Fruit and vegetable prescription programs have become innovative partnerships between healthcare and community food providers – connecting patients to fresh, healthy, locally-grown produce while providing direct economic benefits to small & midsize farmers and the community. Learn about the first ever pilot program in Detroit, Michigan. Visit http://www.ecocenter.org/healthy-food/fruit-vegetable-prescriptions to learn more.
Helping countries improve nutrition outcomes through agriculture and food - w...Francois Stepman
11 December 2017. Brussels. DevCo Infopoint. Countries are seeking to improve nutrition through multiple sectors, including agriculture and food systems. This requires navigating dietary transitions, strengthening country ownership of programmes and investment decisions, working with public and private partners, and better understanding drivers that shape demand. These are key considerations for lesson learning moving forward.
Introduction: Bernard Rey, Deputy Head of Unit, DEVCO C1- Rural Development, Food Security, Nutrition
Panel discussion:
John McDermott, Director, CGIAR Research Program on Agriculture for Nutrition and Health (A4NH)
Namukolo Covic, Senior Research Coordinator, IFPRI, Addis Ababa, Ethiopia
Roseline Remans, Research Scientist, Bioversity International, Brussels
Thom Achterbosch, Senior Researcher, Wageningen Economic Research, International Policy
Please find also the link to the video of the conference:
https://ec.europa.eu/europeaid/news-and-events/agriculture-nutrition-outcomes-countries_en
Helping countries improve nutrition outcomes through agriculture and food - w...Francois Stepman
11 December 2017. Brussels. DevCo Infopoint. Countries are seeking to improve nutrition through multiple sectors, including agriculture and food systems. This requires navigating dietary transitions, strengthening country ownership of programmes and investment decisions, working with public and private partners, and better understanding drivers that shape demand. These are key considerations for lesson learning moving forward.
Introduction: Bernard Rey, Deputy Head of Unit, DEVCO C1- Rural Development, Food Security, Nutrition
Panel discussion:
John McDermott, Director, CGIAR Research Program on Agriculture for Nutrition and Health (A4NH)
Namukolo Covic, Senior Research Coordinator, IFPRI, Addis Ababa, Ethiopia
Roseline Remans, Research Scientist, Bioversity International, Brussels
Thom Achterbosch, Senior Researcher, Wageningen Economic Research, International Policy
Please find also the link to the video of the conference:
https://ec.europa.eu/europeaid/news-and-events/agriculture-nutrition-outcomes-countries_en
Allison Flynn, MPH, Health and Nutrition Program Advisor, World Relief discusses community-based efforts to prevent stunting, primarily World Relief's Nutrition Weeks approach that builds on evidence-based models at the CCIH 2018 Conference.
POSHAN District Nutrition Profile_Bhadrak_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
This presentation is about the Healthy Choices program and the Grocery Store initiative
in South Milwaukee. Community and advocacy groups worked together in creating programs to improve the health of the community.
Whatever advances have been made in terms of technologies, interventions, and their delivery platforms in recent decades, it is households and communities that remain on the front lines in combating malnutrition. During the past half century, several significant attempts have been made to initiate and implement community-based nutrition programs. This chapter assesses the evolution and performance of
Reducing Health Disparities: The Journey of Brightpoint HealthBrightpoint Health
Brightpoint Health's CEO and President, Paul Vitale and Chief Clinical Officer, Dr. Barbara Zeller, share Brightpoint's journey, strategies and best practices to reduce health disparities in New York City's high-need neighborhoods.
Foundational Learning in Social Determinants of Health for Health Professionals by Dr. Haydee Encarnacion Garcia. Presented at the Emerging Trends in Nursing Conference at Indiana Wesleyan University on June 1, 2017.
Power point presentation used during the Menu of Change: Healthy Food in Health Care workshop. Presentation given by Roberta Anderson (Food Alliance), Suzanne Briggs (Kaiser Permanente), Eecole Copen (Oregon Health and Science University Food and Nutrition Services) and Emma Sirois (Oregon Center for Environmental Health).
Allison Flynn, MPH, Health and Nutrition Program Advisor, World Relief discusses community-based efforts to prevent stunting, primarily World Relief's Nutrition Weeks approach that builds on evidence-based models at the CCIH 2018 Conference.
