Overuse and inappropriate use of antibiotics is a major public health concern in the US according to the Centers for Disease Control and Prevention (CDC), making it more difficult for physicians to easily treat many infections.
This document summarizes a systematic review of 146 studies on determinants of adherence to antiretroviral therapy (ART) among HIV-positive adults in sub-Saharan Africa. The main findings were:
1) Main determinants of non-adherence included use of alcohol, male gender, use of traditional medicine, dissatisfaction with healthcare, depression, stigma, and poor social support.
2) Promoters of adherence included counseling, education, memory aids, and disclosure of HIV status.
3) Determinants of health status had conflicting effects on adherence.
This editorial commentary discusses a study that assessed the impact of provider expertise on quality of HIV care. The study found that patients treated by providers with low HIV patient volumes (<20 patients) had poorer outcomes compared to patients treated by more experienced providers. While HIV treatment has improved, making the disease potentially manageable by generalists, this study suggests that HIV infection should still be considered a disease best managed or co-managed by experts, due to the importance of maintaining high quality care.
Health News Coverage: Just How Bad It Is, Why It Matters, and What Doctors Ca...Ivan Oransky
The document summarizes research on the quality of health news coverage and discusses why improving coverage matters and what doctors can do to help. Key findings include:
- Many news stories do not adequately report on the benefits and risks of medical treatments, tests, and drugs or mention costs.
- For many groups, media and doctors are the top sources of health information, so inaccurate coverage can influence health behaviors.
- Doctors can help by developing relationships with reporters, answering questions, reviewing press releases, and providing context on new studies through their own blogs or comments to reporters.
Adherencia al tarv en am latina y caribeRosa Alcayaga
This systematic review and meta-analysis examined adherence to antiretroviral therapy (ART) among people living with HIV in Latin America and the Caribbean. The analysis included 53 studies published between 2005-2016 involving over 22,000 individuals across 25 countries. The overall adherence rate was estimated to be 70%, similar to rates in high-income regions. Adherence was higher with shorter recall periods and in lower income countries. Common barriers to adherence included substance abuse, depression, unemployment and pill burden. The review suggests adherence in the region may be below the level needed for long-term viral suppression.
The document discusses providing fair health to African Americans through community health fairs. It notes that African Americans have higher rates of chronic diseases than Caucasians due to factors like lack of access to healthcare. The purpose is to plan a health fair in East Tampa, where 59% of residents are African American with low income and high poverty/unemployment. A survey found that only 30% had been screened for diabetes, 64% for hypertension, and 27% or less for other diseases. Respondents said they lacked time, insurance, or screening opportunities. The health fair aims to provide free screenings and education to address disparities.
- Reuters Health chooses stories based on impact, likelihood of changing practice, strength of evidence, and novelty. They aim to cover stories closely following the HealthNewsReview.org criteria.
- Studies show most health news coverage does not adequately report on benefits, harms, costs or alternatives. Sources with conflicts of interest are often not disclosed.
- Accurate health information is important as many people, especially minorities and those without regular providers, rely on media for health information. Inadequate coverage can negatively impact health behaviors and outcomes.
- Potential interventions include addressing staffing pressures, increasing reporter knowledge, and improving press releases from academic institutions. Targeting coverage at minority audiences may help increase access to care.
This document summarizes the findings of focus group discussions with HIV-negative and HIV-positive women regarding their knowledge, attitudes, and opinions about pre-exposure prophylaxis (PrEP). The discussions revealed that PrEP awareness was very low among the HIV-negative women. While they expressed enthusiasm about using PrEP themselves, the HIV-positive women were less supportive and advised against its use, based on their experiences taking antiretroviral medications. Key barriers identified included potential side effects, issues of access and affordability, and concerns about consistent use. There is a need for public health campaigns to increase women's awareness of PrEP while addressing their specific needs and concerns.
This study analyzed data from the Utah Statewide Immunization Information System to identify missed opportunities for human papillomavirus (HPV) vaccination among females ages 11-26 between 2008-2012. Of 47,665 eligible clinical visits, there were 20,911 missed opportunities (43.87%) where another adolescent vaccine was given but not the HPV vaccine. Younger age, non-Hispanic ethnicity, and residence in a rural area were associated with higher rates of missed opportunities. Interventions targeted at providers serving groups with the most missed opportunities could help improve HPV vaccination coverage.
This document summarizes a systematic review of 146 studies on determinants of adherence to antiretroviral therapy (ART) among HIV-positive adults in sub-Saharan Africa. The main findings were:
1) Main determinants of non-adherence included use of alcohol, male gender, use of traditional medicine, dissatisfaction with healthcare, depression, stigma, and poor social support.
2) Promoters of adherence included counseling, education, memory aids, and disclosure of HIV status.
3) Determinants of health status had conflicting effects on adherence.
This editorial commentary discusses a study that assessed the impact of provider expertise on quality of HIV care. The study found that patients treated by providers with low HIV patient volumes (<20 patients) had poorer outcomes compared to patients treated by more experienced providers. While HIV treatment has improved, making the disease potentially manageable by generalists, this study suggests that HIV infection should still be considered a disease best managed or co-managed by experts, due to the importance of maintaining high quality care.
