AUA News v2- The Value of a Men¹s Health Center MS Edits 4-1-2016docxMartin Miner
The document discusses the value of a men's health center in evaluating and treating male patients holistically. It describes a case study of a 61-year-old male patient who presented with fatigue and low testosterone. Through evaluation at the men's health center, additional risk factors for cardiovascular disease were identified beyond his initial symptoms. The center takes a multidisciplinary approach to assess, treat, educate patients, and modify risk factors. This comprehensive care can help alter health outcomes and improve quality of life for male patients.
Two Docs Talk - Cady & Gabhart "On the road again" - Owensboro, KYLouis Cady, MD
This document summarizes a talk given by two doctors on balancing thyroid, adrenal, and sex hormones. It discusses how these hormones can impact fatigue, depression, and other symptoms when suboptimal, and how testing and treatment can help optimize hormone levels to support health and well-being. Functional medicine testing and bioidentical hormone replacement therapies are presented as alternatives to conventional approaches.
This document provides a summary of several medical journal articles and studies. Some key findings include:
- Manual removal of the placenta 10 minutes after delivery reduces hemodynamic compromise compared to 15 minutes.
- A 1 mmol/L reduction in LDL cholesterol appears to reduce major vascular events by about 11 per 1000 people over 5 years.
- Occipital nerve stimulation appears to be a safe and effective treatment for chronic migraine and medication overuse headache.
- Singletons from IVF/ICSI have higher risks of obstetric and perinatal complications than spontaneous conceptions.
The document discusses an integrative medicine presentation on hypothyroidism and the thyroid. It provides background on the speaker's commercial relationships and credentials. The presentation examines the limitations of conventional thyroid testing and treatment, exploring additional factors like selenium, iron, and cortisol that can impact thyroid function at the tissue level. It advocates for a more comprehensive evaluation and management of hypothyroidism that considers multiple nutritional and lifestyle factors.
Erectile dysfunction (ED) is common, affecting over 150 million men worldwide. It is a marker for other neurovascular complications in diabetes. The causes of ED include vascular, neurological, endocrine, and psychological factors. Treatments include oral phosphodiesterase type 5 inhibitors, vacuum devices, intracavernosal injections, testosterone replacement, and psychosexual counseling. Managing associated conditions and hormonal deficiencies can effectively treat ED.
Skeptics in the Pub talk slides - Prof. Edzard Ernst 2011-09-13Nick Sharratt
Slides from the talk given by Prof. Edzard Ernst to the Plymouth Skeptics in the Pub group 13th Sept 2011
Images removed which may otherwise breach (c)
Slides with a green background are explained to be tongue in cheek. Yellow backgrounds are "take home messages"
AUA News v2- The Value of a Men¹s Health Center MS Edits 4-1-2016docxMartin Miner
The document discusses the value of a men's health center in evaluating and treating male patients holistically. It describes a case study of a 61-year-old male patient who presented with fatigue and low testosterone. Through evaluation at the men's health center, additional risk factors for cardiovascular disease were identified beyond his initial symptoms. The center takes a multidisciplinary approach to assess, treat, educate patients, and modify risk factors. This comprehensive care can help alter health outcomes and improve quality of life for male patients.
Two Docs Talk - Cady & Gabhart "On the road again" - Owensboro, KYLouis Cady, MD
This document summarizes a talk given by two doctors on balancing thyroid, adrenal, and sex hormones. It discusses how these hormones can impact fatigue, depression, and other symptoms when suboptimal, and how testing and treatment can help optimize hormone levels to support health and well-being. Functional medicine testing and bioidentical hormone replacement therapies are presented as alternatives to conventional approaches.
This document provides a summary of several medical journal articles and studies. Some key findings include:
- Manual removal of the placenta 10 minutes after delivery reduces hemodynamic compromise compared to 15 minutes.
- A 1 mmol/L reduction in LDL cholesterol appears to reduce major vascular events by about 11 per 1000 people over 5 years.
- Occipital nerve stimulation appears to be a safe and effective treatment for chronic migraine and medication overuse headache.
- Singletons from IVF/ICSI have higher risks of obstetric and perinatal complications than spontaneous conceptions.
The document discusses an integrative medicine presentation on hypothyroidism and the thyroid. It provides background on the speaker's commercial relationships and credentials. The presentation examines the limitations of conventional thyroid testing and treatment, exploring additional factors like selenium, iron, and cortisol that can impact thyroid function at the tissue level. It advocates for a more comprehensive evaluation and management of hypothyroidism that considers multiple nutritional and lifestyle factors.
Erectile dysfunction (ED) is common, affecting over 150 million men worldwide. It is a marker for other neurovascular complications in diabetes. The causes of ED include vascular, neurological, endocrine, and psychological factors. Treatments include oral phosphodiesterase type 5 inhibitors, vacuum devices, intracavernosal injections, testosterone replacement, and psychosexual counseling. Managing associated conditions and hormonal deficiencies can effectively treat ED.
Skeptics in the Pub talk slides - Prof. Edzard Ernst 2011-09-13Nick Sharratt
Slides from the talk given by Prof. Edzard Ernst to the Plymouth Skeptics in the Pub group 13th Sept 2011
Images removed which may otherwise breach (c)
Slides with a green background are explained to be tongue in cheek. Yellow backgrounds are "take home messages"
Thyroid, Adrenals, & Sex Hormones: A Balancing ActLouis Cady, MD
This document summarizes key points about balancing thyroid, adrenal, and sex hormones for optimal health and mental wellness. It discusses how these hormone systems can become imbalanced, leading to fatigue, depression, and other symptoms. The document contrasts an "optimal" level of hormone functioning with merely being in the "normal" range. It also critiques conventional medical approaches and advocates an integrated approach considering all aspects of these hormone systems.
