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Archive for the ‘Preventative Medicine’ Category

Health clinic to return to University of Idaho campus – Argonaut

Friday, October 18th, 2019

The Vandal Health Clinic formerly known as the Student Health Clinic will move back to its Moscow campus location this fall.

The clinic was moved off campus last year to the downtown location of Moscow Family Medicine. It was moved again and is now located next to the QuickCare clinic behind WalMart.

We dont have a definitive date of being open, but itll be soon, Dean of Students Blaine Eckles said. Likely before Thanksgiving, if not sooner than that.

The on-campus clinic, located in the same building as the Student Health Insurance Office and Vandal Health Education, is in the final stages of being remodeled, Eckles said.

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The clinic will house six exam rooms, a procedure room, office space for physicians and an x-ray room. It is unclear at this time if the clinic will have the capacity to do other types of lab work on site, but those resources will remain available through other healthcare facilities in Moscow.

There is room within the current space to expand.

The move (back to campus) was ultimately my decision, Eckles said. I dothat in consultation with campus leadership, the president. This conversation started last spring as an opportunity for us to engage. President Staben and Provost Wiencek were in support of that, President Green is in support of it as well.

The clinic was moved to the Gritman Medical Center location behind WalMart during the remodeling process because that location had the capacity to meet student needs better than the downtown Moscow Family Medicine location, Eckles said.

Moscow Family Medicine integrated with Gritman Medical Center last year, Eckles said, which allowed this move to happen.

Eckles said the team behind the move wanted to open the clinic sooner, but the remodel took time. It was originally predicted to open in January, but Eckles said the clinic is likely to open much sooner.

The physician who will be based out of the clinic, Dr. Jacob Christensen, completed a Primary Care Sports Medicine Fellowship at the University of New Mexico last summer and began seeing patients at the current clinic location recently.

Christensen will provide general healthcare in addition to mental, preventative and womens health services. He will also work with University of Idaho athletic teams as an athletic physician.

Eckles and Christiansen said there should not be any changes in services when the location of the clinic changes.

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Some types of lab work may be unavailable on site, Christianson said, but finding alternatives and other local resources should not be a problem.

The Vandal Health Clinic will be open five days per week including over academic breaks and will be open to students, staff, faculty and other members of the campus community. Eckles said this will provide another line of healthcare service for students and ease access to services throughout Moscow, cutting down line sizes and wait times.

Eckles said he will send out a campus-wide email once a final opening date has been set for the clinic. The team plans to host a ribbon-cutting ceremony when the clinic opens.

Alexis Van Horn can be reached at arg-news@uidaho.edu or on Twitter @AlexisRVanHorn

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How Nutrition-Tech Could Save Our Healthcare System And Billions Of Lives Around The World – Forbes

Sunday, October 13th, 2019

Hippocrates conceived one of the most revolutionary health concepts, Let food be thy medicine and medicine be thy food, around 400 BC, yet modern society has yet to capitalize on this concept. The worlds pharmaceutical market, worth $934.8 billion in 2017, is projected to reach a staggering $1170 billion by 2021, while the average American lifespan has decreased over the past few years. This is due, in large part, to a dramatic increase in the early onset and acceleration of chronic diseases that are perpetuated by poor nutrition and lack of exercise, such as heart disease, cancer, Alzheimers and diabetes.

Nutrition businesses, under soft food regulations, are vested in exploiting our palates with high-carb, high-protein and cheap, unhealthy high-fat products.The consequent surge of chronic diseases has furthered the sick care model of medicine to create a multi-pill-a-day standard of care that has prolonged the sick part of our lives rather than our healthspan, i.e. the healthy part of our lives.

The U.S. healthcare system is at risk of bankruptcy unless we invest in the economic potential of lifestyle improvements, with food as medicine as a top priority. Food is the only product we ingest every day, multiple times a day, so it has the potential to be the most powerful medicine or poison. A nutrition-tech company can use the same research and scientific standards when developing its nutrition programs and/or products that the biotech industry uses.

As a physician and the CEO of a leading nutrition-tech company developing products based on clinical research from the USC Longevity Institute, I believe evidence-based nutrition formulations have the potential to greatly increase our healthspan. Realizing the potential of this emerging industry will require several paradigm shifts for patients, healthcare providers, consumers, corporations, regulatory systems and payers policies. Here a few key considerations.

Food As Powerful Medicine

Recent scientific evidence shows that, at the cornerstone of all major chronic diseases, lie common metabolic factors driven by unhealthy lifestyle factors, specifically nutrition. It is along these lines that some are calling Alzheimers Type 3 Diabetes. One strategy for maintaining optimal health is to eat less, less frequently. Various recent pre-clinical trials are showing how the stress induced to the body by fasting activates the bodys own defense mechanisms against multiple cancers, diabetes and autoimmune diseases.

According to the International Food Information Council Foundations annual survey, intermittent fasting (IF) was the U.S.s most popular diet in 2018 and a close runner-up to clean eating in 2019. While intermittent fasting helps improve weight loss and certain metabolic markers, prolonged fasting for several consecutive days is showing additional rejuvenating effects by enhancing the bodys own protective capabilities. Intermittent fasting and diets that can mimic prolonged fasting are becoming new interventions besides pharmaceuticals for doctors and health practitioners to effectively recommend.

Health Care Before Sick Care

Another paradigm shift that supports the proliferation of nutrition-tech is a growing emphasis on true health care instead of sick care. Preventative medicine is cheaper and more effective, while empowering people to assume more responsibility for their own health outcomes. Insurance companies are increasingly incentivizing patient-driven preventative medicine efforts, offering gym membership reimbursement, for example. The U.S. health coach market, worth $6.14 billion in 2017, is projected to reach $7.85 billion by 2022, while a reported 60% of Americans say they want health coaching. A certified health coach could be the nurse of the new healthcare model.

Similarly, the demand for increased nutrition education for medical practitioners reflects a growing consensus that health practitioners should prescribe food as medicine. Indeed, first line therapy for the reversal of prediabetes and early diabetes lies in better nutrition and lifestyle drug therapy could be used thereafter. According to David Eisenberg, an adjunct associate professor of nutrition at Harvard T.H. Chan School of Public Health, most U.S. medical students currently receive fewer than 25 hours of nutrition education and less than 20% of American medical schools mandate a course in basic nutrition.

Todays physicians have little faith in food as medicine, because the standard food industry has cut corners to sell diets based on taste and profits rather than health value and evidence-based protocols. However, the tide is turning with the burgeoning nutrition-tech industry.

Food Regulation And Payer Policy Reform

A large part of reshaping the way we think about food as medicine lies with the FDA. Currently, the FDA classifies medical foods as intended for people who have a disease or condition that results in a distinctive nutritional need which cannot be met by a diet of regular food, but is met by the medical food. Put simply, a medical food supplements a nutritional lack or deficiency, e.g. a potassium deficiency. The FDA has a great chance to expand this definition to include foods that impact the progression or the treatment of common diseases such as diabetes, cancer and Alzheimers.

However, there is currently no clear pathway for classification of foods to treat or better manage mainstream chronic diseases, such as cancer, Alzheimers and autoimmune diseases. The FDA could relax the interpretation of this definition to include foods that have strong scientific evidence and a degree of novelty with respect to alleviating or reversing mainstream chronic diseases.

