Health Care Status Quo Results Gallery
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Collection of graphics from the havoc that status quo healthcare has wreaked on the American Dream. Impacts of price gouging and profiteering. Includes comparison between U.S. hospital prices vs international prices.
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Hilary Graves - Repugnant Interventions - EA Global Melbourne 2015
Repugnant Interventions - Doublethink in Global Prioritization Outline:
1) Global prioritisation: child mortality, family planning and the
cancellation worry
2) Making it quantitative: the benefit-cost approach
3) CBA for child mortality reduction
3.1) Arguments for not counting ‘knock-on effects’
3.2) Critique of the CBA
4) CBA for family planning
4.1) An excursion into population axiology
4.2) Critique of the CBA
5) Conclusions
Summary / Conclusions:
• Child mortality and family planning are both (fairly) frequently cited as ‘top picks’ in global prioritisation.
• This is prima facie curious, since the most-obvious effect of the second intervention is precisely to undo the most-obvious effect of the first.
• Benefit-cost analyses (indeed) only manage to make both interventions simultaneously come out as ‘top picks’ by engaging in ‘doublethink’: making inconsistent decisions as to which effects (‘direct’ vs ‘indirect’) to count vs disregard, across the two interventions.
• Analyses of mortality-reduction projects neglect indirect (e.g. economic) effects.
• There may be a case for ignoring such effects in some
contexts (e.g. doctor-patient relationships), but not at the level of global prioritisation.
• Analyses of family planning programs ignore the (‘direct’) ‘value of lives not born’, counting only the ‘indirect’ effects on others.
• This presupposes a person-affecting and/or an average-utilitarian approach to population ethics. Those approaches are initially intuitive, but ultimately indefensible.
• There is a resulting danger that we are currently wasting billions of dollars per year, by doing and then undoing good.
• To fix this: More sophisticated analysis, including serious attempts to put neo-Malthusianism and the value of individual additional lives in dialogue with one another, is required.
Video of talk: https://www.youtube.com/watch?v=QCoYq7kzcH0
Hilary Greaves is Associate Professor in Philosophy at the University of Oxford, specializing in moral philosophy. She is currently particularly interested in what moral philosophy has to say about actions that affect the number of people who will live, and in connecting abstract theoretical work in this area to real-world issues that are relevant to public policy and philanthropic intervention.
Oxford Bio: users.ox.ac.uk/~mert2255/
Making the Case for Global Public Health: Your Role in Changing the Conversat...
Making the Case for Global Public Health: Your Role in Changing the Conversat...American Society of Tropical Medicine and Hygiene
Presentation delivered by ASTMH Executive Director Karen A. Goraleski for the National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Lecture Series at the Centers for Disease Control and Prevention
Wage theft is a threat to community health and well-being. Wage theft is a pu...
Wage theft is a threat to community health and well-being. Wage theft is a pu...Jim Bloyd, DrPH, MPH
Fact sheet, April 2017 by Collaborative for Health Equity Cook County, Chicago, Illinois.Putting Social Determinants in Perspective for Policymakers
Putting Social Determinants in Perspective for PolicymakersVDH, Office of Minority Health and Public Health Policy
Presentation by Steven H. Woolf, MD, MPH at the 2009 Virginia Health Equity Conference.
Dr. Woolf shared research on the dramatic influences of social conditions on health inequities nationally and in the Commonwealth of Virginia. He also discussed the importance of packaging the evidence in compelling formats for policymakers and the public.Recommended
Hilary Graves - Repugnant Interventions - EA Global Melbourne 2015
Repugnant Interventions - Doublethink in Global Prioritization Outline:
1) Global prioritisation: child mortality, family planning and the
cancellation worry
2) Making it quantitative: the benefit-cost approach
3) CBA for child mortality reduction
3.1) Arguments for not counting ‘knock-on effects’
3.2) Critique of the CBA
4) CBA for family planning
4.1) An excursion into population axiology
4.2) Critique of the CBA
5) Conclusions
Summary / Conclusions:
• Child mortality and family planning are both (fairly) frequently cited as ‘top picks’ in global prioritisation.
• This is prima facie curious, since the most-obvious effect of the second intervention is precisely to undo the most-obvious effect of the first.
• Benefit-cost analyses (indeed) only manage to make both interventions simultaneously come out as ‘top picks’ by engaging in ‘doublethink’: making inconsistent decisions as to which effects (‘direct’ vs ‘indirect’) to count vs disregard, across the two interventions.
• Analyses of mortality-reduction projects neglect indirect (e.g. economic) effects.
• There may be a case for ignoring such effects in some
contexts (e.g. doctor-patient relationships), but not at the level of global prioritisation.
