Medicine in the Anthropocene: Modern Healthcare and the Transition to an Ecologically Viable Society
Katharine Zywert
When we think about environmental sustainability, the future of healthcare is usually not the first thing that comes to mind. The connection between health and the environment might be made at the level of basic needs: human wellbeing is inextricable
from the wellbeing of ecological systems, as we depend on them for our ultimate survival (Gibson, 2005). Or, we may be reminded of social determinants of health: the unjust
concentration of environmental destruction and pollutants among vulnerable populations (Marmot et al., 2010; McGibbon, 2012; Kronenfeld, 2013). We might also recall the consequences of environmental disasters on health, for instance in the wake of tsunamis, hurricanes, and famine caused by climate change and environmental degradation (Laboy,
Emmanuel & Goosen, 2010; Butler, 2014; Benatar & Poland, 2015). We rarely give much thought to how a global scale transition to an ecologically viable society will transform modern healthcare systems (Bednarz & Beavis, 2012).
5th International Disaster and Risk Conference IDRC 2014 Integrative Risk Management - The role of science, technology & practice 24-28 August 2014 in Davos, Switzerland
One Health networks - why should we bother?Naomi Marks
Presentation by Professor Victor Galaz of the Stockholm Resilience Institute at the One Health for the Real World: zoonoses, ecosystems and wellbeing symposium, 17-18 March 2016.
Medicine in the Anthropocene: Modern Healthcare and the Transition to an Ecologically Viable Society
Katharine Zywert
When we think about environmental sustainability, the future of healthcare is usually not the first thing that comes to mind. The connection between health and the environment might be made at the level of basic needs: human wellbeing is inextricable
from the wellbeing of ecological systems, as we depend on them for our ultimate survival (Gibson, 2005). Or, we may be reminded of social determinants of health: the unjust
concentration of environmental destruction and pollutants among vulnerable populations (Marmot et al., 2010; McGibbon, 2012; Kronenfeld, 2013). We might also recall the consequences of environmental disasters on health, for instance in the wake of tsunamis, hurricanes, and famine caused by climate change and environmental degradation (Laboy,
Emmanuel & Goosen, 2010; Butler, 2014; Benatar & Poland, 2015). We rarely give much thought to how a global scale transition to an ecologically viable society will transform modern healthcare systems (Bednarz & Beavis, 2012).
5th International Disaster and Risk Conference IDRC 2014 Integrative Risk Management - The role of science, technology & practice 24-28 August 2014 in Davos, Switzerland
One Health networks - why should we bother?Naomi Marks
Presentation by Professor Victor Galaz of the Stockholm Resilience Institute at the One Health for the Real World: zoonoses, ecosystems and wellbeing symposium, 17-18 March 2016.
Framing zoonoses: from single diseases to systemic challengesNaomi Marks
Presentation by Professor David Waltner-Toews of Veterinarians without Borders, Canada, at the One Health for the Real World: zoonoses, ecosystems and wellbeing symposium, London 17-18 March 2016
"LIMITS TO GROWTH REVISITED"; White Paper of the 2012 Winter School by the Pa...VolkswagenStiftung
A Winter School on "Limits to Growth Revisited", which was addressed to 60 young researchers of all relevant fields, took place in the week running up to the symposium. Following the event, the participants developed a "White Paper" report which shows their perspectives on the various subjects discussed within the Winter School.
How to feed the world and preserve the environmentHaulTail
Farmers bear much of the burden for growing the food to feed billions of people as the world's population continually trends upward.
But to do so, those farmers have to keep crops healthy and high-yielding. That necessitates using fertilizers and pesticides, which help crops but can have an inadvertent, negative impact on the environment.
Pollinators can be harmed. Waterways can become infiltrated with nutrient loads, killing aquatic life. Atmospheric greenhouse gases that cause climate change are increased.
On one hand, feed the world. On the other, preserve the environment.
Sylvie Brouder, a professor in the Purdue Department of Agronomy, knows it's possible to do both.
Climate, Equity and Health Insights from The Convergence PartnershipClimateHealthCx
Loel Solomon presentation of the Convergence Partnership's approach to addressing climate change in the context of its work on health, equity and economic development.
This paper argues that, despite considerable rhetoric to the contrary, privileged populations have long undermined “development”, in several ways and scales. The degree of this erosion of development has arguably increased in recent decades, although there are countering trends, especially the spread and declining cost of communication technologies including mobile phones, the internet and more recently social media.
Aid from high to low-income countries, in an attempt to reduce international inequality, has become unfashionable, and many attempts to increase fairness have instead been denigrated, with language such as the “politics of envy”.
Arguments that it is in the rational self-interest of societies and indeed of the whole world to become more equal have also had little effect, despite phenomena such as the September 11 attacks and the rise of the Islamic State, which now attracts violent idealists from many countries. Instead, high-income populations favour attempts to suppress dissidents and practice increasingly intensive and pervasive surveillance.
Finally, this paper argues that anthropogenic climate change is a manifestation of global inequality, which, unless addressed, is likely to not only make other forms of inequality worse, but even to threaten the fabric of global civilization, in combination with other stresses that reflect aspects of “planetary overload”.