POSHAN District Nutrition Profile_Bhadrak_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
This presentation is about the Healthy Choices program and the Grocery Store initiative
in South Milwaukee. Community and advocacy groups worked together in creating programs to improve the health of the community.
Whatever advances have been made in terms of technologies, interventions, and their delivery platforms in recent decades, it is households and communities that remain on the front lines in combating malnutrition. During the past half century, several significant attempts have been made to initiate and implement community-based nutrition programs. This chapter assesses the evolution and performance of
Reducing Health Disparities: The Journey of Brightpoint HealthBrightpoint Health
Brightpoint Health's CEO and President, Paul Vitale and Chief Clinical Officer, Dr. Barbara Zeller, share Brightpoint's journey, strategies and best practices to reduce health disparities in New York City's high-need neighborhoods.
Foundational Learning in Social Determinants of Health for Health Professionals by Dr. Haydee Encarnacion Garcia. Presented at the Emerging Trends in Nursing Conference at Indiana Wesleyan University on June 1, 2017.
Power point presentation used during the Menu of Change: Healthy Food in Health Care workshop. Presentation given by Roberta Anderson (Food Alliance), Suzanne Briggs (Kaiser Permanente), Eecole Copen (Oregon Health and Science University Food and Nutrition Services) and Emma Sirois (Oregon Center for Environmental Health).
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation from Lucia Sayre of Health Care Without Harm, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
NHS Sustainability Day Liverpool Road Show4 All of Us
March 26th 2015 , NHS Sustainability day is one day in a sustained campaign, yet it provides a focus for organisations to participate on that day in initiating or continuing progress on achieving better sustainability practice. It has now attracted senior level endorsement within the NHS and from the Prime Minister.
The campaign of regional road-shows gives health-workers across the country the chance to participate in networking, learning about best practice and innovative ideas. The national awards scheme recognises and publicises this achievement. The tools and case studies contained within this website will provide you access to proven technologies, methods and projects that have yielded great results.
And remember all change starts with a single action.
Explore the measures and metrics that aided the Snohomish County Health Leadership Coalition, in their search of a Strategic Focus and how the LiveHealthy2020 initiative came to be. Consider the ways that Snohomish County can work together and measure their success of a Countywide scale.
Engaging Social Entrepreneurs in Community-Based Participatory Solutions to F...Carolyn Zezima
2012 ASFS/AFHVS/SAFN Conference Global Gateways and Local Connections: Cities, Agriculture, and the Future of Food Systems
Carolyn Zezima, Director of Food and Nutrition Initiatives, Communities IMPACT Diabetes Center at Mount Sinai School of Medicine
Despite increasing recognition that fresh, healthy, local foods are scarce in low-income communities, and the creation of a number of healthy food initiatives targeting these communities, historically underserved communities still lack novel, profitable, and sustainable businesses that supply healthy, affordable and taste-satisfying foods. Bringing together the business and public health sectors, Communities IMPACT Diabetes Center at Mount Sinai School of Medicine invited business students to submit concepts and plans for viable, market and community-driven business solutions to one of our most pressing public health needs: healthy, affordable food in underserved communities. The proposed enterprises must have served communities with limited availability to healthy foods, be tailored to the particular assets and challenges in the communities, and must be developed in consultation with target communities. Proposals were judged by a panel of experts in business, food and local government. Teams competed for $25,000 in start-up funds and other business support services.
