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Daily Archives: October 2, 2019
Posted: October 2, 2019 at 8:51 am
Durango Diaries, the biweekly storyteller series hosted by The Durango Herald, is back Wednesday, as three local health care practitioners share stories about alternative medicine.
The event will be held at 6 p.m. at Durango Public Library, 1900 East Third Ave.
Speakers will include:
Teresa Jantz, owner of Touchpoint Therapy LLC, who has been practicing Reiki for 10 years, including angelic, crystal and animal Reiki, as well as being a master teacher and practitioner. Reiki brings about inner peace, happiness and optimal health for her students and clients.
Sydney Cooley, a licensed acupuncturist. Before becoming a Chinese medicine practitioner, she worked in criminal justice and with emotionally disturbed adolescents. That work inspired her to help people heal through holistic medicine.
Dr. Nicola Dehlinger, a naturopathic doctor with Pura Vida Natural Healthcare. An expert in the treatment of anxiety, depression and insomnia, she minimizes supplements and medications by empowering her patients to heal themselves.Season 4 of Durango Diaries will continue through November at 6 p.m. Wednesdays at the Durango library. Upcoming event topics are:
Oct. 16: How you can save the environment. Local environmental advocates will share stories about how small movements can grow. Bears Ears advocate Regina Lopez-Whiteskunk, Great Old Broads for the Wilderness Executive Director Shelley Silbert, city of Durango Sustainability Coordinator Imogen Ainsworth and advocate of eco-friendly business practices and Durango Cannabis Co. co-founder Nic Borst will share their stories.
Nov. 6: Photography. Three photographers will share the stories behind their favorite photographs and how they work to create the perfect frame. Storytellers include portrait and wedding photographer Allison Ragsdale, nature photographer Frank Comisar and Herald photographer Jerry McBride.
Nov. 20: Forever young. As our population ages, no one seems to be slowing down. Three retirees who are still pursuing active lifestyles will share their stories. Speakers include National Senior Games swimmer Kathy Kronwall, 82; Pilates instructor Diane Legner, 80; and skiing expert Major Lefebvre, 70.
The podcast of each Durango Diaries, including past seasons, can be heard on iTunes, Spotify or the Heralds website at durangoherald.com/durangodiaries.
To receive the Durango Diaries newsletter, email email@example.com.
Posted: at 8:51 am
(WXYZ) The opioid crisis is destroying families and ravaging communities across the country. Desperate for a cure, more and more people are crossing the border to Mexico to try an alternative treatment. One man is sharing his story about the treatment he says said his life.
It may look like a resort, but what goes on behind the doors is no vacation.
"My experience was tough. It wasn't easy," a man we're only calling Bob said.
Before his experience, Bob was a 100 pound addict who had been abusing opioids since he was 14. His addiction started with pain killers after a skateboarding injury, but quickly spiraled out of control.
"Financially, it made sense, because when I did a $5 bag of heroin, it did the exact same thing as $120 worth of oxy's, so it was kind of a no-brainer to make the switch," he said.
He bounced in and out of rehabs, but always caved to the withdrawals. He said it felt like he was going to die, and he might have.
He was living out of his car when his parents sent him for an alternative type of treatment south of the border.
"When the medicine kicked in, it was very different than, let's say, eating LSD or magical mushrooms," he said.
That medicine is Iobgaine. A drug harvested from the roots of a plant in West Africa.
Jose Cerda runs Baja Ibogaine Center in Rosarito, Mexico. Bob was not treated at the clinic.
Ibogaine is given in capsule form in this hospital, and patients hallucinate for hours. They're under a doctor's care druing the treatment. Once it's done, they continue their recovery at this beach house. The whole process usually takes a week.
It's also illegal in the United States. The DEA classifies Ibogaine as a schedule 1 drug, meaning there is no accepted medical use and there's a high potential for abuse.
In Mexico, Ibogaine is unregulated and risky. It can be fatal for patients with heart problems and other pre-existing conditions.
Addiction specialist Nancy Knott doesn't recommend it.