References
Butler C.D. (forthcoming) Revised method makes the MDG hunger reduction goal within reach Global Food Security
Butler C.D., editor. 2014, Climate Change and Global Health. CABI, Wallingford, UK
Campbell, M., Cleland, J., Ezeh, A. and Prata, N., 2007. Return of the population growth factor. Science 315, 1501-1502.
Kelley, A.C., 2001. The population debate in historical perspective : revisionism revised. In: N. Birdsall, A.C. Kelley and S.W. Sinding (eds.), Population Matters : Demographic Change, Economic Growth, and Poverty in the Developing World. Oxford University Press, Oxford ; New York, pp. 24-54.
McMichael, A.J. 1993, Planetary Overload, Cambridge University Press, Cambridge UK
Freire, P. 2006, Pedagogy of the Oppressed, 30th Anniversary edition, Continuum, New York, USA.
This is the presentation of Matthias Braubach at the event "Enabling nature-based health and social care through Knowledge Alliances" of the 1st Decemeber 2021.
This event was jointly organized by Green4C and Connecting Nature. Learn more about the event here:
https://www.greenforcare.eu/news/green-care-knowledge-alliances/
Eudaimonic Flourishment through Healthcare System Participation in Annotating Electronic Health Records
Peter Pennefather, West Suhanic, Katie Seaborn, Deb Fels
Laboratory of Collaborative Diagnostic, Lesley Dan Faculty of Pharmacy, UofT Inclusive Media Design Centre, Rogers School of Management, Ryerson U
If the Food System Creates Conditions for People to be Nourished
Nourishment is the Output of that System
If The Public Health System Creates Conditions for People to Flourish
Flourishment is the Output of that System
Also
if The Food System is to be Regulated, Nourishment Needs to be Recorded, Accounted and Analyzed. If the Public Health System is to be Regulated, Flourishment Needs to be Recorded, Accounted and Accounted
Karen Oikonen, Paul Holyoke, Katherine Rizzi, Barry Stephenson, & Pam Sethi: The Reflection Room: Shifting from death-avoiding to death-discussing.
Thinking about dying and death is something we tend not to do, and those who promote Advance Care. Planning for the health care in our last days, hours and minutes would like us to do more. However, planning requires us to think about how we want to live our
final days and then share those wishes with others. This research proposes the question: How might we use human-centred design and qualitative research to go from being a death-avoiding society to a death discussing society?
Human beings are storytellers. Understanding complex
challenges through narrative builds empathy. Stories
also trigger the imagination for future possibility. We
propose that providing places for storytelling — and
places for reading the stories of others — might trigger
more thinking and break through the social complexity
that can be a barrier to discussing dying and death.
As part of a year-long research project, we are creating
“Reflection Rooms” – both short-term physical spaces
across Canada and an online website – where people
are invited to write their stories about dying and death
and read the stories of others. We will share emerging
Anticipatory Factors in Dialogic Design ISSS 2016Peter Jones
Applications of the systemic practices of dialogic design (Structured Dialogic Design and it variants) have recently developed and integrated futures and foresight models as anticipatory frameworks for policy and long-term planning situations (Weigand, et al, 2014). We have identified this model of practice as collaborative foresight, reflecting the perspective from practice that futures literacy must be considered an essential complement to multi-stakeholder deliberation where complex and competing interests are considered in planning and decision making. This study proposes approaches to advancement in science and practice that integrate essential properties of collective anticipatory modelling for design decisions.
Scientific principles for dialogic design have been developed and practiced over the course of nearly 50 years of developmental evolution, following Warfield’s (1986) Domain of Science Model (DoSM) and Christakis’ (2006, 2008) research extending the DoSM. One of the key principles in the DoSM refers to the recursive learning necessary to develop systemic practices, a second-order (deutero) learning process as noted in Warfield’s DoSM cycle. The standard model requires warranted claims to be evaluated from their testing in the Arena of real-world practice and reflective learning in order to advance new theory for inclusion in the accepted Corpus (theory supported by accepted evidence).
Recent developments from practice following from advanced design and strategic foresight theory lend support for progressing the models of dialogic design to explicitly entail methods of design and futuring within the historical model of dialogue. The observation driving this proposal can be summarized as “participants in collective designing efforts are likely to fail in their expected outcomes if they do not facilitate the requisite anticipation of future complexity in their domain of action.” Simply put, people will make significantly better plans and policies together if they can develop competency in futures thinking and share their understanding with one another.
Framing zoonoses: from single diseases to systemic challengesNaomi Marks
Presentation by Professor David Waltner-Toews of Veterinarians without Borders, Canada, at the One Health for the Real World: zoonoses, ecosystems and wellbeing symposium, London 17-18 March 2016
"LIMITS TO GROWTH REVISITED"; White Paper of the 2012 Winter School by the Pa...VolkswagenStiftung
A Winter School on "Limits to Growth Revisited", which was addressed to 60 young researchers of all relevant fields, took place in the week running up to the symposium. Following the event, the participants developed a "White Paper" report which shows their perspectives on the various subjects discussed within the Winter School.
How to feed the world and preserve the environmentHaulTail
Farmers bear much of the burden for growing the food to feed billions of people as the world's population continually trends upward.
