteins are just as effective as so-called “higher-quality” animal proteins. We can potentially increase the “quality” of a plant-based proteins by fortifying them with extra leucine, combining different sources to make sure the food has all essential amino acids, or simply increasing the recommended amount of a plant protein source. As a note of caution, the latter option could require as much as 60 grams of certain plant proteins (for example seven large potatoes) – a dose that some people may struggle to consume. The search continues for a more sustainable and environmentally friendly source of protein that can offer similar muscle-building potential to animal proteins. But based on currently available evidence, vegan bodybuilders will have to pay particular attention to their diets to achieve the same results.
    1. An inconvenient truth If you’re keen on your flat whites, yoghurts and cheeses, the truth behind conventional dairy production is not an easy one to face. Most people perhaps are not aware that to produce the milk we desire, cows are kept almost continually pregnant, with calves taken away from their mothers within 24 hours so that milk can be harvested for human consumption – a process that leaves both mother and baby deeply distressed and bellowing for each other for days. Palmer (and animal welfare groups) estimates between 400,000 and 800,000 of male calves (known within the industry as ‘bobby calves’) are sent to slaughter, as is a significant portion of females and while a cow has a natural life expectancy of 20-30 years, most dairy cows are slaughtered around the four-to-five-year-mark once their milk dries up.
    1. Dairy cows add substantial amounts of greenhouse gases to the atmosphere. In some places they contribute to the conversion of natural habitat to agricultural land due to the increasing demand for feed crops such as corn, alfalfa and soy. Dairy operations can also be significant contributors to water pollution and soil degradation when manure and feed crop production are poorly managed. Farmers can significantly reduce environmental impacts through the use of better management practices and technologies. Climate change Dairy production has a considerable effect on climate change due to emissions of greenhouse gases such as methane, nitrous oxide, and carbon dioxide. In the US, the greatest sources of these emissions in milk production include feed production, enteric fermentation and manure management. Air Airborne emissions of ammonia can damage downstream habitats, resulting in the loss of species diversity. The output of particulate matter and odor from on-farm activities can negatively impact air quality. Water Dairy operations can consume large volumes of water to grow feed, water cows, manage manure and process products. Additionally, manure and fertilizer runoff from dairy farms can pollute water resources. The increased nutrients in local waterways contribute to the growth of algae, which reduces oxygen for aquatic plant and animal life. Habitat Currently over two-thirds of the world's agricultural land is used for maintaining livestock, including beef and dairy cows. One-third of the world's land suffers desertification due, in large part, to deforestation, overgrazing and poor agricultural practices. In some circumstances, dairy cows can contribute to healthy habitats through well-managed grazing. Soil Health Livestock farming is one of the main contributors to soil erosion around the world. Turning forests into pasture or feed crop production areas, overgrazing and soil impaction from cattle’s hooves can lead to extreme loss of topsoil and organic matter that could take decades or centuries to replace. On the other hand, well-managed manure application and grazing can improve the soil health of pastures and crop lands. Animal Health and Welfare Improper handling of dairy cows decreases the productivity of cows due to stress and ill health, and leads to increased greenhouse gas emissions. Disease in cattle can limit export options, pose supply risks and contribute to production inefficiencies.
    1. Dairy and EggsIf you eat dairy, eggs or both, your protein options are a lot more extensive. Eggs are said to be among the most bioavailable sources of protein in the human diet. According to a 2004 review in the Journal of Sports Science and Medicine, egg has a biological value of 100, second only to whey, with a value of 104. One large egg has 6 g of protein. Milk, with 8 g of protein per cup, has a biological value of 94, making it another high-quality protein source. Other protein-rich milk products include: Cottage cheese: 15 g per 1/2 cup Yogurt: 10 g per cup Greek yogurt: 22.5 g per cup Including eggs and dairy in your vegetarian diet also offers more protein powder options: Whey: 22 g per 28-g serving Casein: 26 g in a 30-g serving Egg: 24 g per 32-ounce serving
    2. Plant-based protein powders are often more concentrated sources of protein. Using these in smoothies or to stir into oatmeal will help you get more protein than you could from whole foods alone. Some choices you have when choosing a plant-based protein powder include: Pea protein: 21 g per 28-g serving Hemp protein: 12 g per serving Pumpkin seed protein: 18 g per serving Brown rice protein: 22 g per serving Soy protein: 22 g per serving
    3. Seitan (made from wheat gluten): 25 g in 3.5 ounces Tofu (made from soybeans): 9 g in 3.5 ounces Garbanzo beans: 15 g per cup Quinoa: 8 g per cup, cooked Lentils: 18 g per cup, cooked Hempseed: 9.5 g in 3 tablespoons Almonds: 8 g in 1/4 cup
    1. This research supports the idea that the more fruit and veg you eat the better – at least, up to 10 portions (800g) a day.
    1. Many countries - including Germany, the Netherlands and New Zealand - recommend five portions a day. Some others - including Canada and Japan - recommend seven or more. France goes as far as recommending 10 portions of fruit and vegetables a day. In Australia, they say the emphasis should be on eating more vegetables than fruit and recommend five portions of vegetables and two of fruit per day.
    1. In his letter, Sir Tim outlined three specific areas of "dysfunction" that he said were harming the web today: malicious activity such as hacking and harassment problematic system design such as business models that reward clickbait unintended consequences, such as aggressive or polarised discussions