Finally, insurance companies, driven by financial pressure, are slowly shifting to embrace reimbursement of certain nutrition plans. This year, Secretary of Health and Human Services, Alex Azar, announced that Medicare Advantage will begin reimbursing some social determinants for health, such as home-delivered meals a milestone step in the right direction for increasing access to nutrition-tech products and creating a predictable, therefore investable, nutrition-tech market. Similar Medicaid policies could encourage the poor to use food stamps for nutritious or fasting-mimicking food products instead of cheap fast food. If this true healthcare model were realized, the benefits to individuals and society could be enormous.

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How Nutrition-Tech Could Save Our Healthcare System And Billions Of Lives Around The World - Forbes

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Bad Posture Could Be The Cause Of Your Back Pain & Headaches – CBS New York

Sunday, October 13th, 2019

NEW YORK (CBSNewYork) Do you have back pains and headaches and cant figure out why? The cause could be as simple as your posture.

CBS2s Dr. Max Gomez says our bodies were meant to be used a certain way to support our weight, but modern devices and workplaces tend to sabotage that design.

In a few weeks, when its time for finals, students at the New York Institute of Technology will get to work. Theyre members of the schools posture patrol.

Its basically something people dont pay attention to a lot of the times, said physical therapy student Philip Hennings.

(Credit: CBS2)

Thats why theyll be handing out brochures to students and faculty.

Just correcting them with their posture and helping them become aware, I realize that it makes such a huge difference and is what we consider preventative medicine, Hennings said.

RELATED STORY: Is Sitting The New Smoking? Doctors Say Long Days And Poor Posture Can Cause Widespread Harm

Whether were sitting at our desks, staring at our devices or just walking around, posture is a big part of our day.

Dr. Mark Gugliotti is an associate professor of physical therapy. He says poor posture can lead to different types of pain.

The neck, the head, the shoulders, the elbow, hips, low back, knees, feet and ankles, the whole body is subject to any sort of postural dysfunctions, he said.

(Credit: CBS2)

Gugliotti and his students demonstrated the right way to sit at a desk. To start, your feet should be flat on the floor.

Im going to lower the chair to a position that helps accentuate a 90-degree angle between the trunk and the hip, as well as a 90-degree angle between the upper leg and the lower leg, he said.

Shoulders and elbows should also be at 90 degrees. Your computer screen should be an arms length away and positioned so your eyes are looking at the top third of the screen without moving your neck up or down.

Then theres what may be the biggest offenders; phones and other mobile devices can impact the back and especially neck.

Having your phone more towards the front of your face would be the best scenario, Gugliotti said.

Dont forget about your posture when youre walking. Keep your back straight, not slumped, and try to pull your belly button in towards the spine.

If left untreated, poor posture can lead to nerve compression in the back of the neck, which can lead to headaches. Poor posture can even impact the lungs of patients with asthma, COPD and emphysema.

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Senior Expo provides information and wellness testing for Newton and Jasper – Newsbug.info

Sunday, October 13th, 2019

RENSSELAER For the second year, the Jasper and Newton County Extension offices have joined to bring information and wellness testing to the Jasper County Fairgrounds for the elderly population of both counties. The senior expo, on Oct. 9, brought a variety of senior living residences, medicine and other agencies together for seniors to browse, gather some freebies and learn about the choices they have as they grow into their golden years, and all of it was free.

Franciscan Health Rensselaer brought nurses offering free screenings in bone density, cholesterol and glucose testing as well as Medicare information. Tim Ventrello, an RN who runs the Heartland Vascular Screening program for Franciscan Health was there to tell seniors about the new testing program and to discuss the hospitals new 3D mammography machine, making it easier for radiologists to see more clearly what is inside a breast and the ability to find something unusual that may not have been seen by regular mammography.

The machine gauges the persons body type and adjusts itself to each individuals body, making it more comfortable for the patient.

The new screening programs offer different heart, lung and vascular screenings for a flat fee without going through insurance or the need to have a doctors referral. A heart risk assessment is included in each screening. The screenings are by appointment and the office is open Monday and Thursday, 7 a.m. to noon, but appointments can be made outside of those hours for patients convenience.

Ventrello said the screenings are meant for young healthy people to find where they are in their health and to follow up each year as a wellness check rather than waiting for something to happen as they age. It is preventative medicine, he said.

Sherri Van Buren discusses information and Medicare options for seniors on Medicare health insurance in Rensselaer, Lafayette and Crawfordsville. She was on-hand Wednesday morning to help any seniors who stopped to talk about their healthcare coverage.

Josephine Mikuly, of DeMotte, said she came to the expo last year and enjoyed the information she received and was happy to return again this year. Ive gotten good information, she said.

The new senior living facility in Rensselaer, Autumn Trace, had representatives available to talk about their facility. It is three/quarters full and they receive inquiries daily regarding availability, Kristi Ritter said.

There was also a table for Parkview Haven in Francesville, the Rensselaer Care Center, Oak Grove Christian Retirement Village in DeMotte and George Ade Memorial Health Care in Brook. Ashland Place Senior Apartments in Goodland was also there to discuss its independent living apartments with the visitors.

Birthright of Rensselaer was there looking for senior volunteers to help answer the phone and do other volunteer work. Brook Library and the Jasper County Library had large print books to give away as well as information on services the libraries have to offer. Both community services from the two counties gave seniors information on the services they offer seniors as well.

Walgreens was offering free flu shots and pneumonia shots to the seniors as well.

Although attendance was down from last year, the expo went well, and those who went were glad they did.

Northwest Indiana Community Action promoted a free Living Healthy workshop that began on Thursday, Oct. 10 and continues each Thursday through Nov. 14, at 3:30 p.m. at the Community Church in Roselawn. The address is 10498 N 450 E, DeMotte/Roselawn. Seniors will need to register for the program by calling 800-826-7871, ext. 2203.

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Researchers publish comprehensive review on respiratory effects of vaping – Taylorsville Times

Sunday, October 13th, 2019

UNC School of Medicine researcher Rob Tarran, PhD, led a review of all published scientific literature on the effects of e-cigarette use on the respiratory system. The team of four authors strongly recommend tighter regulation of e-cigarette products.

Rob Tarran, PhD

Four scientists from four leading universities in the United States conducted a comprehensive review of all e-cigarette/vaping peer-reviewed scientific papers that pertain to the lungs and published their findings Sept. 30, 2019, in the British Medical Journal.

Corresponding author Rob Tarran, PhD, professor of cell biology and physiology and member of the UNC Marsico Lung Institute, said, Studies show measurable adverse biologic effects on lung health and cells in humans, in animals, and in tissue samples studied in the lab. The effects of e-cigarettes have similarities to those seen in traditional cigarettes and important differences.

Doctors know that the development of chronic, life-threatening diseases related to cigarette smoking, such as lung cancer and emphysema, take decades to develop. Also, it took decades to scientifically prove that smoking cigarettes caused cancer. Vaping has been popular for about 10 years. Scientists have been studying the effects of e-cigarettes for about five years. What theyve found suggests that vaping is not without effects. It is not safe.

The scientific communitys current knowledge is insufficient to determine whether the respiratory health effects of e-cigarettes are less than the now obvious health effects of combustible tobacco products, said Tarran, who is also a member of the UNC Lineberger Comprehensive Cancer Center.