But to do so, those farmers have to keep crops healthy and high-yielding. That necessitates using fertilizers and pesticides, which help crops but can have an inadvertent, negative impact on the environment.
Pollinators can be harmed. Waterways can become infiltrated with nutrient loads, killing aquatic life. Atmospheric greenhouse gases that cause climate change are increased.
On one hand, feed the world. On the other, preserve the environment.
Sylvie Brouder, a professor in the Purdue Department of Agronomy, knows it's possible to do both.
Climate, Equity and Health Insights from The Convergence PartnershipClimateHealthCx
Loel Solomon presentation of the Convergence Partnership's approach to addressing climate change in the context of its work on health, equity and economic development.
This paper argues that, despite considerable rhetoric to the contrary, privileged populations have long undermined “development”, in several ways and scales. The degree of this erosion of development has arguably increased in recent decades, although there are countering trends, especially the spread and declining cost of communication technologies including mobile phones, the internet and more recently social media.
Aid from high to low-income countries, in an attempt to reduce international inequality, has become unfashionable, and many attempts to increase fairness have instead been denigrated, with language such as the “politics of envy”.
Arguments that it is in the rational self-interest of societies and indeed of the whole world to become more equal have also had little effect, despite phenomena such as the September 11 attacks and the rise of the Islamic State, which now attracts violent idealists from many countries. Instead, high-income populations favour attempts to suppress dissidents and practice increasingly intensive and pervasive surveillance.
Finally, this paper argues that anthropogenic climate change is a manifestation of global inequality, which, unless addressed, is likely to not only make other forms of inequality worse, but even to threaten the fabric of global civilization, in combination with other stresses that reflect aspects of “planetary overload”.
References
Butler C.D. (forthcoming) Revised method makes the MDG hunger reduction goal within reach Global Food Security
Butler C.D., editor. 2014, Climate Change and Global Health. CABI, Wallingford, UK
Campbell, M., Cleland, J., Ezeh, A. and Prata, N., 2007. Return of the population growth factor. Science 315, 1501-1502.
Kelley, A.C., 2001. The population debate in historical perspective : revisionism revised. In: N. Birdsall, A.C. Kelley and S.W. Sinding (eds.), Population Matters : Demographic Change, Economic Growth, and Poverty in the Developing World. Oxford University Press, Oxford ; New York, pp. 24-54.
McMichael, A.J. 1993, Planetary Overload, Cambridge University Press, Cambridge UK
Freire, P. 2006, Pedagogy of the Oppressed, 30th Anniversary edition, Continuum, New York, USA.
This is the presentation of Matthias Braubach at the event "Enabling nature-based health and social care through Knowledge Alliances" of the 1st Decemeber 2021.
This event was jointly organized by Green4C and Connecting Nature. Learn more about the event here:
https://www.greenforcare.eu/news/green-care-knowledge-alliances/
Eudaimonic Flourishment through Healthcare System Participation in Annotating Electronic Health Records
Peter Pennefather, West Suhanic, Katie Seaborn, Deb Fels
Laboratory of Collaborative Diagnostic, Lesley Dan Faculty of Pharmacy, UofT Inclusive Media Design Centre, Rogers School of Management, Ryerson U
If the Food System Creates Conditions for People to be Nourished
Nourishment is the Output of that System
If The Public Health System Creates Conditions for People to Flourish
Flourishment is the Output of that System
Also
if The Food System is to be Regulated, Nourishment Needs to be Recorded, Accounted and Analyzed. If the Public Health System is to be Regulated, Flourishment Needs to be Recorded, Accounted and Accounted
Karen Oikonen, Paul Holyoke, Katherine Rizzi, Barry Stephenson, & Pam Sethi: The Reflection Room: Shifting from death-avoiding to death-discussing.
Thinking about dying and death is something we tend not to do, and those who promote Advance Care. Planning for the health care in our last days, hours and minutes would like us to do more. However, planning requires us to think about how we want to live our
final days and then share those wishes with others. This research proposes the question: How might we use human-centred design and qualitative research to go from being a death-avoiding society to a death discussing society?
Human beings are storytellers. Understanding complex
challenges through narrative builds empathy. Stories
also trigger the imagination for future possibility. We
propose that providing places for storytelling — and
places for reading the stories of others — might trigger
more thinking and break through the social complexity
that can be a barrier to discussing dying and death.
As part of a year-long research project, we are creating
“Reflection Rooms” – both short-term physical spaces
across Canada and an online website – where people
are invited to write their stories about dying and death
and read the stories of others. We will share emerging
Anticipatory Factors in Dialogic Design ISSS 2016Peter Jones
Applications of the systemic practices of dialogic design (Structured Dialogic Design and it variants) have recently developed and integrated futures and foresight models as anticipatory frameworks for policy and long-term planning situations (Weigand, et al, 2014). We have identified this model of practice as collaborative foresight, reflecting the perspective from practice that futures literacy must be considered an essential complement to multi-stakeholder deliberation where complex and competing interests are considered in planning and decision making. This study proposes approaches to advancement in science and practice that integrate essential properties of collective anticipatory modelling for design decisions.
