Presentation by Janet S. Wright, MD, FACC, Executive Director, Million Hearts Initiative, Centers for Disease Control and Prevention and Centers for Medicare and Medicaid Innovation Center
Heal and Cure is a physician supervised medical wellness & primary care center. We offer Insurance Covered medical services for wellness and healthy living, weight loss or weight management, and primary care – all under the supervision of Board Certified, Award Winning physicians.
Since 2003, Heal n Cure has been mirroring the recommendations of the U.S. Preventive Services Task Force* (USPSTF) for the screening and management of obesity and diabetes. Over the years, we have aligned our weight management program – “Inspire Core Wellness”, based off the Task Force’s findings. The program has delivered impressive results in reversing all modifiable health risk factors.
The USPSTF recommends that overweight and obese patients should be referred to a comprehensive, multicomponent weight loss program with 12 to 26 sessions in the first year. The Inspire Core Wellness program implements the USPSTF recommendations and has delivered impressive outcomes.
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people...NHS Improving Quality
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people with psychological / social needs, by King's College Hospital NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners
CDV: Still a National Priority, by Huon Gray, National Clinical Director (Cardiac), NHS England and Consultant Cardiologist, University Hospitals of Southampton
NBGH study showed wellness initiatives for chronic disease management had the greatest impact on improving employee engagement. How do we contain healthcare costs and improve employee engagement? Diabetes, heart disease, cancer, mental health issues - the strain on health and cost. Motivating employees with interactive health programs to get engaged, reduce presenteeism....implementing health solutions, digging deeper.
Population Health Management & Volume To Value Based CareIFAH
A session by Amish Purohit, CEO and CMO, US Health Systems on the topic of 'Population Health Management & Volume To Value Based Care' at IFAH USA 2019 held at Caesars Palace, 18-20 June, 2019.
Health is the new HIT - Stanford Biomedical Informatics 207 | July 31 2014Ted Eytan, MD, MS, MPH
Using technology to enable a health system that supports total health and makes lives better. Kaiser Permanente Center for Total Health / guest lecture at Stanford School of Medicine : Digital Medicine: Designing IT Innovations that Improve Healthcare
Stanford University Biomedical Informatics 207
Summer Quarter 2014
This webinar will discuss the prevalence of pre-diabetes and it’s contributing factors and the initial efforts to translate the National Diabetes Prevention Program to public health. We will also look at new approaches to providing interventions.
Learning objectives:
Scope and scale of pre-diabetes and what factors contribute to it.
Review initial efforts to translate the DPP to public health.
New approaches to providing interventions.
About The Presenter
Dr. Marrero received a B.A. (1974), M.A. (1978) and Ph.D. (1982) in Social Ecology from the University of California, Irvine. He joined the IU School of Medicine in 1984 and became the J.O. Ritchey Professor of Medicine in 2004. He was a member of the Diabetes Research & Training Center and served as Director of the Diabetes Prevention and Control Division. He is currently the Director of the Diabetes Translational Research Center. Dr. Marrero is an expert in the field of clinical trails in diabetes and translation research which moves scientific advances obtained in clinical trails into the public health sector. He helped design the Diabetes Prevention Program and the TRIAD study, which evaluated strategies to improve diabetes care delivery in managed care settings. His research interests include strategies for promoting diabetes prevention, care settings, improving diabetes care practices used by primary care providers, and the use of technology to facilitate care and education. Dr. Marrero was twice awarded the Allene Von Son Award for Diabetes Patient Education Tools by the American Association of Diabetes Educators, nominated to Who’s Who in Medicine and Health care in 2000, served as Associate Editor for Diabetes Care (1997-2002) and is currently the Associate Editor for Diabetes Forecast. He was selected as Alumni of the Year for University of California Irvine in 2006 and The Outstanding Educator in Diabetes in 2008 by the American Diabetes Association. He is the current President of the American Diabetes Association.
Heal and Cure is a physician supervised medical wellness & primary care center. We offer Insurance Covered medical services for wellness and healthy living, weight loss or weight management, and primary care – all under the supervision of Board Certified, Award Winning physicians.
Since 2003, Heal n Cure has been mirroring the recommendations of the U.S. Preventive Services Task Force* (USPSTF) for the screening and management of obesity and diabetes. Over the years, we have aligned our weight management program – “Inspire Core Wellness”, based off the Task Force’s findings. The program has delivered impressive results in reversing all modifiable health risk factors.
The USPSTF recommends that overweight and obese patients should be referred to a comprehensive, multicomponent weight loss program with 12 to 26 sessions in the first year. The Inspire Core Wellness program implements the USPSTF recommendations and has delivered impressive outcomes.
