Podcasts about medicine iom

Videos : The Anti-Smartphone Revolution (8:00) Heather Mac Donald On How The Delusion of Diversity Destroys Our Common Humanity (11:14) The Strange Connections of Sam Bankman-Fried & FTX (9:11) The TRUTH about IVERMECTIN (13:00)   Korean ginseng prevents oxidative stress caused by work Ohiol State University, November 07, 2022 People who are stressed may find relief from taking Korean ginseng. A study published in the Journal of Medicinal Food has revealed that the Korean ginseng called GINST15 can help reduce stress, mentally and physically. In the study, researchers from The Ohio State University in the U.S. found that Korean ginseng prevents damage caused by intense work stress due to its antioxidants. For the study, the researchers aimed to determine the effects of GINST15 supplement on hormonal and inflammatory responses to physical stress in humans. They recruited 10 women and nine men to participate in the study. The participants were tasked to complete three two-week treatment cycles with 960 milligrams (mg) of the Korean ginseng supplement, 160 mg of the Korean ginseng supplement, or a placebo, separated by a one-week washout period. After the treatment, the participants underwent an intense resistance exercise to induce physical stress. The participants also provided blood samples at rest and at various points after the exercise, particularly immediately, 30 minutes, 60 minutes, and 24 hours after exercise. Then, the researchers measured the levels of cortisol, superoxide dismutase, total glutathione, nonspecific antioxidant activity, total antioxidant power, and creatine kinase. The results showed that the supplementation of Korean ginseng reduced cortisol and increased enzymatic and nonspecific antioxidant activity. In addition, the high dose of the Korean ginseng supplement (960 mg) greatly reduced muscle damage and hypothalamic pituitary adrenal (HPA) responses to physical stress 24 hours after the intense exercise. Based on the findings of the study, the researchers concluded that taking Korean ginseng supplements can help ward off mental and physical stress by reducing cortisol levels and muscle damage. When low-income families can meet their basic needs, children are healthier Boston Medical Center, November 8, 2022 A series of reports from five cities across the US found that young children and their parents are healthier when they are able to afford basic needs. New research published by Children's HealthWatch, headquartered at Boston Medical Center, highlights the need for policymakers to improve access to and effectiveness of programs that enable all families with low incomes to afford basic needs such as food, shelter, utilities, medical care, prescription medicines and childcare. Researchers surveyed more than 18,000 families of children under age 4 in the emergency departments and primary care clinics at urban hospitals in Baltimore, Boston, Minneapolis, Philadelphia, and Little Rock. The study team created a composite measure of hardships that included a family's ability to afford food, utilities, and health care, and maintain stable housing. All hardships described in the study have previously been associated with poor child and caregiver health. This study, however, examined the differences between children living in hardship-free families versus those in families with any or multiple hardships. In all cities, living in a hardship-free family was associated with good overall health for children and caregivers, positive developmental outcomes for young children, and positive mental healthamong mothers. Nearly half of families interviewed at Hennepin County Medical Center in Minneapolis reported that they were hardship-free. At Boston Medical Center, only about one quarter of the families surveyed reported zero hardships, which may be due to higher housing costs. The reports also examine the link between childcare constraints, when parents are unable to work or attend school because of an inability to afford childcare, and hardships. In each city, parents who reported being able to access affordable childcare were more likely to be hardship free. The research teams advocate for implementing policies to increase wages, along with ensuring access to programs that support low-income families being able to meet basic needs, such as food and housing security and medical care. Further, the authors suggested screening for hardships in health care settings and connecting patients and their families to resources that promote health. (NEXT) Vitamin D vs. Flu Shots Alliance for Natural Health & Queen Mary University, November 8, 2022 New research shows vitamin D helps prevent infection. Will the crony medical establishment listen? We at ANH-USA have been beating the drum about vitamin D and its well-documented anti-viral capabilities for years, and there is new evidence demonstrating vitamin D's role in preventing respiratory infections. When faced with the choice of a cheap, safe, and effective natural immune defense against the flu, or an expensive, dangerous, and ineffective vaccine that makes drug companies billions of dollars—which will our crony health officials choose? The Queen Mary University of London study, which pooled data from 25 studies that included more than 10,000 participants, found that vitamin D supplementation reduced the risk of respiratory infections (cold and flu) by 10 percent overall—and there are reasons to think this figure greatly understates the degree of protection. The protective effect of the sunshine vitamin was even more dramatic in those who were deficient. For the deficient, which about 40% of Americans are, the risk of infection was reduced by half with vitamin D supplementation. This builds upon earlier findings from a 2010 Japanese study which found that vitamin D supplementation was as effective as the vaccine at preventing colds and flu. Predictably, the media tries to diminish these findings, stating that “not everyone is convinced that this study should lead us to the supplement aisle.” We're then told that the Institute of Medicine (IOM) has determined that adults need only 600 IU of vitamin D—an amount that most Americans do not get from sun exposure or their diet alone. The IOM also said that a vitamin D blood level of 20 ng/mL was adequate This is nonsense. The Vitamin D Council, for example, recommends 5,000 IU of vitamin D per day to achieve at least 40 ng/mL; other integrative doctors we respect advise that the D serum level needs to be around 70 in order to avoid viral infection. Other calculations have shown that IOM recommendations are only about one-tenth of what is needed to cut the incidence of diseases related to vitamin D deficiency. What this means is that most Americans are not getting the vitamin D they need, in part because health authorities at the IOM and elsewhere in the government are mistaken when telling Americans how much to take. That we do not get enough vitamin D in our diet or through sun exposure to meet a paltry 600 IU means that the number of Americans who are deficient must be staggering. It is a crime that health authorities are not telling people to take vitamin D supplements. The good news is that this study shows that those who are deficient in vitamin D—likely most Americans, given how wrong the IOM is about how much vitamin D we really need—can reduce their risk of cold or flu by 50 percent. That is more effective than the flu vaccine usually is. (NEXT) The therapeutic power of Indian frankincense for multiple sclerosis patients Ahvaz Jundishapur University of Medical Sciences (Iran), November 07, 2022 Boswellia serrata, the plant from which Indian frankincense is derived, can improve cognitive performance in people with multiple sclerosis (MS). This finding, from a study published in the Journal of Herbal Medicine, promises a new and natural way of delaying the complications and effects of MS. Neurons, the special cells that make up the nerves and the different parts of the nervous system, have what is called the myelin sheath. This is a layer that coats and protects the nerve fiber or axon, a long, thin projection that carries electrical impulses from one end of the neuron to the other. The myelin sheath insulates the axon and enhances its function, allowing it to more efficiently deliver messages between the brain and the different parts of the body. In multiple sclerosis, the immune system attacks the cells that make up the myelin sheath. This causes the nerves to “short circuit” and creates problems in the way that messages are delivered from or to the brain. With time, multiple sclerosis can result in permanent nerve impairment and damage. Researchers say B. serrata can help remedy certain symptoms and effects of multiple sclerosis, in particular, the cognitive impairment that occurs in 40 to 65 percent of patients. This usually entails problems with complex attention, a slower information processing speed, and episodic lapses in memory and executive functions. MS-related cognitive impairment has been known to affect patients quality of life, personal relationships, and vocational potential. (NEXT) Social media use increases depression and loneliness University of Pennsylvania, November 8, 2022 The link between the two has been talked about for years, but a causal connection had never been proven. For the first time, University of Pennsylvania research based on experimental data connects Facebook, Snapchat, and Instagram use to decreased well-being. Psychologist Melissa G. Hunt published her findings in the December Journal of Social and Clinical Psychology. “We set out to do a much more comprehensive, rigorous study that was also more ecologically valid,” says Hunt, associate director of clinical training in Penn's Psychology Department. To that end, the research team designed their experiment to include the three platforms most popular with a cohort of undergraduates, and then collected objective usage data automatically tracked by iPhones for active apps, not those running the background. Each of 143 participants completed a survey to determine mood and well-being at the study's start, plus shared shots of their iPhone battery screens to offer a week's worth of baseline social-media data. Participants were then randomly assigned to a control group, which had users maintain their typical social-media behavior, or an experimental group that limited time on Facebook, Snapchat, and Instagram to 10 minutes per platform per day.”Here's the bottom line,” she says. “Using less social media than you normally would leads to significant decreases in both depression and loneliness. These effects are particularly pronounced for folks who were more depressed when they came into the study.” “It is a little ironic that reducing your use of social media actually makes you feel less lonely,” she says. But when she digs a little deeper, the findings make sense. “Some of the existing literature on social media suggests there's an enormous amount of social comparison that happens. When you look at other people's lives, particularly on Instagram, it's easy to conclude that everyone else's life is cooler or better than yours.” (NEXT) Acupuncture at these specific points alleviates pain in cancer patients Guangzhou University of Chinese Medicine, November 07, 2022 Cancer causes many adverse complications, including constant pain. A study published in the journal BMC Complementary and Alternative Medicinelooked into the viability of using acupuncture to soothe this pain and cause relief to cancer patients. Although cancers are named after the body part where the tumor – or tumors, in some cases – is located, its effects can be felt in other parts of the body. In the case of bone and testicular cancers, pain is one of the first signs. In others, such as pancreatic cancer, discomfort may be a sign that the disease has progressed or metastasized. The authors of the study wanted to know if acupuncture's pain relieving properties extended to cancer patients. In a single-blind, randomized controlled pilot trial, they recruited 42 patients going through moderate to severe cancer pain. The participants were randomly assigned to one of three groups. Each group had 14 members. The first group had acupuncture at the acupoints si guan xue, while the second group combined si guan xue with commonly used acupoints. The third group served as the control and was treated only on the most frequently used acupoints.The researchers' analysis showed that the second group experienced the most cancer pain reduction at around day five. This was compared to the control group. Scores in the PGIC, EORTC QLQ-C30, or KPS did not indicate much variance among the three groups. They concluded that acupuncture at the si guan xue, combined with commonly used acupoints, was the most effective at treating pain caused by cancer. However, a larger study needed to be performed owing to the small sample size employed by the present study.