The other authors of the BMJ paper are Jeffrey Gotts, MD, PhD, assistant professor of medicine at the University of California-San Francisco, Sven-Eric Jordt, PhD, associate professor of anesthesiology at Duke University with an adjunct appointment at Yale University, and Rob McConnell, MD, professor of preventative medicine at the Keck School of Medicine at the University of Southern California.

Gotts is a pulmonologist/intensive care clinician, Jordt is a toxicologist, McConnell is an epidemiologist, and Tarran is a cell biologist and physiologist.

The paper can be read in full. Below are a number of their key findings:

A number of epidemiological studies showed increased respiratory symptoms in adolescent vapers, such as increased bronchitis-like symptoms, increased asthma, shortness of breath, etc.

The researchers found a number of studies that showed effects of vaping on the whole lung, including possible lung damage (such as damage to the lungs blood supply), and identified case reports from around the world indicating lipoid pneumonia that is similar to what is seen with the current epidemic in the United States.

The researchers reported on a number of animal studies which typically found increased risk of lung damage and immunosuppression, such as increased susceptibility to bacterial or viral infections.

We also evaluated the effects of vaping on cells in the laboratory (in vitro studies), Tarran said. Most studies found that e-liquid exposure to pulmonary cells had effects including general cytotoxicity and impaired specialized functions, such as secretion and phagocytosis, which are important for proper lung function.

The researchers reviewed the possible health effects of e-liquid constituents including nicotine, propylene glycol/vegetable glycerin, and flavors. All have been shown to have adverse effects in animal and lab based studies at some concentrations. However, given the range of vaping behaviors in the real world, it is impossible to know the exact concentrations vapers are exposed to over any given timeframe.

Interestingly, when we looked at all the published papers on primary pulmonary cells straight from the lungs of people to the lab the only reports that did not see an effect of vaping on these cells were studies funded by the tobacco industry, Tarran said.

The researchers also provided recommendations for clinicians and for future regulation of e-cigarettes. For heavy smokers, e-cigarettes should be prescribed cautiously as a smoking alternative, and should only be recommended as a cessation devise along with counseling and other therapies to help quit nicotine-product use permanently.

We recommend that vape products be regulated more stringently along the lines of pharmaceutical products that go through a well-defined series of pre-clinical and human studies before they are released on the market, Tarran said.

The researchers also highlighted the challenges facing researchers in the field and provided recommendations for future research, such as the need to research the potential detrimental effects of vaping on adolescent lung development.

Source: University of North Carolina at Chapel Hill School of Medicine

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How the Salton Sea Became an Eco Wasteland – HowStuffWorks

Sunday, October 13th, 2019

California's largest inland lake, the Salton Sea, lies in the Imperial and Coachella valleys. The lake, which is more than 50 percent saltier than the Pacific Ocean, is becoming more salt than water because it's essentially evaporating. The lake and the area that surrounds it once hotspots for tourism and wildlife have essentially become ghost towns.

But while people no longer visit, the lake's evaporation still has consequences for both humans and animals. Rates of asthma there are disproportionately high and are thought to be caused by dust blown up from the dry lakebed. Meanwhile fish populations are plummeting as are populations of migratory birds. So, what is happening at the Salton Sea and is anything being done about it?

First, a little backstory. The Salton Sea has existed in many forms over millennia, depending on changing flows of water from the nearby Colorado River. It's located in the Salton Basin near the Mexican border, and geologic evidence shows it has alternated between mostly freshwater, mostly saltwater and nearly dry.

The sea was in a dry phase when in 1905, the Colorado River overflowed, and, due to human error, breached its levees, flooding the desert valley for two years. This created the 400-square-mile (1,036-square-kilometer) inland lake, which was larger than Lake Tahoe.

In the 1920s, locals decided to divert agricultural irrigation runoff to the lake, which kept it alive longer than it probably would have on its own, given it's located in a desert where temperatures frequently soar above 100 degrees Fahrenheit (37 degrees Celsius).

This accidental lake turned out to be a boon for wildlife, though. Birds flocked to the area and fish seemed to thrive there, as well. In 1930, the U.S. Fish and Wildlife Service created the Salton Sea Wildlife Refuge to protect the ducks, geese and shore birds attracted to the lake. Since its establishment, millions of birds, including 400 different species, have been spotted along the shores.

The area continued to thrive in the 1940s and '50s. Tourism grew, and developers branded it the "Salton Riviera," building hotels, homes and yacht clubs. Salton Sea State Park opened in 1955, then the second largest state park in California. The California Department of Fish and Game bred saltwater fish in the lake and they flourished and fed large populations of migratory birds.

But this desert paradise's days were numbered and by the 1970s, the "Salton Riviera" was headed for trouble.

Because of the lake's desert location, it has never gotten much precipitation. Plus, most of the surrounding activity was agricultural, so the lake experienced high levels of pesticide and fertilizer runoff. And because the lake has no outlet, the poisoned water had nowhere to go.

This caused a process called eutrophication, which results in increased algae and bacteria known as dead zones. This perfect storm of conditions caused the lake to become saltier. The high salinity, along with the eutrophication, caused massive fish die-offs.

By the 1990s, the shores of lake were littered with dead fish. And 150,000 eared grebes (small waterbirds) died on the Salton Sea between December 1991 and April 1992. Another 20,000 died in 1994. By 1996, type C avian botulism killed more than 10,000 white and brown pelicans and nearly 10,000 other fish-eating birds. More than 1,000 endangered brown pelicans died in the largest reported die-off of an endangered species. Eight million tilapia died in one day in the summer of 1999.

But back at the Salton Sea, tourism dropped off. The lake level dropped, too, due in part to evaporation and in part, ironically, to a reduction in the same agricultural runoff that had caused so many problems in the first place.

Then in 2003, things became even more dire. Southern California's water districts finally sign off on the Quantification Settlement Agreement (QSA) that had been in negotiation for years. It called for a large portion of the Colorado River water that had gone to the Imperial Valley for farming irrigation to be redirected to urban areas in the Coachella Valley and San Diego for residential use.

To make up for that water loss, the agreement designated a water restoration plan for the Salton Sea for 15 years. It also paid farmers in the Imperial Valley to leave some of their land fallow and so the water they would have used for agriculture would go the Salton Sea instead. But that deal ran out in Dec. 31, 2017, so the lake continued to dry up.

But even before the QSA deal expired, the Salton Sea ran into problems. In 2012, a sulfurous smell wafted across hundreds of miles of Southern California. The odor turned out to be from the lake's rotting fish carcasses. In addition, the dried-up lake bed left large swaths of dirt that was once covered by water exposed like a massive beach.

"That [exposed dirt] has the potential to be moved by wind and increase the amount of dust that's in the air," says Jill Johnston, Ph.D., an assistant professor of preventative medicine at the University of Southern California. "This dust can get in your lungs and adversely affect respiratory health, cardiovascular health and cause learning issues."

Johnston is currently working on a long-term research project, "The Salton Sea and Children's Health: Assessing Imperial Valley Respiratory Health and the Environment," with partner Shohreh Farzan, Ph.D. The project follows elementary school children near the Salton Sea to look at changes in their respiratory health because of exposure to particulate matter.

There has already been evidence of high rates of asthma is the area. Still, correlation is not causation, which is why Johnston's study is so important. "The aim is trying to answer the question if Salton Sea dust is impacting the health of the community," she says.