      If this is resolved, I believe that many individuals can be helped to feel a lot better.

    1. is a waterborne bacterial disease, caused by the leptospiro bacteria. It rarely spreads from person to person and can be treated with common antib

      The bacteria is found in the urine of rodents.

    1. Now, as part of my regular practice, I spend about five minutes out of each hour exercising with this package. This almost always reveals things to me that change at least the slant of my approach during the next hour, and often stimulates a relatively significant change in my short-range plans.

      Also starting to think about health/exercise monitoring software here.

  10. Feb 2019
  11. Jan 2019
    1. I used to be comforted by their cheering words, by the hours they spent at my bedside, and by their conversation.

      Chicken soup for the self-writer's soul? Jk.

      Yet another thing words can do: heal.

    1. So if you are tired during the day, check that you’re giving yourself the opportunity to get 7 to 9 hours.

      This is super helpful. Bold

    2. So if you are tired during the day, check that you’re giving yourself the opportunity to get 7 to 9 hours.

      This is super helpful.

  12. Dec 2018
  13. Nov 2018
    1. Davis and col-leagues (3) provide useful new data that enhance our un-derstanding of the effects of hospitalists on health sys-tems. In their study of a voluntary hospitalist system at alarge rural nonteaching hospital in Mississippi, theyfound that patients cared for by hospitalists had adjustedhospital stays that were 25% shorter, and costs that were12% less, than patients cared for by nonhospitalist inter-nists. For patients in the highest severity group, these sav-ings were even greater. Annualized, the authors extrapo-late that the hospitalists would have saved $2.5 millionhad they cared for all of the internists’ patients. As withprior studies that found similar reductions in resourceuse (4 –7), these substantial savings were achieved with-out diminishing quality or patient satisfaction. Nor wasthere evidence of cost shifting: hospitalists’ patients wereno less likely to be discharged to home (instead of anotherinstitution such as a skilled nursing facility) than werepatients of primary care internists. We can now state withconsiderable confidence that hospitalists markedly de-crease inpatient costs and lengths of stay with no compro-mise in quality or patient satisfaction.
    1. Meditation can not only provide a welcome counterweight to this work with abstractions, it also cultives 10 qualities of character (Pali: paramis) that are useful during the practice of programming.