Scientific principles for dialogic design have been developed and practiced over the course of nearly 50 years of developmental evolution, following Warfield’s (1986) Domain of Science Model (DoSM) and Christakis’ (2006, 2008) research extending the DoSM. One of the key principles in the DoSM refers to the recursive learning necessary to develop systemic practices, a second-order (deutero) learning process as noted in Warfield’s DoSM cycle. The standard model requires warranted claims to be evaluated from their testing in the Arena of real-world practice and reflective learning in order to advance new theory for inclusion in the accepted Corpus (theory supported by accepted evidence).
Recent developments from practice following from advanced design and strategic foresight theory lend support for progressing the models of dialogic design to explicitly entail methods of design and futuring within the historical model of dialogue. The observation driving this proposal can be summarized as “participants in collective designing efforts are likely to fail in their expected outcomes if they do not facilitate the requisite anticipation of future complexity in their domain of action.” Simply put, people will make significantly better plans and policies together if they can develop competency in futures thinking and share their understanding with one another.
Birger Sevaldson www.systemsorienteddesign.net
RSD5 Symposium Systemic Design for Social Complexity
Systems Oriented Design (SOD) is a dialect in the emerging field of Systemic Design. It is maybe the most designerly and practice oriented approach. The red blurry dot in the diagram below shows SOD being off center, closer to design and closer to practice.
Jabe Bloom and Ahmed Ansari
TEMPORALLY INFORMED TRANSITION DESIGN
COMPLEX TEMPORAL DESIGN
Interconnected and interdependent
‘systems problems’, exist at multiple levels
of scale within the social and environmental spheres
[Designers need to] understand
how to work iteratively, at multiple
levels of scale, over long horizons of time
Design has a key role to play in societal
transitions to more sustainable futures
This paper is based on the deliberations and recommendations of the World Health Assembly (See Assembly document WHA61/14 and resolution WHA61.19), and WHO Executive Board Resolutions EB124.R5 on Climate Change and Health, as well as the World Health Day report on Climate Change and Health (http://www.who.int/world-health-day/previous/2008/en/index.html).
An invited presentation as part of the International Association of Catholic Bioethicists series on Ethics and Pandemics. The series of recordings can be found here https://iacb.ca/web-discussions/
Linking Long-Term Care and Healthcare Facilities: Examining Typologies, Cultu...Erin K. Peavey
Texas A&M University. 2006. Independent Study in Healthcare Design with Dr. Susan Rodiek.
The goal of this project is to explain the way in which healthcare (HC) and longterm care (LTC) facilities share significant attributes and are evolving on parallel paths. A review of the literature reveals a lack of documentation recognizing the commonalities of HC and LTC facilities. This paper will call attention to the similarity between HC and LTC facilities by reviewing facility types and examining design features common to both. Additionally, it reviews the major factors that tend to influence how the culture of these facilities is hanging. This paper is limited to what appear to be the most important and diverse aspects that link the HC and
LTC facility design fields.
Health promotion module
the WHO Global Health Promotion Conferences have established and developed the global principles and action areas for health promotion. Most recently, the 9th global conference (Shanghai 2016), titled ‘Promoting health in the Sustainable Development Goals: Health for all and all for health’, highlighted the critical links between promoting health and the 2030 Agenda for Sustainable Development. Whilst calling for bold political interventions to accelerate country action on the SDGs, the Shanghai Declaration provides a framework through which governments can utilize the transformational potential of health promotion.
In July 2014, experts from public, private and research sectors met at the Rockefeller Foundation's "Planetary Health" summit to explore ways to better value ecosystems today to ensure their healthy existence tomorrow.
population medicine has been referred to as hygiene, public health, preventive medicine, social medicine or community medicine. All these aim for promotion of health and prevention of disease.
The emerging challenges within the area of Secure Livelihoods were covered in a recent collaboration between the Foundation and Accenture Development Partnerships and included in the recently-released Accenture report, “A Critical Scan of Four Key Topics for the Philanthropic Sector.”
Being Tuned into the Fiscally Constrained Hydraulic Health System of the Futu...MaRS Discovery District
A hydraulic system uses a series of valves to control a fixed amount of fluid based on changing demands in the system. Health systems are rapidly becoming hydraulic at the international level. For this reason, health systems will increasingly depend on innovations that decrease hospital admissions and that displace alternatives to existing technologies based on cost advantages, improved patient outcomes and/or system-wide efficiencies. Evidence will become the lens through which health systems make choices and will assume significantly greater importance than meeting regulatory requirements.
The discussion will include examples of how this has played out recently and where this is heading, particularly as this relates to information technology, genetics and diagnostics. Ontario is taking the lead in changing the application of evidence to align more closely with innovators pre-market and mitigate the risk to adoption in a future innovation-driven health system.
The talk should be of particular interest to innovators and the industry in general, and those involved in IT, genetics and diagnostics.
Managing the Health Effects of Global Warming
`
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
a brief history of (product) design
my involvement in human-centered design
history and key concepts of cybernetics
criticality
current algorithmizations
facing current algorithmizations
uncritical cybernetics
criticality cybernetics
uncritical design
critical design
critically intervening in the ecology of artifacts
some propositions of a design discourse to face complex systems responsibly
Peter Jones, Smriti Shakdher, Prateeksha Singh
Clinical Synthesis Map: Cancer Care Pathways in Canadian Healthcare
Jones PH, Shakdher S and Singh P. Systemic visual knowledge translation for breast and colorectal cancer research. Current Oncology 2017 (in press).