Over the years, there have been several remediation proposals that promised to deal with the problems at the Salton Sea. An editorial in the Los Angeles Times from March 2019 blames the government's lack of urgency, at least in part, on the lake's location: It's far away from the urban centers that policymakers in the state tend to focus on. In addition, it is close to the Mexican border and smack dab on the southern tip of the San Andreas Fault.

But there have been even more promises made and promises broken. Congress passed the Salton Sea Reclamation Act directing the Secretary of Interior to prepare a feasibility study and submit it to Congress by Jan. 1, 2000. It never did. In 2003, then-governor Gray Davis signed the Salton Sea Restoration Act and Salton Sea Restoration Fund. But neither was funded.

Later in 2007, Sen. Barbara Boxer authorized the Army Corps of Engineers to spend up to $30 million on Salton Sea projects. But money was never appropriated until 2015, when the Obama administration included a measly $200,000 for yet another study.

By 2008, California's Legislative Analyst's Office refused to endorse the $8.9-billion Salton Sea plan prepared and released by the state in 2007. Later in 2008, Gov. Arnold Schwarzenegger signed a bill meant to accelerate the distribution of money for Salton Sea restoration. But ultimately the $8.9-billion plan failed, too.

It wasn't until January 2016 that the California legislature approved $80 million for the Salton Sea the state's largest-ever allocation. And in February the U.S. Bureau of Reclamation said it would increase its annual spending from $300,000 to $3 million. These announcements both came on the heels of California's Little Hoover Commission report, which urged state officials to "take immediate action on the Salton Sea" because of it was a "public health catastrophe."

But this money is just a drop in the bucket. California has since released another 10-year Salton Sea plan, which it expects will cost at least $383 million. The state is no longer focused on restoring the Salton Sea. It's too late for that. The plan now is to mitigate damage to the habitat and the people, birds and other animals living near and around it. But that will only happen if the plan is fully funded. And if the past is any indicator of the future, what's to become of the Salton Sea doesn't look so bright.

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Rowan community hosts first annual Fitness Festival to promote fitness and ALS awareness – The Whit Online

Sunday, October 13th, 2019

On Friday afternoon, multiple Rowan clubs, departments, sports teams and others in the Rowan community convened at the Intramural Field to hold the inaugural Fitness Festival in support of ALS awareness, as well as to promote fitness as part of a healthy life.

The event was also held to commemorate the life of Dr. Theresa Cone, a former Rowan Health and Exercise Science professor, who was battling ALS.

Cone passed away Sept. 27 but had planned on attending the event. Her family, including her husband (Dr. Stephen Cone, who is also a former Rowan professor), her mother and a few more of her relatives attended the event.

The Fitness Festival consisted of stations for participants to do various exercises, such as throwing medicine balls, pushing sleds and doing push-ups.

All equipment was provided by Appenzeller Training Systems, a gym located in West Berlin and owned by Rowan alumnus CJ Appenzeller. Appenzeller facilitated the opening warm-up for participants.

The festival had a high turnout of Rowan sports teams, faculty, alumni and others in the Rowan community.

The goal of the fitness part of the event was to show people that exercising is essential to being healthy, as well as something that can be fun instead of doing boring timeworn exercises like going on a treadmill or lifting weights.

William Samalonis, a sophomore human performance in clinical settings major and the president of Exercise is Medicine, spearheaded the planning of the event and emphasized the role of exercise in our lives.

The overall goal of this event, for Exercise is Medicine, is to get people excited to get active and healthy, Samalonis said. Exercise is the best preventative medicine out there; it prevents pretty much everything you can think of on the chronic spectrum of disease.

On the other hand, the event sought to raise awareness for ALS.

Also known as Lou Gehrigs disease, ALS is a disease that attacks motor neurons. Neurons control muscle movement, and as the disease progresses, those who suffer from it are unable to move their bodies.

As of now, there isnt a cure for ALS. However, the event helped to fund research to find a cure by donating 50% of the proceeds to the ALS Association, as well as helped raise awareness for the disease.

One of the participants, Claire McKissick, attended as part of a bonding activity for the swimming and diving team. Though she had become aware of the disease originally through the Ice Bucket Challenge that overtook the internet five years ago, McKissick heightened her awareness by attending the festival.

I think this definitely helps [bring awareness] because I think a lot of the attention has kind of died down a little bit with the challenge, but I think this is a really great way of reminding people that its still an issue, its still out there and its still something that we can come together and help fix, said McKissick, a senior Radio, Television and Film major.

Dr. Theresa Cone dedicated most of her life to teaching health and physical education, both in public schools and at Rowan. She focused much of her attention on promoting funding for those with disabilities.

Cone had an immense impact on those with whom she came into contact.

Dr. Gregory Biren, a health and exercise science professor and coordinator of exercise science at Rowan, was one of those people.

[She was] energetic beyond belief, compassionate beyond beliefshes the greatest teacher Ive ever met in my life, Biren said. She looks at you, she talks to you, shes patient with you, and she just has nothing but goodness to give to people to help them overcome their issues.

In light of his wifes passing, Dr. Stephen Cone had a few words to say as a reminder to everyone at the event.

Its a little sappy, he said, but Im going to say it: Love those who are close to you, bring those who are further away from you close to you. Dont waste a day; dont waste a moment.

For comments/questions about this story, emailfeatures@thewhitonline.com or tweet @TheWhitOnline.

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Medical Device Management in the World of Personalized Medicine – Medical Device and Diagnostics Industry

Sunday, October 13th, 2019

Medical device manufacturers can now supply patients with devices that are tailored specifically to their physiology. As the nature of patient care evolves, so do global regulations governing the manufacture and supply chain for these personalized medical devices. These devices require more consistent monitoring and service and thus demand greater traceability. In the current complex environment, medical device organizations are turning to cloud Enterprise Resource Planning (ERP) solutions to enable them to better manage their devices. The ability to maintain visibility at a global scale requires a solution that has the capacity to reach across oceans and borders while maintaining compliance. Medical device manufacturers require ERP solutions that can analyze vast volumes of data that can be used to enhance the patient experience and the quality of treatment. Cloud-based ERP gives medical device manufacturers the software and the tools they need to effectively manage personalized patient devices.

ERP solutions have evolved from being installed on-premise at a manufacturers facility to living in the cloud in order to adapt and solve the challenges posed by distance. Organizations operate on a global scale, and as their footprint expands throughout the world, so do the regulatory and compliance complexities governing their operations in various regions. Cloud-based ERP has enabled medical device manufacturers to develop more agile and responsive solutions that allow their organization to keep up with the changing nature of the industry. Regional governing bodies, like FDA, Health Canada, and European Medicines Agency, modify regional regulations and compliance expectations regularly. Recent regulation changes, such as the transition from the Medical Device Directives (MDD) and Active Implantable Medical Device Directive (AIMDD) to the Medical Device Regulation (MDR), have a direct impact on medical device management. The introduction of Unique Device Identification (UDI) allows for increased traceability of medical devices. In order for medical device manufacturers to continue operations globally, they must comply with regional requirements in each of the countries in which they operate. The cloud has allowed medtech companies to shed the one-size-fits-all approach that previously hindered the effectiveness of their ERP solutions.

Medical device manufacturers are finding that one of the most beneficial aspects of cloud-based ERP comes from the ease of gathering and sharing data and the improved decision making enabled through better analysis. Organizations can eliminate constraints posed by traditional on-premise solutions enabling businesses to operate in a more real-time capacity.