      Generosity Morality Renunciation Understanding Effort Patience/tolerance Truthfulness Loving-kindness Equanimity

    1. Polls show that doctors are trusted by the public more than politicians, which means it’s hard for public policy to shape the healthcare system unless medical associations sign off on it.
    1. “It’s about embracing the inscrutable nature of human interactions,” says Chang. Evidence-based medicine was a massive improvement over intuition-based medicine, he says, but it only covers traditionally quantifiable data, or those things that are easy to measure. But we’re now quantifying information that was considered qualitative a generation ago.

      Biggest challenges to redesigning the health care system in a way that would work better for patients and improve health

    2. “Our biggest opportunity is leaning into that. It’s either embracing the qualitative nature of that and designing systems that can act just on the qualitative nature of their experience, or figuring how to quantitate some of those qualitative measures,” says Chang. “That’ll get us much further, because the real value in health care systems is in the human interactions. My relationship with you as a doctor and a patient is far more valuable than the evidence that some trial suggests.”

      Biggest challenges to redesigning the health care system in a way that would work better for patients and improve health

    3. Duffy points to the increase in health care interactions online and adds that he would like to see a pervasive culture of in-person care as last resort. “If every organizational decision, technology decision, process decision — assuming all the payment stuff, that’s kind of ticket of entry, transpires — if you view in-person as last resort, that will help pull systems across the country to a more consumer-forward Uber-like experience,” he says

      Biggest challenges to redesigning the health care system in a way that would work better for patients and improve health

    1. As with other forms of value-based health care, patient-centered care requires a shift in the way provider practices and health systems are designed, managed, and reimbursed. In keeping with the tenets of patient-centeredness, this shift neither happens in a vacuum, it driven by traditional hierarchies in which providers or clinicians are the lone authority. Everyone, from the parking valet and environmental services staff to c-suite members, are engaged in the process, which impacts hiring, training, leadership style, and organizational culture. Patient-centered care also represents a shift in the traditional roles of patients and their families from one of passive “order taker” to one of active “team member.” One of the country’s leading proponents of patient-centered care, Dr. James Rickert, has stated that one of the basic tenets of patient-centered care is that “patients know best how well their health providers are meeting their needs.” To that end, many providers are implementing patient satisfaction surveys, patient and family advisory councils, and focus groups, and using the resulting information to continuously improve the way health care facilities and provider practices are designed, managed, and maintained from both a physical and operational perspective so they become centered more on the individual person than on a checklist of services provided. As the popularity of patient- and family-centered health care increases, it is expected that patients will become more engaged and satisfied with the delivery of their care, and evidence of its clinical efficacy should continue to mount.

      Cultural shift to patient-centered care

    1. Poor health literacy is a silent and ubiquitous health care issue, and the field of neurosurgery is particularly prone to the consequent adverse effects. Failure to address low health literacy has several detrimental health and economic consequences, and numerous policies have been initiated to address these. Better facilitating patient understanding of neurosurgical disease, treatment options, and care surrounding the operative period may have a positive impact on the health care economy and ultimately achieve improved outcomes for patients.

      Certain disciplines are particularly prone to consequent adverse effects of poor health literacy.