Videos :  2. Fake Cases: The Fraudulent PCR Test Is at the Heart of This Entire Plandemic – Dr. Reiner Fuellmich With Judy Mikovits & More   3.  Over 17,000 Physicians and Scientists Agree: “There Is No Medical Emergency” – Dr. Robert Malone   4. Honest Government Ad | Julian Assange   Cranberry juice may slash cardiometabolic risk factors: RCT study USDA Agriculture Research Center, April 30, 2022 Daily consumption of a low-calorie cranberry juice may improve certain risk factors of heart disease, including blood pressure and triglycerides, says a new study from the Agricultural Research Service at the USDA. Eight weeks of supplementing the diet with a cranberry juice containing 173 mg of phenolic compounds per serving was associated with significant reductions in C-reactive protein (CRP), diastolic blood pressure, and blood sugar levels, according to findings published in the Journal of Nutrition . While the majority of the science supporting the health benefits of cranberries is for urinary tract health, a growing body of data supports the cardiovascular potential of the berries. For example, a study by scientists at the Mayo Clinic and College of Medicine found that two glasses of cranberry juice a day may protect against the development of hardening of the arteries. Writing in the European Journal of Nutrition (Vol. 52, pp 289-296), the Mayo Clinic researchers reported that no effect was observed on the function of the cells lining the arteries (endothelial cells), but cranberry juice may reduce the number of endothelial cells that produce a compound called osteocalcin, which has been linked to hardening of the arteries.     Vitamin D toxicity rare in people who take supplements, researchers report Mayo Clinic, April 30, 2022   Over the last decade, numerous studies have shown that many Americans have low vitamin D levels and as a result, vitamin D supplement use has climbed in recent years. In light of the increased use of vitamin D supplements, Mayo Clinic researchers set out to learn more about the health of those with high vitamin D levels. They found that toxic levels are actually rare. A vitamin D level greater than 50 nanograms per milliliter is considered high. Vitamin D levels are determined by a blood test called a serum 25-hydroxyvitamin D blood test. A normal level is 20-50 ng/mL, and deficiency is considered anything less than 20 ng/mL, according the Institute of Medicine (IOM). The researchers analyzed data collected over 10 years from patients in the Rochester Epidemiology Project, a National Institutes of Health-funded medical records pool , one of the few places worldwide where scientists can study virtually an entire geographic population to identify health trends. Of 20,308 measurements, 8 percent of the people who had their vitamin D measured had levels greater than 50 ng/mL, and less than 1 percent had levels over 100 ng/mL. "We found that even in those with high levels of vitamin D over 50 ng/mL, there was not an increased risk of hypercalcemia, or elevated serum calcium, with increasing levels of vitamin D," says study co-author Thomas D. Thacher, M.D., a family medicine expert at Mayo Clinic. Only one case over the 10-year study period was identified as true acute vitamin D toxicity; the person's vitamin D level was 364 ng/mL. The individual had been taking 50,000 international units (IU) of vitamin D supplements every day for more than three months, as well as calcium supplements. The IOM-recommended upper limit of vitamin D supplementation for people with low or deficient levels is 4,000 IU a day.     Reducing sedentary time mitigates the risk of type 2 diabetes and cardiovascular diseases University of Turku (Finland), May 2, 2022 A new study suggests that reducing daily sedentary time can have a positive effect on the risk factors of lifestyle diseases already in three months. Spending just one hour less sitting daily and increasing light physical activity can help in the prevention of these diseases. In an intervention study of the Turku PET Centre and the UKK Institute in Finland, the researchers investigated whether health benefits can be achieved by reducing daily sedentary time during a three-month intervention period. The research participants were sedentary and physically inactive working-age adults with an increased risk of type 2 diabetes and cardiovascular diseases. The intervention group managed to reduce sedentary time by 50 minutes per day on average, mainly by increasing the amount of light- and moderate-intensity physical activity. In the three-month period, the researchers observed benefits in health outcomes related to blood sugar regulation, insulin sensitivity and liver health in the intervention group.     Study Finds Cannabis May Be A “Miracle” Treatment For Autistic Kids Shaare Zedek Medical Center (Israel), April 26, 2022 Autism could now be added to the lengthy and perpetually-expanding list of afflictions and symptoms treatable with the one product of nature shamefully prohibited by the federal government — the “miracle” palliative, cannabis. In a recent article titled, “Marijuana may be a miracle treatment for children with autism,” Israeli researchers began a new study comprised of 120 children ranging in age from five to 29 years, who have been diagnosed with mild to severe autism. Study participants are given one of two cannabis oil treatments or a placebo, drops of which can be mixed into a meal — none contain high levels of THC, the ingredient which gives users a ‘high.' Myriad scientific studies and innumerable anecdotal cases have proven cannabis to treat everything from PTSD to ADHD, various cancers to the painful pressure of glaucoma — but the plant's miraculous quality has been most apparent in treating severe seizures of childhood epilepsy. Now, it appears, cannabis — specifically, the non-psychoactive compound, cannabidiol or CBD — may offer improved quality of life for children with autism, and the families providing their care. In an observational study, the doctor found 70 patients with autism experienced positive results from cannabis — so the clinical trial was launched for in-depth study.     Resveratrol and pinostilbene provide neuroprotectoin against age-related deficits. Duquesne University, April 27, 2022 According to news, research stated, "Age-related declines in motor function may be due, in part, to an increase in oxidative stress in the aging brain leading to dopamine (DA) neuronal cell death. In this study, we examined the neuroprotective effects of natural antioxidants resveratrol and pinostilbene against age-related DAergic cell death and motor dysfunction using SH-SY5Y neuroblastoma cells and young, middle-aged, and old male C57BL/6 mice." The news reporters obtained a quote from the research from Duquesne University, "Resveratrol and pinostilbene protected SH-SY5Y cells from a DA-induced decrease in cell viability. Dietary supplementation with resveratrol and pinostilbene inhibited the decline of motor function observed with age. While DA and its metabolites (DOPAC and HVA), dopamine transporter, and tyrosine hydroxylase levels remain unchanged during aging or treatment, resveratrol and pinostilbene increased ERK1/2 activation in vitro and in vivo in an age-dependent manner. Inhibition of ERK1/2 in SH-SY5Y cells decreased the protective effects of both compounds." "These data suggest that resveratrol and pinostilbene alleviate age-related motor decline via the promotion of DA neuronal survival and activation of the ERK1/2 pathways." Study sheds light on the benefits of exercise in fatty liver disease University of Eastern Finland, May 3, 2022 Exercise supports the treatment of non-alcoholic fatty liver (NAFLD) disease by impacting on several metabolic pathways in the body, a new study from the University of Eastern Finland shows Regular high-intensity interval training (HIIT) exercise over a period of 12 weeks significantly decreased the study participants' fasting glucose and waist circumference, and improved their maximum oxygen consumption rate and maximum achieved workload. These positive effects were associated with alterations in the abundance of a number of metabolites. In particular, exercise altered amino acid metabolism in adipose tissue. The study was published in Scientific Reports. Exercise had a beneficial effect on fasting glucose concentrations, waist circumference, maximum oxygen consumption rate, and maximum achieved workload. These factors were also associated with many of the observed alterations in the abundance of various metabolites in the exercise intervention group. The most significant alterations were observed in amino acids and their derivatives, lipids, and bile acids. In particular, exercise increased the levels of amino acids, which are the building blocks of proteins, in adipose tissue. According to the researchers, their higher accumulations in adipose tissue may be associated with improved lipid and glucose metabolism, as well as with reduced insulin resistance. The levels of various gut microbial metabolites were altered as a result of exercise, which is suggestive of changes in the composition of gut microbes, or in their function. Among these metabolites, increased amount of indolelactic acid, for example, can strengthen the intestinal mucosa, immune defense, and glucose balance.    