Health News Coverage: Just How Bad It Is, Why It Matters, and What Doctors Ca...Ivan Oransky
The document summarizes research on the quality of health news coverage and discusses why improving coverage matters and what doctors can do to help. Key findings include:
- Many news stories do not adequately report on the benefits and risks of medical treatments, tests, and drugs or mention costs.
- For many groups, media and doctors are the top sources of health information, so inaccurate coverage can influence health behaviors.
- Doctors can help by developing relationships with reporters, answering questions, reviewing press releases, and providing context on new studies through their own blogs or comments to reporters.
Adherencia al tarv en am latina y caribeRosa Alcayaga
This systematic review and meta-analysis examined adherence to antiretroviral therapy (ART) among people living with HIV in Latin America and the Caribbean. The analysis included 53 studies published between 2005-2016 involving over 22,000 individuals across 25 countries. The overall adherence rate was estimated to be 70%, similar to rates in high-income regions. Adherence was higher with shorter recall periods and in lower income countries. Common barriers to adherence included substance abuse, depression, unemployment and pill burden. The review suggests adherence in the region may be below the level needed for long-term viral suppression.
The document discusses providing fair health to African Americans through community health fairs. It notes that African Americans have higher rates of chronic diseases than Caucasians due to factors like lack of access to healthcare. The purpose is to plan a health fair in East Tampa, where 59% of residents are African American with low income and high poverty/unemployment. A survey found that only 30% had been screened for diabetes, 64% for hypertension, and 27% or less for other diseases. Respondents said they lacked time, insurance, or screening opportunities. The health fair aims to provide free screenings and education to address disparities.
- Reuters Health chooses stories based on impact, likelihood of changing practice, strength of evidence, and novelty. They aim to cover stories closely following the HealthNewsReview.org criteria.
- Studies show most health news coverage does not adequately report on benefits, harms, costs or alternatives. Sources with conflicts of interest are often not disclosed.
- Accurate health information is important as many people, especially minorities and those without regular providers, rely on media for health information. Inadequate coverage can negatively impact health behaviors and outcomes.
- Potential interventions include addressing staffing pressures, increasing reporter knowledge, and improving press releases from academic institutions. Targeting coverage at minority audiences may help increase access to care.
This document summarizes the findings of focus group discussions with HIV-negative and HIV-positive women regarding their knowledge, attitudes, and opinions about pre-exposure prophylaxis (PrEP). The discussions revealed that PrEP awareness was very low among the HIV-negative women. While they expressed enthusiasm about using PrEP themselves, the HIV-positive women were less supportive and advised against its use, based on their experiences taking antiretroviral medications. Key barriers identified included potential side effects, issues of access and affordability, and concerns about consistent use. There is a need for public health campaigns to increase women's awareness of PrEP while addressing their specific needs and concerns.
This study analyzed data from the Utah Statewide Immunization Information System to identify missed opportunities for human papillomavirus (HPV) vaccination among females ages 11-26 between 2008-2012. Of 47,665 eligible clinical visits, there were 20,911 missed opportunities (43.87%) where another adolescent vaccine was given but not the HPV vaccine. Younger age, non-Hispanic ethnicity, and residence in a rural area were associated with higher rates of missed opportunities. Interventions targeted at providers serving groups with the most missed opportunities could help improve HPV vaccination coverage.
Syringe exchange programs (SEPs) have been shown to be a cost-effective intervention for preventing HIV among injection drug users (IDUs). SEPs are associated with an 80% reduction in HIV incidence among IDUs over the last 20 years. While HIV rates have decreased among most groups, IDUs have seen one of the largest improvements due in large part to SEPs increasing access to sterile syringes. However, SEPs remain controversial in the US despite evidence that they are cost-effective and reduce HIV transmission by providing sterile injection equipment and linking IDUs to healthcare. Further advocacy is needed to restore federal funding for expanding SEPs.
This document analyzes racial disparities in flu vaccination rates in the United States using data from the 2010 National Health Interview Survey. It finds that minorities, especially Black individuals, have significantly lower flu vaccination rates than whites, likely due to barriers to healthcare access. Married individuals and those who are employed have higher vaccination rates than unmarried or unemployed individuals. The document controls for variables like age, sex, and employment status to better understand the independent effect of race and marital status on vaccination rates.
This document summarizes challenges with HIV testing and diagnosis in New Zealand. It discusses that while New Zealand has successfully treated many HIV cases and infection rates are lower than other countries, reaching undiagnosed cases remains a challenge, with an estimated 20% of cases currently undiagnosed. The document describes two scenarios that illustrate barriers to HIV testing - in one case a test was not performed when it may have been appropriate, and in the other the test was performed due to an astute suggestion. It argues that normalizing HIV testing through more routine screening could help diagnose more cases earlier and improve health outcomes.
Sex- and Age-specific Increases in Suicide Attempts by Self-Poisoning in the ...Δρ. Γιώργος K. Κασάπης
There was a more than twofold increase in the rate of suspected self-poisoning suicide cases between 2011 and 2018, according to a new study that looked at more than 1.6 million such cases.
Here’s what else you need to know:
•Overall trends: Cases of suicide attempts by self-poisoning doubled in those aged 10-18 between 2011 and 2018, rising from around 39,000 to more than 78,000.