"It creates a psychosis, which can be absolutely life-threatening and mentally threatening to a developing brain or any brain for that matter," Knott said.
Dr. Tom Kingsley Brown runs an undergraduate program at UC San Diego. Off campus, he's become an expert on Ibogaine.
Brown says addicts often stop using after just one Ibogaine treatment, rather than the years it takes to be weaned off of Methadone or another replacement drug,
"Ibogaine is really helpful for taking away the withdrawal symptoms that you would ordinarily get when you stop using the opioid," he said."
Bob says the physical cravings stopped immediately, but he says Ibogaine alone is not a cure.
"You're never going to forget how good a high feels like, you're stuck with that curse for life, but what Ibogaine does, it gives you the option of whether you have to react on that urge or not," Bob added.
Clean now for eight years. He believes it's a curse he has finally managed to control.
Treatment usually starts at around $5,000. The U.S. Institutes of Health estimates that 19 people died during, or shortly after taking Ibogaine between the years of 1990 and 2008, but the exact number is unknown.
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Ankylosing Spondylitis Patients Might Benefit from Heat Therapy Called Moxibustion – Ankylosing Spondylitis News
Posted: at 8:51 am
Moxibustion, a form of heat therapy widely used in East Asia, given in combination with conventional treatments may be of benefit to people with ankylosing spondylitis, at least in the short-term, a study reported.
Benefits, mostly patient reported after a four-week treatment, included better physical function and health-related quality of life, as well as lower disease activity.
The study, Moxibustion therapy in Chinese patients with ankylosing spondylitis: A randomized controlled pilot trial, was published in the journal European Journal of Integrative Medicine.
According to guidelines, first-line treatments for ankylosing spondylitis (AS) include nonsteroidal anti-inflammatory drugs (NSAIDs), disease modifying anti-rheumatic drugs (DMARDs), and TNF (tumor necrosis factor) inhibitors.
These agents, however, can be prohibitively expensive for patients in some countries, including China. There and elsewhere, interest is growing in complementary and alternative medicine (CAM).
One type of CAM, known as manipulative and manual therapy (MMT), was recommended as a non-pharmacological treatment in international guidelines issued by the Assessment in SpondyloArthritis international Society (ASAS)/European League Against Rheumatism (EULAR)in 2010.
Moxibustion, a type of MMT, is a heat therapy using dried plant materials called moxa that are burned on or very near the surface of the skin.
The goal is to warm and stimulate the flow of Qi (energy flow) in the body in an effort to dispel pathogenic influences.
Use of moxibustion is quite common in Asia, with one study reporting that 50% of Korean medical doctors used moxibustion in treating arthritis patients. In addition to massage and acupressure, moxibustion is considered to be one of the most accepted MMTs for the management of rheumatic conditions in China, the researchers wrote.
To better understand the effect of moxibustion on AS outcomes, researchers in China evaluated the short-term effectiveness and safety of moxibustion therapy in people with this disease.
They conducted a controlled study (AMCTR-IPR-18000206) that enrolled 64 AS patients, randomly assigned to a control (32) or a treatment group (32). Of these, two patients in the treatment group left before the study concluded, one due to mild discomfort after two weeks of moxibustion intervention and one who declined continued participation.
Patients mean age and mean disease durations were 46.53 years and 9.83 years, respectively. Most (77.42%) were male.
The control group received standard therapy alone (prescription medication, aerobic exercise, and self-education programs), while the treatment group received in-patient moxibustion therapy in addition to standard therapy for four weeks (once a day for seven days). Outcomes were measured after six weeks.
No significant differences in physical function and disease activity were noted between the two groupsat the beginning of the study.
Results showed that treatment with moxibustion significantly improved physical function and reduced disease activity, as observed with the Bath Ankylosing Spondylitis Functional Index (BASFI) and the Bath Ankylosing Spondylitis Disease Activity Indexes (BASDAI), respectively.
Use of moxibustion led to significant improvement in some domains of the health related quality of life survey (HRQoL) and ASQOL (ankylosing spondylitis quality of life) scale.