This document provides information about migraine in women. Some key points:
- Migraine is 3 times more common in women than men. Hormonally-associated migraines affect 12 million women in the US.
- Migraines are often associated with changes in hormone levels, such as during menstruation, pregnancy, use of oral contraceptives, and menopause.
- Diagnosis of migraine involves evaluating symptoms such as headache duration/intensity, nausea, light/sound sensitivity, visual/sensory disturbances (aura).
- Treatment involves both acute symptomatic relief and preventive medications, though choices are more limited during pregnancy/breastfeeding due to safety.
Medicine: A State of CRISIS, a State of CHANGELouis Cady, MD
Dr. Cady returns this year to repeat and update one of the most talked about presentations of the 2015 IMMH conference. In this presentation, Dr. Cady deconstructs the pressures and challenges facing patients, physicians, and all health care practitioners in today's practice environment. The role of integrated practice and functional medicine as a "differentiating factor" in one's practice is reviewed. The need for patients to adapt a healthy life style and take responsibility for their health for their own economic self-preservation is also touched on.
Here are my recommendations for the 56 year old woman with subclinical hypothyroidism:
1. Her diagnosis is subclinical hypothyroidism based on an elevated TSH of 7.1 and normal free T4.
2. Given her age (56), fatigue, and 3-4 lb weight gain, I would recommend a trial of levothyroxine therapy. Treatment is reasonable for patients with TSH >10 or positive thyroid antibodies, which she does not have data for. However, treatment may modestly improve her lipids and symptoms.
3. She should be monitored every 6 months with TSH checks to ensure her TSH is maintained between 0.5-2.0 and that she does not
Erectile dysfunction is common in men with diabetes and tends to be more severe than in non-diabetic men. Screening for ED should be conducted annually as part of diabetes reviews. Asking direct questions such as "Are your erections hard enough for penetration?" can help identify cases of ED. Phosphodiesterase type 5 inhibitors are usually first-line treatment but some men may require additional options or a dose change if initial treatment is not effective. Testosterone deficiency can also contribute to ED in diabetic men.
Slides on Diabetes in the South Focus on Prevention.2018hivlifeinfo
Learn how to overcome common barriers to diabetes prevention with this downloadable slideset.
Richard E. Pratley, MD
Format: Microsoft PowerPoint (.ppt)
File Size: 3.16 MB
Released: October 23, 2018
Many of the symptoms and signs of menopause can be attributed to the cessation of the production of estrogen by the ovaries in the menopausal stage.
The most common complications that women face during menopause include vaginal dryness, soreness, dyspareunia, urinary frequency and urgency.
Mood changes are also common during menopause and in postmenopausal women.
Vasomotor instability can cause hot flushes, sweating and palpitations in menopausal women.
New Concepts in Micronutrient Adequacy and Health Optimization - Cady = May 1...Louis Cady, MD
In this presentation, Dr. Cady revisits the BioPhotonic Scanner and current concepts in lack of nutrient adequacy in the contemporary diet. The role of appropriate supplementation with vitamins, minerals, and antioxidants is reviewed.
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)Alex J Mitchell
This is a 30min talk given at the RCPsych liaison conference 2011 on the topic of the failing (suboptimal) medical care provided to psychiatric patients by physicians and psychiatrists. Available in free full text PPT for a limited period.
The document summarizes the charge given by the Institute of Medicine to convene a committee of experts to review women's preventive health services and identify gaps. The committee was tasked with recommending services to be included in comprehensive national guidelines. After reviewing evidence, the committee made 8 recommendations, including screening for gestational diabetes, HPV testing, counseling on STIs and HIV, contraception services, lactation support, interpersonal violence screening, and annual well-woman visits.
Deleterious Effects Of Antidepressants On Semen Parameters: A Case ReportAhmed Elaghoury
Please cite as follows: Shehatto K, Abed M, Elaghoury A. Deleterious Effects Of Antidepressants On Semen Parameters: A Case Report. Poster presented at: Psychiatry of the 21st Century: Context, Controversies and Commitment. The World Psychiatric Association 17th WORLD CONGRESS OF PSYCHIATRY; 2017 Oct 8-12; Berlin, Germany.
DOI: 10.13140/RG.2.2.15518.64321
This study investigated the association between low-grade inflammation, as measured by erythrocyte sedimentation rate (ESR), and self-rated health in 43,110 late adolescent men from Sweden. The study found that men with higher ESR levels, indicating more inflammation, had higher odds of reporting poorer self-rated health after adjusting for potential confounding factors. This provides evidence that low-grade inflammation is associated with subjective health perception in late adolescent men. The results add to previous research showing this association in women and other populations. As inflammation may contribute to future health outcomes, this study supports the idea that inflammation underlies subjective health perceptions which can predict long-term health and mortality.
The document defines erectile dysfunction and discusses its pathophysiology, epidemiology, classification, diagnostic evaluation, and treatment options. Some key points:
- Erectile dysfunction is defined as the inability to attain/maintain an erection for satisfactory sexual performance for 3 months.
- Prevalence increases with age, ranging from 6-64% depending on age subgroups according to studies.