•Gender: More girls than boys attempted suicide by self-poisoning. The rate of intentional attempts among girls 10-18 also steadily increased from 2011-2018.
•Outcomes: The number of serious outcomes — including death and hospitalizations — as a result of the poisoning increased 235% between 2000 and 2018, and more than 1,400 children died.
The prevalence, patterns of usage and people's attitude towards complementary...home
The prevalence of CAM in Chatsworth is similar to findings in other parts of the
world. Although CAM was used to treat many different ailments, this practice could not be
attributed to any particular demographic profile. The majority of CAM users were satisfied with
the effects of CAM. Findings support a need for greater integration of allopathic medicine and
CAM, as well as improved communication between patients and caregivers regarding CAM usage.
This workshop is designed to talk about the impact of STDs on youth under the age of 25. This workshop will discuss the importance of sexual health screenings, partner management, and current data around STD morbidity rates. We will also talk about current STD clinical recommendations for the treatment of gonorrhea, chlamydia, and syphilis. Participants will engage in an interactive activity where they will sharpen their skills on effective partner management strategies.
This keynote speech was delivered by Janet Freeman-Daily to the IASLC 2017 Chicago Multidisciplinary Symposium in Thoracic Oncology on September 14, 2017.
Existing value frameworks for cancer care omit a key component: patient-defined value. This presentation looks at some patient perspectives on value found in patient-driven research, discusses the importance of shared decision making and goals of care discussions, and shares resources to help clinicians incorporate patient-defined value in cancer care.
Anne C. Beale, MD, MPH, the president of the Aetna Foundation speaks about disparities in child health care, the causes behind those disparities, and policies that can reduce them.
This document provides the Dietary Guidelines for Americans, 2010 which were developed by the U.S. Departments of Agriculture and Health and Human Services. The guidelines provide advice for choosing a healthy eating pattern that focuses on nutrient-dense foods and beverages and contributes to achieving and maintaining a healthy weight. The guidelines are intended to be used in developing nutrition education materials, programs, and policy as well as authoritative nutrition statements.
Global Medical Cures™ | NEULASTA- Pediatric PostMarketing Adverse Event ReviewGlobal Medical Cures™
Global Medical Cures™ | NEULASTA- Pediatric PostMarketing Adverse Event Review
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
This document describes a faith-based program called "Dose of Hope" that was developed and tested to increase participation of older African Americans in clinical trials. The program involved educational sessions delivered at churches on topics like health disparities and the role of clinical trials. Six churches were randomly assigned to either receive the program (intervention group) or not (comparison group). 221 people were enrolled total. Surveys found that intention to seek information about clinical trials increased more in the intervention group compared to the control at 3-month follow-up. The program demonstrated strong retention rates at 3-month and 6-month follow-ups. The results suggest that the "Dose of Hope" program effectively engaged and provided information to older African
- Melva Covington of Sanofi discusses strategies for increasing diversity in clinical trials to better represent populations impacted by medical conditions. Currently, racial and ethnic minorities are underrepresented in trials compared to disease prevalence.
- Covington emphasizes the importance of early and sustained engagement with advocacy groups and communities to build trust and partnerships for recruitment and retention. She also stresses using diverse recruitment strategies and culturally competent materials.
- Efforts are underway across the industry and with groups like the FDA to improve representation and data collection in trials through initiatives like standardizing methods and increasing proportional representation. However, more work remains to modernize clinical trials and ensure underserved populations are meaningfully included.
This study surveyed 304 adults in an urban community to assess perceptions and barriers to adult immunization. The key findings were:
1) Over 50% of participants received an immunization in the last year, but only 40% always get recommended immunizations.
2) Physician recommendation was the top factor influencing immunization decisions.
3) Many participants were unaware immunizations could benefit those with health conditions like asthma, diabetes, or smokers.
4) Cost and concerns about side effects were also barriers to immunization.
This document reviews strategies to promote colorectal cancer screening. It identifies major barriers to screening like lack of physician recommendation, low knowledge, and embarrassment. Interventions studied include printed materials, videos, telephone outreach, and fecal occult blood testing kits. Multi-component interventions addressing multiple barriers seem most effective. The document recommends improving physician-patient communication and using tailored messages to boost screening among groups with low rates.
The document discusses the role of statistics and mathematicians in public health practice and HIV/AIDS surveillance. It provides examples of how HIV/AIDS data is collected through disease reporting and used by statisticians to analyze trends, identify at-risk groups, and inform prevention strategies. Specific projects highlighted include using population attributable risk to quantify how social determinants influence racial disparities in HIV incidence among women and analyzing mediators of behavioral interventions.
Patients from the urban Dar es Salaam region were less likely to be married, have social support for medication reminders, earn less than $150 USD per month, have lower education levels, and consume alcohol compared to the rural Iringa region. Urban patients were also more likely to experience delays in registering for care, pay less for transportation to clinics, and take additional medications for opportunistic infections. Adherence based on appointment keeping was higher in the urban region, while adherence based on self-reported dosage in the past month was higher in the rural region. Factors associated with adherence differed between the urban and rural settings in Tanzania.