Dr. Peter J. Hotez, M.D., Ph.D. (https://peterhotez.org/), is Dean of the National School of Tropical Medicine and Professor of Pediatrics and Molecular Virology and Microbiology at Baylor College of Medicine where he is also Chief of the Section of Pediatric Tropical Medicine and the Texas Children's Hospital Endowed Chair of Tropical Pediatrics . Dr. Hotez is also Rice University's Baker Institute fellow in disease and poverty and Co-Director of Parasites Without Borders (https://parasiteswithoutborders.com/), a global nonprofit organization with a focus on those suffering from parasitic diseases in subtropical environments. Dr. Hotez is an internationally recognized physician-scientist with expertise in neglected tropical diseases and vaccine development. He leads the only product development partnership for developing new vaccines for hookworm, schistosomiasis and Chagas disease, and is just coming off a major win for emergency use approval of his team's Corbevax protein sub-unit COVID-19 vaccine, of which he, and previous guest to the show, Dr. Maria Elena Bottazzi, were recently nominated for a Nobel Prize. Dr. Hotez is the author of more than 400 original papers, as well as the books Forgotten People, Forgotten Diseases - The Neglected Tropical Diseases and Their Impact on Global Health and Development, Blue Marble Health - An Innovative Plan to Fight Diseases of the Poor amid Wealth, Vaccines Did Not Cause Rachel's Autism: My Journey as a Vaccine Scientist, Pediatrician, and Autism Dad, and Preventing the Next Pandemic: Vaccine Diplomacy in a Time of Anti-science. Dr. Hotez previously served as president of the American Society of Tropical Medicine and Hygiene, the Sabin Vaccine Institute and as founding editor-in-chief of PLoS Neglected Tropical Diseases. He is an elected member of the Institute of Medicine (IOM) of the National Academy of Sciences. In 2011, he was awarded the Abraham Horwitz Award for Excellence in Leadership in Inter-American Health by the Pan American Health Organization of the World Health Organization. In 2015, the White House and U.S. State Department selected Dr. Hotez as a United States science envoy. Dr. Hotez obtained his undergraduate degree in molecular biophysics from Yale University (Phi Beta Kappa), followed by a Ph.D. in biochemical parasitology from Rockefeller University, and an M.D. from Weill Cornell Medical College.

HOUR 1 Be Safe My Heart: Magnesium and Potassium and Heart Disease-- Carolyn Dean MD ND  Heart disease has become a dreaded condition because doctors and patients alike know it means a handful of medications and the certain knowledge that things are only going to get worse.  But what if heart disease has a strong element of magnesium and potassium deficiency? What if you have mineral deficiency and not heart disease? After all, your doctor probably didn’t do an ionized magnesium blood test to find out how much magnesium is in your cells working away at 1,000 enzyme processes and involved with 80% of known metabolic functions.  Wouldn’t it be important to know that information? Of course, it would. But doctors have been swept up in the pharmaceutical treatment of the body and in medical school never learned about the nutrient building blocks that keep us alive. As medical students we were told that if you don’t learn something in your training, it isn’t valid!! That you could be experiencing magnesium or mineral deficiency instead of a disease is good news. That means the worst is over and a safe, effective strategy for recovery is close at hand.And, everyone can join in EVERYONE YOU KNOW can improve their heart health. Magnesium and Potassium supplementation and lifestyle changes are complimentary to any health care practitioners advice and can be added to most any cardiovascular protocol.  REMEMBER. We never advise anyone to stop their heart meds, but as your health improves, any doctor worth their salt will help wean you off toxic medication that have numerous side effects. Where to begin – The first thing you can do to support heart function is to saturate your body with the minerals required to meticulously beat the heart. As a medical doctor, I developed these products to improve my own cardiovascular performance when I discovered my own symptoms of magnesium and mineral deficiency. I knew that addressing my magnesium deficiencies meant I slowly must increase my magnesium supplementation until I was taking saturation doses and as I did that my symptoms began to subside. When I added ReMyte and later Pico Potassium – they were the icing on the cake!  How our food fails us  You’ve heard the famous quote from Hippocrates, “Let food be thy medicine and medicine be thy food”? Unfortunately, in the year 2021, our depleted and diseased soil  and food crops do not provide us with the nutrient rich foods we enjoyed 50 years ago. This understanding is clinically supported with research:  Subclinical magnesium deficiency: a principal driver of cardiovascular disease and a public health crisis, James J. DiNicolantonio et al.  As this study points out, you can’t get enough magnesium from the foods you eat, even should you focus on magnesium-rich foods. That is why understanding the difference between magnesium maintenance and magnesium saturation is important.  According to the NIH Fact Sheet on Potassium for professionals, magnesium depletion can contribute to potassium deficiency by increasing urinary potassium losses. It can also increase the risk of cardiac arrhythmias by decreasing intracellular potassium concentrations. More than 50% of individuals with clinically significant hypokalemia might have magnesium deficiency. In people with hypomagnesemia and hypokalemia, both should be treated concurrently.  Here’s what I wrote in my Pico Potassium eBook:  Potassium is identified in the 2015-2020 Dietary Guidelines for Americans as a nutrient to be increased in the diet and the Institute of Medicine (IOM) recommendation for Adequate Intake of potassium is 4700 mg per day. To top it all off, note that a National Survey of 16,444 Americans found that 100% were not getting the estimated average requirement (EAR) of potassium. One Hundred Percent! I know a lot but I did not know the extent of the potassium deficiency in the population which makes this book and Pico Potassium very important.  As you read earlier magnesium AND potassium deficiencies are key contributing factors to heart disease. Adding essential minerals such as the ones found in ReMyte and B complex vitamins and vitamins D3 and K2 are also important for heart health.  As you start to add these essential nutrients to your health program it is important to stay appropriately hydrated. Drinking half your body weight (in pounds) in ounces of water will get you started. Adding ¼ tsp of pink Himalayan salt or Celtic salt to every liter of water will enhance your new water protocol all the more.  Magnesium and mineral saturation, combined with improved hydration are the beginning place for overall wellness and as you start to feel better, your energy will increase and your body will want to move, move, move!  As you feel the impulse for more movement coming on, low and slow is the way to go. Here are some easy movements you can do in the morning– repeat each individual exercise several times:  Take a morning walk. Do some yoga stretches on your yoga mat. Try a few arm pushups with your hands on the bathroom sink as you contemplate the person looking across at you in the mirror. Fit in a few mini squats as you brush your teeth. Even just rising up on the balls of your feet and holding for a few seconds will help exercise your leg muscles. In the shower you can also do some neck stretches with the hot water running on your muscles to loosen them up. Practice your balance by standing on one foot at a time for a few seconds. Eating for your heart  My Heart Health diet recommendations are very simple: avoid sugar, gluten, and non-fermented dairy. It’s a basic anti-candida/anti-yeast diet because you don’t want to feed simple sugars to your intestinal yeast.  Tonight on my LIVE YouTube broadcast, I’ll review my top 8 tips for a heart healthy diet. I will also answer your questions through our LIVE chat and mail bag. Here are the 8 tips  Eliminate table salt and high sodium canned and processed foods. Alcohol can be a trigger for many cardiovascular deficiency symptoms. So, don’t drink alcohol. Caffeine has a stimulating effect on the heart. Severely limit to eliminate strong caffeine drinks, especially if they are your triggers. Eat five servings of healthy (organic, if possible) vegetables and fruits. I generally suggest eating a maximum of two servings of fruit per day, and berries are a very good choice as they are low carb. Eat fermented dairy products and organic, grass fed, free range eggs, chicken, and lamb. I also eat wild caught salmon and canned tongol tuna fish. Eat healthy fats like coconut oil, olive oil, avocados, and so on. Eat small amounts of whole grains like quinoa, amaranth, millet, buckwheat, and black rice. Avoid glutamate, glutamic acid, and MSG as they can be cardiovascular triggers. About Dr. Carolyn Dean  Dr Carolyn Dean MD ND has been featured on national media for over 30 years offering practical strategies to improve health, vitality, and well-being the natural way. As a medical doctor, naturopath, certified clinical nutritionist and master of many modalities including acupuncture and homeopathy, Dr. Carolyn Dean MD ND has authored over 33 books and 100 publications including The Magnesium Miracle, 3rd Edition, Hormone Balance, Future Health Now Encyclopedia and Heart Health. Please note that the information and opinions expressed on these broadcasts are not designed to constitute advice or recommendations as to any disease, ailment, or physical condition. You should not act or rely upon any information contained in these broadcasts without seeking the advice of your personal physician. If you have any questions about the information or opinions expressed during these broadcasts, please contact your doctor.  Disclosure: Dr. Dean does have a financial interest in the sale of all the Completement Formulas.  Video Version: https://youtu.be/qTaSV8ZEXnw  Call in and Chat with Dr. Dean during Live Show with Video Stream: Call 646-558-8656   ID: 8836953587 press #.  To Ask a Question press *9 to raise your hand  Dr. Dean takes questions via email. Please write questions@drcarolyndeanlive.com We will be glad to respond to your email  Learn more about Dr. Carolyn here: https://drcarolyndeanlive.com  