The Clinical Map visually represents breast and colorectal cancer processes across Canadian provincial and territorial systems. A roadmap metaphor illustrates a system-wide view of patient flow across the stages of cancer care. Green “road signs” identify clinical cancer stages across the roadmap: Pre-Diagnosis, Peri-Diagnosis, Diagnostic Interval, Diagnosis, Treatment, Rehabilitation, After Care, and Survivorship (with Palliative Care expressed as an end point). The visual metaphor of seasonal trees visually connects these stages to the patient’s cancer journey from pre-diagnosis (summer) through treatment (winter), followed by new growth (spring) in survivorship.
The levels of primary, secondary and tertiary care guide the vertical dimension. Information and communications technology reaches across levels and stages, but is shown disconnected from primary care. The road-like pathways are colour-coded where experts differentiated care pathways between breast cancer (pink) and colorectal (blue). Where not distinguished (white), the pathways indicate current practices shared across the cancer journeys.
Yellow navigation signs indicate cancer events across primary care pathways. Starting with Prevention and ending with Long-term Care, these events show points for primary care continuity during cancer treatment. A parallel path below the stages indicates where some patients may also employ complementary or alternative therapies.
Significant areas of complexity generalized across cancer care are revealed in peri-diagnosis and the diagnostic interval pathways. A patient can be screen-detected (and then present to a family physician, shown in the breast cancer pathway) or may be initially diagnosed in primary care (white pathway). The circular pathways in the diagnostic cycle suggest multiple possible tests within primary care. With a primary care diagnosis, patients are referred and flow to secondary/tertiary cancer care. The stages of intake, biopsy, pathology, and confirmed diagnosis are shown, and the complex pathways of cancer treatment, shown on the map in a typical (not definitive) order of surgery, radiation/chemotherapy, and continuing treatment through assessment of outcome.
By Peter Stoyko
Complex systems are difficult to understand without the
aid of visuals. There are too many moving parts to mentally
keep track of. The parts interact in too many ways. The whole
system is cognitively overwhelming insofar as it cannot be
absorbed in one go without the aid of an external reference.
That is partly due to humans' inability to juggle more than
a few complicated ideas in working memory at one time.
Thus, visuals are a simplifying and organizing device that
complements the way human naturally think if they are
designed well. This poster is an early glimpse of a larger
project (called SystemViz) that explores what it means to
design such visuals well.
Sine Celik Jo Van Engelen, Han Brezet, Peter Joore, Linda Wauben
Managing Creativity: Oxymoron or Necessity?
An analysis of social networks for enhancing regional creative output
Swayang Das, Beda Prakash Das, Sushant Arya and Praveen Nahar
Democratizing Social Innovation: Establishing the platform of Internet of Things in India through Systemic Design Thinking and Design
Paul McArthur, Jerry Koh, Vani Jain and Mali Bain
System Insights from ‘WellAhead’: A Social Innovation Lab Approach to Advance the Prioritization and Sustained Integration of Student Social and Emotional Wellbeing in K-12 Schools:
Tareq Emtairah, Helen Avery and Khaldoon Mourad
Visioning Labs with displaced academics as a design strategy for sustainable post-conflict reconstruction
- 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
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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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).
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Katharine Zywert: Medicine in the Anthropocene: Modern Healthcare and the Transition to an Ecologically Viable Society
1.
2. 2
Medicine in the Anthropocene: Modern Healthcare
and the Transition to an Ecologically Viable Society
1. The Anthropocene
2. The Problem Context
3. Transformation in Socio-Ecological Systems
4. Building Alternatives: Minimum Specifications
5. Building Alternatives: Wicked Dilemmas
6. Case Studies: Transition Design, Salutogenic Design
Katharine Zywert, PhD Student, University of Waterloo, kzywert@uwaterloo.ca
3. 3
The Anthropocene
Charts: Steffen, W., Broadgate, W., Deutsch, L., Gaffney, O., Ludwig, C. 2015. “The Trajectory of the Anthropocene: The Great Acceleration.” The
Anthropocene Review January.
5. 5
The Problem Context: Medicine in the Anthropocene
Declining Resource and Energy Flows
The End of Economic Growth
Vulnerability to Rapid Losses
of Social Complexity
Geopolitical Conflict
Extinction of Medicinal
Plant Species
Changing Ecologies of Disease
Aging Demographics
Crisis of the Welfare State
The Rise of Diseases of
Modernity
Individualization
Ecosyndemics
Climate Change
Risk Society
Ecology
Political Economy
Society
Environmental Destruction
Mass Migration
7. 7
Building Alternatives: Minimum Specifications for
Redesigning Health Systems (Global Scale)
1. Decrease the energetic and material throughput of modern medicine
2. Extract the best of modern medicine from reliance on industrial production,
consumption, and distribution
3. Re-embed aspects of healthcare in networks of family and community reciprocity
4. Move away from individualism in medicine to incorporate broader recognition of the
interdependence of social and ecological wholes at multiple scales
5. Leverage disruptive technologies and ontologies
8. 8
Strategies: Economic Degrowth
• Redefine the purpose of the economy
from generating growth to supporting
human wellbeing.