Lipid Screening in Childhood for Detection of Multifactorial DyslipidemiaGlobal Medical Cures™
Lipid Screening in Childhood for Detection of Multifactorial Dyslipidemia
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
overuse and misuse of antibiotic put all of us at danger, and help to develop drug-resistant bacteria, so-called superbugs. which ultimately increase the cost of health care. so the third world countries are facing a burden of an extra charge of expenditure and unusual death
When reducing cancer risk in our population, let’s not exacerbate disparitiesGraham Colditz
The document discusses reducing cancer disparities through precision prevention approaches. It highlights that while precision medicine focuses on treating existing disease, precision prevention aims to tailor behavioral interventions to individual characteristics to reduce cancer risk. However, efforts to refine prevention strategies could inadvertently worsen disparities if factors like health literacy levels and access to care are not considered. Priorities for avoiding disparities include collaborating with diverse partners to improve communication and applying implementation research approaches to ensure evidence-based programs reach all groups.
A poll found that while almost half of metro area residents take supplements to prevent colds and flu, 39% of those supplement takers have not received the flu shot. The flu shot is considered the best preventive method against flu, whereas benefits of supplements have not been proven. Vitamin C is the most popular supplement taken, with 85% of supplement takers reporting its use to prevent colds and flu. However, nearly a third of supplement takers do not inform their doctors about supplement use.
This document is an undergraduate thesis that examines the pharmaceutical industry and alternative medicine. It argues that while Western medicine has improved health outcomes for some acute illnesses, the over-reliance on drugs has significant downsides. Preventable medical errors are the third leading cause of death in the US, with pharmaceutical companies more focused on profits than patient safety. The document also suggests that several holistic doctors working on alternative cancer treatments may have been murdered to protect the financial interests of the pharmaceutical industry.
Sixty-one percent of parents have or plan to vaccinate all of their children while 37% percent of parents do not plan to or are not sure if they will vaccinate all of their children against HPV.
Syringe exchange programs (SEPs) have been shown to be a cost-effective intervention for preventing HIV among injection drug users (IDUs). SEPs are associated with an 80% reduction in HIV incidence among IDUs over the last 20 years. While HIV rates have decreased among most groups, IDUs have seen one of the largest improvements due in large part to SEPs increasing access to sterile syringes. However, SEPs remain controversial in the US despite evidence that they are cost-effective and reduce HIV transmission by providing sterile injection equipment and linking IDUs to healthcare. Further advocacy is needed to restore federal funding for expanding SEPs.
This document analyzes racial disparities in flu vaccination rates in the United States using data from the 2010 National Health Interview Survey. It finds that minorities, especially Black individuals, have significantly lower flu vaccination rates than whites, likely due to barriers to healthcare access. Married individuals and those who are employed have higher vaccination rates than unmarried or unemployed individuals. The document controls for variables like age, sex, and employment status to better understand the independent effect of race and marital status on vaccination rates.
This document summarizes challenges with HIV testing and diagnosis in New Zealand. It discusses that while New Zealand has successfully treated many HIV cases and infection rates are lower than other countries, reaching undiagnosed cases remains a challenge, with an estimated 20% of cases currently undiagnosed. The document describes two scenarios that illustrate barriers to HIV testing - in one case a test was not performed when it may have been appropriate, and in the other the test was performed due to an astute suggestion. It argues that normalizing HIV testing through more routine screening could help diagnose more cases earlier and improve health outcomes.
Sex- and Age-specific Increases in Suicide Attempts by Self-Poisoning in the ...Δρ. Γιώργος K. Κασάπης
There was a more than twofold increase in the rate of suspected self-poisoning suicide cases between 2011 and 2018, according to a new study that looked at more than 1.6 million such cases.
Here’s what else you need to know:
•Overall trends: Cases of suicide attempts by self-poisoning doubled in those aged 10-18 between 2011 and 2018, rising from around 39,000 to more than 78,000.
•Gender: More girls than boys attempted suicide by self-poisoning. The rate of intentional attempts among girls 10-18 also steadily increased from 2011-2018.
•Outcomes: The number of serious outcomes — including death and hospitalizations — as a result of the poisoning increased 235% between 2000 and 2018, and more than 1,400 children died.
The prevalence, patterns of usage and people's attitude towards complementary...home
The prevalence of CAM in Chatsworth is similar to findings in other parts of the
world. Although CAM was used to treat many different ailments, this practice could not be
attributed to any particular demographic profile. The majority of CAM users were satisfied with
the effects of CAM. Findings support a need for greater integration of allopathic medicine and
CAM, as well as improved communication between patients and caregivers regarding CAM usage.
This workshop is designed to talk about the impact of STDs on youth under the age of 25. This workshop will discuss the importance of sexual health screenings, partner management, and current data around STD morbidity rates. We will also talk about current STD clinical recommendations for the treatment of gonorrhea, chlamydia, and syphilis. Participants will engage in an interactive activity where they will sharpen their skills on effective partner management strategies.
This keynote speech was delivered by Janet Freeman-Daily to the IASLC 2017 Chicago Multidisciplinary Symposium in Thoracic Oncology on September 14, 2017.
Existing value frameworks for cancer care omit a key component: patient-defined value. This presentation looks at some patient perspectives on value found in patient-driven research, discusses the importance of shared decision making and goals of care discussions, and shares resources to help clinicians incorporate patient-defined value in cancer care.