HOUR 2 Be Safe My Heart: Magnesium and Potassium and Heart Disease-- Carolyn Dean MD ND  Heart disease has become a dreaded condition because doctors and patients alike know it means a handful of medications and the certain knowledge that things are only going to get worse.  But what if heart disease has a strong element of magnesium and potassium deficiency? What if you have mineral deficiency and not heart disease? After all, your doctor probably didn’t do an ionized magnesium blood test to find out how much magnesium is in your cells working away at 1,000 enzyme processes and involved with 80% of known metabolic functions.  Wouldn’t it be important to know that information? Of course, it would. But doctors have been swept up in the pharmaceutical treatment of the body and in medical school never learned about the nutrient building blocks that keep us alive. As medical students we were told that if you don’t learn something in your training, it isn’t valid!! That you could be experiencing magnesium or mineral deficiency instead of a disease is good news. That means the worst is over and a safe, effective strategy for recovery is close at hand.And, everyone can join in EVERYONE YOU KNOW can improve their heart health. Magnesium and Potassium supplementation and lifestyle changes are complimentary to any health care practitioners advice and can be added to most any cardiovascular protocol.  REMEMBER. We never advise anyone to stop their heart meds, but as your health improves, any doctor worth their salt will help wean you off toxic medication that have numerous side effects. Where to begin – The first thing you can do to support heart function is to saturate your body with the minerals required to meticulously beat the heart. As a medical doctor, I developed these products to improve my own cardiovascular performance when I discovered my own symptoms of magnesium and mineral deficiency. I knew that addressing my magnesium deficiencies meant I slowly must increase my magnesium supplementation until I was taking saturation doses and as I did that my symptoms began to subside. When I added ReMyte and later Pico Potassium – they were the icing on the cake!  How our food fails us  You’ve heard the famous quote from Hippocrates, “Let food be thy medicine and medicine be thy food”? Unfortunately, in the year 2021, our depleted and diseased soil  and food crops do not provide us with the nutrient rich foods we enjoyed 50 years ago. This understanding is clinically supported with research:  Subclinical magnesium deficiency: a principal driver of cardiovascular disease and a public health crisis, James J. DiNicolantonio et al.  As this study points out, you can’t get enough magnesium from the foods you eat, even should you focus on magnesium-rich foods. That is why understanding the difference between magnesium maintenance and magnesium saturation is important.  According to the NIH Fact Sheet on Potassium for professionals, magnesium depletion can contribute to potassium deficiency by increasing urinary potassium losses. It can also increase the risk of cardiac arrhythmias by decreasing intracellular potassium concentrations. More than 50% of individuals with clinically significant hypokalemia might have magnesium deficiency. In people with hypomagnesemia and hypokalemia, both should be treated concurrently.  Here’s what I wrote in my Pico Potassium eBook:  Potassium is identified in the 2015-2020 Dietary Guidelines for Americans as a nutrient to be increased in the diet and the Institute of Medicine (IOM) recommendation for Adequate Intake of potassium is 4700 mg per day. To top it all off, note that a National Survey of 16,444 Americans found that 100% were not getting the estimated average requirement (EAR) of potassium. One Hundred Percent! I know a lot but I did not know the extent of the potassium deficiency in the population which makes this book and Pico Potassium very important.  As you read earlier magnesium AND potassium deficiencies are key contributing factors to heart disease. Adding essential minerals such as the ones found in ReMyte and B complex vitamins and vitamins D3 and K2 are also important for heart health.  As you start to add these essential nutrients to your health program it is important to stay appropriately hydrated. Drinking half your body weight (in pounds) in ounces of water will get you started. Adding ¼ tsp of pink Himalayan salt or Celtic salt to every liter of water will enhance your new water protocol all the more.  Magnesium and mineral saturation, combined with improved hydration are the beginning place for overall wellness and as you start to feel better, your energy will increase and your body will want to move, move, move!  As you feel the impulse for more movement coming on, low and slow is the way to go. Here are some easy movements you can do in the morning– repeat each individual exercise several times:  Take a morning walk. Do some yoga stretches on your yoga mat. Try a few arm pushups with your hands on the bathroom sink as you contemplate the person looking across at you in the mirror. Fit in a few mini squats as you brush your teeth. Even just rising up on the balls of your feet and holding for a few seconds will help exercise your leg muscles. In the shower you can also do some neck stretches with the hot water running on your muscles to loosen them up. Practice your balance by standing on one foot at a time for a few seconds. Eating for your heart  My Heart Health diet recommendations are very simple: avoid sugar, gluten, and non-fermented dairy. It’s a basic anti-candida/anti-yeast diet because you don’t want to feed simple sugars to your intestinal yeast.  Tonight on my LIVE YouTube broadcast, I’ll review my top 8 tips for a heart healthy diet. I will also answer your questions through our LIVE chat and mail bag. Here are the 8 tips  Eliminate table salt and high sodium canned and processed foods. Alcohol can be a trigger for many cardiovascular deficiency symptoms. So, don’t drink alcohol. Caffeine has a stimulating effect on the heart. Severely limit to eliminate strong caffeine drinks, especially if they are your triggers. Eat five servings of healthy (organic, if possible) vegetables and fruits. I generally suggest eating a maximum of two servings of fruit per day, and berries are a very good choice as they are low carb. Eat fermented dairy products and organic, grass fed, free range eggs, chicken, and lamb. I also eat wild caught salmon and canned tongol tuna fish. Eat healthy fats like coconut oil, olive oil, avocados, and so on. Eat small amounts of whole grains like quinoa, amaranth, millet, buckwheat, and black rice. Avoid glutamate, glutamic acid, and MSG as they can be cardiovascular triggers. About Dr. Carolyn Dean  Dr Carolyn Dean MD ND has been featured on national media for over 30 years offering practical strategies to improve health, vitality, and well-being the natural way. As a medical doctor, naturopath, certified clinical nutritionist and master of many modalities including acupuncture and homeopathy, Dr. Carolyn Dean MD ND has authored over 33 books and 100 publications including The Magnesium Miracle, 3rd Edition, Hormone Balance, Future Health Now Encyclopedia and Heart Health. Please note that the information and opinions expressed on these broadcasts are not designed to constitute advice or recommendations as to any disease, ailment, or physical condition. You should not act or rely upon any information contained in these broadcasts without seeking the advice of your personal physician. If you have any questions about the information or opinions expressed during these broadcasts, please contact your doctor.  Disclosure: Dr. Dean does have a financial interest in the sale of all the Completement Formulas.  Video Version: https://youtu.be/qTaSV8ZEXnw  Call in and Chat with Dr. Dean during Live Show with Video Stream: Call 646-558-8656   ID: 8836953587 press #.  To Ask a Question press *9 to raise your hand  Dr. Dean takes questions via email. Please write questions@drcarolyndeanlive.com We will be glad to respond to your email  Learn more about Dr. Carolyn here: https://drcarolyndeanlive.com  

Queensland's Women's Week is about recognising and celebrating our diverse community of strong women and the unique contributions they make in our communities. So, to acknowledge this week-long celebration (which started on March 6 – day two of the showcase), we held a dedicated plenary session with some of the best female-led projects in Queensland! The second Women in Healthcare presenter was Adjunct Associate Professor Leanne Stone, who is the Director of Nursing for the Division of Cancer in Metro South Hospital and Health Service. Leanne is leading the research and build of an electronic Actionable Patient Perspective or eAPP that will inform Patient Reported Experience Measures or PREMs. PREMs ideally capture hospital performance in six domains advocated by the Institute of Medicine (IOM), ranging from respect for patient needs and preferences, care coordination, physical and emotional support, and the involvement of significant others. The Patient-reported Experience-Cancer (PRE-C) instrument was developed to capture these variables in the cancer service and inform responsive health service delivery. Leanne's team tested the instrument across all streams of cancer care by embedding it into the Integrated Electronic Medical Record or ieMR. Leanne provided attendees with an insight into how the platform works, how it can be customised, current benefits and limitations. At the end of her presentation, session facilitator Professor Keith McNeil, then-Acting Deputy Director-General Clinical Excellence Queensland said it was a fantastic example of harnessing data and turning into useful information accessible in real-time. Learn more To watch Leanne's interview, visit the Clinical Excellence Showcase website. For information about the project, visit their page on our Improvement Exchange. Please subscribe to ‘Clinical Excellence Showcase' wherever you digest your podcasts, rate and review on iTunes and follow us on social media: Facebook, Twitter and Instagram.