Patients blood samples were analyzed both at the studys start and after six weeks, showing a decrease in C-reactive protein levels a marker of inflammation in treated patients. However, this decrease was not statistically significant.
No significant adverse effects were observed during the course of the study.
Moxibustion in combination with conventional therapies may exhibit beneficial effects for AS patients in the short-term, such as improved physical function and health-related quality of life and decreased disease activity, the researchers wrote.
However, they emphasize that these positive results should be interpreted with caution, as most of the outcomes evaluated were limited to self-assessment tools. The study also lacked long-term follow-up, they said, adding that further studies are necessary.
Iqra holds a MSc in Cellular and Molecular Medicine from the University of Ottawa in Ottawa, Canada. She also holds a BSc in Life Sciences from Queens University in Kingston, Canada. Currently, she is completing a PhD in Laboratory Medicine and Pathobiology from the University of Toronto in Toronto, Canada. Her research has ranged from across various disease areas including Alzheimers disease, myelodysplastic syndrome, bleeding disorders and rare pediatric brain tumors.
Total Posts: 12
Ana holds a PhD in Immunology from the University of Lisbon and worked as a postdoctoral researcher at Instituto de Medicina Molecular (iMM) in Lisbon, Portugal. She graduated with a BSc in Genetics from the University of Newcastle and received a Masters in Biomolecular Archaeology from the University of Manchester, England. After leaving the lab to pursue a career in Science Communication, she served as the Director of Science Communication at iMM.
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Amerigroup Expands Benefits in 2020 Medicare Advantage Plans to Address Whole-Person Health – Arizona Daily Star
Posted: at 8:51 am
Amerigroup enhances choices with new services including nutrition support and counseling, fitness trackers, service dog support, and pest control
PHOENIX--(BUSINESS WIRE)--Amerigroup in Arizona announced today enhancements to its wellness services offered in many of the companys 2020 Medicare Advantage plans. As part of its commitment to helping consumers improve their health and well-being, Amerigroup is giving its members access to wellness services, including nutritional support, in-home support, respite care, and pest control. Amerigroup recognizes that these types of social and support services can be drivers of good health, are important to Medicare-eligible consumers, and can be key factors when individuals make enrollment choices in this years Medicare annual election period.
The package of wellness services will be offered to many consumers enrolled in the following 2020 Medicare Advantage plans: Amerivantage Classic (HMO), Amerivantage Smart Value (HMO), Amerivantage Care Access (HMO), Amerivantage Heart Care (HMO C-SNP), Amerivantage COPD (HMO C-SNP), Amerivantage ESRD (HMO C-SNP), and Amerivantage Diabetes (HMO C-SNP).
When we looked at the underlying medical, behavioral, and environmental obstacles our members face, we designed an expanded menu of wellness services, said Josh Martin, President of Amerigroups Medicare West Region. Last year, we led the industry in offering robust Medicare Advantage supplemental benefits, and saw strong demand for services such as alternative medicine, transportation, and the allowance for assistive devices. Our 2020 benefits will help remove hurdles to healthier living for our Medicare Advantage members from nutrition counseling and fitness tracking to pest control and service dog support by expanding our social and support benefits.
Members who are enrolled in the Medicare Advantage plans will have access to this package of wellness benefits, at no extra cost. Members should consult their Evidence of Coverage document for specific benefit details as benefits may vary by plan.
Individuals who are interested in joining one of these health plans can enroll during this years Medicare Annual Election Period (AEP). The AEP begins October 15, 2019, and continues through December 7, 2019 and gives consumers enrolled in Medicare Parts A and B the opportunity to sign up for Amerigroups 2020 Medicare Advantage plans.
For more details about these health plan benefits and Amerigroups Medicare plans, consumers can call (888) 562-8261, which is available 8 a.m. to 8 p.m. Monday through Friday, April 1 to Sept. 30; and 8 a.m. to 8 p.m. seven days a week, Oct. 1 to March 31. Individuals can also visit the companys online store at shop.amerigroup.com/medicare/.