    2. Deyo et al. (8) demonstrated a reduction in the adverse impact of inadequate health literacy in the neurosurgical field. The impact of an interactive videodisc program that informs patients of their treatment options for back surgery on patient outcome and surgical choices was evaluated. The program helped facilitate decision making and ensured informed consent. It also reduced surgery rates for patients with herniated disks. The authors of this study also implemented the use of patient-oriented multimedia to augment comprehension and advocated a similar strategy for other clinicians. Further commitment is needed to put health literacy at the forefront of improving health care and reducing health expenditures, especially in neurosurgery.
    3. Paasche-Orlow et al. (18) suggested 3 principles to ameliorate health literacy disparities. The first is to promote productive interactions. Clinicians need to develop better communication abilities and take appropriate measures to ensure adequate comprehension of health information. Educating youth and establishing health literacy standards in the educational system can help improve existing and future health literacy rates. Incorporating health literacy classes as a component of training for health professionals and in studies of preventive services can increase awareness among providers, facilitating better communication and quality of care (19). Additionally, transmitting complex ideas can be aided with the use of technology platforms. Yin et al. (25) investigated the plausibility of a pictogram-based intervention program to reduce medication administration errors. The authors found that when the intervention was used as part of medication counseling, there was a decrease in medication dosage errors compared with standard medication counseling.The second principle is concerned with addressing the organization of health care. Paasche-Orlow et al. advocated patient-centered care, streamlined access to health care, and incentives to promote collaboration to address the needs of the health illiterate population. The U.S. government created and enacted several major policies that address this principle to diminish the adverse effects of poor health literacy. The first is the Affordable Care Act, which stipulates that health plans and insurers must provide understandable and clear health information regarding coverage and benefits (11). Because most Americans receiving coverage through the new legislative act have limited health literacy, standardized information about health care would greatly assist these Americans in making better-informed health decisions (15). Another policy is the National Action Plan to Improve Health Literacy (22). This is the first plan of its kind to create health literacy goals for the entire country. It intends to provide all Americans with access to accurate health information, deliver patient-focused services, and support learning and skills that improve health. All of these acts and policies have the potential to improve 3 keys to health care: access, quality, and cost.The third principle from the study by Paasche-Orlaw et al. involves establishing an objective and sincere voice for better delivery of health information to the community. Individuals may have appropriate health literacy levels, but other personal or environmental factors can contribute to a lower understanding of vital health information. Ito (9) analyzed Vietnamese refugees who tested positive for inactive tuberculosis and their response to prophylactic tuberculosis treatment. Ito found that the immigrants were more hesitant to complete the medication regimen because the side effects were too “hot.” Instead, the immigrants preferred Asian herbal medications as they were considered “cooling.” Von Goeler et al. (23) investigated diabetes self-management among Puerto Rican adults with type 2 diabetes and found that the participants regularly self-monitored their blood glucose levels. However, they did not use that information to control their diabetes properly because of financial and social barriers such as competing family concerns. Situations such as these call for a voice, a cultural broker, who understands the environmental obstacles to comprehending and using health information fully.

      Ameliorate health literacy disparities

    4. Koh et al. (11) detailed a cycle of crisis care elaborating the nature of high medical costs, possibly resulting from fear and denial. First, an individual is in need of medical help, so he or she goes to a physician's office where the staff asks the individual to fill out a complex and confusing form. The physician examines the patient and explains the condition and treatment options using medical jargon. Numerous prescriptions, laboratory tests, and referrals are given without confirmation of the patient's comprehension. The staff sends the patient home with complicated instructions. Inevitably, the patient may consume medication incorrectly or miss follow-up appointments, and his or her condition worsens. Eventually, the patient presents to the emergency department, and the hospital staff develops a new treatment plan. Again, no one confirms the patient's understanding. When the patient is discharged, he or she is likely to get sick again and repeat the cycle (11)
  14. Oct 2018
    1. Silvia’s father went to prison when she was a baby, and served 10 years for selling drugs. Without his support, her mother struggled to provide financially for her and her brother. Her mother also suffered from a mental disorder for which she received SSI. While Silvia was growing up, the family relied on public assistance and ate mostly cheap food such as canned ravioli and Ramen noodles. Silvia remembers being hungry often and recalls that her mother often ignored Silvia and her brother.

      Pienso que esto es Pathway effect en cuanto a que Silvia de alguna manera reprodujo lo que vio en su hogar porque ya tenia un escenario predispuesto. El health behavior que quiero destacar es el comportamiento en cuanto a la dieta ya que eran pobres y comía comida enlatada no saludable y no tenían seguridad alimentaria.