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people...NHS Improving Quality
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people with psychological / social needs, by King's College Hospital NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners
CDV: Still a National Priority, by Huon Gray, National Clinical Director (Cardiac), NHS England and Consultant Cardiologist, University Hospitals of Southampton
NBGH study showed wellness initiatives for chronic disease management had the greatest impact on improving employee engagement. How do we contain healthcare costs and improve employee engagement? Diabetes, heart disease, cancer, mental health issues - the strain on health and cost. Motivating employees with interactive health programs to get engaged, reduce presenteeism....implementing health solutions, digging deeper.
Population Health Management & Volume To Value Based CareIFAH
A session by Amish Purohit, CEO and CMO, US Health Systems on the topic of 'Population Health Management & Volume To Value Based Care' at IFAH USA 2019 held at Caesars Palace, 18-20 June, 2019.
Health is the new HIT - Stanford Biomedical Informatics 207 | July 31 2014Ted Eytan, MD, MS, MPH
Using technology to enable a health system that supports total health and makes lives better. Kaiser Permanente Center for Total Health / guest lecture at Stanford School of Medicine : Digital Medicine: Designing IT Innovations that Improve Healthcare
Stanford University Biomedical Informatics 207
Summer Quarter 2014
This webinar will discuss the prevalence of pre-diabetes and it’s contributing factors and the initial efforts to translate the National Diabetes Prevention Program to public health. We will also look at new approaches to providing interventions.
Learning objectives:
Scope and scale of pre-diabetes and what factors contribute to it.
Review initial efforts to translate the DPP to public health.
New approaches to providing interventions.
About The Presenter
Dr. Marrero received a B.A. (1974), M.A. (1978) and Ph.D. (1982) in Social Ecology from the University of California, Irvine. He joined the IU School of Medicine in 1984 and became the J.O. Ritchey Professor of Medicine in 2004. He was a member of the Diabetes Research & Training Center and served as Director of the Diabetes Prevention and Control Division. He is currently the Director of the Diabetes Translational Research Center. Dr. Marrero is an expert in the field of clinical trails in diabetes and translation research which moves scientific advances obtained in clinical trails into the public health sector. He helped design the Diabetes Prevention Program and the TRIAD study, which evaluated strategies to improve diabetes care delivery in managed care settings. His research interests include strategies for promoting diabetes prevention, care settings, improving diabetes care practices used by primary care providers, and the use of technology to facilitate care and education. Dr. Marrero was twice awarded the Allene Von Son Award for Diabetes Patient Education Tools by the American Association of Diabetes Educators, nominated to Who’s Who in Medicine and Health care in 2000, served as Associate Editor for Diabetes Care (1997-2002) and is currently the Associate Editor for Diabetes Forecast. He was selected as Alumni of the Year for University of California Irvine in 2006 and The Outstanding Educator in Diabetes in 2008 by the American Diabetes Association. He is the current President of the American Diabetes Association.
Physical Health Action at Last! by Karen Conlon, SMI Project Lead, Mike Leonard, clinical Pharmacist and Pauline Smith, Physical Healthcare Project Nurse
"Alliances with Lifestyle Medicine for Wellness as a Service (WaaS)" - Ingrid...Hyper Wellbeing
"Alliances with Lifestyle Medicine for Wellness as a Service (WaaS)" - Ingrid Edshteyn (Associate Exec Director/Founder, ACLM/Valia Lifestyle)
Delivered at the inaugural Hyper Wellbeing Summit, 14th November 2016, Mountain View, California.
For more information including details of subsequent events, please visit http://hyperwellbeing.com
The summit was created to foster a community around an emerging industry - Wellness as a Service (WaaS). Consumer technologies, in particular wearables and mobile, are powering a consumer revolution. A revolution to turn health and wellness into platform delivered services. A revolution enabling consumer data-driven disease risk reduction. A revolution extending health care past sick care towards consumer-led lifelong health, wellness and lifestyle optimization.
WaaS newsletter sign-up http://eepurl.com/b71fdr
@hyperwellbeing
Improving the Health of Adults with Limited Literacy: What's the Evidence?Health Evidence™
Health Evidence, in partnership with the National Collaborating Centre for Determinants of Health (NCCDH), hosted a 60 minute webinar, funded by the Canadian Institutes of Health Research (KTB-112487), on interventions to improve the health of adults with limited literacy, presenting key messages, and implications for practice on Wednesday October 31, 2012 at 1:00 pm EST. Maureen Dobbins, Scientific Director of Health Evidence, lead the webinar, which included interactive discussion with Karen Fish, Knowledge Translation Specialist, and Connie Clement, Scientific Director, both from the NCCDH.