Anne C. Beale, MD, MPH, the president of the Aetna Foundation speaks about disparities in child health care, the causes behind those disparities, and policies that can reduce them.
This document provides the Dietary Guidelines for Americans, 2010 which were developed by the U.S. Departments of Agriculture and Health and Human Services. The guidelines provide advice for choosing a healthy eating pattern that focuses on nutrient-dense foods and beverages and contributes to achieving and maintaining a healthy weight. The guidelines are intended to be used in developing nutrition education materials, programs, and policy as well as authoritative nutrition statements.
Global Medical Cures™ | NEULASTA- Pediatric PostMarketing Adverse Event ReviewGlobal Medical Cures™
Global Medical Cures™ | NEULASTA- Pediatric PostMarketing Adverse Event Review
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
This document describes a faith-based program called "Dose of Hope" that was developed and tested to increase participation of older African Americans in clinical trials. The program involved educational sessions delivered at churches on topics like health disparities and the role of clinical trials. Six churches were randomly assigned to either receive the program (intervention group) or not (comparison group). 221 people were enrolled total. Surveys found that intention to seek information about clinical trials increased more in the intervention group compared to the control at 3-month follow-up. The program demonstrated strong retention rates at 3-month and 6-month follow-ups. The results suggest that the "Dose of Hope" program effectively engaged and provided information to older African
- Melva Covington of Sanofi discusses strategies for increasing diversity in clinical trials to better represent populations impacted by medical conditions. Currently, racial and ethnic minorities are underrepresented in trials compared to disease prevalence.
- Covington emphasizes the importance of early and sustained engagement with advocacy groups and communities to build trust and partnerships for recruitment and retention. She also stresses using diverse recruitment strategies and culturally competent materials.
- Efforts are underway across the industry and with groups like the FDA to improve representation and data collection in trials through initiatives like standardizing methods and increasing proportional representation. However, more work remains to modernize clinical trials and ensure underserved populations are meaningfully included.
This study surveyed 304 adults in an urban community to assess perceptions and barriers to adult immunization. The key findings were:
1) Over 50% of participants received an immunization in the last year, but only 40% always get recommended immunizations.
2) Physician recommendation was the top factor influencing immunization decisions.
3) Many participants were unaware immunizations could benefit those with health conditions like asthma, diabetes, or smokers.
4) Cost and concerns about side effects were also barriers to immunization.
This document reviews strategies to promote colorectal cancer screening. It identifies major barriers to screening like lack of physician recommendation, low knowledge, and embarrassment. Interventions studied include printed materials, videos, telephone outreach, and fecal occult blood testing kits. Multi-component interventions addressing multiple barriers seem most effective. The document recommends improving physician-patient communication and using tailored messages to boost screening among groups with low rates.
The document discusses the role of statistics and mathematicians in public health practice and HIV/AIDS surveillance. It provides examples of how HIV/AIDS data is collected through disease reporting and used by statisticians to analyze trends, identify at-risk groups, and inform prevention strategies. Specific projects highlighted include using population attributable risk to quantify how social determinants influence racial disparities in HIV incidence among women and analyzing mediators of behavioral interventions.
Patients from the urban Dar es Salaam region were less likely to be married, have social support for medication reminders, earn less than $150 USD per month, have lower education levels, and consume alcohol compared to the rural Iringa region. Urban patients were also more likely to experience delays in registering for care, pay less for transportation to clinics, and take additional medications for opportunistic infections. Adherence based on appointment keeping was higher in the urban region, while adherence based on self-reported dosage in the past month was higher in the rural region. Factors associated with adherence differed between the urban and rural settings in Tanzania.
Lipid Screening in Childhood for Detection of Multifactorial DyslipidemiaGlobal Medical Cures™
Lipid Screening in Childhood for Detection of Multifactorial Dyslipidemia
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
overuse and misuse of antibiotic put all of us at danger, and help to develop drug-resistant bacteria, so-called superbugs. which ultimately increase the cost of health care. so the third world countries are facing a burden of an extra charge of expenditure and unusual death
When reducing cancer risk in our population, let’s not exacerbate disparitiesGraham Colditz
The document discusses reducing cancer disparities through precision prevention approaches. It highlights that while precision medicine focuses on treating existing disease, precision prevention aims to tailor behavioral interventions to individual characteristics to reduce cancer risk. However, efforts to refine prevention strategies could inadvertently worsen disparities if factors like health literacy levels and access to care are not considered. Priorities for avoiding disparities include collaborating with diverse partners to improve communication and applying implementation research approaches to ensure evidence-based programs reach all groups.
A poll found that while almost half of metro area residents take supplements to prevent colds and flu, 39% of those supplement takers have not received the flu shot. The flu shot is considered the best preventive method against flu, whereas benefits of supplements have not been proven. Vitamin C is the most popular supplement taken, with 85% of supplement takers reporting its use to prevent colds and flu. However, nearly a third of supplement takers do not inform their doctors about supplement use.
This document is an undergraduate thesis that examines the pharmaceutical industry and alternative medicine. It argues that while Western medicine has improved health outcomes for some acute illnesses, the over-reliance on drugs has significant downsides. Preventable medical errors are the third leading cause of death in the US, with pharmaceutical companies more focused on profits than patient safety. The document also suggests that several holistic doctors working on alternative cancer treatments may have been murdered to protect the financial interests of the pharmaceutical industry.