• Analyses of family planning programs ignore the (‘direct’) ‘value of lives not born’, counting only the ‘indirect’ effects on others.
• This presupposes a person-affecting and/or an average-utilitarian approach to population ethics. Those approaches are initially intuitive, but ultimately indefensible.
• There is a resulting danger that we are currently wasting billions of dollars per year, by doing and then undoing good.
• To fix this: More sophisticated analysis, including serious attempts to put neo-Malthusianism and the value of individual additional lives in dialogue with one another, is required.
Video of talk: https://www.youtube.com/watch?v=QCoYq7kzcH0
Hilary Greaves is Associate Professor in Philosophy at the University of Oxford, specializing in moral philosophy. She is currently particularly interested in what moral philosophy has to say about actions that affect the number of people who will live, and in connecting abstract theoretical work in this area to real-world issues that are relevant to public policy and philanthropic intervention.
Oxford Bio: users.ox.ac.uk/~mert2255/
Making the Case for Global Public Health: Your Role in Changing the Conversat...
Making the Case for Global Public Health: Your Role in Changing the Conversat...American Society of Tropical Medicine and Hygiene
Presentation delivered by ASTMH Executive Director Karen A. Goraleski for the National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Lecture Series at the Centers for Disease Control and Prevention
Wage theft is a threat to community health and well-being. Wage theft is a pu...
Wage theft is a threat to community health and well-being. Wage theft is a pu...Jim Bloyd, DrPH, MPH
Fact sheet, April 2017 by Collaborative for Health Equity Cook County, Chicago, Illinois.Putting Social Determinants in Perspective for Policymakers
Putting Social Determinants in Perspective for PolicymakersVDH, Office of Minority Health and Public Health Policy
Presentation by Steven H. Woolf, MD, MPH at the 2009 Virginia Health Equity Conference.
Dr. Woolf shared research on the dramatic influences of social conditions on health inequities nationally and in the Commonwealth of Virginia. He also discussed the importance of packaging the evidence in compelling formats for policymakers and the public.reply with three references H.R. 721 Mental Health Servic.docx
reply with three references
H.R. 721: Mental Health Services for Students Act of 2021
Mental Health, we hear about it all the time. Mental health is a driving force in the media, when law enforcement officers in America, engage in a critical incident, involving a subject with “Mental health problems”. Mental health continues to take countless lives, from our Military Veterans, as each day passes. Children in school experienced an extreme disrupt in their daily lives, when they were forced to stay indoors, and attend school through a screen, in the early stages of the Covid-19 Pandemic. Homelessness in America is rising, and the amount of homeless Americans with untreated mental health issues is staggering. We don’t need to see a fact sheet, read a medical journal, or test subjects in a clinical trial, to be cognizant of the amount of persons with unattended mental health disorders, in America. American children’s health should be a priority, they are our future professor’s, philosophers, engineers, doctors, free thinkers; they are the future “Us”.
The Mental Health Services for Students Act of 2021, was introduced by Congresswoman Grace Napolitano. HR 721 passed in the house on May 12th, 2021. HR 721 has 86 cosponsors (82(D) & 4(R)). Since 2001, Congresswoman Napolitano has had this program implemented into 35 schools, which has shown to be extremely helpful (Facts on the Mental Health Services for Students Act, n.d.). With low funds nationally, for on site mental health care professionals in schools, HR 721 would provide additional funding. HR 721 will provide $130,000,000 in competitive grants. The Substance Abuse and Mental Health Services Adminsitration (SAMHSA), would be delegated with distribution of funds. HR 721 would expand on
Project AWARE
, which is an educational grant.
Project AWARE
aims at educating and informing families, students, and school faculty about mental health.
Project AWARE
partners with state mental health agencies, where they train school faculty how to identify and respond to children with behavioral health issues (SAMHSA, 2020). HR 721 would expand on this program, by implementing on site mental health professionals in schools.
Personally, I support HR 721, from what I have researched thus far. The problem is, 49.4% of children in the United States did not receive treatment or counseling for a mental health disorder. (Whitley, G., 2019). According to the CDC, the third leading cause of death for adolescents aged 15-19 was suicide (CDC, 2021). Those two statistics alone, show the deprivation of resources and funding in the American school system. My husband, being a police officer, noticed a significant spike in “suicidal juvenile” calls, over the past two years. I myself, work on a occasion, at the juvenile detention facility. I have watched these children, over the past couple of years, destroy their lives due to untreated mental health illnesse.
Real food challenge workshop material
Presented at the Midwest Summit Real Food Challenge Saturday February 19, 2011, with a viewing and discussion of Unnatural Causes: Is Inequality making us sick?