Farm Fresh: Healthcare Project How-To Guide
`
For more information, Please see websites below:
`
Organic Edible Schoolyards & Gardening with Children =
http://scribd.com/doc/239851214 ~
`
Double Food Production from your School Garden with Organic Tech =
http://scribd.com/doc/239851079 ~
`
Free School Gardening Art Posters =
http://scribd.com/doc/239851159 ~
`
Increase Food Production with Companion Planting in your School Garden =
http://scribd.com/doc/239851159 ~
`
Healthy Foods Dramatically Improves Student Academic Success =
http://scribd.com/doc/239851348 ~
`
City Chickens for your Organic School Garden =
http://scribd.com/doc/239850440 ~
`
Simple Square Foot Gardening for Schools - Teacher Guide =
http://scribd.com/doc/239851110 ~
Similar to Bringing Fruit & Vegetable Prescription Programs to Detroit (20)
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
4. Welcome
&
Introductions
§ Nicki
Milgrom
§ Healthy
Food
in
Health
Care
Organizer,
Ecology
Center
§ Allison
Sponseller
§ Evaluator
§ Curtis
Center
Program
Evaluation
Group
at
the
University
of
Michigan
§ Attendees
§ Name
§ Affiliation
5. Agenda
v Welcome
&
Introduction
to
CHASS
–
Denise
Pike
v Introduction
to
Ecology
Center/Healthy
Food
in
Health
Care
-‐
Kathryn
Savoie
v CHASS
Health
Rx
–
Year
1,
Denise
Pike
v Evaluation
&
Outcomes
–
Allison
Sponseller,
University
of
Michigan
Curtis
Center
v Health
Rx
2014
–
Denise
Pike,
CHASS
Center
v Bringing
Food
Prescriptions
to
Detroit:
Next
Steps
&
Vision
–
Kathryn
Savoie
v Questions
&
Answer/Discussion
6. Ecology
Center
• Michigan-‐based
environmental
organization
• Safe
and
healthy
environment
where
people
live,
work
and
play
• Toxics/Environmental
Health,
Climate
and
Energy,
Healthy
Food
in
Health
Care
7. campaigns
Advances
special
projects
and
promising
approaches
-‐
• Offers
introductory
assistance
• Offers
guidance
on
procuring
local
and
sustainable
foods
• Educates
and
activates
health
professionals
• Promotes
&
disseminates
educational
opportunities,
tools,
resources
and
campaigns
• Advances
special
projects
and
promising
approaches
8. Healthy
Food
in
Health
Care
–
New
Projects
First
Food,
Good
Food
• Creating
a
“baby-‐friendly”
food
system
• Understanding
breast
&
formula
feeding
as
part
of
our
food
system
• Helping
breastfeeding
advocates/maternal
and
child
health
providers
understand
the
environmental
and
health
impacts
of
our
food
system
• Increasing
healthy
food
access
for
pregnant
and
breastfeeding
mothers
9. Healthy
Food
in
Health
Care
–
New
Projects
Health
Leaders
Fellowship
q Leadership
development,
training
&
field
experience
q
Climate
and
energy,
environmental
health,
healthy
food
systems,
civic
engagement
q Health
professionals
of
all
types,
at
any
stage
of
their
career
Application
Deadline:
February
14,
2014
10.
Founding
member
of
Health
Care
Without
Harm
v Over
436
organizations
in
42
states
and
52
countries.
v Attracted
the
attention
of
major
health
care
systems,
regulatory
bodies
and
industry
leaders
throughout
the
United
States.
11. Healthy
Food
in
Health
Care
Principles
Food
supply
can
be
met
in
a
variety
of
ways
which
have
consequences
in
terms
of
nutrition,
disease
risk,
public
health,
environmental
health,
social
and
economic
well
being.
Healthy
food
comes
from
a
food
system
that
is
ecologically
sound
economically
viable,
and
socially
responsible.
12.
Key
health
concerns
in
our
industrialized
food
system
• Widespread
exposure
to
toxic
chemicals
• Antibiotic
resistance
• Food-‐borne
illness
• Environmental
degradation
• High
levels
of
nutritionally-‐deplete
foods
Confined Animal Feeding
Operations
Overuse of Antibiotics
Overuse of Antibiotics
Chemicals
Chemicals
13. Making
Change
Locally
Institute of Medicine, 2009
“[P]arents and other adult caregivers play a
fundamental role in teaching children about healthy
behaviors…. But those positive efforts can be
undermined by local environments that are poorly
suited to supporting healthy behaviors.”
Strategy 3: Community Food Access
Promote efforts to provide fruits and
vegetables in a variety of settings, such as
farmers’ markets, farm stands, mobile
markets, community gardens, and youth
focused gardens.
14. Factors
that
affect
health
Smallest
Impact
Examples
Counseling
&
Educa1on
Clinical
Interven1ons
Long-‐las1ng
Protec1ve
Interven1ons
Changing
the
Context
to
make
individuals’
default
decisions
healthy
Largest
Largest
Impact
Impact
Socioeconomic
Factors
www.cdc.gov/about/grand-rounds/archives/2010/download/GR-021810.pdf
Eat
healthy,
be
physically
ac1ve
Rx
for
high
cholesterol,
diabetes.