Welcome to Episode #104 (Season 4) of Creating a New Healthcare. I’m delighted to welcome back to this podcast Dr. Don Berwick - one of the leading authorities on healthcare quality & improvement over the past few decades.  Dr. Berwick is President Emeritus and Senior Fellow at the Institute for Healthcare Improvement (IHI), an organization that he co-founded and led as President and CEO for 18 years. In July 2010, President Obama appointed Dr. Berwick to the position of Administrator of the Centers for Medicare and Medicaid Services (CMS), which he held until December 2011. An elected member of the Institute of Medicine (IOM), Dr. Berwick served two terms on the IOM’s governing Council, and was a member of the IOM’s Global Health Board. He served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. His body of work & contributions to the field of healthcare quality & safety are unparalleled, including two classics: the 1999 IOM report, ‘To Err is Human’ and the 2001 IOM report, ‘Crossing the Quality Chasm’. In 2005, he was appointed “Honorary Knight Commander of the British Empire” by Queen Elizabeth II, the highest honor awarded by the UK to non-British individuals, in recognition of his work with the British National Health Service. To say that Dr. Berwick brings a seasoned perspective on the current state of our healthcare system and the challenges we face as a nation is, to put it mildly, an understatement. What distinguishes Dr. Berwick even more than his record of accomplishment or his brilliant mind is his tireless reminders of the ethical responsibility we have to attend to the health of the American public - especially for those of us who are providers, administrators, policy makers, health insurance companies, as well as pharmaceutical and device manufacturers. A relevant quote from one of Dr. Berwick’s recent articles underscores this responsibility;  “Fate will not create the new normal; choices will.”  In this episode, we’ll cover a range of topics, including the following:Dr. Berwick’s recent article, Choices for the “New Normal” - which is a call-to-action and a leadership roadmap outlining crucial choices in six critical domains that will play a significant role in determining the future of healthcare delivery.Inequality and Inequity -  the relative lack of social support services provided in the US as compared to other developed nations; which Dr. Berwick describes as “the most notable wake-up call”.An ethical reframing of the social determinants of health, described in his recent article, The Moral Determinants of Health; along with some shocking statistics on inequities related to poverty, hunger, homelessness, social isolation, and the uninsured.The tragic and insidious institutional racism that is embedded in our healthcare delivery system, as well as in other institutions such as our criminal justice system.A critical reframing of healthcare that Dr Berwick refers to as “What Matters to You Medicine”; which he suggests should disrupt and replace the legacy “What’s the Matter With You” paradigm.Dr. Berwick is one of the greatest healthcare humanitarians and transformational leaders of our era. He is the quintessential example of empathic ethical leadership. We need more leaders like this in and around healthcare. Dr. Berwick’s recent publications are seminal. In these articles, he courageously cuts to the stark realities of our healthcare system. He not only lays bare the truth for all to see but also outlines the crucial leadership choices of our time. And even beyond that, he lays out a pathway for positive action. Dr. Berwick writes, speaks & acts with intellectual integrity, academic rigor, and with a disarmingly insightful and honest authenticity - as well as with a powerful voice based in morals and compassion. At times, it’s unsettling, uncomfortable and inconvenient. Make no mistake about it, Dr. Berwick’s message is not an academic treatise. It is a call for ethical action.Until next time, Be safe and be well.Zeev E. Neuwirth, MD

SimFails … and Other Conversations from the Sim Sofa: Janice Palaganas, Kirsty Freeman, and Marcus Rall are an experienced, interprofessional, global healthcare simulation team, and they're here to talk about all the ways they've “stuffed it up” over the past 20 years so that you can learn from their failures! Join them in the coming months for SimFails … and other conversations from the sim sofa. About Us Dr. med. Marcus Rall is founder and CEO of InPASS, Institute for Patient Safety & Team Training in Reutlingen, Germany with a focus on human factors, teamwork and simulation team training, as well as train-the-trainer concepts. He worked 17 years as a physician in anesthesiology and prehospital emergency medicine. He studied medicine in Germany, at Harvard, and at the University of Michigan and has worked as a fire-fighter and paramedic. He is founding president of the German Society for Simulation in Healthcare (DGSiM) and was Co-Chair of the IMSH World Congress of Simulation 2008. He is associate editor of the international journal Simulation in Healthcare. Over the last 15+ years Kirsty Freeman has been in simulation-based education and research within both the clinical and academic settings. The most recent of her positions is with The University of Western Australia, Faculty of Health and Medical Sciences, where she is part of the academic faculty in the Division of Health Professions Education. With a Masters in Health Professions Education (Research), Kirsty is currently a PhD Candidate researching the incidence of impostor phenomenon in healthcare simulation faculty, and the impact of professional identity. Co-Chair for IMSH 2020 and Chair of the Media and Communications Committee for the Society for Simulation in Healthcare, Kirsty is soon to be inducted as a Fellow in the SSH Academy Class of 2020. Dr. Janice Palaganas is currently the Director of Educational Innovation and Development for the Center for Medical Simulation (CMS) in Boston, Massachusetts and a Lecturer for Harvard Medical School, Department of Anesthesia and Critical Pain Management. Janice has developed a passion in teamwork from her background as an emergency nurse, trauma nurse practitioner, director of emergency and critical care services, and faculty for schools of medicine, nursing, allied health, management, physician assistant program, and emergency medicine. As a behavioral scientist, her passion is in using healthcare simulation as a platform for interprofessional education (IPE) and has served as a committee member of the National Academy of Medicine's (formerly the Institute of Medicine [IOM]) report on measuring the impact of IPE on practice.

The endocannabinoid system (ECS) is recognized as an important modulator of many physiological processes. Recently, an increasing body of evidence has been accumulated to suggest the antioxidant, anti-inflammatory, neuroprotective, and antinociceptive roles of the ECS. In 1997, the Office of National Drug Control Policy commissioned the Institute of Medicine (IOM) to conduct a comprehensive study of the medical efficacy of cannabis therapeutics. The IOM concluded that cannabis is a safe and effective medicine, patients should have access, and the government should expand avenues for research and drug development. This course will discuss cannabis as it relates to effective pain management. (Recorded at PAINWeek 2018)

Both of us have spent a good portion of our careers developing and helping organizations implement tools, processes and infrastructures that support interprofessional education and collaborative practice. As you might guess this is a topic that is near and dear to our hearts. During the episode we talk about how the Institute of Medicine (IOM) reports, To Err is Human: Building a Safer Health System (1999); Crossing the Quality Chasm: A New Health System for the 21st Century (2001) and Health Professions Education: A Bridge to Quality (2003), served to heighten the awareness of concerns about safe, quality, cost-effective care within the United States healthcare system. These reports also reinforced the need for interprofessional education (IPE) and interprofessional collaborative practice (ICP). We talk about what is being learned and the current realities educators and leaders are facing. Recent reports indicate the traditional cultures and practices in healthcare settings do not support ICP (Brandt, KItto, & Cervero, in press) and those who have experienced IPE go into practice settings that do not support what they have learned. IPE and ICP represent an interdependent pair. Both are necessary to prepare the future and the current workforce to work collaboratively.Achieving the national goals of safe, quality, efficient, effective care will require a healthcare workforce prepared and supported to work collaboratively. Managing the IPE and ICP polarity is key in achieving sustainable outcomes. Leveraging strong partnering relationships between practice and education leaders may be one way to manage the IPE/ICP polarity and support current and future workforce preparation.

February is Heart Month and in that spirit, we are reminding everyone there is great value in learning how to give CPR to someone experiencing cardiac arrest. Of course, I know that ReMag and my Total Body ReSet formulas have an excellent chance of preventing cardiac arrest and heart disease in the first place...but I digress. The Institute of Medicine [IOM] says 395,000 people in the US suffer cardiac arrest outside hospital and less than 6 percent survive. An additional 200,000 cardiac arrests occur in hospitals every year and 25% survive. That’s over half a million lives lost that could be saved. You may think cardiac arrest is just another name for a heart attack, but it’s not – it’s worse. A heart attack may come on relatively slowly and occurs when blood flow to the heart is blocked. Sudden cardiac arrest occurs when the heart malfunctions and suddenly stops beating when its electrical activity is knocked out of rhythm. A heart attack is a “circulation” problem and sudden cardiac arrest is an “electrical” problem. In cardiac arrest, CPR or cardioversion with a defibrillator can buy critical time if it’s started immediately.  Each year, less than 3 percent of the U.S. population receives training in CPR or defibrillator use, while some European countries mandate training. I learned CPR in my medical training and I think it’s wise for everyone to learn it, given the high probability of someone experiencing cardiac arrest in your close proximity. What to do? Brush up on your CPR or take a class if you haven't been instructed in the technique.  AND, keep lots of ReMag on hand for friends and loved ones.

February is Heart Month and in that spirit, we are reminding everyone there is great value in learning how to give CPR to someone experiencing cardiac arrest. Of course, I know that ReMag and my Total Body ReSet formulas have an excellent chance of preventing cardiac arrest and heart disease in the first place...but I digress. The Institute of Medicine [IOM] says 395,000 people in the US suffer cardiac arrest outside hospital and less than 6 percent survive. An additional 200,000 cardiac arrests occur in hospitals every year and 25% survive. That’s over half a million lives lost that could be saved. You may think cardiac arrest is just another name for a heart attack, but it’s not – it’s worse. A heart attack may come on relatively slowly and occurs when blood flow to the heart is blocked. Sudden cardiac arrest occurs when the heart malfunctions and suddenly stops beating when its electrical activity is knocked out of rhythm. A heart attack is a “circulation” problem and sudden cardiac arrest is an “electrical” problem. In cardiac arrest, CPR or cardioversion with a defibrillator can buy critical time if it’s started immediately.  Each year, less than 3 percent of the U.S. population receives training in CPR or defibrillator use, while some European countries mandate training. I learned CPR in my medical training and I think it’s wise for everyone to learn it, given the high probability of someone experiencing cardiac arrest in your close proximity. What to do? Brush up on your CPR or take a class if you haven't been instructed in the technique.  AND, keep lots of ReMag on hand for friends and loved ones.