    1. They found that an hour after being released in a room at a relative humidity of 23% or less, 70-77% of viral particles retained their infectious capacity, but when humidity was increased to about 43%, only 14% of the virus particles were capable of infecting cells. Most of this inactivation occurred within the first fifteen minutes of the viral particles being released in the high-humidity condition. The study concludes that maintaining indoor relative humidity at levels greater than 40% can significantly reduce the infectious capacity of aerosolized flu virus.
    1. A review of the health effects of relative humidity in indoor environments suggests that relative humidity can affect the incidence of respiratory infections and allergies. Experimental studies on airborne-transmitted infectious bacteria and viruses have shown that the survival or infectivity of these organisms is minimized by exposure to relative humidities between 40 and 70%. Nine epidemiological studies examined the relationship between the number of respiratory infections or absenteeism and the relative humidity of the office, residence, or school. The incidence of absenteeism or respiratory infections was found to be lower among people working or living in environments with mid-range versus low or high relative humidities. The indoor size of allergenic mite and fungal populations is directly dependent upon the relative humidity. Mite populations are minimized when the relative humidity is below 50% and reach a maximum size at 80% relative humidity. Most species of fungi cannot grow unless the relative humidity exceeds 60%. Relative humidity also affects the rate of offgassing of formaldehyde from indoor building materials, the rate of formation of acids and salts from sulfur and nitrogen dioxide, and the rate of formation of ozone. The influence of relative humidity on the abundance of allergens, pathogens, and noxious chemicals suggests that indoor relative humidity levels should be considered as a factor of indoor air quality. The majority of adverse health effects caused by relative humidity would be minimized by maintaining indoor levels between 40 and 60%. This would require humidification during winter in areas with cold winter climates. Humidification should preferably use evaporative or steam humidifiers, as cool mist humidifiers can disseminate aerosols contaminated with allergens.
  15. Sep 2018
    1. So a weighted blanket it is. “We’re not understanding how to deal with [mental health]. Instead, we’re throwing products at it,” says Beautiful Voyager’s Arthur. “It’s very American.”

      Or: we are making certain tools, which used to be niche and therefore expensive and hard to find, widely available.

    2. So, yes, meditation apps may help us meditate, and meditation may reduce anxiety. Weighted blankets may calm us down long enough to fall and stay asleep, which will help us feel better the next day. And fidget devices can distract us so that instead of ruminating on negative thoughts, we’re expending mental energy on something physical.

      Products that are designed for people with disabilities often have benefits even for those without that disability. That does mean the product cures or treats an underlying condition. It's just a tool.

    3. There are plenty of places to point fingers: your phone, the president, climate change, the recession, FOMO, divorce, social media, student debt, terrorism, the 24-hour news cycle, the economy, “the economy,” living farther from family, toxins in your gut, too many choices, too little sleep, too little sex. Or maybe we’re just overdiagnosing anxiety and actually, everything’s fine.

      Or maybe reduced stigma against mental health combined with wider access to health insurance under the Affordable Care Act has allowed more people to seek help. I don't think anxiety is any more prevalent than it was before; I think more of us are talking about it.

    1. mental health and addiction services

      Assess the prevalence and incidence of mental health issues and addictions and establish sufficient services for caring and prevention. This phenomena affect workers, their families and communities.

    2. medical care

      Improve medical care infrastructure and inter-provincial agreements to be able to cover LC-LD workers and their families in source, host and hub communities in a timely manner. the improvement of such services should be flexible enough to adapt to the ups and downs of the predominant industries.

    1. Matthew Mayer, a professor of educational psychology at Rutgers’ Graduate School of Education, says that among experts the best solutions to school shootings are not really in dispute: basic gun control, more and better mental-health services and a robust national threat-assessment program. We also need to help educators create an atmosphere where students who hear about a potential threat feel comfortable sharing that information with adults. (Many student shooters, including Gabe Parker at Marshall County, hint about their plans to at least one other person or tell them outright. Getting those others to inform teachers is one of our best options for preventing shootings from happening in the first place.) In February, Mayer and his colleagues circulated an eight-point document titled “A Call for Action to Prevent Gun Violence in the United States of America,” which summarized these and other key actions needed to reduce the risk of school shootings. So far, 4,400 educators and public-health experts have signed it. But political will is still missing. “We keep revisiting the same conversations every five or six years without learning or changing much of anything,” Mayer says. “Armed guards and metal detectors make it look like you’re doing something. You get far fewer points for talking about school climate and mental health.”
  16. Aug 2018
    1. Anomie (/ˈænəˌmi/) is a "condition in which society provides little moral guidance to individuals".[1] It is the breakdown of social bonds between an individual and the community, e.g., under unruly scenarios resulting in fragmentation of social identity and rejection of self-regulatory values.