Data Science and Infrastructure at Health Datapalooza 2015
Track of Data Science and Infrastructure sessions at the 2015 Health Datapalooza Organized by Niall Brennan, Chief Data Officer, Centers for Medicare & Medicaid Services and Joshua Rosenthal, PhD, RowdMap Inc. and NCHVS Data Group
Health equity coalition vision
Envisioning health equity in Hillsborough County: where we are, where we need to be and how we're going to get there.
Avatares de la reforma de salud de obama
Conferencia sobre las características de la reforma de salud propuesta por el Presidente Obama.
BRIEF REPORTScreening for Depression Among Minority Young .docx
BRIEF REPORT
Screening for Depression Among Minority Young Males Attending a
Family Planning Clinic
Ruth S. Buzi and Peggy B. Smith
Baylor College of Medicine
Maxine L. Weinman
University of Houston
The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depression among
535 African American and Hispanic young males ages 14 to 27 attending a family planning clinic. The
assessment indicated that 119 (22.2%) males met criteria for depression. The study also examined the
associations between depression, sociodemographics, and service requests. Depressed males were more
likely than nondepressed males to be Hispanic and to request services related to relationships, feelings,
financial resources, physical issues, and well-being. The findings indicated that young males who are
affected by depression have unmet needs, but when given an opportunity, are able to express those needs.
Because family planning clinics are increasing the number of male clients, they are well positioned to
screen them for depression.
Keywords: young males, depression, request for services
Major Depressive Disorder (MDD) is recognized as one of
the most common chronic conditions today. According to the
U.S. Department of Health and Human Services (2012), ap-
proximately 2 million adolescents, or 8.0% of the population
ages 12 to 17, had at least one major depressive episode during
2010. A recent report by the Substance Abuse and Mental
Health Services Administration (SAMHSA, 2012) indicates
that one in five American adults aged 18 or older, or 45.6
million, people had mental illness in the past year. The rate of
mental illness was twice as high among those 18 –25 (29.8%)
than among those aged 50 and older (14.3%).
Males experience more persistent depressive symptoms and
disorders from adolescence into adulthood than females (Dunn
& Goodyer, 2006; Colman, Wadsworth, Croudace, & Jones,
2007). Non-Hispanic African American males tend to have the
highest rates of MDD at 13.2%, followed by Hispanics or
Latinos (12.7%) and then non-Hispanic Whites (8.7%) U.S.
Department of Health & Human Services, 2012). Depression
among minority adolescents and young adults was found to be
related to stress, lack of social resources, and low socioeco-
nomic status (Brown, Meadows, & Elder, 2007). Risk factors
for African American men’s depression include economic
strain, interpersonal conflicts, and racial discrimination (Wat-
kins, Green, Rivers, & Rowell, 2006). Hispanic and African
American males also display significantly earlier onset of MDD
compared with their White counterparts (Riolo, Nguyen, Gre-
den, & King, 2005).
Despite the fact that males also suffer from depression, they
seek mental help from health care professionals less frequently
than females, which only further decreases the likelihood of
diagnosing their mental health disorders (Addis & Mahalik,
2003; Smith, Braunack-Mayer, & Wittert, 2006). Males often
feel pressured to avoid emotional expres.
Reaching the Vulnerable with Effective Health Services and Financial Protecti...
This presentation was presented by Davidson R. Gwatkin at the Prince Mahidol Award Conference (PMAC) in Bangkok, Thailand, on January 29, 2017.
BRIEF REPORTScreening for Depression Among Minority Young
BRIEF REPORT
Screening for Depression Among Minority Young Males Attending a
Family Planning Clinic
Ruth S. Buzi and Peggy B. Smith
Baylor College of Medicine
Maxine L. Weinman
University of Houston
The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depression among
535 African American and Hispanic young males ages 14 to 27 attending a family planning clinic. The
assessment indicated that 119 (22.2%) males met criteria for depression. The study also examined the
associations between depression, sociodemographics, and service requests. Depressed males were more
likely than nondepressed males to be Hispanic and to request services related to relationships, feelings,
financial resources, physical issues, and well-being. The findings indicated that young males who are
affected by depression have unmet needs, but when given an opportunity, are able to express those needs.
Because family planning clinics are increasing the number of male clients, they are well positioned to
screen them for depression.
Keywords: young males, depression, request for services
Major Depressive Disorder (MDD) is recognized as one of
the most common chronic conditions today. According to the
U.S. Department of Health and Human Services (2012), ap-
proximately 2 million adolescents, or 8.0% of the population
ages 12 to 17, had at least one major depressive episode during
2010. A recent report by the Substance Abuse and Mental
Health Services Administration (SAMHSA, 2012) indicates
that one in five American adults aged 18 or older, or 45.6
million, people had mental illness in the past year. The rate of
mental illness was twice as high among those 18 –25 (29.8%)
than among those aged 50 and older (14.3%).