Sixty-one percent of parents have or plan to vaccinate all of their children while 37% percent of parents do not plan to or are not sure if they will vaccinate all of their children against HPV.
50-percent of metro New York residents support legalizing recreational marijuana, but 74% expressed concern about people driving under the influence of it.
Human rights watch scpg presentation 11.10.11mellarocomolter
This is a presentation I made to the NC Statewide Community Planning Group, HIV Group. The Human Rights Watch performed a study entitled "We Know What to Do: Harm Reduction and Human Rights in North Carolina."
Read the article on the following 2 pages, Fighting HIV a Commu.docxcatheryncouper
Read the article on the following 2 pages, “Fighting HIV a Community at a Time.” , answer the following questions. Please type your answers…complete and thoughtful responses…1/2 page, single spaced minimum.
1. Statistically as many as 20-25% of people who are HIV positive do not know they are infected. Why do people not get tested if they engage in risky behaviors (unprotected sex and/or IV drug use with used needles)? Give reasons and rationales for their decision not to get tested.
2. In 2006 only about half of Washington D.C. residents who were tested positive for HIV saw a doctor about it within 6 months. They are contagious during that time. Again, why would someone who receives a positive diagnosis, not get treatment? Is a diagnosis of HIV different from other STDs? Why or why not?
3. The “test and treat” program in D.C. and the Bronx improved the follow-up of prompt medical care. What are the statistics?
4. At the end of the article, it states the profile of who is most resistant to being tested and treated. What is it about that particular group of people that would make them resistant?
Fighting HIV a Community at a Time Susan Okie, New York Times, Oct. 27, 2009
WASHINGTON- Federal health officials are preparing a plan to study a bold new strategy to stop the spread of the AIDS virus: routinely testing virtually every adult in a community, and promptly treating those found to be infected. The strategy is called “test and treat,” and officials say the two sites for the three-year study will be the District of Columbia and the Bronx--locales with some of the nation’s highest rates of infection with HIV.
The officials emphasize that this is just a first step. The goal is not to measure whether “test and treat” actually works to slow and epidemic, but whether such a strategy can even be carried out, given the many barriers to being tested and getting medical care.
On the path from infection to treatment, “we lose people at every single step,” said Dr. Shannon L. Hader, director of the HIV/AIDS administration at this city’s Department of Health.
As many as 5 percent of the adults in the District of Columbia are infected--a rate Dr. Hader says is comparable with those in West Africa--and one-third to one-half do not even know they harbor the virus. (Nationwide, 20 percent to 25 percent of people who are HIV positive do not know of their infections, according to the federal Centers for Disease Control and Prevention.)
And even when infection is diagnosed, “getting people from the field to the doctor is the hardest component,” said Angela Fulwood Wood, deputy director of Family and Medical Counseling Service, and agency that operates a mobile HIV testing clinic here. Often, she added, someone who has just tested positive “can walk off that day and decide, ‘I’m going to pretend that never happened.’ In 2006, only about half of D.C. reside ...
This document discusses syringe services programs (SSPs) and addresses common myths about them. It provides data showing that SSPs: 1) provide a variety of services beyond just syringe distribution, including medical care, testing, and referrals; 2) do not increase drug use or undermine safety, and may in fact reduce improperly discarded syringes and increase treatment enrollment; and 3) help reduce health disparities among injection drug users by increasing access to services. The document aims to dispel myths about SSPs and present evidence that they provide significant public health benefits.
This document discusses harm reduction strategies and syringe exchange programs (SEPs). It provides evidence that SEPs are effective in preventing HIV and hepatitis C by allowing for safe disposal of used needles and connecting injection drug users to medical care. The document reviews how SEPs make communities safer by reducing improperly discarded syringes, protect first responders from needlestick injuries, and do not increase crime rates. SEPs are also cost-effective by saving millions in avoided healthcare costs from prevented infections. The discussion aims to increase support for SEPs by addressing common myths and concerns.
Consumer-centered journalism that promotes patient-centered care could help address issues with how medical news currently impacts health behaviors. Research shows news coverage can influence information-seeking and health actions, yet most coverage fails to fully explain the evidence, costs, risks, and alternatives. By providing more balanced and complete information, consumer-centered journalism could help the public make more informed healthcare decisions that align with their own values and priorities. This may be especially important as new technologies and screening tests are introduced, to avoid harms from unnecessary or poorly-informed actions.
The Urban Survivors Union conducted research to develop hepatitis C (HCV) education messages for people who inject drugs (PWID). Through surveys, focus groups, and interviews with PWID in North Carolina, they found widespread confusion about HCV transmission and treatment. PWID reported their main sources of health information were friends, syringe exchanges, and the internet. The research informed the development of social marketing messages to engage PWID, provide accurate HCV information to stay healthy, and promote testing and treatment to reduce HCV incidence and work toward elimination. The messages were designed for dissemination through PWID's existing social networks and syringe exchange programs.
The document discusses overtreatment in healthcare and strategies to address it. It defines overtreatment as medical care where potential harms exceed benefits. The document outlines how overtreatment wastes resources and harms patients. It identifies areas of overuse like unnecessary tests, procedures, and end-of-life treatments. The document proposes reporting quality measures, establishing surgery registries, and engaging the public to curb unwarranted medical services.
