HR Digest interview on opioids in the workplace
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How employers can effectively prevent addiction by going upstream with proper primary care and ensuring employees only go to high quality healthcare providers.
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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.
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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.
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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
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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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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
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
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.
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