Males experience more persistent depressive symptoms and
disorders from adolescence into adulthood than females (Dunn
& Goodyer, 2006; Colman, Wadsworth, Croudace, & Jones,
2007). Non-Hispanic African American males tend to have the
highest rates of MDD at 13.2%, followed by Hispanics or
Latinos (12.7%) and then non-Hispanic Whites (8.7%) U.S.
Department of Health & Human Services, 2012). Depression
among minority adolescents and young adults was found to be
related to stress, lack of social resources, and low socioeco-
nomic status (Brown, Meadows, & Elder, 2007). Risk factors
for African American men’s depression include economic
strain, interpersonal conflicts, and racial discrimination (Wat-
kins, Green, Rivers, & Rowell, 2006). Hispanic and African
American males also display significantly earlier onset of MDD
compared with their White counterparts (Riolo, Nguyen, Gre-
den, & King, 2005).
Despite the fact that males also suffer from depression, they
seek mental help from health care professionals less frequently
than females, which only further decreases the likelihood of
diagnosing their mental health disorders (Addis & Mahalik,
2003; Smith, Braunack-Mayer, & Wittert, 2006). Males often
feel pressured to avoid emotional expres ...
Chapter 1Taking Charge of Your HealthCopyright © 2016 McGr.docx
Chapter 1
Taking Charge of Your Health
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
1
CHAPTER OBJECTIVES
Describe the dimensions of wellness.
Identify major health problems in the United States today.
Describe the influence of gender, ethnicity, income, disability, family history, and environment on health.
Explain the importance of personal decision making and behavior change in achieving wellness.
List some available sources of health information and explain how to think critically about them.
Describe the steps in creating a behavior management plan to change a health-related behavior
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Wellness: New Health Goals (1)
Health: overall condition of body or mind
Wellness: optimal health and vitality
Making conscious decisions that affect risk factors
3
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Wellness: New Health Goals (2)
Dimensions of wellness:
Physical
Spiritual
Environmental
Emotional
Financial
Intellectual
Occupational
Interpersonal
Cultural
The nine dimensions of wellness are interrelated and may affect each other.
4
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
The Wellness Continuum
5
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
5
© 2012 McGraw-Hill Companies. All Rights Reserved.
Table 1.1 Examples of Qualities and Behaviors Associated with the Dimensions of Wellness
6
New Opportunities for
Taking Charge
1900s versus today
Morbidity and mortality rates
Infectious disease: a disease that can spread
from person to person
Life expectancy has nearly doubled
Impaired life
Chronic disease: a disease that develops and continues over a long period of time
7
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Public Health Achievements of the
Past Century
8
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Leading Causes of Death in the
United States, 2011RANKCAUSE OF DEATHNUMBER OF
DEATHSPERCENTAGE OF TOTAL DEATHSLIFESTYLE FACTORS THAT PLAY A PART1Heart disease596,33923.7Diet, Inactivity, Smoking, Excessive alcohol use2Cancer575,31322.9Diet, Inactivity, Smoking, Excessive alcohol use3Chronic lower respiratory diseases143,3825.7Smoking4Stroke129,1805.2Diet, Inactivity, Smoking, Excessive alcohol ...
There Is A 90% Probability That Your Son Is Pregnant: Predicting The Future ...
Predictive: Relating to or having the effect of predicting an event or result. Analytics: The systematic computational analysis of data or statistics. Together they make up one of the most popular topics in healthcare today. But predictive analytics is a means to an ends, and there is little good in predicting an event or result without a strategy for acting upon that event, when it happens. If, as the Robert Wood Johnson Foundation recently published, 80% of healthcare determinants fall outside of the healthcare delivery system as we traditionally define it, should we focus our predictive analytics on the traditional 20% of traditional healthcare delivery, or broaden our focus to the 80% that includes social and economic factors, physical environment, and lifestyle behaviors? What if our predictive models reveal to us that the highest risk variable to a patient’s length of life and quality of life is their economic status? Can an accountable care organization and patient centered medical home realistically do anything to reduce that risk, in reaction to the predictive model? Given the current availability and type of data in the healthcare ecosystem, and our organizational ability or inability to realistically intervene, where should we focus our predictive and interventional risk management strategies? There is enormous potential value in the application of predictive analytics to healthcare, but, in contrast to predicting the weather, credit risk, consumer purchasing habits, or college dropout rates, the data collection, and social and ethical complexities of applying predictive analytics in healthcare are significantly higher. This session will explore some of the less technical, more human interest and philosophical issues, associated with predictive analytics in healthcare, including the speaker’s experience prior to healthcare, in the US Air Force, National Security Agency, and manufacturing.