Can you teach an old doc new tricks? Techonomy Bio 2015W2O Group
Greg Matthews' presentation at the Techonomy Bio confernce 2015 in Mountain View, CA (http://techonomy.com/conf/bio15/). Introduces the context of the global health ecosystem.
A Promulgation Of Incredulity In The Pharmaceutical IndustryStuart Silverman
It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines.
Men 50 years of age and older were more likely to report to work with the flu, the survey found, with 37 percent of men reporting that they had gone in to work despite having a flu diagnosis.
This document provides information on syringe access services as a harm reduction and disease prevention intervention. It discusses the benefits of syringe access programs in reducing HIV and HCV transmission as well as their cost effectiveness. The document outlines different models of syringe access programs and considerations for starting a new program, including conducting a needs assessment, recommended equipment, and the importance of practicing drug user cultural competency. Contact information is provided for technical assistance from The Harm Reduction Coalition.
This document summarizes challenges in providing preventive care services to older adults in the United States. Fewer than half of those aged 65 and older are up-to-date on recommended preventive services like immunizations and cancer screenings. While some goals have been met, like mammogram rates, the US still falls short of goals for vaccinating older adults against herpes zoster and pneumococcal disease. Barriers include a healthcare system focused on sickness rather than prevention, time constraints in medical visits, lack of awareness among patients and doctors of available preventive services like annual visits and weight loss counseling, and off-putting topics like colon cancer screening that require more discussion.
Coverage of Clinical Medicine: A Diagnosis and Treatment PlanIvan Oransky
This document provides an overview of challenges in covering clinical medicine and summarizes strategies for improving medical journalism. It discusses issues such as lack of time leading journalists to rely heavily on press releases without sufficient vetting. It also outlines MedPage Today's approach of prioritizing impact, evidence strength, and novelty. Recommendations include curating high-quality sources, specializing in specific topic areas, partnering with other organizations, and getting to know professional groups like the Association of Health Care Journalists. The overall aim is to help journalists overcome barriers and add value through their reporting.
The document discusses the growing need for physicians to practice global medicine due to increasing international travel and mobility. It summarizes a new e-learning product called Viewpoints that was developed to train physicians to treat diseases of foreign origin and distinguish them from similar domestic conditions. Viewpoints uses interactive patient case studies to simulate real-world encounters and help physicians develop clinical competence in a globalized world.
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Similar to Poll Shows Improper Use of Antibiotics by Public (20)
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These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
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9. Integrate the respiratory regulatory mechanisms
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Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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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
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9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
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12. Comprehend the vectorial analysis of the normal ECG
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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
- 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
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1. For Immediate Release April 4th, 2017
Contact: Damian Becker, Manager of Media Relations
(516) 377-5370
South Nassau Truth In Medicine Poll:
Improper Use of Antibiotics Reported Among Some Area Residents
--Attitudes Differ Based on Gender, Race & Age
Some area residents say they pressure their doctors for antibiotics they don’t need, fail to
finish antibiotics as they are prescribed and improperly dispose of leftover antibiotics, posing a
potential threat to local water supplies, according to a new poll of New York City and Long
Island residents.
Use and misuse of antibiotics also varied significantly by age, gender and racial lines, the
South Nassau Truth in Medicine poll of 600 metro area residents found.
“The South Nassau poll results reinforce what those in the medical community already
know: there is a tremendous amount of antibiotic use that is inappropriate, dangerous and
harmful to you and to society,” said Dr. Aaron E. Glatt, South Nassau’s Department of Medicine
Chair and Hospital Epidemiologist who is also a spokesman for the Infectious Disease Society of
America.
The poll results show:
• Nearly one third of area residents fail to finish antibiotics prescribed to them,
leaving them at risk of reinfection or recurrence of their illness.
• Some 12 percent of respondents admitted to pressuring their physicians for an
antibiotic even after their doctors told them they didn’t need one.
• 10 percent reported using an antibiotic prescribed for someone else or offering
their antibiotic to a family member or friend who wasn’t feeling well.
• Nearly a quarter of residents said they simply flush unused antibiotics down the
toilet, while 44 percent throw them in the trash. Twenty percent of respondents
reported having unfinished antibiotics in their homes.
News From:
2. “There are already potentially deadly infections we can’t treat because of overuse of
antibiotics,” added Dr. Adhi Sharma, South Nassau’s Chief Medical Officer. “We need to stop
overprescribing of antibiotics now before they all become useless. And we have to better educate
patients to change the current mindset that a pill will solve everything.”
Patients who take antibiotics they don’t need can kill off “good” protective bacteria in
their guts that ward off disease, sometimes causing them to develop C. difficile, a very severe life
threatening infection. “The poll results indicate we have more work to do to educate patients and
physicians about overuse of antibiotics,” said Dr. Glatt.
Overuse and inappropriate use of antibiotics is a major public health concern in the US
according to the Centers for Disease Control and Prevention (CDC), making it more difficult for
physicians to easily treat many infections. Research suggests improper use of antibiotics has led
to the development of so-called ‘super bugs’ that are resistant to many and sometimes all of the
existing antibiotics and are highly lethal.