• Care and health anchor a new labour-
intensive, prosumption-oriented economy
• From curing to prevention and care
• Care provides an enduring basis for self-
esteem and status
9. 9
Strategies: Transition Design
“[T]he future with less oil could be preferable to the present, but only if sufficient
creativity and imagination are applied early enough in the design of this transition”
– Hopkins, 2008
“Transition Design focuses on the
need for ‘cosmopolitan localism’, a
place-based lifestyle in which
solutions to global problems are
designed to be appropriate for local
social and environmental
conditions.”
- Irwin et al., 2015
10. 10
Strategies: Salutogenic Design
• Embeds preventative health into the structure of
social institutions and the built environment
• Ecological architecture restores the environment
• Urban design promotes healthy behaviour
• Principles of design used to reduce the burden of
disease
• Enhanced by social innovation, which introduces
novel processes, behaviours, and beliefs
12. 12
Medicine in the Anthropocene: Modern Healthcare
and the Transition to an Ecologically Viable Society
Katharine Zywert, PhD Student, University of Waterloo
kzywert@uwaterloo.ca
www.medicineintheanthropocene.tumblr.com
Supervisors: Dr. Stephen Quilley & Dr. Jennifer Lynes
Editor's Notes
In this talk, I want to bring us first out of our local contexts, so that the systems lens we’re looking through observes the planet on the scale of geological time. It is from this vantage point that I want us to think about health systems.
To do this, I will introduce the idea of the Anthropocene, then outline the problem context for my research, which investigates how the dynamics of this new epoch will affect human health. I will then discuss the large-scale social-ecological transformations we will face in the coming decades and propose what I think are the minimum specifications for redesigning health systems to address these challenges. Next I will consider some of the ways that design is addressing the tensions of the Anthropocene, through degrowth economics, transition initiatives, and the salutogenic design movement.
The Anthropocene is an emerging scientific term for our current geological age. It marks a profound break with the Holocene epoch, a phase of climate stability which humanity has enjoyed since the end of the last ice age.
With the industrial revolution, humanity created the mechanisms of mass production and consumption, and consequently began to exert a stronger influence on the biosphere. Since 1950, there has been a tremendous speeding up of the impacts of human economic activity on the function of planetary systems (Steffen et al., 2015). These graphs from Steffen et al. show this “great acceleration” and demonstrate how growth in human population, GDP, and energy use are coupled with a rise in carbon dioxide concentration in the atmosphere, surface temperature, and ocean acidification. These and other effects of the growing human socio-economic sphere have produced the environmental signatures of the Anthropocene, including global warming, altered weather patterns, crashing biodiversity, and rising levels of pollution.
The social-ecological dynamics of the Anthropocene will profoundly disrupt human health systems. I’m going to give a few specific examples of the changes that are already occurring. As we destroy massive tracts of tropical rainforest, we are causing the extinction of medicinal plant species. As the climate warms, ecologies of disease are shifting. Disease vectors like mosquitoes and ticks are migrating into more temperate regions. New drug-resistant infectious diseases are emerging. At the same time, chronic diseases like cancer, diabetes, and dementia are rising as a result of people living longer, more sedentary lives. Fast, cheap global transportation networks have dramatically increased the risk of pandemics sweeping through geographically distant populations. There is an epidemic of depression and anxiety in affluent countries, especially affecting young people. Among people in regions directly disturbed by climate change, we are seeing a rise in conditions known as ecosyndemics, clusters of illnesses caused by pollution and exacerbated by vulnerabilities such as entrenched poverty and lack of access to primary health services.
In spite of the seriousness of these challenges, I propose that the greatest risks to health systems in the Anthropocene actually lie outside the formal domains that we usually associate with health. Instead, they exist in the broader interconnection between planetary ecology, political economy, and society.
The key variables likely to transform health systems in the coming decades are not aging demographics and antibiotic resistance, but declining resource and energy flows, the end of economic growth, and increasing vulnerability to rapid losses of social complexity.
Declining resource and energy flows. We have already passed peak production of many nonrenewable resources that industrial capitalist societies rely on for continued economic and technological growth. This means that if we are to avoid catastrophic climate change, the material and energetic inputs into all sectors of the economy, including healthcare, will have to be reduced. Declining inputs will make themselves felt at the same time as aging populations in affluent countries and growing populations in the global South put increasing pressures on existing healthcare systems.
The end of economic growth. Evidence from ecological economics and natural sciences suggests that economic growth and environmental sustainability are irreconcilable. Attempts to increase efficiency or to redirect growth to the green economy have not resulted in absolute reductions of material or energy use at a global scale. Projections of potential future efficiency gains offer little hope of continuing to expand the market economy while accomplishing sustainability goals, and projections suggest that economic activity would have to be taking carbon out of the atmosphere by 2100 to stay within safe levels.