      I can't help but see this definition and think it needs to be applied to economics immediately. In particular I can think of a few quick examples of economic anomie which are artificially covering up a free market and causing issues within individual communities.

      College Textbooks: Here publishers are marketing to professors who assign particular textbooks and subverting students which are the actual market and consumers of those textbooks. This causes an inflated market and has allowed textbook prices to spiral out of control.

      The American Health Care Market In this example, the health care providers (doctors, hospitals, etc.) have been segmented away from their consumers (patients) by intermediary insurance companies which are driving the market to their own good rather than a free-er set of smaller (and importantly local) markets that would be composed of just the sellers and the buyers. As a result, the consumer of health care has no ability to put a particular price on what they're receiving (and typically they rarely ever ask, even more so when they have insurance). This type of economic anomie is causing terrific havoc within the area.

      (Aside: while the majority of health care markets is very small in size (by distance), I will submit that the advent of medical tourism does a bit to widen potential markets, but this segment of the market is tiny and very privileged in comparison.)

    1. The technical and theoretical details underlying clinical informatics are beyond the scope of this chapter. What follows is a concise introduction to topics and resources of general interest in this field, presented to help clinicians use information technology for the benefit of patient care.

      This is interesting!

    1. She reached behind her to her bookshelf, which held about a dozen blue bottles of something called Real Water, which is not stripped of “valuable electrons,” which supposedly creates free radicals something something from the body’s cells.

      I question her credibility to market claims like this. I suspect she has no staff scientist or people with the sort of background to make such claims. Even snake oil salesmen like Dr. Oz are pointedly putting us in hands way too make a buck.

  17. Jul 2018
    1. A 2016 Lancet study found that universal breast-feeding would prevent 800,000 child deaths a year across the globe and yield $300 billion in savings from reduced health care costs and improved economic outcomes for those reared on breast milk.

      Pure corruption here. Protectionism to prop up profits of approximately 630 million versus major benefits and savings of 300 billion. Even if you look at the calculus of the entire industry of 70 billion it becomes a no brainer.

  18. May 2018
    1. There are many resources available to help you and your health care proxy develop a care plan. These are merely suggestions to get you thinking about possible scenarios and topics to discuss. I hope you found this blog informative, and urge you to share it with anyone who does not have a health care proxy. We always think it will never happen to us, but what if it does? It's best to be prepared!

      The article highlights the importance of what a good health proxy looks like and how they go about helping a patient in their most sensitive moments of health and later on in their lives. Potentially, this could be a good chance for a client's wishes to be fully respected by someone who knows of their values and preferences. It also encourages the reader to be prepared incase they are faced with this decision some day. Many members of the elder population are asked about healthcare proxies during the beginning of any hospitalization. More awareness of what a health proxy is and what social supports a patient can count on helps to assure quality care and dignity in health and death.

    2. Further, a doctor, medical center, hospital, EMT, and even assisted living staff can make decisions regarding your healthcare, treatment methods and type of medical care to provide you if you are not married, over 18 years old, and do not have a health care proxy in place

      Medical decision making has very specific in rules to protect the rights of the patient. The rules can vary according to a patient's age, marital status, and wether or not they signed a health care proxy document in the first place.

    3. Who would decide what was best for you? Who would advocate on your behalf?

      This is a scary question that most people in the United States have to consider at one point in their life. Trust in the person in charge of making medical decisions is essential.