The Future We Choose - Reestablising Health Sovereignty
Success in Alaska, Florida and Ohio points the way for our future
The Future We Choose - Health Rosetta
I have no doubt that the period we are living through will be looked at as the single biggest inflection point of our lifetimes. Every community will make an explicit decision to move forward or move further backwards.
2016: Do any of you remember what happened on March 9, 2016? Bernie/Trump; populism; economic depression; Draw on “Gone to War for Less” chapter (78% living paycheck to paycheck with most being functionally uninsured; opioid crisis; undisputed world leader’s in bankruptcy - 70% had so-called insurance). The fact is we’re already investing more than enough money to not only fund a world class hc system but fund what drives 80% of health outcomes -- what are broadly referred to as the SDoH. Today, there is a $1 trillion “tax” on the American Dream that isn’t a law...it’s a choice to accept wasted spending in hc. That “tax” would be the 15th largest economy in the world. Healthcare isn’t expensive. After all, clinicians only receive $0.27 of every $1 ostensibly spent on hc. What’s expensive is administrative bloat, price-gouging, fraud and profiteering. The result is what I’d call “hellth.”
2031: Let’s fast forward imagine a future together every community whether it’s an employer community or place-based community can focus on building what I call “wellth” that focuses on the totality of well-being. Things like a good, well-paying job, educational opportunities independent of your family history and the ability to live in a nice home in a safe neighborhood are central and are actually what drives 80% of health outcomes. The great news is you don’t have to imagine this future. You can see it with your own eyes from Florida to Alaska.
You would be hard-pressed to find more challenging pre-existing community conditions when a small group of forward-looking community members became true stewards of their community. Most didn’t have an official capacity or specific training. Rather, they simply had will...a will that is based in love for their community and can endure the inevitable challenges any time one tackles a meaningful problem.
More Related Content
Similar to Health Care Status Quo Results Gallery
reply with three references H.R. 721 Mental Health Servic.docx
reply with three references
H.R. 721: Mental Health Services for Students Act of 2021
Mental Health, we hear about it all the time. Mental health is a driving force in the media, when law enforcement officers in America, engage in a critical incident, involving a subject with “Mental health problems”. Mental health continues to take countless lives, from our Military Veterans, as each day passes. Children in school experienced an extreme disrupt in their daily lives, when they were forced to stay indoors, and attend school through a screen, in the early stages of the Covid-19 Pandemic. Homelessness in America is rising, and the amount of homeless Americans with untreated mental health issues is staggering. We don’t need to see a fact sheet, read a medical journal, or test subjects in a clinical trial, to be cognizant of the amount of persons with unattended mental health disorders, in America. American children’s health should be a priority, they are our future professor’s, philosophers, engineers, doctors, free thinkers; they are the future “Us”.
The Mental Health Services for Students Act of 2021, was introduced by Congresswoman Grace Napolitano. HR 721 passed in the house on May 12th, 2021. HR 721 has 86 cosponsors (82(D) & 4(R)). Since 2001, Congresswoman Napolitano has had this program implemented into 35 schools, which has shown to be extremely helpful (Facts on the Mental Health Services for Students Act, n.d.). With low funds nationally, for on site mental health care professionals in schools, HR 721 would provide additional funding. HR 721 will provide $130,000,000 in competitive grants. The Substance Abuse and Mental Health Services Adminsitration (SAMHSA), would be delegated with distribution of funds. HR 721 would expand on
Project AWARE
, which is an educational grant.
Project AWARE
aims at educating and informing families, students, and school faculty about mental health.
Project AWARE
partners with state mental health agencies, where they train school faculty how to identify and respond to children with behavioral health issues (SAMHSA, 2020). HR 721 would expand on this program, by implementing on site mental health professionals in schools.
Personally, I support HR 721, from what I have researched thus far. The problem is, 49.4% of children in the United States did not receive treatment or counseling for a mental health disorder. (Whitley, G., 2019). According to the CDC, the third leading cause of death for adolescents aged 15-19 was suicide (CDC, 2021). Those two statistics alone, show the deprivation of resources and funding in the American school system. My husband, being a police officer, noticed a significant spike in “suicidal juvenile” calls, over the past two years. I myself, work on a occasion, at the juvenile detention facility. I have watched these children, over the past couple of years, destroy their lives due to untreated mental health illnesse.
Real food challenge workshop material
Presented at the Midwest Summit Real Food Challenge Saturday February 19, 2011, with a viewing and discussion of Unnatural Causes: Is Inequality making us sick?