This webinar focused on interpreting the evidence in the following review:
Clement, S., Ibrahim, S., Crichton, N., Wolf, M., Rowlands, G. (2009). Complex interventions to improve the health of people with limited literacy: A systematic review. Patient Education & Counseling, 75(3): 340-351.
The Patient's Power in Improving Health and CareHealth Catalyst
View a recording of this webinar here: https://www.healthcatalyst.com/webinar/the-patients-power-in-improving-health-and-care/
Around the globe, we are facing a trifecta of healthcare challenges: financial constraints, an aging population, and an increased burden of chronic disease. We need to turn healthcare upside down, empowering our patients to take action for their health and helping physicians, nurses, and healthcare professionals move from being sages to guides.
Patients, even those with chronic diseases, only spend a few hours each year with a doctor or a nurse, while they spend thousands of hours making personal choices around eating, exercise, and other activities that impact their health. How can we get patients to be more engaged in their care, and help physicians, nurses, and healthcare providers transition from a paradigm of “what’s the matter” to “what matters to you”?
Through her work at the Institute for Healthcare Improvement (IHI), Maureen Bisognano has worked diligently to support the IHI Triple Aim: improving the experience of patient care, improving the health of populations, and lowering costs. In this webinar she will present stories of patients and healthcare organizations that are partnering together with tools, processes, data, and systems of accountability to move from dis-ease to health-ease.
In this webinar you will learn:
- Lessons from the “flipped school” in the education system and how they can be successfully applied in healthcare to improve patient behavior.
- How increased patient engagement can help to improve healthcare outcomes and deliver a better care experience while reducing costs.
- Ways that technology can effectively improve data capture, patient accountability, and decision-making.
- The impactful stories of four patients who became innovators in their own care.
improve data capture, patient accountability, and decision-making.
EOA2016: Connecting Community to the Delivery System PublicPIHCSnohomish
During the last breakout session of the day, at Edge of Amazing 2016, a panel came together to discuss the interdependencies that are not the responsibility of any single organization, but are required if we want to achieve population health. They featured the many ways community is linking to the delivery system, including an overiew of the Plan for Improving Population Health and the Practice Transformation Support Hub.
Mary Beth Brown, WA State DOH
Maria Courogen, WA State DOH
Dr. Gary Goldbaum, Snohomish Health District
Linda McCarthy, Mt. Baker Planned Parenthood
"Launching a New Industry – Scientific Wellness" - Mia Nease (Head of Commerc...Hyper Wellbeing
"Launching a New Industry – Scientific Wellness" - Mia Nease (Head of Commercial, Arivale)
Delivered at the inaugural Hyper Wellbeing Summit, 14th November 2016, Mountain View, California.
For more information including details of subsequent events, please visit http://hyperwellbeing.com
The summit was created to foster a community around an emerging industry - Wellness as a Service (WaaS). Consumer technologies, in particular wearables and mobile, are powering a consumer revolution. A revolution to turn health and wellness into platform delivered services. A revolution enabling consumer data-driven disease risk reduction. A revolution extending health care past sick care towards consumer-led lifelong health, wellness and lifestyle optimization.
WaaS newsletter sign-up http://eepurl.com/b71fdr
@hyperwellbeing
Physical Health Action at Last! by Karen Conlon, SMI Project Lead, Mike Leonard, clinical Pharmacist and Pauline Smith, Physical Healthcare Project Nurse
"Alliances with Lifestyle Medicine for Wellness as a Service (WaaS)" - Ingrid...Hyper Wellbeing
"Alliances with Lifestyle Medicine for Wellness as a Service (WaaS)" - Ingrid Edshteyn (Associate Exec Director/Founder, ACLM/Valia Lifestyle)
Delivered at the inaugural Hyper Wellbeing Summit, 14th November 2016, Mountain View, California.
For more information including details of subsequent events, please visit http://hyperwellbeing.com
The summit was created to foster a community around an emerging industry - Wellness as a Service (WaaS). Consumer technologies, in particular wearables and mobile, are powering a consumer revolution. A revolution to turn health and wellness into platform delivered services. A revolution enabling consumer data-driven disease risk reduction. A revolution extending health care past sick care towards consumer-led lifelong health, wellness and lifestyle optimization.
WaaS newsletter sign-up http://eepurl.com/b71fdr
@hyperwellbeing
Improving the Health of Adults with Limited Literacy: What's the Evidence?Health Evidence™
Health Evidence, in partnership with the National Collaborating Centre for Determinants of Health (NCCDH), hosted a 60 minute webinar, funded by the Canadian Institutes of Health Research (KTB-112487), on interventions to improve the health of adults with limited literacy, presenting key messages, and implications for practice on Wednesday October 31, 2012 at 1:00 pm EST. Maureen Dobbins, Scientific Director of Health Evidence, lead the webinar, which included interactive discussion with Karen Fish, Knowledge Translation Specialist, and Connie Clement, Scientific Director, both from the NCCDH.