ERP solutions are feature-rich now more than ever and continue to evolve to meet the changing needs of the industry. The use of advanced technology in conjunction with an organizations ERP solution critically impacts the relationship between the manufacturing organization and its customers. ERP companies are investigating how they can utilize IoT, machine learning and Artificial Intelligence (AI), robotic process automation (RPA), data lakes, and blockchain to enhance how their cloud software can improve patient outcomes.

Of these, Internet of Things (IoT) has been a primary focus for medical device manufacturers. Many medical devices are now paired with sensor technology to deliver real-time monitoring and transmission of patient information. This has allowed healthcare providers and medical device manufacturers to partner closely in providing thorough treatment to their patients across the globe. Traceability of the device gives the healthcare provider and manufacturer the opportunity to continuously and strategically monitor their devices. Manufacturers can trace a device to a particular customer and in turn analyze this patient information throughout the life span of the device to develop a comprehensive picture of the patients care. These sensors can signal when the device is malfunctioning and give the care provider an opportunity to respond quickly to preserve patient care. An ERP solution can record these malfunctions, adjustments, and repair as part of the complaint, non-conformance, and Corrective and Preventative Action (CAPA) process allowing the manufacturer to retain a comprehensive real-time Device History Record (DHR). The medical device manufacturer can gather significant data from a substantial sample of patients and analyze this data to advance R&D and develop more reliable products and treatments.

For instance, medical devices like the pacemaker can be uniquely configured to the patient and their physiology to help control the rate at which the patients heartbeats. These pacemakers have become so sophisticated that healthcare providers can now monitor and make real-time adjustments to a device inside a patients body. They monitor the patients heartbeat and relay the information, which allows the healthcare provider to develop a comprehensive healthcare plan. Patient mobility is no longer constrained, and cloud-based ERP allows real-time data to be gathered and analyzed regardless of the devices location.

Medical device management has moved beyond the confines of the walls of the hospital or doctors office. The search for improved patient outcomes has led to the emergence of personalized medicine. The strict tracking of critical device and patient information has become integral to achieving more efficient and effective care. The maturity of cloud-based ERP, through the integration of advanced technology and improved data gathering and analysis, has helped to facilitate a boom in patient-centric care.

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Medical Device Management in the World of Personalized Medicine - Medical Device and Diagnostics Industry

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Infographic: Is nanotechnology the future of medicine? – Techaeris

Sunday, October 13th, 2019

If your doctor told you she was going to give you a pill camera to swallow so she could see inside your intestines, would you be afraid? Already by 2008 pill cameras had been used in more than two million procedures since they were approved by the FDA in 2001, and they are becoming more common every day. When faced with the choice between a scope and swallowing a tiny pill, which sounds like a more pleasant experience? Nanotechnology in medicine is making procedures that once required anesthesia and hospital stays as simple as swallowing a pill. So whats next for nanotechnology in medicine?

Wound care is probably one of the most interesting advancements in the world of nanotechnology. There are bandages that can detect infection and dispense antibiotics right to the point of infection, both preventing the overuse of antibiotics as a preventative measure and also ensuring patients dont need constant monitoring during the healing process.

Nanotechnology can also be used to track the dosing and compliance of medications, ensuring patients who are already feeling poorly can get their medications at the right doses at the right times without forgetting whether they took it or not. Treatment non-adherence costs $290 billion in the United States from subsequent medical issues, and smart pills can help to curb those costs.

There are a wide variety of smart pills that solve a multitude of problems in a minimally invasive way, from clearing blockages to testing the gut microbiome. The question now is when will these technologies become affordable enough to be used en masse? There are also ethical concerns with certain types of technology being able to track patients or leading to vulnerabilities from hackers. Whats more, some tracking devices can enhance and confirm feelings of persecution from patients with certain types of mental health disorders.

Are you ready for the world of minimally invasive nanotechnology in medicine? Learn more about the future of nanotechnology in medicine below!

Last Updated on October 11, 2019

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Infographic: Is nanotechnology the future of medicine? - Techaeris

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Shocking every day factors that can cause mental illness – East Coast Radio

Sunday, October 13th, 2019

While trauma, divorce and bereavement can send anyone into a downward spiral of depression, there are some surprising, everyday, factors that also heighten our risk for mental illness.

A leading pharmaceutical firm concerned about SAs high use of antidepressant medication has launched an education campaign to shed light on the ordinary, often unsuspecting things that could have an impact on the publics mental well-being.

Abdurahman Kenny, Central Nervous System Portfolio Manager at Pharma Dynamics says the growing incidence of depression and anxiety worldwide implies that there are other factors too that make modern-day society more vulnerable to mental illness.

Research shows that spending too much time indoors, being stuck in traffic, heavy social media use, lack of movement and even slouching could all be triggers, he says.

According to research done by Harvards Medical School, staying cooped up indoors is not only bad for our physical health, but mental health too. These days most of us spend the majority of our days inside denying our bodies of much-needed vitamin D, which may provide some protection against depression.

Kenny says exposure to sunlight increases the brains production of serotonin a hormone associated with an elevated mood. By just spending 10 to 15 minutes outside with our arms and legs exposed to the sun (without sunscreen), is enough for our bodies to produce the required amount of vitamin D.

READ:SADAG urges men to seek mental health treatment

Our indoor lifestyle has led to more than a billion people across the glove being Vitamin D deficient even in the sunnier parts of the world, such as Australia, more than a third are deficient. Evidence shows that a lack of vitamin D increases the likelihood of depression by up to 14% and suicide by 50%, so be sure to make safe sun exposure either in the morning or late afternoons a habit, he remarks.

Life satisfaction and happiness also takes a dip among those who have to suffer through long commutes to work and back. A report by the UKs National Office of Statistics showed that people who commute for longer than half an hour to work each way (regardless of the mode of transport) have greater levels of stress and anxiety.

Kenny says the average South African spends almost three hours a day in traffic, which doesnt do our mood any good. He suggests speaking to employers about working flexi-hours or from home if the type of job you do allows for this arrangement. Alternatively, put on your favourite tunes or listen to motivational or interesting podcasts to keep you positive.

Heavy social media use equal to two or more hours a day has also been associated with poor mental health. Researchers from Ottawa Public Health found that those who spend more than two hours a day on social networking sites are more likely to suffer from psychological distress and suicidal thoughts than those who spend less time online.

READ:4 ways walking can boost your mental health

Based on the latest Global Digital Yearbook published by 'We Are Social' and 'Hootsuite', South Africans already spend almost three hours a day trawling Twitter, Facebook and other social platforms about half an hour more than the average global user which can take a toll on our mental well-being.

While social media isnt all bad, its important to set boundaries, as too much time on networking sites can have damaging consequences. Commit to not checking social media at meal times and when spending time with family and friends. Also, schedule regular breaks from social media. Studies have shown that week-long breaks from Facebook can lower your stress levels and lead to higher life satisfaction. Review your social media habits and instead of spending an exhaustive 30 to 45 minutes at a time on social media, rather limit it to five minutes in the morning, afternoon and early evening.

Sitting too long also makes us anxious! According to a study published in the American Journal of Preventative Medicine which tracked almost 9 000 women over a ten-year period. Researchers grouped them based on how much time they spent sitting each day (four or less hours a day or four to seven hours a day, or more than seven hours a day). Researchers found that those who were sedentary for more than seven hours a day were 47% more at risk of developing depression than those who sat for four or fewer hours a day. Women who didnt exercise at all, were 99% at risk of depressive symptoms, compared with those who exercised regularly.