- Causes can be organic, relational, psychological or a mix (primary or secondary).
- Evaluation involves medical history, physical exam, questionnaires, and optional tests to identify reversible factors.
- Treatment progresses from lifestyle changes, to oral medications, injections, and finally implants if other options fail.
Safety Considerations in the use of Psychotropic Medication in Children and T...Stephen Grcevich, MD
The document summarizes safety considerations for commonly used psychotropic medications in children and teens. It reviews the adverse effect profiles and risks of second-generation antipsychotics, antidepressants, stimulants, and mood stabilizers. It also discusses monitoring standards for potential adverse events during pharmacologic treatment of youth. Specific topics covered include the metabolic effects and monitoring of antipsychotics, risks of tardive dyskinesia, suicidal ideation risks of antidepressants varying by condition, side effects of stimulants including cardiovascular risks and effects on growth, and side effects of mood stabilizers.
Dr. Iglesia has no conflicts of interest to disclose. The objectives of the document are to develop effective treatment plans, communicate treatment goals, minimize medication side effects, and describe new therapies for overactive bladder in women. Overactive bladder affects millions of Americans, especially women, and prevalence increases with age. New therapies aim to change stereotypes about overactive bladder and provide realistic information about prevalence and severity. Behavioral interventions like pelvic floor exercises and bladder training can be effective treatment approaches.
Dr. Aaron Spitz's presentation as Associate Professor at UCI Urology. This presentation covers how couples can work together to improve their sexual health.
Jeremy Glaser - Current Trends in United States Venture Capital InvestingMIT Forum of Israel
The document discusses current trends in United States venture capital investing based on data from 2005-2010. It shows that while the number of venture-backed IPOs and M&A deals declined after 2005, the total dollars raised by VC funds increased year over year. The majority of VC investments are now in the late stage, with declining investments in early stage. Top sectors of investment are IT, biotech, and cleantech. Examples of major financing rounds for companies like Zynga, Twitter, Facebook and Groupon are also summarized.
A case study on blowout and its control in krishna godavari (kg) basin, east ...Alexander Decker
This document summarizes a case study of a blowout that occurred at an exploratory oil well in the Krishna-Godavari Basin in India in 1995. The blowout resulted in uncontrolled high-pressure gas flowing uncontrollably to the surface, catching fire and gutting the derrick and surrounding equipment. Over 6000 families were evacuated from nearby villages. Mechanical equipment including pumps, water monitors, and an Athey wagon were used in the effort to control the blowout by spraying water and clearing debris, allowing rescue personnel to approach within 20 meters of the blowout area. The case study analyzed the causes of the blowout and evaluated safety procedures used to eventually cap the well after months of effort.
The S&P/TSX Composite Index pared early losses in Canada, as gains in gold and base metals miners offset energy sector losses from weak U.S. retail data and concerns about Europe's debt crisis ahead of the Greek elections. In the U.S., stocks were lower as investors awaited news from Europe, while retail sales declined for the second straight month in May. Air Canada is shifting its strategy to launch a discount airline by locating it in Vancouver to tap into Asian destinations.
Thyroid, Adrenals, & Sex Hormones: A Balancing ActLouis Cady, MD
This document summarizes key points about balancing thyroid, adrenal, and sex hormones for optimal health and mental wellness. It discusses how these hormone systems can become imbalanced, leading to fatigue, depression, and other symptoms. The document contrasts an "optimal" level of hormone functioning with merely being in the "normal" range. It also critiques conventional medical approaches and advocates an integrated approach considering all aspects of these hormone systems.
This document provides information about migraine in women. Some key points:
- Migraine is 3 times more common in women than men. Hormonally-associated migraines affect 12 million women in the US.
- Migraines are often associated with changes in hormone levels, such as during menstruation, pregnancy, use of oral contraceptives, and menopause.
- Diagnosis of migraine involves evaluating symptoms such as headache duration/intensity, nausea, light/sound sensitivity, visual/sensory disturbances (aura).
- Treatment involves both acute symptomatic relief and preventive medications, though choices are more limited during pregnancy/breastfeeding due to safety.
Medicine: A State of CRISIS, a State of CHANGELouis Cady, MD
Dr. Cady returns this year to repeat and update one of the most talked about presentations of the 2015 IMMH conference. In this presentation, Dr. Cady deconstructs the pressures and challenges facing patients, physicians, and all health care practitioners in today's practice environment. The role of integrated practice and functional medicine as a "differentiating factor" in one's practice is reviewed. The need for patients to adapt a healthy life style and take responsibility for their health for their own economic self-preservation is also touched on.
Here are my recommendations for the 56 year old woman with subclinical hypothyroidism:
1. Her diagnosis is subclinical hypothyroidism based on an elevated TSH of 7.1 and normal free T4.
2. Given her age (56), fatigue, and 3-4 lb weight gain, I would recommend a trial of levothyroxine therapy. Treatment is reasonable for patients with TSH >10 or positive thyroid antibodies, which she does not have data for. However, treatment may modestly improve her lipids and symptoms.
3. She should be monitored every 6 months with TSH checks to ensure her TSH is maintained between 0.5-2.0 and that she does not
Erectile dysfunction is common in men with diabetes and tends to be more severe than in non-diabetic men. Screening for ED should be conducted annually as part of diabetes reviews. Asking direct questions such as "Are your erections hard enough for penetration?" can help identify cases of ED. Phosphodiesterase type 5 inhibitors are usually first-line treatment but some men may require additional options or a dose change if initial treatment is not effective. Testosterone deficiency can also contribute to ED in diabetic men.