This webinar focused on interpreting the evidence in the following review:
Clement, S., Ibrahim, S., Crichton, N., Wolf, M., Rowlands, G. (2009). Complex interventions to improve the health of people with limited literacy: A systematic review. Patient Education & Counseling, 75(3): 340-351.
The Patient's Power in Improving Health and CareHealth Catalyst
View a recording of this webinar here: https://www.healthcatalyst.com/webinar/the-patients-power-in-improving-health-and-care/
Around the globe, we are facing a trifecta of healthcare challenges: financial constraints, an aging population, and an increased burden of chronic disease. We need to turn healthcare upside down, empowering our patients to take action for their health and helping physicians, nurses, and healthcare professionals move from being sages to guides.
Patients, even those with chronic diseases, only spend a few hours each year with a doctor or a nurse, while they spend thousands of hours making personal choices around eating, exercise, and other activities that impact their health. How can we get patients to be more engaged in their care, and help physicians, nurses, and healthcare providers transition from a paradigm of “what’s the matter” to “what matters to you”?
Through her work at the Institute for Healthcare Improvement (IHI), Maureen Bisognano has worked diligently to support the IHI Triple Aim: improving the experience of patient care, improving the health of populations, and lowering costs. In this webinar she will present stories of patients and healthcare organizations that are partnering together with tools, processes, data, and systems of accountability to move from dis-ease to health-ease.
In this webinar you will learn:
- Lessons from the “flipped school” in the education system and how they can be successfully applied in healthcare to improve patient behavior.
- How increased patient engagement can help to improve healthcare outcomes and deliver a better care experience while reducing costs.
- Ways that technology can effectively improve data capture, patient accountability, and decision-making.
- The impactful stories of four patients who became innovators in their own care.
improve data capture, patient accountability, and decision-making.
EOA2016: Connecting Community to the Delivery System PublicPIHCSnohomish
During the last breakout session of the day, at Edge of Amazing 2016, a panel came together to discuss the interdependencies that are not the responsibility of any single organization, but are required if we want to achieve population health. They featured the many ways community is linking to the delivery system, including an overiew of the Plan for Improving Population Health and the Practice Transformation Support Hub.
Mary Beth Brown, WA State DOH
Maria Courogen, WA State DOH
Dr. Gary Goldbaum, Snohomish Health District
Linda McCarthy, Mt. Baker Planned Parenthood
"Launching a New Industry – Scientific Wellness" - Mia Nease (Head of Commerc...Hyper Wellbeing
"Launching a New Industry – Scientific Wellness" - Mia Nease (Head of Commercial, Arivale)
Delivered at the inaugural Hyper Wellbeing Summit, 14th November 2016, Mountain View, California.
For more information including details of subsequent events, please visit http://hyperwellbeing.com
The summit was created to foster a community around an emerging industry - Wellness as a Service (WaaS). Consumer technologies, in particular wearables and mobile, are powering a consumer revolution. A revolution to turn health and wellness into platform delivered services. A revolution enabling consumer data-driven disease risk reduction. A revolution extending health care past sick care towards consumer-led lifelong health, wellness and lifestyle optimization.
WaaS newsletter sign-up http://eepurl.com/b71fdr
@hyperwellbeing
Presentation by Robin A. Felder, PhD, Professor and Associate Director of Clinical Chemistry and Pathology, former Director of the Medical Automation Research Center and Chair, Medical Automation
Presentation by Mike Brett, MD, Medical Director for LIFE Programs, Lutheran Senior Life and Kelly Besecker, Vice President, Sales & Marketing, A-Frame Digital
Presentation by Bonnie Britton, MSN, RN, ATAF Telehealth Program Administrator, Vidant Health and Seth VanEssendelft, Vice-President for Financial Services, Vidant Medical Center
Presentation by Kirby Farrell, President and CEO, Broad Axe Technology Partners and Andy Archer, MSc, MBA, Vice President, Broad Axe Technology Partners
Presentation by Joyce Green Pastors, RD, MS, CDE, Diabetes Nutrition Specialist, Virginia Center for Diabetes Professional Education and Assistant Professor of Medical Education in Internal Medicine, University of Virginia School of Medicine
Presentation by Lashanna Brunson, MS, BCBA, Research Coordinator, Parent Implemented Training for Autism through Telemedicine, Center for Excellence in Disabilities, West Virginia University
The Hidden Risk That Is Tearing Your Company Apart Acbg 3 30 10leanhealthguru
The ACBG Edge is an process that allows construction companies manage the health and productivity risk of their employees. This complements American Construction Benefits Group\’s Lean Health Insurance Advantage. Together, these construction wellness processes create champion companies in 3 short years.