Vulnerability to rapid losses of social complexity. Complex systems theories coupled with historical studies of civilizations such as the Romans and the Maya suggest that increased connectivity and social complexity require ever-expanding material and energy inputs that, when they can no longer be acquired, can precipitate societal collapse. The degree of integration of elements in a complex system has a strong effect on its rigidity and vulnerability. Highly connected systems like our current globalized society are particularly vulnerable to tipping into a phase of creative destruction (for an ecological metaphor, think forest fire in a mature forest). Creative destruction is devastating to the established order, but also releases resources that have been tied up in the existing system to be used in new ways. Health systems will be dramatically affected by any broad-scale social collapse that, for instance, curtails industrial production of medical technologies and pharmaceuticals or that limits their international distribution.
We cannot respond to these issues with incremental change. To address these problems will require that we wean our societies away from their dependence on fossil fuels and economic growth. For those of us concerned with the future of health systems, we are looking at a global-scale transformation, not only our institutional structures, but of our conceptual models of health, illness, and care.
If we are going to talk about redesign at this scale, it is helpful to use models from systems thinking and resilience studies.
This diagram, which you have probably seen before, is a way of conceptualizing change in complex systems.
Here, large-scale change, affecting the function of the system, can be visualized as a transition between alternative steady states or “basin[s] of attraction” (Walker & Salt, 2012, p. 6). In this model, the ball represents the state of the system, and is pulled toward the bottom of a valley, representing a position of relative stability (Walker & Salt, 2012, p.6; Walker et al., 2004; Homer-Dixon, 2006; Westley et al., 2011). The ball will change positions within the basin in response to external conditions. Complex adaptive systems usually have a limited number of influential variables with a disproportionately strong effect on the overall pattern of feedbacks in the system (Meadows, 2008). Regime-level change can occur if these variables are pushed past a particular range, causing them to cross thresholds beyond which the system flips into an entirely new systemic structure and function (Walker & Salt, 2006, 2012; Holling, 2001; Westley et al., 2011).
The deep basin of attraction that we are currently in is the steady state associated with industrial consumer capitalism. Some of its key variables include the rate of economic growth, the availability of cheap energy, and a high degree of social complexity sustained by high material and energetic throughputs. In healthcare, this system has been positive in many ways. Over the past two hundred years, we have seen many improvements in population-level health outcomes such as lower infant mortality, higher life expectancy, control of infectious disease, treatment of chronic illness. We have also witnessed the expansion of primary care and the development of medical expertise, pharmaceuticals, and medical technologies.
However, the dynamics of the Anthropocene are putting pressure this system’s these key variables, making it more and more likely that it will flip into a new basin of attraction.
If this happens, the ball is likely to roll along the path of least resistance, in this case winding up in an undesirable basin of attraction. We can witness this effect by looking at areas of the world that have experienced social and economic crises. For instance, the economic crisis in Greece has caused extreme shortages of medical supplies, pharmaceuticals, and access to doctors and nurses. Due to mass unemployment, twenty-five percent of the population lost universal healthcare coverage. Serious illnesses are diagnosed late when they are more resistant to treatment, and there has been a resurgence of infectious disease including malaria and TB (Chrisafis, 2015; Bednarz & Beavis, 2012). In Syria, healthcare services have become a target for military strikes, with over 700 healthcare workers killed and 300 medical facilities bombed since 2011. Hospitals are frequently operating without standard medical technologies such as CT scanners, and must sometimes treat patients without access to electricity, water, or fuel (Singh, 2015).
These examples demonstrate that in the face of external pressures, our health systems lack adaptive capacity and quickly flip into an undesirable state where they are unable to adapt to resource and energy shortages, where they increasingly limit access for those unable to pay, and where we see the collapse of high-overhead, highly complex infrastructures, all of which results in declining population-level health outcomes.
Avoiding the path of least resistance on a global scale involves developing niche alternatives that together deepen a desirable basin of attraction for health systems. Nurturing alternatives helps to carve out pathways that make it more likely for the system to tip towards these new structures when pressures accumulate in the dominant regime.
Minimum specifications are a simple set of rules to shape action in the future. I suggest that health systems in the Anthropocene will need to adapt in ways that take into account these five considersations:
Find ways to decrease the energetic and material throughput of modern medicine
Extract the best of modern medicine from reliance on industrial production, consumption, and distribution
Re-embed aspects of healthcare in networks of family and community reciprocity, shifting the pool of resources for health and care activities from financial to social capital,
Move away from individualism in medicine to incorporate broader recognition of the interdependence of social and ecological wholes at multiple scales
Leverage disruptive technologies like 3D printing for manufacturing medical equipment, and ontologies that, for instance, reincorporate the human capacity for ritual and reconceptualize death and other milestones in the lifecourse.
The degrowth movement represents an attempt to redefine the purpose of the economy from creating growth to generating human wellbeing (van den Bergh, 2011 as cited in Walker & Salt, 2012, p. 163; Latouche, 2006; Beddoe et al., 2009; Jackson, 2009; Schneider, Kallis, & Martinez-Allier, 2010). Degrowth theorists seek to develop a functional economy that can operate within biophysical limits and prioritize social justice (Demaria et al., 2013; Schneider, Kallis, & Martinez-Allier, 2010; Kosoy et al., 2012).