Slides on Diabetes in the South Focus on Prevention.2018hivlifeinfo
Learn how to overcome common barriers to diabetes prevention with this downloadable slideset.
Richard E. Pratley, MD
Format: Microsoft PowerPoint (.ppt)
File Size: 3.16 MB
Released: October 23, 2018
Many of the symptoms and signs of menopause can be attributed to the cessation of the production of estrogen by the ovaries in the menopausal stage.
The most common complications that women face during menopause include vaginal dryness, soreness, dyspareunia, urinary frequency and urgency.
Mood changes are also common during menopause and in postmenopausal women.
Vasomotor instability can cause hot flushes, sweating and palpitations in menopausal women.
New Concepts in Micronutrient Adequacy and Health Optimization - Cady = May 1...Louis Cady, MD
In this presentation, Dr. Cady revisits the BioPhotonic Scanner and current concepts in lack of nutrient adequacy in the contemporary diet. The role of appropriate supplementation with vitamins, minerals, and antioxidants is reviewed.
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)Alex J Mitchell
This is a 30min talk given at the RCPsych liaison conference 2011 on the topic of the failing (suboptimal) medical care provided to psychiatric patients by physicians and psychiatrists. Available in free full text PPT for a limited period.
The document summarizes the charge given by the Institute of Medicine to convene a committee of experts to review women's preventive health services and identify gaps. The committee was tasked with recommending services to be included in comprehensive national guidelines. After reviewing evidence, the committee made 8 recommendations, including screening for gestational diabetes, HPV testing, counseling on STIs and HIV, contraception services, lactation support, interpersonal violence screening, and annual well-woman visits.
Deleterious Effects Of Antidepressants On Semen Parameters: A Case ReportAhmed Elaghoury
Please cite as follows: Shehatto K, Abed M, Elaghoury A. Deleterious Effects Of Antidepressants On Semen Parameters: A Case Report. Poster presented at: Psychiatry of the 21st Century: Context, Controversies and Commitment. The World Psychiatric Association 17th WORLD CONGRESS OF PSYCHIATRY; 2017 Oct 8-12; Berlin, Germany.
DOI: 10.13140/RG.2.2.15518.64321
This study investigated the association between low-grade inflammation, as measured by erythrocyte sedimentation rate (ESR), and self-rated health in 43,110 late adolescent men from Sweden. The study found that men with higher ESR levels, indicating more inflammation, had higher odds of reporting poorer self-rated health after adjusting for potential confounding factors. This provides evidence that low-grade inflammation is associated with subjective health perception in late adolescent men. The results add to previous research showing this association in women and other populations. As inflammation may contribute to future health outcomes, this study supports the idea that inflammation underlies subjective health perceptions which can predict long-term health and mortality.
The document defines erectile dysfunction and discusses its pathophysiology, epidemiology, classification, diagnostic evaluation, and treatment options. Some key points:
- Erectile dysfunction is defined as the inability to attain/maintain an erection for satisfactory sexual performance for 3 months.
- Prevalence increases with age, ranging from 6-64% depending on age subgroups according to studies.
- Causes can be organic, relational, psychological or a mix (primary or secondary).
- Evaluation involves medical history, physical exam, questionnaires, and optional tests to identify reversible factors.
- Treatment progresses from lifestyle changes, to oral medications, injections, and finally implants if other options fail.
Safety Considerations in the use of Psychotropic Medication in Children and T...Stephen Grcevich, MD
The document summarizes safety considerations for commonly used psychotropic medications in children and teens. It reviews the adverse effect profiles and risks of second-generation antipsychotics, antidepressants, stimulants, and mood stabilizers. It also discusses monitoring standards for potential adverse events during pharmacologic treatment of youth. Specific topics covered include the metabolic effects and monitoring of antipsychotics, risks of tardive dyskinesia, suicidal ideation risks of antidepressants varying by condition, side effects of stimulants including cardiovascular risks and effects on growth, and side effects of mood stabilizers.
Dr. Iglesia has no conflicts of interest to disclose. The objectives of the document are to develop effective treatment plans, communicate treatment goals, minimize medication side effects, and describe new therapies for overactive bladder in women. Overactive bladder affects millions of Americans, especially women, and prevalence increases with age. New therapies aim to change stereotypes about overactive bladder and provide realistic information about prevalence and severity. Behavioral interventions like pelvic floor exercises and bladder training can be effective treatment approaches.
Dr. Aaron Spitz's presentation as Associate Professor at UCI Urology. This presentation covers how couples can work together to improve their sexual health.
Jeremy Glaser - Current Trends in United States Venture Capital InvestingMIT Forum of Israel
The document discusses current trends in United States venture capital investing based on data from 2005-2010. It shows that while the number of venture-backed IPOs and M&A deals declined after 2005, the total dollars raised by VC funds increased year over year. The majority of VC investments are now in the late stage, with declining investments in early stage. Top sectors of investment are IT, biotech, and cleantech. Examples of major financing rounds for companies like Zynga, Twitter, Facebook and Groupon are also summarized.