Vitamin/Mineral
supplements
Immuniza1ons,
exercise,
colonoscopy
Strategic
Food/Bev
Pricing,
HFHC
Pledge,
Farmers
Markets,
CSA
Poverty,
educa1on
level,
inequality
15. Changing
your
thinking:
A
systems
perspective
Farm & Food Policy
Healthier Eating Environments
Behavior Change
Story M, Hamm MW, Wallinga D, eds. Food Systems and Public Health: Linkages to Achieve Healthier Diets and Healthier
Communities (suppl) Journal of Hunger & Environmental Nutrition, Volume 4, Issues 3 & 4. December 2009 (in press)
16. Health
care
grows
good
food
access
Hospital
Supported
Farmer’s
Markets
Community
Supported
Agriculture
Hospital
Supported
Farms/Gardens
“Our greatest 2010 success was getting staff, patients and visitors to appreciate
what locally produced food is like versus food produced on industrial farms
hundreds or thousands of miles away.”
—Mike Bersani, Manager Clinical Nutrition Services, Catering and Dining Services, MidMichigan Medical Center, Clare, Michigan
Resource: Health Care Without Harm 2011 National Survey
18. Community
Supported
Agriculture
(CSA)
drop-‐offs
at
health
care
sites
Henry
Ford
Health
System
Fresh
Food
Share
Delivery
Sites:
1
Ford
Place
Detroit,
MI
48202
New
Center
One
:
Contact
Center
(3rd
Floor)
New
Center
One
:
Clinics
(7th
&
8th
Floors)
John
Muir
Medical
Center,
Concord,
CA
19. Health
care
farming…
Henry
Ford
Hospital
West
Bloomfield
Organic
Hydroponic
Greenhouse
The
Farm
at
St.
Joe’s
Ann
Arbor
20. Healthy
Food
in
Health
Care
–
Detroit
v Innovative
partnerships
that
engage
health
care
providers
in
support
of
sustainable
local
food
systems
v Educational
opportunities
for
health
care
providers
to
increase
awareness
of
environmental
and
health
impacts
of
food
production
Farm
Stand
at
Henry
Ford
Hospital,
2012
21. Food
Prescription
Programs
q Innovative
model
q Connects
health
care
and
food
systems
q Improves
patients’
healthy
food
knowledge,
skills,
behaviors
q Positive
health
outcomes
q Helps
create
a
healthy
local
food
system
q Transform
traditional
medical
model
of
health
care
23. Health
Rx
Partnership
Leadership:
q CHASS
Center
q Ecology
Center
Model:
q Washtenaw
County
Public
Health
“Prescription
for
Health”
Resources:
q W.K.
Kellogg
Foundation
grants
to
CHASS
and
Ecology
Center
q GE
Foundation
support
for
CHASS
Key
Program/Planning
Partners:
q Eastern
Market
Corporation
q Fair
Food
Network
q Gleaners
Community
Food
Bank
q Detroit
Wayne
County
Health
Authority
q Henry
Ford
Health
System
q American
Indian
Health
&
Family
Services
25. Health
Rx
-‐
Program
Overview
• Health
Rx
was
launched
at
the
Community
Health
and
Social
Services
(CHASS)
Center
in
Detroit
in
July
2013.
• Help
patients
connect
what
they
eat
to
how
they
feel
• Improve
eating
habits
• Improve
health
outcomes
• Connect
healthcare
system
and
the
food
system
in
Detroit
to
support
healthier
local
food
system
26. Health
Rx
-‐
Program
Overview
v Target
Population:
– Low
income
chronic
disease
patients
– caregivers
of
children
age
0-‐5,
and
pregnant
women
v Referred
to
the
Health
Rx
program
by
their
primary
care
physician.
v Program
ran
12
weeks,
July
16-‐
October
3
30. Evaluation
Methods
•
Observations
of
orientation
and
markets
•
Surveys
•
Participant
pre
surveys
(n=45)
and
post
surveys
(n=32)
•
Participant
raffle
survey
(n=15)
•
Provider
survey
(n=6)
•
Vendor
survey
(n=8)
•
Focus
group
with
participants
(n=12)
•
Market
sales
data
•
Key
Informant
Interviews
with
CHASS
staff,
community
partners
(n=7)
Source:
www.emfsafetynetwork.org
31. Logic
Modeling
Program
blueprint,
theory
of
change
Program
informant
responds
to
a
series
of
questions
resulting
in
a
schematic
Specifies
inputs,
planned
services,
output
and
expected
participant
outcomes
Provides
the
foundation
for
the
evaluation
32.