The degrowth movement assumes that wellbeing is not wholly dependent on material consumption, but that as consumption and production go down, the amount of time available for pursuing leisure activities and participating in networks of interpersonal reciprocity rise, improving life satisfaction beyond levels enjoyed in growth economies (Jackson, 2009; Victor, 2011; Kallis, Kerschner, & Martinez-Allier, 2012).
Degrowthers propose that the transition to a post-growth political economy is possible by scaling back industrial production and consumption, decomplexifying socioeconomic institutions, relocalizing economies, and reorienting work toward service and caring professions (Jackson, 2009).
In a degrowth economy, care, education, health, and environmental restoration provide meaningful opportunities for employment and anchor a new labour-intensive, prosumption-oriented economy.
In terms of redesigning health systems, the degrowth movement advocates for shifting resources from curing to prevention and freeing up people’s time and energy to create full family and community lives that are imbued with a sense of purpose, meaning, and fulfillment.
Care activities serve a pivotal role in degrowth politics, and are seen as one of the ways to temper the excesses of mass consumption, as caring for others provides a more enduring basis for self-esteem and status than consumer goods.
Degrowth policies would also release resources from unnecessary positional spending, redirecting limited financial resources towards basic goods like education and health.
The transition town movement began in the UK, spearheaded by the community of Totnes in the UK, which became concerned about peak oil and climate change and created a community-led response.
Transition initiatives are community-based projects that build local resilience for a future without oil. They are organized around the goals of economic relocalization, developing decentralized, renewable energy infrastructure in preparation for energy descent, reskilling to provide for basic needs locally, invigorating local food production, developing local currencies, and cultivating local medicinal capacities. Transition designers create solutions that are intended to generate outcomes over long time horizons and at multiple scales, increasing the resilience of local communities while relieving pressures at the global scale.
The transition movement insists that “the future with less oil could be prefereable to the present, but only if sufficient creativity and imagination are applied early enough in the design of this transition”
The transition town vision for health systems includes:
Networks of local healthcare centers which both treat illness and promote health in diverse ways.
Health is integrated into other community institutions like schools and community gardens, and actively engage young people, who receive education in nutrition and herbalism at school.
Wellbeing of the individual is perceived to be inseparable from the health of the community.
A substantial amount of medicines are sourced locally, with farmers growing medicinal plants local laboratories established to process medications.
There is greater integration of complementary modalities alongside the biomedical model, with doctors able to prescribe treatments like work in community gardens to improve mental health.
Stress-related illnesses and depression are reduced through access to meaningful work and greater integration into community.
They also advocate for enhanced remote medical testing and monitoring through telemedicine and online services.
Salutogenesis means focusing on factors that promote health, as opposed to pathogenesis, factors that cause disease. Salutogenic design embeds preventative healthcare into the structure of social institutions and the built environment.
Principles of salutogenic design include creating infrastructures that support human health and avoid disease through, for instance, ecological architecture that purifies the air and water, grows healthy food, and restores environments, or urban design that promotes physical activity and other healthy behaviours. In this approach, design is used to reduce the burden of disease, averting downstream costs for health systems (Dilani, 2015).
One of the most significant aspects of the salutogenic approach is that it incorporates recognition of the importance of the social and ecological context for maintaining human health. It also attends to physical health through the design of ergonomic, non-toxic spaces, mental health by facilitating personal control, reducing anxiety, and furnishing aesthetic and spiritual elements, and social health by enabling access to community networks.
Before concluding, I want to say one more thing about the innovation space that is opening up as a result of the pressures of the Anthropocene. Sociologically, premodern and modern societies are characterized by a series of dichotomies. I should clarify here that the term premodern society as I am using it refers to societies that have not gone through a process of modernization through industrialization, integration of a formal market economy, and globalization. With degrowth, the transition town movement, and aspects of salutogenic design, we may be looking at a future that embodies an alternative kind of modernity that is not premised on mass consumption, cheap energy, and extreme levels of social complexity. We could be looking at a future where our needs are produced locally, where we live in more tightly knit communities, where our economic and cultural activities are more embedded in place, and where the meaning we derive from life is more closely bound to our communities. This opens up space to reimage things like health and illness, care and community obligation, the meaning of death and other milestones in the lifecourse, the role of ritual, and the subject of healing from individuals to social and ecological wholes.
Right now, our health systems appear to be hurtling along the path carved out by the medicine of our industrial capitalist, highly complex society. This medicine is technological, with a leading edge in novel gene therapies, nanomedicine, robotic surgical techniques, and wearable technologies. It cures individuals, extends the lifespan, and enshrines health as a human right. But there is also another kind of medicine that humans have wielded for thousands of years. This is the medicine of place-bound communities in a resource constrained world; it is embodied, ritualistic, invested with cultural significance, and community-centric rather than individualized. It engages the age-old, innate human capacity to imbue life with meaning, to care for each other, and to heal using the pharmacopeias that we have on hand, those of local medicinal plants and the abilities of human consciousness.
The innovation space opening up in the Anthropocene offers not a return from one to the other, but an opportunity to intentionally design an integration that can serve as the basis for health systems in an alternative modernity, one that is ecologically viable at the global scale.