February is Heart Month and in that spirit, we are reminding everyone there is great value in learning how to give CPR to someone experiencing cardiac arrest. Of course, I know that ReMag and my Total Body ReSet formulas have an excellent chance of preventing cardiac arrest and heart disease in the first place...but I digress. The Institute of Medicine [IOM] says 395,000 people in the US suffer cardiac arrest outside hospital and less than 6 percent survive. An additional 200,000 cardiac arrests occur in hospitals every year and 25% survive. That’s over half a million lives lost that could be saved. You may think cardiac arrest is just another name for a heart attack, but it’s not – it’s worse. A heart attack may come on relatively slowly and occurs when blood flow to the heart is blocked. Sudden cardiac arrest occurs when the heart malfunctions and suddenly stops beating when its electrical activity is knocked out of rhythm. A heart attack is a “circulation” problem and sudden cardiac arrest is an “electrical” problem. In cardiac arrest, CPR or cardioversion with a defibrillator can buy critical time if it’s started immediately.  Each year, less than 3 percent of the U.S. population receives training in CPR or defibrillator use, while some European countries mandate training. I learned CPR in my medical training and I think it’s wise for everyone to learn it, given the high probability of someone experiencing cardiac arrest in your close proximity. What to do? Brush up on your CPR or take a class if you haven't been instructed in the technique.  AND, keep lots of ReMag on hand for friends and loved ones.

February is Heart Month and in that spirit, we are reminding everyone there is great value in learning how to give CPR to someone experiencing cardiac arrest. Of course, I know that ReMag and my Total Body ReSet formulas have an excellent chance of preventing cardiac arrest and heart disease in the first place...but I digress. The Institute of Medicine [IOM] says 395,000 people in the US suffer cardiac arrest outside hospital and less than 6 percent survive. An additional 200,000 cardiac arrests occur in hospitals every year and 25% survive. That’s over half a million lives lost that could be saved. You may think cardiac arrest is just another name for a heart attack, but it’s not – it’s worse. A heart attack may come on relatively slowly and occurs when blood flow to the heart is blocked. Sudden cardiac arrest occurs when the heart malfunctions and suddenly stops beating when its electrical activity is knocked out of rhythm. A heart attack is a “circulation” problem and sudden cardiac arrest is an “electrical” problem. In cardiac arrest, CPR or cardioversion with a defibrillator can buy critical time if it’s started immediately.  Each year, less than 3 percent of the U.S. population receives training in CPR or defibrillator use, while some European countries mandate training. I learned CPR in my medical training and I think it’s wise for everyone to learn it, given the high probability of someone experiencing cardiac arrest in your close proximity. What to do? Brush up on your CPR or take a class if you haven't been instructed in the technique.  AND, keep lots of ReMag on hand for friends and loved ones.

In this episode of Creating a New Healthcare, Dr. Zeev Neuwirth interviews Don Berwick - widely recognized as one of the most influential & impactful healthcare leaders of our time. His foundational contributions to the quality, safety & reliability movement in healthcare - beginning in the late 1980’s - have led to profound reductions in medical errors in the United States and abroad.  Among his numerous contributions, Don co-founded and led the Institute for Healthcare Improvement for 18 years - an organization that has shifted the landscape of healthcare delivery; catalyzed the healthcare quality movement; and whose overall positive impact on domestic & global healthcare is almost immeasurable.  He has served numerous key leadership roles such as in the Institute of Medicine (IOM) & the Center for Medicare & Medicaid Services; and has authored and co-authored numerous landmark publications such as the IOM's 'To Err is Human' and ‘Crossing the Quality Chasm’.  In this interview, Dr. Berwick provides us with detailed principles for the creation of a “third era of medicine” - an era in which we can more fully realize the goals of the triple aim - better medical care for patients, better health & health outcomes, and lower costs of care; and in which we can support our physicians & other providers of care in performing clinical work that is meaningful and sustainable.  Dr. Berwick is an unparalleled physician-scientist-scholar, and a humanitarian leader whose integrity, vision & insights hold practical wisdom and guidance for any leader contemplating the future of healthcare delivery; and whose compelling stories provide us with directed purpose, inspiration & hope. 

Date: September 24, 2014 Featuring: Kevin B. Weiss, MD, MPH, Senior Vice President, Institutional Accreditation, Accreditation Council for Graduate Medical Education (ACGME) Robin Wagner, RN, MHSA, Vice President, Clinical Learning Environment Review, ACGME Maren Batalden, MD, Medical Director of Hospital Quality, Associate Director of Graduate Medical Education for Quality and Safety, Cambridge Health Alliance (CHA) James Moses, MD, MPH, Medical Director of Quality Improvement, Boston Medical Center; Academic Advisor, IHI Open School for Health Professions Whether or not you are directly involved in graduate medical education (GME), its priorities have implications for all of health care. A new Institute of Medicine (IOM) report released over the summer has reignited debate and discussion about the financing and goals of GME in the US. Given that Medicare is the primary funder, to the tune of $15 billion per year, the report’s authors call for greater accountability for all the government support, along with a change in priorities. For example, the IOM committee points to a disconnect between what the health care system desperately needs right now — more cost-conscious doctors capable of improving patient care, managing population health, and committed to primary care — and residency programs that remain overwhelmingly hospital-based and focused on medical specialties.   This is not the first time we’ve heard calls to reform GME, or the first time we’ve seen efforts to respond by the accrediting body itself, the Accreditation Council for Graduate Medical Education (ACGME). They’re in the midst of rolling out a new set of residency training expectations that are more aligned with delivering value and helping patients achieve optimal health. The program is called the Clinical Learning Environment Review.   Learn from our panel of experts as we explored the goals of CLER and the specific ways residents are being asked to contribute to patient safety, quality improvement, care transitions, supervision, duty management, and professionalism.

Date: October 21, 2010   Featuring: Lee Adler, DO, Vice President for Quality, Safety, Innovation, and Research, Florida Hospital Ruth Ann Dorrill, MPA, Team Leader, Office of Inspector General, US Department of Health and Human Services Amy Ashcraft, Senior Analyst, Office of Inspector General, US Department of Health and Human Services Donald Goldmann, MD, Senior Vice President, Institute for Healthcare Improvement Fran Griffin, Senior Manager of Clinical Programs for BD Medical/Medical Surgical Systems; Faculty, Institute for Healthcare Improvement   How often are patients harmed in US hospitals, and what is the best way to determine this? Ever since the Institute of Medicine (IOM) estimated that up to 98,000 patients die in hospitals each year due to medical errors, and some subsequent studies that claim the number is much higher, getting a more precise “national” handle on where and when and how frequently harm occurs has bedeviled most researchers. Without a baseline, it’s been impossible to state with any certainty whether patients are any safer today in US hospitals than they were ten years ago, when the IOM issued its seminal report.This is the backdrop for a groundbreaking series of studies that the Office of Inspector General (OIG) at the Department of Health and Human Services has been undertaking. In the past two years, the OIG has issued a series of reports focused on harm that reaches hospitalized Medicare recipients, including analysis of the sensitivity and accuracy of methods for detecting harm. Its most recent report, slated for publication in October, provides a first-of-its-kind national incidence rate for adverse events. IHI’s Global Trigger Tool, designed to facilitate a retrospective review of medical records to identify adverse events, combined with a physician review, has been singled out by the OIG as a powerful means of determining when an adverse event has occurred.This WIHI offers a window into all the research findings — straight from the experts — and their significance for patient safety, harm detection, improvement work, and policy reform going forward.