    4. Health care proxy: An advance medical directive in the form of a legal document that designates another person (a proxy) to make health care decisions in case a person is rendered incapable of making his or her wishes known.

      The medical definition of a health care proxy- a legal medical document that transfers power of medical decision making from a patient to a trusted person.

    1. The question each proxy should ask when making decisions on behalf of others is, who am I truly serving — the patient or myself?

      This article really high lights the potential negatives of the concept of healthcare proxies and provides real life scenarios to help the reader relate.

    2. When the patient is unwilling or unable to make medical decisions, the health care proxy is activated and he or she is obligated to make all health choices on behalf of the patient. These may be related to withdrawing or withholding life support, instituting artificial liquid feeding, attempting resuscitation and even whether or not to participate in autopsy and organ donation.

      Any decisions regarding the care and body of the patient are headed over to their health proxy, who assumes any medical decision making responsibilities from there.

  19. Mar 2018
    1. Many lives have been saved by parents doing something simple. Beginning in the 1960s American military doctors and researchers in Dhaka developed a therapy for acute diarrhoea—a sweet, salty oral rehydration solution. This is now dirt cheap and widely available. At the last count, fully 84% of Bangladeshi parents with stricken children fed it to them (only a third saw a doctor). Thinly populated African countries are struggling to match that. One promising idea is to distribute the sachets along with Coca-Cola—which gets everywhere.

      amazing the reach of Coca-Cola!

    2. many Indians continue to defecate in the open. Bangladesh’s government and charities have built latrines, too, but they have worked harder to stigmatise open defecation. Often they install latrines for the poor and then prod richer folk into following their example. A new, surprising, finding is that this works better than expecting people to copy their social superiors.
    1. have been selectively bred

      There's a difference between selective breeding and altering via genetic engineering. I believe that genetic modification falls into the second category, always.

  20. Feb 2018
    1. Cow Milk Benefits many and in multiple ways. Cow Milk Benefits those looking to lose some weight. It works as a healthy snack in one's diet and adds a great appetizer to their diet. One of the other milk benefits for health from cow milk is that it is great stress buster and it helps in better concentration and focus.

  21. Jan 2018
    1. Milk is the primary source of nutrition to the new born babies. It is consumed by people of every age. Milk Benefits For Health by its contents like Vitamin D, Vitamin B12, Vitamin A, riboflavin, protein, phosphorous, calcium and potassium.

  22. Dec 2017
    1. The domain of personalised medicine, in particular, is overflowing with possibilities for innovation [3].

      Learn more about this.

  23. Nov 2017
    1. Government announces it has secured a major strategic investment into UK by MSD ahead of this morning’s publication of its flagship Industrial Strategy Landmark investment comes as a huge vote of confidence in the government’s approach to industrial strategy, with the global healthcare company committing to open a new world-class hub in the UK
    1. The five conditions with the highest burden are (in order) depression, bipolar disorder, alcohol use disorders, social phobia and schizophrenia.

      it the order from least to most?

    2. Lots of great video resources surrounding Mental Health (PSAs, one-on-one interviews, etc).

    1. Then Dan Bloomfield reviews what makes nature-based interventions in mental health successful. Follow-ing this there are two accounts of using green spaces in mental health services, from Australia and the UK.

      This is interesting.

  24. Oct 2017
    1. Leave a Reply

      This comment was submitted but has not yet been approved:

      “However government data says that 28% people in India use one of more kind of AYUSH treatments.”

      and

      “The WHO states that Homeopathy is the second most used medical system internationally,”

      Can you say where that comes from? I can’t find the second on in that WHO reports.

  25. Sep 2017
    1. Large computer networks (and their associated users) may “wake up” as superhumanly intelligent entities.

      The author refers to both the computer network and its user when he refers to them "waking up." This may be a prediction of a soon to be symbiotic relation to us and technology. We are already using technology to mange our social life, our infrastructure, and even our health with pacemaker. We are already living in a world where we are inseparable from technology, but will we one day be completely be inseparable?

  26. May 2017