A case study on blowout and its control in krishna godavari (kg) basin, east ...Alexander Decker
This document summarizes a case study of a blowout that occurred at an exploratory oil well in the Krishna-Godavari Basin in India in 1995. The blowout resulted in uncontrolled high-pressure gas flowing uncontrollably to the surface, catching fire and gutting the derrick and surrounding equipment. Over 6000 families were evacuated from nearby villages. Mechanical equipment including pumps, water monitors, and an Athey wagon were used in the effort to control the blowout by spraying water and clearing debris, allowing rescue personnel to approach within 20 meters of the blowout area. The case study analyzed the causes of the blowout and evaluated safety procedures used to eventually cap the well after months of effort.
The S&P/TSX Composite Index pared early losses in Canada, as gains in gold and base metals miners offset energy sector losses from weak U.S. retail data and concerns about Europe's debt crisis ahead of the Greek elections. In the U.S., stocks were lower as investors awaited news from Europe, while retail sales declined for the second straight month in May. Air Canada is shifting its strategy to launch a discount airline by locating it in Vancouver to tap into Asian destinations.
INOC - Art Meierdirk Presentation from UTC April 15, 2014 Ilissa Miller
This document discusses utilities modernizing their infrastructure through advanced technologies and telecommunications networks. It covers:
1) Drivers for utilities to adopt advanced technologies like smart metering, distribution automation, and enterprise communications to empower customers, improve reliability and operations, and enable new technologies.
2) How utilities' telecommunications needs have outgrown traditional networks due to new applications and increased cybersecurity requirements, requiring them to create roadmaps balancing different network tiers.
3) Lessons learned from Sun Prairie Utilities' experience launching a fiber WAN and fixed wireless network initially before expanding to a fiber network, including the importance of partnerships, scalability, and customer service.
This document summarizes the findings of a survey about revenue assurance functions in the telecommunications industry. The survey found that rapid changes in technology and business models are increasing the risk of revenue leakage for telecommunications companies. It also found that revenue assurance functions face increasing pressure to identify and address revenue leakage and fraud. Additionally, the survey highlighted some of the ongoing challenges for revenue assurance, such as complex network systems and partnerships, and provided guidance on how companies can reduce revenue leakage and optimize margins.
Market Vista Q4-2013 includes data, analysis, and insights on transaction trends, major outsourcing deals, global in-house center market dynamics, trends in offshoring destinations in emerging economies, and service provider developments
Abnormalities of hormones and inflammatory cytokines in women affected with p...Alexander Decker
Women with polycystic ovary syndrome (PCOS) have elevated levels of hormones like luteinizing hormone and testosterone, as well as higher levels of insulin and insulin resistance compared to healthy women. They also have increased levels of inflammatory markers like C-reactive protein, interleukin-6, and leptin. This study found these abnormalities in the hormones and inflammatory cytokines of women with PCOS ages 23-40, indicating that hormone imbalances associated with insulin resistance and elevated inflammatory markers may worsen infertility in women with PCOS.
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.
This daily health update email summarizes recent studies on various health topics. A study found that friendliness, intelligence, humor and a sense of fun are most desirable traits in a long-term partner. Another study links watching more than two hours of TV per day to increased hypertension risk in children. A rat study suggests high-protein diets may harm kidneys by elevating creatinin levels. Activity trackers are generally accurate for step counting but less so for other activities and energy expenditure. Chronic pain may increase fall risk in seniors with normal motor function. A global program aims to treat half of those with uncontrolled high blood pressure to prevent millions of heart attacks and strokes.
This daily health update discusses several recent studies on various health topics:
1) A study found that women have more difficulty recovering from heart attacks than men, possibly due to higher stress levels.
2) Exposure to mercury, even at low levels, may increase risk of autoimmune diseases in women by affecting antibody levels.
3) A study linked low vitamin D levels in childhood to increased risk of heart disease as an adult.
4) Brief naps can help counter the negative health effects of poor sleep by helping the body recover physiologically.
This document discusses concerns about universal healthcare and whether the dominant medical model achieves health or just disease management. It questions if the model is scientifically and financially viable given rising disease burdens and medical errors being a leading cause of death. Alternative approaches that integrate Ayurveda and focus on prevention over cure are suggested but seen as unacceptable to the medical community. The document argues civil society must pursue justice and ensure healthcare reforms the system to truly achieve health.
Washington state officials have placed new restrictions on opioid prescriptions due to growing concerns about overprescription and risks of long-term use. Some doctors have left practices or are being monitored due to not following the new guidelines. While opioids are effective for some patients, studies show risks like increased tolerance, addiction, and overdose deaths. The new policies aim to curb overuse and focus more on alternative treatments, though some patients have lost access to drugs they rely on. Experts debate how to balance controlling misuse while still treating pain conditions.
This document discusses gender differences in cardiac care. It summarizes findings from a study that used MRI scans to analyze how male and female hearts change with age. The study found significant differences: the male heart muscle grows thicker with age while the female heart retains its size or gets slightly smaller. This has implications for the types of heart failure seen in each gender and indicates a need for gender-specific treatments. Currently, diagnostics and treatments are often developed based on the male heart model. The study suggests men and women may develop heart disease for different reasons.
Daily health update of 11/04/2015 from Poway Chiropractor Dr. Rode of Rode Chiropractic in Poway, CA 92064. The latest daily health and chiropractic information.
This document summarizes several ways in which modern medicine has failed patients by promoting treatments that are not evidence-based or proven effective. It argues that doctors often rely on historical practices rather than evidence, and presents several examples of commonly prescribed treatments, like prostate biopsies and statin drugs, that have been shown to do more harm than good or have natural alternatives that are safer and more effective. The document promotes the work of Dr. Jonathan Wright, who it says has warned about these issues for 30 years and offers natural solutions to health problems.