Data Science and Infrastructure at Health Datapalooza 2015
Track of Data Science and Infrastructure sessions at the 2015 Health Datapalooza Organized by Niall Brennan, Chief Data Officer, Centers for Medicare & Medicaid Services and Joshua Rosenthal, PhD, RowdMap Inc. and NCHVS Data Group
Health equity coalition vision
Envisioning health equity in Hillsborough County: where we are, where we need to be and how we're going to get there.
Avatares de la reforma de salud de obama
Conferencia sobre las características de la reforma de salud propuesta por el Presidente Obama.
BRIEF REPORTScreening for Depression Among Minority Young .docx
BRIEF REPORT
Screening for Depression Among Minority Young Males Attending a
Family Planning Clinic
Ruth S. Buzi and Peggy B. Smith
Baylor College of Medicine
Maxine L. Weinman
University of Houston
The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depression among
535 African American and Hispanic young males ages 14 to 27 attending a family planning clinic. The
assessment indicated that 119 (22.2%) males met criteria for depression. The study also examined the
associations between depression, sociodemographics, and service requests. Depressed males were more
likely than nondepressed males to be Hispanic and to request services related to relationships, feelings,
financial resources, physical issues, and well-being. The findings indicated that young males who are
affected by depression have unmet needs, but when given an opportunity, are able to express those needs.
Because family planning clinics are increasing the number of male clients, they are well positioned to
screen them for depression.
Keywords: young males, depression, request for services
Major Depressive Disorder (MDD) is recognized as one of
the most common chronic conditions today. According to the
U.S. Department of Health and Human Services (2012), ap-
proximately 2 million adolescents, or 8.0% of the population
ages 12 to 17, had at least one major depressive episode during
2010. A recent report by the Substance Abuse and Mental
Health Services Administration (SAMHSA, 2012) indicates
that one in five American adults aged 18 or older, or 45.6
million, people had mental illness in the past year. The rate of
mental illness was twice as high among those 18 –25 (29.8%)
than among those aged 50 and older (14.3%).
Males experience more persistent depressive symptoms and
disorders from adolescence into adulthood than females (Dunn
& Goodyer, 2006; Colman, Wadsworth, Croudace, & Jones,
2007). Non-Hispanic African American males tend to have the
highest rates of MDD at 13.2%, followed by Hispanics or
Latinos (12.7%) and then non-Hispanic Whites (8.7%) U.S.
Department of Health & Human Services, 2012). Depression
among minority adolescents and young adults was found to be
related to stress, lack of social resources, and low socioeco-
nomic status (Brown, Meadows, & Elder, 2007). Risk factors
for African American men’s depression include economic
strain, interpersonal conflicts, and racial discrimination (Wat-
kins, Green, Rivers, & Rowell, 2006). Hispanic and African
American males also display significantly earlier onset of MDD
compared with their White counterparts (Riolo, Nguyen, Gre-
den, & King, 2005).
Despite the fact that males also suffer from depression, they
seek mental help from health care professionals less frequently
than females, which only further decreases the likelihood of
diagnosing their mental health disorders (Addis & Mahalik,
2003; Smith, Braunack-Mayer, & Wittert, 2006). Males often
feel pressured to avoid emotional expres.
Reaching the Vulnerable with Effective Health Services and Financial Protecti...
This presentation was presented by Davidson R. Gwatkin at the Prince Mahidol Award Conference (PMAC) in Bangkok, Thailand, on January 29, 2017.
BRIEF REPORTScreening for Depression Among Minority Young
BRIEF REPORT
Screening for Depression Among Minority Young Males Attending a
Family Planning Clinic
Ruth S. Buzi and Peggy B. Smith
Baylor College of Medicine
Maxine L. Weinman
University of Houston
The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depression among
535 African American and Hispanic young males ages 14 to 27 attending a family planning clinic. The
assessment indicated that 119 (22.2%) males met criteria for depression. The study also examined the
associations between depression, sociodemographics, and service requests. Depressed males were more
likely than nondepressed males to be Hispanic and to request services related to relationships, feelings,
financial resources, physical issues, and well-being. The findings indicated that young males who are
affected by depression have unmet needs, but when given an opportunity, are able to express those needs.
Because family planning clinics are increasing the number of male clients, they are well positioned to
screen them for depression.
Keywords: young males, depression, request for services
Major Depressive Disorder (MDD) is recognized as one of
the most common chronic conditions today. According to the
U.S. Department of Health and Human Services (2012), ap-
proximately 2 million adolescents, or 8.0% of the population
ages 12 to 17, had at least one major depressive episode during
2010. A recent report by the Substance Abuse and Mental
Health Services Administration (SAMHSA, 2012) indicates
that one in five American adults aged 18 or older, or 45.6
million, people had mental illness in the past year. The rate of
mental illness was twice as high among those 18 –25 (29.8%)
than among those aged 50 and older (14.3%).