Kenny says its no wonder that depression rates are on the increase when one considers that almost 40% of SA adults (men and women) are inactive based on the latest WHO statistics. Make a point of including exercise into your daily routine. Find something that you enjoy and stick to it. Exercise has shown to improve mood and forms part of a holistic treatment regime to help prevent the onset of depression.

Surprisingly, a bad posture and slouching in ones chair have also been linked to an increase in depressive symptoms.

San Francisco State University found that those who slouched felt more negative about themselves and had lower energy levels. Kenny points out that the way we sit or stand not only has an emotional effect on ourselves, but also on the way others view and treat us. So next time, pay special attention to how you sit and take notice of how you feel and how others treat you.

He also encourages the public to follow a healthy, balanced diet, getting enough sleep, limiting alcohol intake, spending quality time with friends and family, and making time for hobbies and interests, which all contribute to a healthy mental outlook.

In the past decade, depression rates have risen by nearly 20%, making it the leading cause of disability worldwide. More than 300 million people are affected and at its worst, could lead to suicide. In South Africa, an estimated 20% will experience a depressive disorder at least once in their lifetime.

This message comes in the wake of Mental Health Awareness Month this October and aims to curb climbing depression rates in the country.

If you have felt unusually down and depressed for a prolonged period and dont know who to turn to, contact Pharma Dynamics toll-free helpline on 0800 205 026, which is manned by trained counsellors who are on call from 8am to 8pm, seven days a week. For additional support, visit http://www.letstalkmh.co.za.

READ:Dont ignore mental health problem warning signs

Article source:Meropa Communications on behalf of Pharma Dynamics

Image courtesy of iStock/Srdjanns74

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How Wyoming high schools have enacted on head injury policy – Casper Star-Tribune Online

Sunday, October 13th, 2019

Riverton athletic trainer Ross Anderson met with the Worland coaches before their game on Sept. 27 to see which Warrior players had any special interests or medical histories. Thats part of his job since Worland is currently without a dedicated athletic trainer. Both sidelines have their own policies, some overlapping, when dealing with potential injuries. So they discussed those policies, knowing theyre not often implemented.

Both teams discovered policy importance and the importance of medical professionals that night.

When a Worland player was unresponsive after going to the turf, his sideline quickly signaled to the official and the referees signaled to Anderson, who came onto the field. He helped stabilize the Worland player and performed CPR on the field. The ambulance came on and the player was transported for further medical attention.

That was just one instance of a high school athlete in Wyoming undergoing a frightening medical episode. As possible head injuries across sports but especially in football continue to occur, Wyoming high schools have faced the reality of seeing those policies put into practice.

Riverton knew the value in having a dedicated medical professional, thats why they brought in Anderson. Anderson instructs CPR classes. He says regardless of that, his response came from his time at the University of Wyoming being taught by Bill Lyons, the universitys former head athletic trainer.

Its a standard of care. Any medical professional would have reacted in the same exact way and the more that we can, in our state, get athletic trainers and physicians on sidelines, the more that will help, Anderson said. When you get there you evaluate the situation as much as possible and keep a clear head as much as you can. You wonder how youll handle the situation each time but you kind of just react on training.

Anderson enacts policy set forth by Fremont County School District No. 25. They looked at the national recommendations made by the National Federation of High Schools and enacted policies adopted by the Wyoming High School Activities Association.

Communication has proven to be the key, for them, because coaches and parents alike stress the importance of athletes being forthright with possible symptoms. Riverton uses a 1-10 grade system and has literature available that instructs parents on what symptoms to watch for at each level.

With the evaluation all the way through, it helps everybody being on the same page, Anderson said. Everyone understands what we need to do.

***

Communication also proved critical in Rock Springs back in August. While Sweetwater County School District No. 1 refused to share results of its investigation into the injury that led to sophomore Jaciel Granados being life flighted to Salt Lake City, a district spokesperson did say that their results would not result in any changes to district policy when dealing with potential head injuries.

Rock Springs activities director Tom Jassman couldnt share many details with the Star-Tribune, but did stress his confidence in how the injury was handled. He was absolutely satisfied by the proactive measures taken by coaches, who pulled Granados out of a scrimmage before summoning emergency medical treatment.

Jassman stressed the key of communication when addressing potential player injury. Not only is their policy set forth by district personnel, but the communication loop keeps district officials involved. That adds the potential for more resources than limiting response between player, coach, parent and medical professional.

All Class 4A teams, like Rock Springs, and most Class 3A teams at this point, like Riverton, have designated medical professionals on-hand. Rock Springs goes through a priority checklist to ensure its athletic trainer, Jami Wiseman, is at the event where shes the most irreplaceable.

Schools below that 3A level can also attest to the importance of medical professionals, while also representing communities that dont necessarily have them readily available.

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Moorcroft, for instances, contracts a designated professional through Gillette Physical Therapy. Activities director Dusty Petz has already found benefits of that agreement, now in its fifth year. Together theyve implemented a Return to Play protocol. That starts with the universal impact testing done on each athlete in the preseason, which has become the baseline for nearly every program nationally. Then, when a possible concussion occurs, Moorcroft conducts another impact test within 24 hours of that impact, taking the player out of action if a concussion is diagnosed. All of that is essentially ordinary among programs state-wide, but its importance cannot be overstated.

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How Wyoming high schools have enacted on head injury policy - Casper Star-Tribune Online

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Surprising ‘everyday’ factors that affect mental health – Rising Sun Chatsworth

Sunday, October 13th, 2019

Photo by Alec Douglas on Unsplash.

While trauma, divorce and bereavement can send anyone into a downward spiral of depression, there are some surprising everyday factors that also heighten the risk for mental illness.

A pharmaceutical firm, concerned about SAs high use of antidepressant medication, has launched an education campaign to shed light on the ordinary, often unsuspecting things that could have an impact on the publics mental well-being.

Abdurahman Kenny, central nervous system portfolio manager at Pharma Dynamics, stated that the growing incidence of depression and anxiety worldwide implies that there are other factors too that make modern-day society more vulnerable to mental illness.

Research shows that spending too much time indoors, being stuck in traffic, heavy social media use, lack of movement and even slouching could all be triggers, he explained.

According to research done by Harvards Medical School, staying cooped up indoors is not only bad for our physical health, but mental health too.

These days most of us spend the majority of our days inside denying our bodies of much-needed vitamin D, which may provide some protection against depression. Exposure to sunlight increases the brains production of serotonin- a hormone associated with an elevated mood. By just spending 10 to 15 minutes outside with our arms and legs exposed to the sun (without sunscreen), is enough for our bodies to produce the required amount of vitamin D, he shared.

An indoor lifestyle has led to more than a billion people across the glove being vitamin D deficient- even in the sunnier parts of the world, such as Australia, more than a third are deficient.

Evidence shows that a lack of vitamin D increases the likelihood of depression by up to 14 percent and suicide by 50 percent, so be sure to make safe sun exposure either in the morning or late afternoons a habit.

Life satisfaction and happiness also takes a dip among those who have to suffer through long commutes to work and back.

A report by the UKs National Office of Statistics showed that people, who commute for longer than half an hour to work each day(regardless of the mode of transport), have greater levels of stress and anxiety.

Kenny said the average South African spends almost three hours a day in traffic, which doesnt do moods any good.