This document discusses the overmedication problem in America. It argues that Americans are overly reliant on pharmaceutical medications when their bodies are capable of healing themselves. While medications can be appropriate and helpful in some cases, such as for cancer patients, they are being prescribed too frequently and for conditions that do not require them. This overprescription of medications is costly and can have harmful side effects while delaying the natural healing process. The document advocates for alternative approaches like physical therapy and lifestyle changes to allow the body to heal itself without relying so heavily on medications.
Medical errors are one of the top 10 causes of death according to the WHO. A review of statistical evidence found that one in 10 hospital admissions results in an adverse event and one in 300 admissions results in death due to medical errors. The estimated number of people harmed or killed each year by unnecessary medical care and procedures in the US is in the millions, including over 2 million adverse drug reactions, 20 million unnecessary antibiotic prescriptions, and 8.9 million unnecessary hospitalizations. Only a small fraction of medical errors are ever reported due to various systemic issues.
This daily health update email contains summaries of recent research on potential alternative treatments for depression, rising deaths due to high blood pressure, reducing liver cancer risk through limiting alcohol and maintaining a healthy weight, midlife fitness reducing cancer risk in men, unstable shoes possibly helping back pain patients, and planning for children in emergencies. The email concludes with a quote about not pretending second rate is first rate.
511vol. 14 • no. 5 American Journal of Lifestyle Medicine.docxstandfordabbot
511
vol. 14 • no. 5 American Journal of Lifestyle Medicine
AnAlytic
Abstract: There is overwhelming
evidence in the scientific and medical
literature that physical inactivity is a
major public health problem with a
wide array of harmful effects. Over 50%
of health status can be attributed to
unhealthy behaviors with smoking, diet,
and physical inactivity as the main
contributors. Exercise has been used
in both the treatment and prevention
of a variety of chronic conditions such
as heart disease, pulmonary disease,
diabetes, and obesity. While the
negative effects of physical inactivity
are widely known, there is a gap
between what physicians tell their
patients and exercise compliance.
Exercise is Medicine was established
in 2007 by the American College of
Sports Medicine to inform and educate
physicians and other health care
providers about exercise as well as
bridge the widening gap between health
care and health fitness. Physicians have
many competing demands at the point
of care, which often translates into
limited time spent counseling patients.
The consistent message from all health
care providers to their patients should
be to start or to continue a regular
exercise program. Exercise is Medicine
is a solution that enables physicians to
support their patients in implementing
exercise as part of their disease
prevention and treatment strategies.
Keywords: inactivity; exercise; vitals;
behaviors; referral
Physical inactivity underlies many
of the chronic conditions that
affect people worldwide, has an
astonishing array of harmful health
effects, and is associated with escalating
health care costs. For example, 7 cancers
have been linked to a physically inactive
lifestyle.1 Depression affects 17 million
Americans2 and has been directly linked
to insufficient physical activity.3
Alzheimer’s disease and related
dementias are increasing at a frightening
rate. By 2025, the number of people
aged 65 years and older with Alzheimer’s
disease is expected to reach 7.1 million
people. In the United States alone, more
than 30 million adults are estimated to
have diabetes,4 95% of whom have type
2 diabetes (T2DM). Considering that a
new case of diabetes is diagnosed every
21 seconds, it is no surprise that diabetes
is the most expensive disease in America,
coming in at a price tag of $327 billion
annually.5 Underlying the vast majority of
T2DM are unhealthy lifestyle behaviors
(poor nutrition and insufficient physical
activity leading to overweight and
obesity). In addition to T2DM, an
unhealthy lifestyle (including tobacco
use, excessive alcohol intake, poor sleep,
and stress) underlies prevalent and costly
chronic diseases (eg, heart disease and
cancer) leading to premature morbidity
and mortality.
While other determinants of health
(genetics, environment, and medical
care) influence health outcomes, by far
the most important factor contributing to
health outcomes is in.
Traffic noise exposure may exacerbate Parkinson's disease symptoms, leading to more hospital visits. Drugs, not alcohol, are now the leading cause of fatal car crashes in the US due to legalized marijuana and opioids. Energy drinks have a greater effect on heart activity and blood pressure than other caffeinated drinks. Increasing children's physical activity by 25 minutes three times a week could save $62.3 billion in future medical costs and lost wages. Lumbar disk degeneration is common in young women and progresses rapidly with age.
This document provides summaries of several health-related articles and studies from May 2015 issues of various publications. It also includes contact information for a chiropractor and recommends seeking medical advice from a health professional.
HOW TO SAVE MONEY ON YOUR HEALTHCARE: An Integrative Medicine ApproachLouis Cady, MD
In this webinar, the fourth in a series of five from Dr. Louis Cady and the Cady Wellness Institute, we focus on the actual dollars and cents of health care expenditures, and the societal and PERSONAL costs of poor health maintenance behavior. We examine the essentially passive US medical system, that would rather drug a symptom than fix the underlying problem.
Great attention is paid on not shaming the patient or the doctors as they exist in the current system. Both groups "do not know what they do not know." Confirmation bias is rampant.
This webinar points the way to living a more vital, energetic life, with a minimum of cost, grief, and misery.
Fda panel backs new drug to fight heart attacksOther Mother
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Jack Oughton - Compiled Health and Fitness Articles.pdf
The risks of anti-aging medicine
1. The risks of anti-aging medicine
Anti-aging isn't recognized by the American Board of Medical Specialties, meaning doctors can't
officially be board-certified in it.