Males experience more persistent depressive symptoms and
disorders from adolescence into adulthood than females (Dunn
& Goodyer, 2006; Colman, Wadsworth, Croudace, & Jones,
2007). Non-Hispanic African American males tend to have the
highest rates of MDD at 13.2%, followed by Hispanics or
Latinos (12.7%) and then non-Hispanic Whites (8.7%) U.S.
Department of Health & Human Services, 2012). Depression
among minority adolescents and young adults was found to be
related to stress, lack of social resources, and low socioeco-
nomic status (Brown, Meadows, & Elder, 2007). Risk factors
for African American men’s depression include economic
strain, interpersonal conflicts, and racial discrimination (Wat-
kins, Green, Rivers, & Rowell, 2006). Hispanic and African
American males also display significantly earlier onset of MDD
compared with their White counterparts (Riolo, Nguyen, Gre-
den, & King, 2005).
Despite the fact that males also suffer from depression, they
seek mental help from health care professionals less frequently
than females, which only further decreases the likelihood of
diagnosing their mental health disorders (Addis & Mahalik,
2003; Smith, Braunack-Mayer, & Wittert, 2006). Males often
feel pressured to avoid emotional expres ...
Chapter 1Taking Charge of Your HealthCopyright © 2016 McGr.docx
Chapter 1
Taking Charge of Your Health
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
1
CHAPTER OBJECTIVES
Describe the dimensions of wellness.
Identify major health problems in the United States today.
Describe the influence of gender, ethnicity, income, disability, family history, and environment on health.
Explain the importance of personal decision making and behavior change in achieving wellness.
List some available sources of health information and explain how to think critically about them.
Describe the steps in creating a behavior management plan to change a health-related behavior
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Wellness: New Health Goals (1)
Health: overall condition of body or mind
Wellness: optimal health and vitality
Making conscious decisions that affect risk factors
3
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Wellness: New Health Goals (2)
Dimensions of wellness:
Physical
Spiritual
Environmental
Emotional
Financial
Intellectual
Occupational
Interpersonal
Cultural
The nine dimensions of wellness are interrelated and may affect each other.
4
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
The Wellness Continuum
5
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
5
© 2012 McGraw-Hill Companies. All Rights Reserved.
Table 1.1 Examples of Qualities and Behaviors Associated with the Dimensions of Wellness
6
New Opportunities for
Taking Charge
1900s versus today
Morbidity and mortality rates
Infectious disease: a disease that can spread
from person to person
Life expectancy has nearly doubled
Impaired life
Chronic disease: a disease that develops and continues over a long period of time
7
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Public Health Achievements of the
Past Century
8
Copyright © 2016 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Leading Causes of Death in the
United States, 2011RANKCAUSE OF DEATHNUMBER OF
DEATHSPERCENTAGE OF TOTAL DEATHSLIFESTYLE FACTORS THAT PLAY A PART1Heart disease596,33923.7Diet, Inactivity, Smoking, Excessive alcohol use2Cancer575,31322.9Diet, Inactivity, Smoking, Excessive alcohol use3Chronic lower respiratory diseases143,3825.7Smoking4Stroke129,1805.2Diet, Inactivity, Smoking, Excessive alcohol ...
There Is A 90% Probability That Your Son Is Pregnant: Predicting The Future ...
Predictive: Relating to or having the effect of predicting an event or result. Analytics: The systematic computational analysis of data or statistics. Together they make up one of the most popular topics in healthcare today. But predictive analytics is a means to an ends, and there is little good in predicting an event or result without a strategy for acting upon that event, when it happens. If, as the Robert Wood Johnson Foundation recently published, 80% of healthcare determinants fall outside of the healthcare delivery system as we traditionally define it, should we focus our predictive analytics on the traditional 20% of traditional healthcare delivery, or broaden our focus to the 80% that includes social and economic factors, physical environment, and lifestyle behaviors? What if our predictive models reveal to us that the highest risk variable to a patient’s length of life and quality of life is their economic status? Can an accountable care organization and patient centered medical home realistically do anything to reduce that risk, in reaction to the predictive model? Given the current availability and type of data in the healthcare ecosystem, and our organizational ability or inability to realistically intervene, where should we focus our predictive and interventional risk management strategies? There is enormous potential value in the application of predictive analytics to healthcare, but, in contrast to predicting the weather, credit risk, consumer purchasing habits, or college dropout rates, the data collection, and social and ethical complexities of applying predictive analytics in healthcare are significantly higher. This session will explore some of the less technical, more human interest and philosophical issues, associated with predictive analytics in healthcare, including the speaker’s experience prior to healthcare, in the US Air Force, National Security Agency, and manufacturing.