I would not take any vaccine they offer. Nor would I vaccinate my child. This topic is more important than ever before because they're trying to eliminate vaccine exemptions. If successful, no kid would be allowed to go to school unless they're vaccinated. Currently, in most states, you can opt out of vaccines for religious or personal reasons, depending on which state you live in. They're taking away our medical freedom and it's important we fight back! Therefore, I've listed 10 reasons I refuse to vaccinate myself or my child: No cumulative studies Vaccines aren't adequately tested No vaxxed vs unvaxxed studies Adjuvants Autism cover up (vaxxed) Government Conspiracy Vaccines Are Based On a Flawed Theory Vaccines are Harmful and Dangerous Pharmaceutical Companies Aren't Liable For Vaccine Damage Big Pharma Fraud 1. No Cumulative Studies On The Vaccine Schedule This is a big shocker. It's hard for people to believe. There aren't any studies on the cumulative effects of all the vaccines in the current schedule. Want proof? You can see the complete report here. There you have it. A huge proponent for vaccines admitting in the report that it's the "first to attempt to examine the entire childhood immunization schedule as it exists today." That means they've been enforcing a vaccine schedule that hasn't been studied for safety! This was just a meta study. A meta study studies the previous studies available. Since there are none a meta study is close to useless. That's why they said it's their first "attempt." This study is basically a joke, especially considering the importance of a real one being done. It's easy to see that the Institute of Medicine (IOM) is pro-vaccine because the report is pro vaccine throughout the article. They even state they found no evidence of major safety concerns. There's just that one line that tells us a very important fact. They've put almost no effort into studying the safety of the vaccine schedule they've been pushing for decades. The same time period autism has seen a huge increase in occurrence. This single reason is enough for me to refuse vaccines. This is a huge error on their part. Too big to be accidental. The vaccine schedule has never been shown to be safe! 2. Vaccines Aren't Adequately Tested Not only are there no studies of the cumulative effects of vaccines, the studies they actually do are still inadequate. The gold standard for FDA drug testing is double-blind placebo controlled studies. This isn't the case for vaccines. They claim it's "unethical." How is it ethical to vaccinate people but not ethical to test it for safety? 3. No Vaxxed vs Unvaxxed Studies To prove vaccinated kids are healthier than unvaccinated kids, which is the essential goal, they should study the vaccinated vs. the unvaccinated...but they don't! Sure there are some small studies, mostly outside of the US. But there is no definitive study showing vaccinated kids are significantly healthier than unvaccinated kids in America. There is no proof vaccinated kids are healthier than unnvaccinated kids. With all the data mining going on and complete loss of privacy, as well as the seemingly infinite amount of fiat currency the government can create in computer system backed by nothing, I think they could figure out how to get the studies done if they wanted to. They probably have done the studies but won't report it because they show the unvaccinated kids to be healthier. Trust me, if they had solid data to prove vaccinated kids are healthier, we'd all know about it. The truth is, they're not. 4. Adjuvants Adjuvants are put into vaccines to stimulate an immune response. They're toxic. That's what they're their for. They're meant to  grab the immune system's attention. The body needs the stimulation because it's not normal for pathogens to enter your body via a needle. They tell us the adjuvants are safe. For example,

But wait, you are what kind of doctor? A naturopathic doctor, that's who Dr. Gary Weiner is and he practices naturopathic medicine. Ellen talks with Dr. Weiner about how a naturopathic doctor is trained to diagnose and treat health problems, and how it is a great medicine to help restore one's vitality. Natural medicine, of which naturopathic medicine is part, is recognized by the Institute of Medicine (IOM) and the World Health Organization (WHO) as a catalyst to significantly improve the health of Americans. Learn about how this medicine can help you!

Background: Childhood overweight has become a growing public health challenge. It has been suggested that inadequate or excessive gestational weight gain (GWG) may result in permanent metabolic and neuronal changes in the developing fetus. Although effects of GWG on birth weight are established, less is known about its effects on the long-term weight status of the child. In 2009, the Institute of Medicine (IOM) and the National Research Council (NRC) published recommendations for trimester-specific and total GWG depending on maternal pre-pregnancy body mass index (BMI). It is unknown, however, how well the trimester-specific IOM/NRC recommendations for GWG identify women at risk of total GWG outside those recommendations. It is also unknown, whether a reverse from excessive GWG in early or mid-pregnancy reduces the risk of childhood overweight. Aims: Contribute to the existing knowledge on the association between GWG and childhood overweight (study 1). Examine whether and to what extent inadequate or excessive total GWG can be predicted in the first, second and third trimester, based on trimester-specific GWG cut-off values (study 2). Investigate whether a reverse from excessive GWG before the third trimester is associated with a risk reduction of childhood overweight (study 3). Methods: A retrospective cohort study was conducted. The sample was recruited prior to the school entry health examinations in 2009 and 2010. Data on maternal weight was derived from medical records and child’s anthropometric data were measured. From 11,730 mother-child pairs available, 6,837 were included in study 1, 7,962 in study 2 and 6,767 in study 3. To investigate the effect of total GWG, overall and stratified by maternal pre-pregnancy BMI, and reverse from excessive GWG in early or mid-pregnancy, multivariate logistic regression analyses were conducted including a large number of potential confounders. Odds ratios (OR) and 95% confidence intervals (CI) were calculated. The prognostic values of lower and upper trimester-specific GWG cut-off values were examined by calculating sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and positive diagnostic likelihood ratio (DLR+). Results: 1) Overall, the risk of childhood overweight increased by 4% per additional kg GWG (OR: 1.04, 95% CI: 1.02, 1.05). Excessive total GWG was associated with a 57 % higher risk of childhood overweight (OR: 1.57, 95% CI: 1.30, 1.91). Stratified by maternal pre-pregnancy BMI, significant associations between excessive GWG and childhood overweight found among normal weight mothers (OR: 1.29, 95% CI: 1.01, 1.66) and overweight mothers (OR: 1.64, 95% CI: 1.06, 2.63). 2) Prediction of total GWG within the IOM/NRC recommendations increased with gestational age and was related to the maternal BMI category and outcome. In trimester two, inadequate total GWG could be predicted with a sensitivity of 49% and 60.2% and a PPV of 72.1% and 68.3% in underweight and normal-weight mothers, respectively. Excessive GWG could be predicted with a sensitivity of 72.7% and 70.4% and a PPV of 94.3% and 93.3% in overweight and obese mothers, respectively. 3) Compared to mothers who always gained below the excessive GWG cut-off values (reference category), children of mothers with excessive GWG in the third and any previous trimester had a 42% higher risk of overweight at school entry (OR: 1.42, 95% CI: 1.17, 1.72). There was a 39% higher risk if mothers gained excessively in the third trimester only (OR: 1.39, 95% CI: 1.06, 1.82). No higher risk was observed for mothers who reversed from excessive GWG before the third trimester compared to reference category. Conclusions: Excessive total GWG appears to be a risk factor for childhood overweight. It can be well predicted from the second trimester on, in particular in overweight and obese women. Reverse from excessive GWG before the third trimester may reduce the risk of childhood overweight. More research is required to further establish the strength of association between GWG and childhood overweight. It appears possible to identify women at risk of gaining outside the recommendations as early as the second trimester. Those women should be allocated to appropriate weight modifying measures. The long-term benefit of GWG modifying measures on childhood overweight, especially a reverse from excessive GWG in the first or second trimester, should be investigated in randomised controlled studies.

As defined by the Institute of Medicine (IOM), clinical practice guidelines are "statements that include recommendations to optimize patient care that are informed by a systematic review of the evidence and an assessment of the benefits and harms of alternative care options."  In crafting their recent standards for trustworthy guidelines, the IOM repeatedly referenced the AAO-HNS manual discussed in this podcast as an example of best practice.  This third edition of the manual builds upon prior editions (from 2006 and 2009) with new material that includes standards for trustworthy guidelines, updated evidence levels, increased patient and public involvement, assessing confidence in the evidence, documenting differences of opinion, managing conflict of interest, and using computerized decision support for crafting actionable recommendations.  The participants discuss unique features of the manual, the preeminent role of action statement profiles in promoting transparency, and how guideline users and developers can best take advantage of the principles and practices described.

Background: Excessive gestational weight gain (GWG) is associated with short- and long-term health problems among mothers and their offspring. There is a strong need for effective intervention strategies targeting excessive GWG to prevent adverse outcomes. Methods: We performed a cluster-randomized controlled intervention trial in eight gynecological practices evaluating the feasibility and effectiveness of a lifestyle intervention presented to all pregnant women; 250 healthy, pregnant women were recruited for the study. The intervention program consisted of two individually delivered counseling sessions focusing on diet, physical activity, and weight monitoring. The primary outcome was the proportion of pregnant women exceeding weight gain recommendations of the Institute of Medicine (IOM). Secondary outcome variables were maternal weight retention and short-term obstetric and neonatal outcomes. Results: The intervention resulted in a lower proportion of women exceeding IOM guidelines among women in the intervention group (38%) compared with the control group (60%) (odds ratio (OR): 0.5; 95% confidence interval (CI): 0.3 to 0.9) without prompting an increase in the proportion of pregnancies with suboptimal weight gain (19% vs. 21%). Participants in the intervention group gained significantly less weight than those in the control group. Only 17% of the women in the intervention group showed substantial weight retention of more than 5 kg compared with 31% of those in the control group at month four postpartum (pp) (OR: 0.5; 95% CI: 0.2 to 0.9). There were no significant differences in obstetric and neonatal outcomes. Conclusions: Lifestyle counseling given to pregnant women reduced the proportion of pregnancies with excessive GWG without increasing suboptimal weight gain, and may exert favorable effects on pp weight retention.