He suggested speaking to employers about working flexi-hours or from home if the type of job you do allows for this arrangement.

Alternatively, put on your favourite tunes or listen to motivational or interesting podcasts to keep you positive, he advised.

Heavy social media use, equal to two or more hours a day, has also been associated with poor mental health.

While social media isnt all bad, its important to set boundaries, as too much time on networking sites can have damaging consequences. Commit to not checking social media at meal times and when spending time with family and friends. Also schedule regular breaks from social media, he added.

Sitting too long also makes you anxious! According to a study published in the American Journal of Preventative Medicine which tracked almost 9, 000 women over a 10-year period.

Researchers grouped them based on how much time they spent sitting each day (four or less hours a day or four to seven hours a day, or more than seven hours a day). Researchers found that those, who were sedentary for more than seven hours a day, were 47 percent more at risk of developing depression than those who sat for four or fewer hours a day.

Women, who didnt exercise at all, were 99 percent at risk of depressive symptoms, compared with those, who exercised regularly.

Kenny explained that its no wonder that depression rates are on the increase when one considers that almost 40 percent of SA adults (men and women) are inactive based on the latest WHO statistics.

Make a point of including exercise into your daily routine. Find something that you enjoy and stick to it. Exercise has shown to improve mood and forms part of a holistic treatment regime to help prevent the onset of depression, he suggested.

Surprisingly, a bad posture and slouching in ones chair have also been linked to an increase in depressive symptoms.

So next time, pay special attention to how you sit and take notice of how you feel and how others treat you, he stated.

He also encouraged the public to follow a healthy, balanced diet, getting enough sleep, limiting alcohol intake, spending quality time with friends and family, and making time for hobbies and interests, which all contribute to a healthy mental outlook.

In the past decade, depression rates have risen by nearly 20 percent, making it the leading cause of disability worldwide. More than 300 million people are affected and at its worst, could lead to suicide. In South Africa, an estimated 20 percent will experience a depressive disorder at least once in their lifetime.

This message comes in the wake of Mental Health Awareness Month this October and aims to curb climbing depression rates in the country.

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Surprising 'everyday' factors that affect mental health - Rising Sun Chatsworth

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American Journal of Preventive Medicine – Elsevier

Monday, October 7th, 2019

The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.

Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women's health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.

For information on the American College of Preventive Medicine (ACPM) and the Association for Prevention Teaching and Research (APTR), visit their web sites at the following URLs:http://www.acpm.org/ andhttp://www.aptrweb.org

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American Journal of Preventive Medicine - Elsevier

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Preventive Medicine | Certification Matters

Friday, October 4th, 2019

Preventive Medicine Preventive Medicine Doctors address disease, disability, and premature death prevention, public health, occupational medicine, and more

A specialist in Preventive Medicine focuses on the health of individuals and defined populations in order to protect, promote, and maintain health and well-being, and to prevent disease, disability, and premature death. They may be a specialist in Public Health and General Preventive Medicine, Occupational Medicine, or Aerospace Medicine.

The distinctive components of Preventive Medicine include:

Specialty training required prior to certification: Three years

Certification in one of the following subspecialties requires additional training and assessment as specified by the board.

Addiction MedicineA preventive medicine physician who specializes in Addiction Medicine is concerned with the prevention, evaluation, diagnosis, and treatment of persons with the disease of addiction, of those with substance-related health conditions, and of people who show unhealthy use of substances including nicotine, alcohol, prescription medications, and other licit and illicit drugs. Physicians in this specialty also help family members whose health and functioning are affected by a loved ones substance use or addiction.

Clinical InformaticsPhysicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement, and evaluate information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information and knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.

Medical ToxicologyMedical toxicologists are physicians who specialize in the prevention, evaluation, treatment, and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. These specialists care for people in clinical, academic, governmental, and public health settings, and provide poison control center leadership. Important areas of Medical Toxicology include acute drug poisoning; adverse drug events; drug abuse, addiction and withdrawal; chemicals and hazardous materials; terrorism preparedness; venomous bites and stings; and environmental and workplace exposures.

Undersea and Hyperbaric MedicineA preventive medicine physician who specializes in Undersea and Hyperbaric Medicine treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Return to list of ABMS Member Boards

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Preventive Medicine | Certification Matters

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Center for Preventive Medicine, Gail Vanark

Friday, October 4th, 2019

Personalized Preventive & Functional Medicine

At the Center for Preventive Medicine, we take the time to really understand you and all the factors that are affecting your health. Persistent symptoms are a sign of imbalances in our bodies and require careful diagnosis and thoughtful treatment an initial visit at CPM is 60 to 90 minutes.

We use a wide array of tested natural medical and nutritional therapies to diagnose and treat the root cause of your symptoms. Each treatment plan is based on an individualized health assessment formulated for your unique biochemical make-up.

Contact Us

3 Overlook Drive, Suite 3

Amherst, NH 03031Tel: 603-673-7910

Fax: 603-673-7991Mail: CPMStaff@gmail.com

Our Mission Statement:

My goal as an Integrative Medical provider is to thoroughly assess and investigate the cause of an individual's symptoms and illness in the body so that a tailored treatment plan can be formulated for the benefit of resolution of the current imbalance as well as the promotion of good health over the lifespan. Teaching the tools to regain and maintain health is the foundation of this practice. On an individual basis, finding the specific well tolerated doses and remedies, given in the correct sequence is pivotal to healing.

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Center for Preventive Medicine, Gail Vanark

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About Preventive Medicine | Preventive Medicine | UTHSC

Friday, October 4th, 2019

Mission

The mission of the Department of Preventive Medicine is to improve human health through research, education, and public service. The Departments mission is integrated with the broader mission of the University of Tennessee Health Science Center, to bring the benefits of the health science to the citizens of Tennessee and beyond through education, research, clinical care, and public service.

The research goal of the Department of Preventive Medicine is to conduct clinical, health services, and community based health research. Areas of present interest involve the major health concerns of the region, including cardiovascular disease, cancer, neurocognitive development, obesity, diabetes, health of underserved populations, and maternal and child health.

The education goal of the Department of Preventive Medicine is mediated through implementation of Masters level training in epidemiology, and Certificate programs in clinical research. The Certificate program has been extremely popular in meeting the demands of active clinicians. The Department is also home for the Biostatics, Epidemiology and Research Design (BERD) Clinic.

Previous chairs of the Department of Preventive Medicine include:

The Department of Preventive Medicine was instrumental in Memphis/Shelby County in developing one of the nation's premier community-based, nurse-run, chronic-disease treatment programs. The Department of Biostatistics and Epidemiology merged with the Department of Preventive Medicine in the 1990s to strengthen the research initiative in the College of Medicine. In 2012, we added a Certificate in Clinical Investigation program to our on-going MS in Epidemiology program.

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About Preventive Medicine | Preventive Medicine | UTHSC

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Preventive Medicine Public Health Residency Program

Friday, October 4th, 2019

New! Public Health Priorities Track for Preventive Medicine Residency Program

General Preventive Medicine / Public Health Residency Program (PMRP) is a one or two-year program for physicians, in which participants obtain a Master of Public Health (MPH) degree within an affiliated California university followed by a training year within a local health department or a state department program mentored by a County Health Officer or public health physician. Residents will obtain knowledge and gain expertise in reducing the incidence and prevalence of disease, addressing health inequities and creating healthier communities in the state of California.