Helping Corporations reduce health care cost while by optimizing employee health with simple on site biometric testing, weekly phone conferences, as well as personal coaching and online tracking.
Learn more about the risks of poor diet, and how changes in nutrition policy could better support the health of all Canadians. In this webinar Dr. Norman R.C. Campbell, MD, will review some of the issues Canadians face when trying to eat healthy food and what types of food policies are required to improve the food environment in Canada.
Watch the full webinar recording at https://explore.ucalgary.ca/let-food-be-thy-medicine-diet-and-disease
The American College of Lifestyle Medicine (ACLM) is the medical professional society for physicians and other professionals dedicated to clinical and worksite practice of lifestyle medicine as the foundation of a transformed and sustainable health care system.
Pius Tih Muffih, PhD, MPH, Director, Cameroon Baptist Convention Health Services discusses the organization's Know Your Numbers program, which is a partnership with the local government to screen adults for hypertension and obesity at the 2018 CCIH conference.
What does wellness mean to you? When it comes to your health do you know the numbers that can save your life? Sandy will use tools to assess your risk for disease and inspire you to make healthier choices to achieve wellness.
PYA Principal Kent Bottles, MD, who is also Chief Medical Officer of PYA Analytics, presented before healthcare information technology (IT) professionals at the Summit of the Southeast—Driving the Future of Technology held at Nashville Music City Center, September 16-17, 2014. Dr. Bottles’ presentation covered population health.
Plant-based Eating: Enhancing Health Benefits, Minimizing Nutritional RisksRobin Allen
Learning Objectives
At the end of the session, the participants will be able to:
1. Know there is no single definition of a plant-based diet.
2. Discuss health aspects of vegetarian and vegan diets and quality of evidence supporting health claims.
3. Assess nutritional adequacy/status of vegetarians and/or vegans throughout the life cycle and provide strategies for meeting dietary recommendations for vitamin B12, DHA calcium, and zinc.
Third of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" as part of the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
First of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" as part of the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
Second of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" for the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
Presentation by Sherilyn Pruitt, MPH, U.S. Department of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy, Office for the Advancement of Telehealth
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
- 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
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Telehealth and Million Hearts: Changing the Heart Health of the Nation Together
1. Telehealth and Million Hearts:
Changing the Heart Health of the Nation
Together
1
Janet Wright MD FACC
March 19, 2013
2. Million Hearts™
Goal: Prevent 1 million heart attacks
and strokes in 5 years
• National initiative co-led by CDC and CMS
• Partners across federal and state agencies and
private organizations
2
3. Heart Disease and Stroke
Leading Killers in the United States
• Cause 1 of every 3 deaths
• More than 2 million heart attacks and strokes each year
–
–
–
–
800,000 deaths
Leading cause of preventable death in people <65
$444B in health care costs and lost productivity
Treatment costs are ~$1 for every $6 spent
• Greatest contributor to racial
disparities in life expectancy
Roger VL, et al. Circulation. 2012;125:e2-e220.
Heidenriech PA, et al. Circulation. 2011;123:933–4.
4. Status of the ABCS
Aspirin
People at increased risk of
cardiovascular events who are
taking aspirin
47%
People with hypertension who
Blood pressure have adequately controlled
blood pressure
47%
Cholesterol
People with high cholesterol
who are effectively managed
33%
Smoking
People trying to quit smoking
who get help
23%
MMWR. 2011;60:1248-51
5. Key Components of Million Hearts™
Excelling in the ABCS
Optimizing care
Keeping Us Healthy
Changing the context
Prioritizing
the ABCS
Health tools
and
technology
Innovations
in Care
Delivery
TRANS
FAT
6. Key Components of Million Hearts™
Minority
Excelling in the ABCS Minority Keeping Us Healthy
Optimizing care
Health Changing the context
Health
Prioritizing
the ABCS
Health tools
and
technology
Innovations
in Care
Delivery
TRANS
FAT
7. Keeping Us Healthy
Changing the Context: Tobacco
Comprehensive tobacco control programs work
• Graphic mass media campaign
• Smoke-free public places and workplace policies
• Free or low-cost counseling and medications
• Tele-delivered services & support?