Nearly half of poll respondents were unaware that overuse of antibiotics can lead to the
spread of antibiotic resistant superbugs. “Many patients don’t realize that their behavior with
regard to overusing antibiotics can actually contribute to a rise of drug-resistant superbugs,”
Glatt said. “Life threatening drug resistance problems are very real.”
The No. 1 inappropriate use of antibiotics involves an upper respiratory illness, said Dr.
Glatt. In those cases, 95 percent of the time an antibiotic is not the proper course of treatment, he
said.
The South Nassau poll, which tests respondents’ knowledge on key public health topics,
found a wide variation of attitudes about antibiotics that at times broke down along gender, age
and racial lines. For instance:
• Whites were more likely to finish their prescriptions with 74 percent saying they
always do so, compared to 57% of Hispanics and 65% of black respondents who
stated they finished their antibiotics.
• Women were more compliant with completing their antibiotic regimen
compared to men.
• Older adults, age 65 and above, were the most likely to finish their course of
antibiotic treatment with 78% indicating they finish their antibiotic prescriptions.
3. • Men under age 50 were most likely to keep unfinished antibiotics in their home
with almost one-quarter holding on to old prescriptions. By contrast, women age
50 and over are the least likely to have unfinished antibiotics on hand.
The overwhelming majority of those responding in the poll – more than 75 percent – said
they are aware that specific antibiotics treat specific ailments, but even so, one in 10 area adults
have either taken an antibiotic that was prescribed for someone else or offered an antibiotic to a
family member or friend who wasn’t feeling well.
“I strongly encourage people to stop saving medication for later use and not to share
medication that is prescribed to them with others,” said Dr. Sharma.
The South Nassau Truth in Medicine Poll was conducted via both landlines and cell
phones from February 26-March 1 with 600 adults in New York City and on Long Island. The
poll was conducted as part of the hospital’s mission of improving education around critical
public health issues. The poll was conducted by a nationally recognized, independent polling
firm, LJR Custom Strategies, which has offices in Washington, DC and New Orleans, LA. LJR
has conducted more than 2,000 studies for a broad spectrum of health care, business, education,
cultural, and political clients in almost every state in the country and around the world.
“The South Nassau ‘Truth in Medicine’ Poll is meant to shine a light on public health
issues that deserve more attention,” said Richard J. Murphy, South Nassau’s President & CEO.
“Clearly, the use and abuse of antibiotics is a great public health concern where we could all
benefit from more education. Our goal is to help people stay healthy and out of the hospital.”
“It is a serious concern that a significant number of adults in our area don’t understand
the importance of finishing their prescriptions and disposing of unused antibiotics and other
prescriptions properly,” said Dr. Glatt. “Almost one-third of adults in our area do not always
finish their course of antibiotics; and when they are not finished, they are kept at home where
they potentially can be shared improperly with friends and family. There is a clear need for more
education about antibiotic use, overuse, and disposal,” Glatt said.
Almost half of the respondents said they typically throw leftover antibiotics away in the
trash, but 24% flush them down the toilet, and 17% dispose of them in some other way.
Antibiotics that make their way into the local water supply can potentially contribute to antibiotic
resistance, as has been clearly demonstrated in the animal husbandry industry, according to Dr.
Glatt.
The ultimate goal of the Truth in Medicine Poll is to educate the public about health
issues so they can take better care of themselves and seek out appropriate medical care when
needed.
4. “Antibiotic resistance remains a major global concern and must be better addressed
through public education and other measures, such as the antimicrobial stewardship programs we
have at South Nassau,” said Dr. Glatt.
South Nassau has driven down infection rates in part through tighter controls on the use
of antibiotics in the hospital and better education of physicians, staff and patients concerning
their proper use.
“Overall, it is important that patients trust their doctors,” said Dr. Sharma. “Antibiotics
are not needed to cure every ailment and patients should not push for an antibiotic when they are
not necessary. Physicians also need to resist giving in to requests from patients for antibiotics
just to make them happy.”
Designated a Magnet® hospital by the American Nurses Credentialing Center (ANCC),
South Nassau® Communities Hospital is one of the region’s largest hospitals, with 455 beds,
more than 900 physicians and 3,500 employees. The hospital is an acute-care, not-for-profit
teaching hospital that provides state-of-the-art care in cardiac, oncologic, orthopedic, bariatric,
pain management, mental health and emergency services. South Nassau operates the only
Trauma Center on the South Shore of Nassau County as well as Long Island’s only free-
standing, 9-1-1 receiving Emergency Department in Long Beach.
In addition to its extensive outpatient specialty centers, South Nassau provides
emergency and elective angioplasty, and is the only hospital on Long Island with the Novalis
Tx™ and Gamma Knife® radiosurgery technologies. South Nassau is a designated Stroke
Center by the New York State Department of Health and Comprehensive Community Cancer
Center by the American College of Surgeons and is an accredited center of the Metabolic and
Bariatric Surgery Association and Quality Improvement Program.
The hospital has been awarded the Joint Commission’s gold seal of approval as a Top
Performer on Key Quality Measures, including heart attack, heart failure, pneumonia and
surgical care; and disease-specific care for hip and joint replacement, wound care and end-stage
renal disease. For more information, visit www.southnassau.org.
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