PMRP was established in 1980 in response to the California Conference of Local Health Officers' recognition of the need for physicians trained in public health practice. PMRP is fully accredited by the Accreditation Council for Graduate Medical Education to provide a oneor two-year program. The PMRP is affiliated with the University of California at Davis, Berkeley and Los Angeles MPH programs.

The post-graduate (PG) Y2 training year is spent obtaining an MPH for those residents who do not already have one. Residents in their PGY3 training year work with experienced public health physician mentors to gain practical public health experience.

Funding is available forthree residents to start the program in July 2020. Residents have been placed in varied local health departments for the PGY3 year. Geographic placements are dependent on many factors, including the preference of the resident. There are currently two residents in the PGY3 year who are gaining public health experience in San Francisco andMarin counties, and three residents in the PGY2 year training in Los Angeles, Yolo, and Placer counties.

Applicants who apply to the residency program should also apply to an MPH program at one of the Universities with which CDPH has an affiliation: UC Berkeley, UC Davis, or UC Los Angeles.

Upon completion of the training, physicians are eligible for board certification in the specialty of Public Health and General Preventive Medicine.

This program and website are supported by the Preventive Health and Health Services Block Grant from the Centers for Disease Control and Prevention and the Preventive Medicine Residency grant from the Health Resources & Services Administration.

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Preventive Medicine – Atlanta, GA – yelp.com

Friday, October 4th, 2019

Specialties

Since 1996 our team of dedicated doctors and nurse practitioners have been committed to providing preventive medicine for men and women suffering from health concerns such as hypertension, heavy metal toxicity, and hormone deficiency. Our anti-aging clinic outranks others of its kind, thanks to our remarkably cutting edge and talented group of doctors.

Robert A. Burkich, MD is the founder and medical director at the facility and has nearly 20 years of experience with private practice medicine. Dr. Burkich specializes in anti-aging and believes in treating his patients from the inside out. His approach is methodical and successful, time and time again. It starts with reducing heavy metals and other toxins from the body to improve blood flow. How does this help? By removing toxins, improving blood flow and hormone levels, it allows you to maintain an ideal body weight, keep energy levels up, diminish fatigue and mental fogginess, improve sexual function, and improve outward appearance

Established in 2010.

Since 1996 our team of dedicated doctors and nurse practitioners have been committed to providing preventive medicine for men and women suffering from health concerns such as hypertension, heavy metal toxicity, and hormone deficiency. Our anti-aging clinic outranks others of its kind, thanks to our remarkably cutting edge and talented group of doctors.

Robert A. Burkich, MD is the founder and medical director at the facility and has nearly 20 years of experience with private practice medicine. Dr. Burkich specializes in anti-aging and believes in treating his patients from the inside out. His approach is methodical and successful, time and time again. It starts with reducing heavy metals and other toxins from the body to improve blood flow. How does this help? By removing toxins, improving blood flow and hormone levels, it allows you to maintain an ideal body weight, keep energy levels up, diminish fatigue and mental fogginess, improve sexual function, and improve outward appearance.

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Preventive Medicine - Atlanta, GA - yelp.com

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Preventive Care | UnitedHealthcare

Friday, October 4th, 2019

'); // age var $fldAgeNo = $('input[name="ageNo"]' ); var ageNo = ($fldAgeNo.val() == void(0) ? "" : $fldAgeNo.val() ); // console.log(">>> " + ageNo + ": " + typeof ageNo); if (ageNo.length == 0) { thisErr += "Please enter an age as whole number using digits."; errMsg += '

').attr('aria-role','alert').attr('aria-live','assertive').attr('tabindex','0').html(errMsg); $('div.upc-form-wrapper').before($errElem);// $errElem.show().removeAttr('tabindex'); $errElem.show(); $errElem.get(0).focus(); return false; } if (window.sessionStorage) { sessionStorage.setItem("uhc-ageNo", ageNo); sessionStorage.setItem("uhc-ageType", ageType ); sessionStorage.setItem("uhc-gender", gender ); sessionStorage.setItem("uhc-pg", pg); } else { strArgs = "?a="+ageNo+"&t="+ageType+"&pg="+pg } var strPath = "/health-and-wellness/preventive-care/" + gender + "-guidelines"; if (window.location.hostname.indexOf('author') > -1 ) { strPath = "/content/uhcdotcom/en/home" + strPath + ".html" + strArgs } else { strPath = strPath + strArgs }/* alert(strPath);*/ window.location = strPath;}$(document).ready( function(){ $("#div-pg").hide(); // set up change event on all form elements $('input[name="gender"], input[name="ageNo"], [name="ageType"]').on('change', function() { var $elemPg = $("#div-pg"); var daForm = this.form; var gender = $('input[name="gender"]:checked').val(); if ( gender == void(0) ) gender = ""; var ageNo = (daForm.ageNo.value == void(0) ? "" : daForm.ageNo.value ); if (daForm.ageNo.value.length > 0) ageNo = parseInt( daForm.ageNo.value ); var ageType = (daForm.ageType.value == void(0) ? "" : daForm.ageType.value ); /* alert(ageNo + " " + ageType); */ if(gender == 'f' && ageType == 'y' && (ageNo.length ==0 || (ageNo >= 18 && ageNo

Routine preventive care helps you manage and maintain your health, and is generally covered at 100% by most health plans.

Schedule an appointment today or set a calendar reminder.

* indicates a required field

Understand the difference between preventive care and diagnostic care.

Preventive care is designed to help you stay healthy, and is covered by most health plans with $0 out-of-pocket when you see a network provider.

Costs may be incurred for diagnostic care based on plan coverage.

Preventive care includes routine well exams, screenings, and immunizations intended to prevent or avoid illness or other health problems.

Diagnostic care includes care or treatment when you have symptoms or risk factors and your doctor wants to diagnose them.

Set a reminder to schedule an appointment.

Find a provider, get plan coverage details and more.

Find network flu shot locations and track flu outbreaks.

Downloadable resources:

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Preventive Medicine | Family Medicine | Michigan Medicine …

Friday, October 4th, 2019

Michael D. Fetters, M.D., M.P.H., M.A., U-M Site Principal Investigator

Funded by the National Institutes of Health,National Institute Of Diabetes And Digestive And Kidney Diseases toVirginia Commonwealth University ($485,649)

Study Dates: June 2018 - June 2021

The overall goal of this research is to identify physicians communication behaviors during medical interactions that are associated with physicians implicit racial bias and Black patients immediate (satisfaction, trust) as well as clinically important longer-term outcomes (adherence, healthcare utilization).

To achieve this goal, we target medical interactions involving Black patients with Type 2 diabetes mellitus (T2DM) because nonadherence in Black patients with T2DM is particularly prevalent. Additionally, the patient-physician communication quality has been found to predict patient adherence to T2DM treatment regimens. We will use a mixed-methods design that integrates the strengths of inductive reasoning to explore which physicians communication behaviors during medical interactions matter from Black patients perspectives and deductive reasoning to identify theoretically and clinically important behaviors.

Our aims are:

Study Protocol Citation:Hagiwara N, Mezuk B, Lafata JE, Vrana SR,Fetters MD. Study protocol for investigating physician communication behaviours that link physician implicit racial bias and patient outcomes in Black patients with type 2 diabetes using an exploratory sequential mixed methods design. BMJ Open. 2018;8(10). doi:10.1136/bmjopen-2018-022623.

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