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More from Dave Chase
The Future We Choose - Reestablising Health Sovereignty
Success in Alaska, Florida and Ohio points the way for our future
The Future We Choose - Health Rosetta
I have no doubt that the period we are living through will be looked at as the single biggest inflection point of our lifetimes. Every community will make an explicit decision to move forward or move further backwards.
2016: Do any of you remember what happened on March 9, 2016? Bernie/Trump; populism; economic depression; Draw on “Gone to War for Less” chapter (78% living paycheck to paycheck with most being functionally uninsured; opioid crisis; undisputed world leader’s in bankruptcy - 70% had so-called insurance). The fact is we’re already investing more than enough money to not only fund a world class hc system but fund what drives 80% of health outcomes -- what are broadly referred to as the SDoH. Today, there is a $1 trillion “tax” on the American Dream that isn’t a law...it’s a choice to accept wasted spending in hc. That “tax” would be the 15th largest economy in the world. Healthcare isn’t expensive. After all, clinicians only receive $0.27 of every $1 ostensibly spent on hc. What’s expensive is administrative bloat, price-gouging, fraud and profiteering. The result is what I’d call “hellth.”
2031: Let’s fast forward imagine a future together every community whether it’s an employer community or place-based community can focus on building what I call “wellth” that focuses on the totality of well-being. Things like a good, well-paying job, educational opportunities independent of your family history and the ability to live in a nice home in a safe neighborhood are central and are actually what drives 80% of health outcomes. The great news is you don’t have to imagine this future. You can see it with your own eyes from Florida to Alaska.
You would be hard-pressed to find more challenging pre-existing community conditions when a small group of forward-looking community members became true stewards of their community. Most didn’t have an official capacity or specific training. Rather, they simply had will...a will that is based in love for their community and can endure the inevitable challenges any time one tackles a meaningful problem.
Local 5 steps to transforming health plans
Four of the five steps are either invisible or a clear value-add for the health plan member. Why not get started restoring the American Dream?
Health Care Status Quo Results Gallery
Updated collection with more slides at https://www.slideshare.net/dchase/health-care-status-quo-results-gallery-234289014
Collection of graphics from the havoc that status quo healthcare has wreaked on the American Dream. Impacts of price gouging and profiteering.
Scott Haas USI Alternative Reimbursement Case Study Dropping Medical Spend ov...
Pacific Steel is a Great Falls, Montana based employer (ESOP) with approximately 700 employees in 9 states and over 40 locations.
Generic price spread between PBM and GoodRx
Examples of pricing differential between what big PBMs are paying (with employees' money) vs. what an individual consumer could get at the pharmacy.
HR Digest interview on opioids in the workplace
How employers can effectively prevent addiction by going upstream with proper primary care and ensuring employees only go to high quality healthcare providers.
If this was a pill, it would be the blockbuster drug of the century
Sampling of slides presented to family offices and impact investors on the opportunity to invest in healthcare system change.
Opioid Crisis Wake-up Call summary
The follow-on edition to the CEO's Guide to Restoring the American Dream. Picks up where CEO's Guide left off (on Opioid Crisis). Book designed for civic leaders (mayors, school board members, union leaders, faith & social service leaders, police/fire chiefs & civic-minded business people). For more, check out www.healthrosetta.org/wakeup-call.
Broker & Consultant Disclosure Standards for Health & Welfare Plans
Optimizing Transparency
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
NVBDCP.pptx Nation vector borne disease control program
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Light House Retreats: Plant Medicine Retreat Europe
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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
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Physiology of Special Chemical Sensation of Taste
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
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Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Health Care Status Quo Results Gallery
- 1. Status quo results gallery
- 6. 6 CATASTROPHIC MISALLOCATION OF RESOURCES HEALTHCARE SPENDING DEVASTATES SOCIAL DETERMINANTS OF HEALTH (FY01-14, STATE OF MASSACHUSETTS) ↓ 50% Local Aid ↓ 31% Public Health ↓ 22% Mental Health ↓ 14% Infrastructure, Housing & Economic Development ↓ 13% Law & Public Safety ↓ 12% Education ↓ 11% Human Services +37 %Healthcare Spending
- 7. Highly confidential. Do not share withoutpermission. 7 DEVASTATING IMPACT ON OUR KIDS
- 36. Over-prescribing enabled by status quo health plans
- 37. Over-prescribing enabled by status quo health plans
- 38. Hospital Pricing Comparison vs International
- 59. 59 “You can always count on Americans to do the right thing — after they’ve tried everything else.” Winston Churchill
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