STORY HIGHLIGHTS
Thousands of physicians are catering to the baby boomers who are hoping to feel younger
Some unproven treatments for anti-aging are risky hormone therapies and fad diagnoses
Steven R. Goldstein, M.D., says two key nutrients for anti-aging are calcium and vitamin D
The anti-aging industry is expected to gross more than $291 billion worldwide by 2015
(Health.com) -- Hanneke Hops wasn't afraid of dying. What concerned her was growing old and not
being able to run marathons, ride horses, or fly planes. So the 56-year-old Hayward, California,
woman turned to Alan Mintz, M.D. -- a radiologist who founded the Cenegenics Medical Institute in
Las Vegas, which specializes in "age management medicine."
She was prescribed recombinant human growth hormone (HGH), a synthetic version of a pituitary
hormone hawked as a miraculous fountain of youth. Though the U.S. Food and Drug Administration
(FDA) warns that taking HGH poses serious health risks, Hops -- unaware there was any harm --
began injecting it into her thigh six times a week.
She never did grow old. Six months later, in 2004, she was dead, her liver full of malignant tumors.
While it is impossible to prove that HGH therapy contributed to Hops's death, the use of HGH has
been linked to an increased risk of cancer. (Mintz said at the time of Hops's death that Hops would
not have been treated if he knew she had cancer.)
Today, thousands of physicians are catering to the 78 million baby boomers who are hoping to feel
younger, longer -- and willing to pay for the privilege. The anti-aging industry is expected to gross
more than $291 billion worldwide by 2015.
Health.com: Anti-aging doctors to avoid
The problem is, many of these so-called anti-aging doctors are making empty promises. "They're one
step above snake oil salesmen," says Steven R. Goldstein, M.D., a professor of obstetrics and
gynecology at New York University School of Medicine. They prey on women who have legitimate
medical concerns such as poor sleep, flagging energy, and libido loss, he says, yet they often lack the
training required to treat those problems.
Even worse, they peddle therapies -- most notably, the unapproved use of hormones like HGH and
2. customized drug cocktails -- which are unproven and can even be deadly.
The rise of the anti-aging doc
Once, middle-aged women sought out a
gynecologist for menopausal symptoms,
or an internist for fatigue. Now a new
brand of doctor is promising to treat the
above, and deliver much more: better
sex, a fitter body, dewier skin.
"They often try to convince people that
aging is their fault: 'If you listen to us,
we can fix the problem,' " says S. Jay
Olshansky, Ph.D., a research associate
at the Center on Aging at the University
of Chicago.
Health.com: Why sex is better after 50
Yet aging is a natural process, not a
medical condition, and there isn't any therapy that can reverse it or slow it down, Olshansky says.
Official medical associations from the Endocrine Society to the American Medical Association warn
against using "anti-aging" interventions.
And while traditional doctors, such as endocrinologists (who specialize in hormones) and
geriatricians (who focus on the elderly) are specifically trained to treat age-related conditions such
as hormone imbalances, "not all anti-aging doctors have a degree or advanced expertise" in what
they practice, Olshansky says.
In fact, anti-aging isn't a specialty that's recognized by the American Board of Medical Specialties,
meaning doctors can't officially be board-certified in it. Yet it has its own professional society, the
American Academy of Anti-Aging Medicine (A4M). Founded in 1992, A4M boasts some 24,000
members worldwide and offers a certificate in anti-aging medicine, available to any M.D.
Health.com: Erase 10 years from head to toe
Once a doctor sets up an anti-aging practice, she stands to make major profits. Many age-fighting
treatments aren't covered by insurance, which means the M.D.s prescribing them are paid out-o-
-pocket, Olshansky says -- and that can add up to thousands per patient. At a time when physicians
are getting lower and lower reimbursements under managed care, it's little wonder that doctors of
all stripes, from emergency-room medicine to radiology, are flocking to this lucrative new specialty.
Unproven treatments
So how do you know if your doctor is making promises he can't keep? Here are the top dangers
Health's investigation uncovered:
o Risky hormone therapies. The biggest weapon in the anti-aging doctor's arsenal is the willy-nilly
3. prescribing of hormones. "The concept is that if you take a 60-year-old woman and duplicate the
hormone environment from when she was 20, she'll feel like she's 20," says Nanette Santoro, M.D.,
director of the Division of Reproductive Endocrinology & Infertility at the Albert Einstein College of
Medicine. "It is essentially the idea of drinking the blood of young children."
It's also hazardous, because most age-erasing doctors aren't trained in using these powerful
substances. "In this entire field, I've only encountered one board-certified endocrinologist," says
Thomas Perls, M.D., an associate professor of medicine and geriatrics at Boston University School of
Medicine. "It's outrageous that people think they can prescribe these toxic hormone soups."
The main ingredient in that soup is HGH, which naturally declines in our bodies as we age. Anti-aging
doctors claim that by boosting HGH levels with injections that can cost $12,000 or more per
year, you can reduce body fat, build muscle, improve sexual function, and up your energy.
Health.com: 5 secrets to boost your energy
But "there is no scientific proof of this," Perls says. "And studies show that increasing HGH levels
with drugs predisposes people to heart disease, diabetes, and cancer" -- suggesting that the
hormone may have been a contributing factor in Hanneke Hops's death.