8. Raising the Price of Cigarettes
Through Excise Taxes
Total = $5.26
Total = $4.64
Total = $3.39
Total = $1.58
Total = $6.86
9. Decline in Smoking in New York City, 2002–2010
450,000 Fewer Smokers
NYC & NYS
tax increases
Smoke-free
workplaces
Free patch
programs
start
3-yr average
3-yr average
Adults (%)
3-yr average
Hard-hitting
media
campaigns
NYS
Federal
tax
tax
increase
increase
NYS
tax
increase
New York City Community Health Survey.
10. Keeping Us Healthy
Changing the Context: Sodium
About 90% of Americans exceed
recommended daily sodium intake
• Menu labeling requirements in chain restaurants
• Food purchasing policies to increase access to
low sodium foods
• Public and professional education about the
impact of excess sodium
• Publishing information on sodium consumption
CDC. MMWR. 2011;60(36);1413–7.
11. Most Sodium Comes from Processed
and Restaurant Foods
Realistically,
people can’t
control how
much sodium
they eat
Processed
and
restaurant
foods
77%
Mattes RD, et al. J Am Coll Nutr. 1991;10:383–93.
12. 44% of U.S. Sodium Intake
Comes from 10 Types of Foods
Rank
Food Types
%
1
Bread and rolls
7.4
2
Cold cuts and cured meats
5.1
3
Pizza
4.9
4
Poultry
4.5
5
Soups
4.3
6
Sandwiches
4.0
7
Cheese
3.8
8
Pasta mixed dishes
3.3
9
Meat mixed dishes
3.2
10
Savory snacks
3.1
CDC. MMWR. 2012;61(Early Release):1-7.
13. Keeping Us Healthy
State Trans Fat Regulations
As of January 2012
WA
ME
NY VT
OR
NH
CT
MA
RI
MI
NJ
CA
OH
IL
MD
DE
KY
TN
SC
NM
TX
HI
MS
Enacted or passed trans fat regulation in
food service establishments (FSEs)
Trans fat regulation in FSEs introduced,
defeated, or stalled
14. Excelling in the ABCS
Optimizing Quality, Access, and Outcomes
Focus on the ABCS
• Simple, uniform set of measures
• Measures with a lifelong impact
• Data collected or extracted in the workflow of care
• Link performance to incentives
15. Alignment of Clinical Quality Measures
Baseline + Progress
NQF
MU
Aspirin Use
#204
#0068
S1 opt
S2 opt
#236
Chol Control – Pop
#316
#30
#21
#28
#317
BP Control
ACOs
BP Screening
PQRS CV
Prevention
Measures Group
PQRS
HRSA
UDS
MH CQMs
#0018
S1 opt
S2 rec core
VA
S2 opt
Chol Cont – DM
#2
#0064
S1 opt
S2 opt
Chol Cont – IVD
#241
#0075
S1 opt
S2 opt
#29
Smoking Cessation
#226
#0028
S1 core
S2 rec core
#17
IHS
16. CMS Programs Supporting Million Hearts™
Center for Clinical Standards and Quality
Physician Quality Reporting System
Medicare and Medicaid Electronic Health Record Incentive Program
Quality Improvement Organizations (QIOs)
Center for Medicare
Annual Wellness Visit, Health Risk Assessment, and Personalized Preventive
Plan Services
Medicare Advantage Plan Star Ratings and Quality Bonuses
Medicare Advantage Plans: Chronic Care Improvement Programs for the ABCS
Part D Medication Therapy Management
16
17. Million Hearts PQRS Measures
• Ischemic Vascular Disease: Use of Aspirin or Another
Antithrombotic
• Hypertension screening and control of <140/90
• Diabetes Mellitus: LDL Control
• Ischemic Vascular Disease: Complete Lipid Profile &
LDL <100
• Preventive Care: Cholesterol-LDL test performed
• Tobacco use assessment and cessation intervention
17
18. Why Report on the
Million Hearts PQRS Measures?
• Simplified, increasingly uniform set of measures
– Collect once…….Report wherever
• Embedded in the flow of care to minimize burden
• High performance linked to recognition and
reward for clinicians, systems, and patients.
• And MOST IMPORTANTLY, these measures
matter when it comes to preventing heart attack and
strokes
18
19. Excelling in the ABCS
Optimizing Quality, Access, and Outcomes
Fully deploy health information technology (HIT)
• Registries for population management
• Point-of-care tools for assessment of risk for CVD
• Timely and smart clinical decision support
• Reminders and other health-reinforcing messages
• What is better delivered/accessed at
a distance?
19
20. Excelling in the ABCS
Optimizing Quality, Access, and Outcomes
• Embed ABCS and incentives in new models
– Health homes, Accountable Care Organizations,
bundled payments, Patient-Centered Medical Homes
– Interventions that lead to healthy behaviors
• Mobilize a full complement of
– Pharmacists, cardiac rehab teams, care coordinators
– Health coaches, lay workers, peer wellness
specialists
• Innovate in care delivery to more frequently touch
• How does telehealth extend and expand the team
and enlist and engage the patient and family?