33. Process
Evaluation
Plan
To
document
the
implementation,
including
participant
information,
program
challenges
and
facilitating
factors
To
determine
adherence
to
the
model
To
gather
the
participant
perspective
34. Outcome
Evaluation
Plan
To
document
attainment
of
outcomes,
service
learning
goals
To
capture
participant
perspective,
including
attainment
of
unexpected
outcomes
35. Participant
Demographics
The
median
age
was
47.2
Self-‐reported
Race
9
49%
La1no/Hispanic
Self-‐reported
gender
33%9
African
American
Men
13%
13%9
Caucasian/White
Women
87%
Two
or
more
ethnici1es
4%9
36.
Expected
outcome:
Increased
knowledge
of
how
to
select,
prepare
and
store
fresh
produce
I
know
how
to
store
fresh
fruits
and
vegetables
to
increase
their
shelf
life.
Strongly
Agree
Agree
Neutral
Disagree
Strongly
Disagree
3.1%
4.4%
Post-‐survey
24.4%
Pre-‐survey
Post-‐survey
Pre-‐survey
Post-‐survey
Pre-‐survey
Pre-‐survey
12.5%
28.9%
21.9%
17.8%
22.2%
62.5%
Post-‐survey
(N=32)
Pre-‐survey
(N=45)
37.
Expected
outcome:
Increased
servings
per
day
of
fruits
and
vegetables
3.23
cups
Post-‐survey
(N=32)
Pre-‐survey(N=45)
3.02
cups
2.9
2.95
3
3.05
3.1
3.15
3.2
3.25
38. Expected
outcome:
Consider
CHASS
Mercado
as
a
viable
grocery
option
I
would
shop
at
the
CHASS
Mercado
again
next
summer
Strongly
Agree
37.5%
Agree
Neutral
53.1%
6.3%
39. Participant
Experiences
• “I
am
in
better
shape
because
of
the
program
and
change
in
my
diet.
My
health
has
drastically
changed…”
• “
[I]
learned
things
I
didn’t
know
about,
I
was
eating
things
that
were
unhealthy
[and]
didn’t
even
know!
I
changed
what
I
was
eating
because
of
this
[program]”
• “[The
staff]
taught
us
to
look
at
better
food
selections.
Even
when
going
out
to
dinner
I
look
at
the
menu
differently
and
make
better
choices.”
• “I
liked
the
cooking
demonstrations,
and
learning
to
try
new
stuff
I
hadn’t
tried
before.”
• “I
would
like
a
different
variety
of
fruits
and
vegetables.”
40. Evaluation
Lessons
Learned
• Unique
identifiers
for
participants
• Token
redemption
data
• Market
currency
43. Health
Rx
–
Year
2
Plans
• Successful
first
year
pilot
• CHASS
will
run
the
program
again
in
2014
• Working
to
clarifying
goals
• Refine
and
standardize
process
• Double
number
of
participants
• Adding
additional
educational
events
related
to
chronic
illness
• Strengthening
peer
support
• Outreach
to
new
market
vendors
45. Food
Prescriptions
in
Detroit
v Continue
to
partner
with
CHASS
for
Health
Rx
in
2014
v American
Indian
Health
&
Family
Services
§ Fresh
Food
Share
box
v Henry
Ford
Health
System
46. Food
Prescriptions
in
Detroit
Vision:
A
city-‐wide
network
of
participating
clinics
and
markets
q
A
community
of
practice
on
food
prescription
programs
q
Detroit
Food
and
Fitness
Collaborative:
proposed
Health
Care
Work
Group
q
Explore
sustainability/funding
for
food
prescription
work
48. Closing
Kathryn
Savoie
Detroit
Community
Health
Director
Ecology
Center
kathryn@ecocenter.org
(313)733-‐0039
www.ecocenter.org/healthy-‐food
www.healthyfoodinhealthcare.org
Denise
Pike
Development
Director
CHASS
Center
dpike@chasscenter.org
(313)849-‐3920
x5021