In fact, HGH is only FDA-approved for use in a handful of conditions in adults (including adult
growth hormone deficiency, which is rare), and it is illegal to distribute a product containing HGH
for anti-aging purposes.
»¿ Customer Company Manager Carlos Brulotte from Copper Cliff, likes games, breast stretch
marks and russian dolls collecting. Was these days making a trip to Holy Trinity Column in Olomouc.
Another hot hormone is bioidentical estrogen. For decades, women have relied on synthetic estrogen
to relieve menopausal symptoms such as hot flashes and vaginal dryness. But when the Women's
Health Initiative study on estrogen and progestin therapy was halted in 2002 -- due to a possible
hormone-related increase in the risk of heart disease, stroke, blood clots, and breast cancer -- some
doctors touted bioidentical versions, made from soy and yams, as safer (though there's no proof
they're less likely to raise your disease risk).
Bioidentical creams and pills made by pharmaceutical companies are available via prescription and
regulated by the FDA. Still, many anti-aging docs attempt to create their own bioidentical hormone
cocktails tailored to their patients' special needs.
Health.com: Can supplements ease menopause symptoms?
»¿ Vehicle Painter Cocklin from Saint-Felix-de-Valois, spends time with hobbies and interests like
beachcombing, pregnancy stretch marks and hot rods. Gets enormous motivation from life by going
to destinations including Iguaçu National Park.
It's this customization that is most troubling to mainstream doctors. It involves taking a prescription
to a compounding pharmacy, where pharmacists mix ingredients as outlined by your physician -- and
the resulting concoctions are not approved by the FDA. "When the FDA looked at compounded
medicines, 43 percent of them didn't have the things that they were supposed to," Goldstein says.
That means the drug you're getting may not work -- or may have unpredictable side effects.
Whether there's even such a thing as an optimal hormone level is unclear, notes Cynthia Pearson,
4. executive director of the National Women's Health Network, a nonprofit group that advocates for
women's health issues: "Women can have very different symptoms at the same hormone levels."
o Fad diagnoses. One of the newer anti-aging buzz phrases is adrenal fatigue. The theory behind the
syndrome is that chronic stress causes a decrease in the production of adrenal hormones, which can
cause fatigue and sleep issues.
But while there is a legitimate condition called adrenal insufficiency, which is diagnosed by an
endocrinologist using a battery of tests, "adrenal fatigue is a bogus diagnosis," Perls says. What's
more, the standard treatment -- hydrocortisone -- can lead to osteoporosis, diabetes, and organ
dysfunction, says Jeffrey I. Mechanick, M.D., clinical professor of medicine, endocrinology, diabetes,
and bone disease at the Mount Sinai School of Medicine.
Health.com: 11 foods for healthy bones
Heavy-metal toxicity is another trendy diagnosis. The concept: Removing the body's lifetime build-up
of mercury, lead, and other metals can prevent or reverse age-related conditions such as heart
disease. This is often attempted through chelation therapy, in which a synthesized amino acid called
EDTA is run into patients' bloodstreams; the EDTA attaches to the metals, which are then flushed
out of the body with urine. The process can take 20 to 40 two- to four-hour treatments, at a cost of at
least $2,500.
But while chelation therapy may benefit those with heavy-metal poisoning (a rare problem), there's
zero evidence it helps the rest of us. "It's quackery at its best," Perls says. "People have died from
it." Case in point: In 2003, a 53-year-old Oregon woman died during her fourth round of chelation
therapy. According to the medical examiner, the cause was a cardiac arrhythmia stemming from the
EDTA infusion.
o Pill-a-palooza. Forget popping a simple multi-vitamin from the drugstore. "Many anti-aging doctors
sell their own lines of nutraceuticals at very high prices," Perls says. "It's a profit margin that's
better than what cocaine dealers get."
Don't waste your money, says Olshansky: "The vast majority of studies say anti-aging supplements
don't work." Plus, they're not required to be FDA-approved before they're sold, so there's no
guarantee that they're safe or effective. "We don't know if they could help, but they could be
harmful," says Winifred K. Rossi, deputy director of the Division of Geriatrics and Gerontology at the
National Institute on Aging.
Health.com: Mistakes women make in middle age
Age well -- and wisely
The good news is, no one is saying that you have to just deal with hot flashes, weight gain, or any
other midlife change. Fifty-plus women may not have the biology of twentysomethings, but they can
still feel vibrant, healthy, and even sexy.
"Our best advice is not very different from what our mothers told us: Maintain a healthy weight, be
active, eat nutritious food, and don't smoke," Rossi says. Two key nutrients also help: calcium (get
1,200 milligrams a day, preferably from food; 1 cup of yogurt has 415 milligrams) and vitamin D
(aim for 2,000 IU daily in a supplement, since it's tough to get otherwise), Goldstein says.
5. Then, make sure you have the right medical team in place. Most women use their OB/GYNs as their
go-to, but in your 40s, consider seeing a family-practice doctor or internist, too, says Pearson:
"They're qualified to handle all the routine issues that come up as women hit middle age."
+The+Saturdays
This back-to-basics approach may not sound as cutting-edge as special injections or souped-up
supplements, but it's time-tested and a lot less costly -- for your wallet and your health. "Many of the
benefits that are associated with HGH -- you can get those with exercise, for free," says Olshansky.
"You don't have to spend $12,000."
Copyright Health Magazine 2011
http://www.cnn.com/2011/12/28/health/age-youth-treatment-medication/