20
21. CMS Programs Supporting Million Hearts™
Center for Medicaid, Children’s Health Insurance
Program, and Survey and Certification
Medicaid Core Quality Reporting Measures
Medicaid Electronic Health Records Incentive Program
Medicaid Incentives to Prevent Chronic Disease
Medicaid Smoking Cessation Services
Medicaid Health Homes
Center for Consumer Information and Insurance
Oversight
ABCS in Essential Health Benefits
21
22. CMS Programs Supporting Million Hearts™
Center for Medicare and Medicaid Innovation
Test of Innovation: Telehealth Challenge Awardees
Comprehensive Primary Care Initiative
Innovation Advisors Program “Call for Advisors” Tailored to ABCS and
Team-Based Care
State Innovation Models
Medicare-Medicaid Coordinating Office
Targeted State Demonstrations and Innovations
22
23. Public-Sector Support
•
•
•
•
•
•
•
•
•
•
•
•
•
Administration on Community Living
Agency for Healthcare Research and Quality
Centers for Disease Control and Prevention
Centers for Medicare and Medicaid Services
Food and Drug Administration
Health Resources and Services Administration
Indian Health Service
National Heart, Lung, and Blood Institute,
National Institutes of Health
National Prevention Strategy
National Quality Strategy
Office of the Assistant Secretary for Health
Substance Abuse and Mental Health Services
Administration
U.S. Department of Veterans Affairs
25. Getting to Goal
Baseline
Target
Clinical
target
47%
65%
70%
Blood pressure control
46%
65%
70%
Cholesterol management
33%
65%
70%
Smoking cessation
23%
65%
70%
~ 3.5 g/day
20% reduction
~ 1% of calories
50% reduction
Intervention
Aspirin for those at high
risk
Sodium reduction
Trans fat reduction
Unpublished estimates from Prevention Impacts Simulation Model (PRISM).
25
26. Prevalence of Hypertension Control among
U.S. Adults with Hypertension
67 million adults with hypertension (30.4%)
(35.8M)
CDC. MMWR. 2012;61(35):703–9.
27. Awareness and Treatment among the 36M
Adults with Uncontrolled Hypertension
M
M
M
CDC. MMWR. 2012;61(35):703–9.
28. Prevalence of Uncontrolled Hypertension,
by Selected Characteristics
Yes
No
Usual source of care
Yes
No
Health insurance
CDC. MMWR. 2012;61(35):703–9.
None
1
≥2
No. times received
care in past year
29. It Doesn’t Take Much to Have a BIG Impact
Small Reductions in Systolic BP Can Save Many Lives
Whelton, PK, et al. JAMA. 2002;288:1882; Stamler R, et al, Hypertension. 1991:17:I–16.
31. Total All-Cause Health Care Costs Decrease as
Medication Adherence Increases, Even with the
Increase in Drug Costs
Sokol MC, et al. Med Care. 2005;43(6):521–30.
32. What is Needed to
Detect, Connect, Control ?
•
•
•
•
•
•
•
•
Awareness of performance gaps and actions
Skills to measure, analyze, improve
A blanket of BP monitors
Standardized protocol or algorithm
Timely, low-cost loop of measurement and advice
Effective team care models
Access and persistence to meds
Business case
40. BP Control Plan
• Identify the undiagnosed 14 Million
• Move the treated to controlled 16 Million
• Coach self-management 67 Million
41. 100 Congregations for Million Hearts
The Commitment
For one year, we will focus on two or more of the
following actions and share our progress:
•Designate a Million Hearts Advisor
•Deliver CV health messages
•Distribute wallet cards for recording BP readings
•Promote and use the Heart Health Mobile app
•Facilitate connections with local health
professionals and community resources
42. BP Control Plan
•
•
•
•
•
Identify the undiagnosed 14 Million
Move the treated to controlled 16 Million
Coach self-management 67 Million
Drive measurement and reporting > 67 Million
Educate and activate about high Na intake 314M
43. KP NoCal Implementation Timeline
2000
HTN
Registry
developed
2002
Performance
Measures
Distributed
1995
Guideline
Created;
updated
every 2 yrs
1995
43
2005
Single Pill
Combination
Promoted
Successful
practices
disseminated
1997
1999
2001
2003
2005
2007
Non-MD
BP Visits
2007
Marc Jaffe, MD • The Permanente Medical Group, Inc. • Oakland, CA •
2009
44. MI Rates Declining in Kaiser No California
44
44
Marc Jaffe, MD • The Permanente Medical
Group, Inc. • Oakland, CA • 01/01/14
45. The Future State
•
•
•
•
Lower sodium foods are abundant and inexpensive
BP monitoring starts at home and ends with control
Data flows seamlessly between settings
Professional advice when, where, how, and
from whom it is most effective
• No or low co-pays for medications
• High performance on BP control is rewarded
Adding web-based pharmacist care
to home blood pressure monitoring
increases control by >50%
Green BB, et al. JAMA .2008;299:2857–67.