Many would agree that healthcare delivery today is inefficient, ineffective, and segmented. In this panel discussion, experts talk about how they have persisted in delivering high-quality treatment. They discuss innovations in redesigning and scaling operations for wider benefit, the realities of implementation, and the need to train clinical workers in delivering compassionate care. The discussion was part of the 2011 Healthcare Summit, held at the Stanford Graduate School of Business. Gerald (Jerry) Coil is special assistant to the CMO, AltaMed Health Services. He has served as an internal consultant at AltaMed; senior consultant at Cattaneo & Stroud, Inc.; executive vice president and COO at HealthSpring; president and CEO at MHN; senior vice president at Health Net; senior vice president, benefit administration, at Kaiser Permanente; partner at NorthShore LLC; and regional vice president, Pacific Rim at North American Medical Management/Phycor. Thomas Lee is an MD with One Medical Group. He specializes in primary care internal medicine with an emphasis on preventive health, complex cases and quality improvement. Lee graduated from Yale University and the University of Washington School of Medicine, and completed his residency at Harvard’s Brigham and Women’s Hospital before serving as editor-in-chief for the widely used drug reference application Epocrates. He then founded One Medical Group as a step toward improving primary care delivery. Paul Wallace is director of the Lewin Center for Comparative Effectiveness Research. A board certified physician in internal medicine and hematology, he is a renowned lecturer on topics including evidence-based medicine practice and policy; performance improvement and measurement; clinical practice guideline development; population-based care and disease management; new technology assessment; and comparative assessment. He serves on advisory committees at the Institute of Medicine (IOM), and is a member of a number of healthcare-related boards. Arnold Milstein is professor of medicine and leader of Stanford University’s Clinical Excellence Research Center. His career and ongoing research are focused on acceleration of clinical service innovations that improve the societal value of health care. He serves as the medical director of the Pacific Business Group on Health, the largest regional health care improvement coalition in the U.S. He also guides employer-sponsored clinically-based innovation development for Mercer Health and Benefits. Previously he co-founded the Leapfrog Group and Consumer-Purchaser Disclosure Project, and served as a Congressionally-appointed MedPAC Commissioner. https://ssir.org/podcasts/entry/service_innovation

New York City Undergraduate Commencement 2011 with honorary degree recipient Jo Ivey Boufford, MD. Dr. Ivey Boufford is President of The New York Academy of Medicine. Dr. Boufford is Professor of Public Service, Health Policy, and Management at the Robert F. Wagner Graduate School of Public Service and Clinical Professor of Pediatrics at New York University School of Medicine. She served as Dean of the Robert F. Wagner Graduate School of Public Service at New York University from June 1997 to November 2002. Prior to that, she served as Principal Deputy Assistant Secretary for Health in the US Department of Health and Human Services (HHS) from November 1993 to January 1997, and as Acting Assistant Secretary from January 1997 to May 1997. While at HHS, she served as the US representative on the Executive Board of the World Health Organization (WHO) from 1994 to 1997. From May 1991 to September 1993, Dr. Boufford served as Director of the King’s Fund College, London England. The King’s Fund is a royal charity dedicated to the support of health and social services in London and the United Kingdom. She served as President of the New York City Health and Hospitals Corporation (HHC), the largest municipal system in the United States, from December 1985 until October 1989. Dr. Boufford was awarded a Robert Wood Johnson Health Policy Fellowship at the Institute of Medicine in Washington, DC, for 1979-1980. She served as a member of the National Council on Graduate Medical Education and the National Advisory Council for the Agency for Healthcare Research and Quality from 1997 to 2002. She is currently Chair of the Board of Directors for the Center for Health Care Strategies and serves on the boards of the United Hospital Fund, the Primary Care Development Corporation and Public Health Solutions formerly MHRA. She was President of the National Association of Schools of Public Affairs and Administration (2002 -2003). She was elected to membership in the Institute of Medicine (IOM) in 1992 and is a member of its Executive Council, Board on Global Health and Board on African Science Academy Development. She was elected to serve for a four-year term as the Foreign Secretary of the IOM beginning July 1, 2006. She received an Honorary Doctorate of Science degree from the State University of New York, Brooklyn, in May 1992 and the New York Medical College in May 2007. She was elected a Fellow of the National Academy of Public Administration in 2005. She has been a Fellow of The New York Academy of Medicine since 1988 and a Trustee since 2004. Dr. Boufford attended Wellesley College for two years and received her BA (Psychology) magna cum laude from the University of Michigan, and her MD, with distinction, from the University of Michigan Medical School. She is Board Certified in pediatrics. Dr. Boufford has served on the AIHA Board since 2008. Degree: Doctor of Science (Sc.D.)

New York University College of Nursing's Dean Terry Fulmer along with the Alex and Rita Hillman Family Foundation will host a panel presentation and discussion on "The Future of Nursing" report, a Robert Wood Johnson Initiative at the Institute of Medicine (IOM), on February 17, 2011. "The Future of Nursing," report, released in October 2010, explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system.

Omega-3 trade group Global Organization for EPA and DHA (GOED) is preparing to petition the US Institute of Medicine (IOM) to establish a recommended daily allowance for the nutritional lipid. Shane Starling catches up with the organization’s executive director Adam Ismail at Expo West 2009.

Nancy E Adler, PhD How Increasing Income Disparities Affect Health Join Michael Lerner in a conversation with Nancy Adler, professor of psychology at the University of California, vice-chair of the Department of Psychiatry, and director of the Center for Health and Community. Nancy Adler Nancy Adler is professor of psychology at the University of California, San Francisco (UCSF), vice-chair of the Department of Psychiatry, and director of the Center for Health and Community. She is a member of the Institute of Medicine (IOM) and is currently the chair of an IOM committee on psychosocial services for cancer survivors. Nancy’s earlier research examined the utility of decision models for understanding health behaviors with particular focus on reproductive health. As director of the MacArthur Foundation Research Network on Socioeconomic Status and Health, she coordinates research spanning social, psychological, and biological mechanisms by which socioeconomic status influences health. Find out more about The New School at tns.commonweal.org.

HistoryThe earliest known observation of possible links between maternal alcohol use and fetal damage may have been made in 1899 by Dr. William Sullivan, a Liverpool prison physician who noted higher rates of stillbirth for 120 alcoholic female prisoners than their sober female relatives and suggested the causal agent to be alcohol use (Sullivan, 1899). This view contradicted the predominant theories of the day, which were that genetics caused mental retardation, poverty, and criminal behavior. A case study popular in the early 1900s by Henry H. Goddard involved the Kallikak family and shows the bias of the time period (Goddard, 1912), though later researchers conclude that the Kallikaks almost certainly had FAS (Karp, R.J., et al, 1995). Fetal Alcohol Syndrome, or FAS, was named in 1973 by two dysmorphologists, Drs. Kenneth Lyons Jones and David W. Smith of the University of Washington Medical School in Seattle. They identified a pattern of "craniofacial, limb, and cardiovascular defects associated with prenatal onset growth deficiency and developmental delay" in eight unrelated children of three ethnic groups, all born to mothers who were alcoholics (Jones, K.L., et al, 1973). While many syndromes are eponymous, or named after the physician first reporting the association of symptoms, Dr. Smith named FAS after alcohol, the causal agent of the symptoms. His reasoning for doing so was to promote prevention of FAS, believing that if people knew maternal alcohol consumption caused the syndrome, then abstinence during pregnancy would follow from patient education and public awareness. Nobody was aware of the full range of possible birth defects from FASD or its prevalence rate at that time, but admitting alcohol use during pregnancy can feel stigmatizing to birth mothers and complicate diagnostic efforts of a syndrome with its preventable cause in the name. Over time, the term FASD is coming to predominate. Diagnostic SystemsSince the original syndrome of Fetal Alcohol Syndrome (FAS) was reported in 1973, four FASD diagnostic systems that diagnose FAS and other FASD conditions have been developed in North America: The Institute of Medicine's guidelines for FAS, the first system to standardize diagnoses of individuals with prenatal alcohol exposure (Institute of Medicine (IOM), Stratton, K.R., Howe, C.J., & Battaglia, F.C. (1996). Fetal Alcohol Syndrome: Diagnosis, Epidemiology, Prevention, and Treatment. Washington, DC: National Academy Press.),The University of Washington's "The 4-Digit Diagnostic Code," which ranks the four key features of FASD on a Likert scale of one to four and yields 256 descriptive codes that can be categorized into 22 distinct clinical categories, ranging from FAS to no findings,The Centers for Disease Control's "Fetal Alcohol Syndrome: Guidelines for Referral and Diagnosis," which established general consensus on the diagnosis FAS in the U.S. but deferred addressing other FASD conditions, andCanadian guidelines for FASD diagnosis, which established criteria for diagnosing FASD in Canada and harmonized most differences between the IOM and University of Washington's systems. Each diagnostic system requires that a complete FASD evaluation include assessment of the four key features of FASD--prenatal alcohol exposure, FAS facial features, growth deficiency, and central nervous system damage. A positive finding on all four features is required for a diagnosis of FAS, the first diagnosable condition of FASD that was discovered. However, prenatal alcohol exposure and central nervous system damage are the critical elements of the spectrum of FASD, and a positive finding in these two features is sufficient for an FASD diagnosis that is not "full-blown FAS." Diagnoses and diagnostic criteria will be described in detail in the next podcast. Feedback or comments may be sent to: Michael__at__FASDElephant__dot__com. My Podcast Alley feed! {pca-6ab64b0bda8df39635beb79ecf0e0585}