46. What is a Telehealth Expert to Do?
• Prioritize ways to achieve excellence in the
ABCS
– start with hypertension
• Enable personalized risk assessment
• Facilitate adherence as critical to heart health
• Equip team members to teach & reinforce &
badger
– Cardiac rehab, Pharmacist, Community health worker
• Share what works--and doesn’t--with us
47. Resources
• Vital Signs: Where’s the Sodium?
www.cdc.gov/VitalSigns/Sodium/index.html
• Innovations and Progress Notes: How others have achieved high performance
www.millionhearts.hhs.gov/aboutmh/innovations.html
• Vital Signs: Getting Blood Pressure Under Control
www.cdc.gov/vitalsigns/Hypertension/index.html
• Team Up. Pressure Down.
http://millionhearts.hhs.gov/resources/teamuppressuredown.html
• Community Guide: Team-Based Care
www.thecommunityguide.org/cvd/teambasedcare.html
• SDOH Workbook: Promoting Health Equity, a Resource to Help Communities Address Social
Determinants of Health
www.cdc.gov/nccdphp/dach/chhep/pdf/SDOHworkbook.pdf
• Program Guide for Public Health: Partnering with Pharmacists in the Prevention and Control of Chronic
Diseases
www.cdc.gov/dhdsp/programs/nhdsp_program/docs/
Pharmacist_Guide.pdf
• Data Trends & Maps
http://apps.nccd.cdc.gov/NCVDSS_DTM
Build partnerships with minority-serving organizations, especially those that bridge clinical and community settings
Implement strategies to improve health equity and reduce health disparities
Highlight and disseminate promising practices that focus on minority health
Embed Million Hearts measures into federal initiatives targeting minority communities
Build partnerships with minority-serving organizations, especially those that bridge clinical and community settings
Implement strategies to improve health equity and reduce health disparities
Highlight and disseminate promising practices that focus on minority health
Embed Million Hearts measures into federal initiatives targeting minority communities
This slide shows the top 10 food category contributors to sodium intake. Excluding the salt added at the table, 44% of US sodium intake comes from just these ten types of foods.
Bread and rolls, cold cuts, pizza, fresh and processed poultry, soups, sandwiches, cheese, pasta mixed dishes, meat mixed dishes such as meatloaf with tomato sauce, and savory snacks such as chips and pretzels comprise the top 10 food category contributors to sodium intake.
Some contributors like bread and poultry, may not taste salty, but because we consume a lot, they add up.
In 1998, cardiovascular disease is still the leading cause of death and a leading cause of disability in the U.S. This is unacceptable because we know how to reduce the burden. But it hasn’t happened everywhere with everyone in the U.S.
Even more disturbing is that a substantial CVD disparity exists based both on geographic distribution, as illustrated here, and also on the socio demographic determinants of age, sex, race/ethnicity, socioeconomic status, and social class.
This Vital Signs report found that nearly one-third, or about 67 million, adults in the U.S. have hypertension.
We’ve further divided that group into those who have controlled blood pressure and those who have uncontrolled hypertension. Uncontrolled hypertension is an average systolic blood pressure of 140 mmHg or greater or an average diastolic blood pressure of 90 mmHg or greater among those who have hypertension.
35.8 million adults, or about 54%, have uncontrolled hypertension.
Next we looked at three subgroups of people with uncontrolled hypertension.
There are approximately 14.1 million adults who are unaware that they have high blood pressure;
5.7 million are aware of their high blood pressure but are not taking medication for it, and
16 million adults are aware that they have high blood pressure and are being treated with medication but their blood pressure is still uncontrolled.
Looking at this Table, you can see that lack of health insurance, a usual care provider, or receiving health care in the past year are not necessarily the problem.
32 million of the 36 million adults with uncontrolled hypertension have a usual source of health care.
30 million have health insurance (only 5.3 million do not have health insurance)
About 26 million have seen a health care provider at least twice in the past year. These could include visits to an emergency department or at a clinic for episodic care.
In fact, 14.1 million have Medicare.
Hospitalization risk: probability of 1 or more hospitalizations during a 12-month period
Hospitalization risk: probability of 1 or more hospitalizations during a 12-month period