Amerigroup Texas, Inc. is an HMO plan with a Medicare contract. Amerigroup Texas, Inc. is an HMO CSNP plan with a Medicare contract and a contract with the State Medicaid program. Amerigroup Texas, Inc. is an HMO ISNP plan with a Medicare contract and a contract with the State Medicaid program. Enrollment in Amerigroup depends on contract renewal. We do not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, sex, age or disability in our health programs and activities. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al 1-888-230-7338 (TTY: 711). 1-888-230-7338TTY711 This plan is available to anyone who has both Medical Assistance from the State and Medicare. Other providers are available in our network. The provider network may change at any time. You will receive notice when necessary.
Amerigroup is part of the Anthem Government Business Division (GBD). Through the GBD, Anthem serves 7.4 million seniors, people with disabilities, low-income families and other state and federally sponsored beneficiaries, and National Government Services enrollees (including the Federal Employee Program) in 26 states, making us one of the nations leading providers of health care solutions for public programs. Amerigroup accepts all eligible people regardless of age, sex, race or disability.
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Posted: at 8:51 am
Mark your calendar for the free annual Kent County Health and Wellness Expo, being held from 8 a.m. to noon Thursday, Oct. 17 at Kent County High School in Worton.
In addition to health screenings and more than 65 exhibitors, there are 10 informal talks by experts, with definitely at least one talk of interest to you.
We will have the latest information on the most current health topics, said Jane E. Hukill, president of the HomePorts board.
Organizers of the event, in partnership with Kent County Public Schools, are the Kent County Health Department and University of Maryland Shore Regional Health.
In the past we have offered talks on any number of illnesses and traditional medicine, said Karen Wright, executive director of HomePorts. There is increasing interest in various alternative medicines, and we thought it would benefit the public to learn more about them and have the chance to ask questions.
Topics for the 30 to 45 minute talks include Acutronics: Modern Tools for Ancient Medicine (i.e., acupuncture), Yoga, Stress Management, Botox, and Dermal Fillers, and Medical Marijuana.
The latest AARP newsletter features marijuana as its cover story. It notes that a tipping point has been reached. Many medical experts approve of its use for particular conditions. AARP supports the use of medical marijuana in the 33 states that have legalized it, which include Maryland.
Maela Rider, Kent County Medicare Program Coordinator at Upper Shore Aging, will speak on 2020 Medicare options. Medicare this year is attempting to improve its customer service. The on-line Medicare Plan Finder is designed to provide more information about plan options or drug prices.
For those preferring in-person assistance, Rider is available by appointment. She reminds seniors that the old Medicare card that showed ones social security number can no longer be used and also will no longer be accepted at any doctors office.
According to the American Foundation for Suicide Prevention, most people with thoughts of suicide dont truly want to die, but are struggling with the pain in their lives. Through their words and actions, they invite help to stay alive. Talk Saves Lives: An introduction to Suicide Prevention will address this serious issue.
Look for the complete schedule of talks, exhibitors, health screenings and sponsors in next weeks Kent County News.
Upper Shore Aging, 100 Schauber Road, Chestertown, hosts a free caregivers support group each month from 1 to 2:30 p.m. Fall meetings are Monday, Oct. 21; Monday, Nov. 19; and Monday, Dec. 9. Reservations are not necessary.
Have you had changes in your drug needs or do you anticipate some next year? The annual Open Enrollment period for Medicare, Part D, the prescription drug benefit, begins Oct. 15 and runs through Dec. 7.
Upper Shore Aging provides free counseling on the best insurance coverage for you. For an appointment, call Maela Rider, 410-778-2564.
October is Residents Rights Month, an annual event to focus on residents living in long-term care facilities. The federal Nursing Home Reform Law guarantees residents rights and places a strong emphasis on individual dignity, choice and self-determination. Visit a local facility this month and speak up about the quality of care and quality of services.
The Chestertown Lions Club Drive for Sight program offers free rides to vision appointments for all Kent County residents. Call 410-864-6880 for more information. Advance notice of at least 72 hours is requested.
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Posted: at 8:51 am
Lisa Kramer was no stranger to the benefits of acupuncture when she moved to Gasquet from Colorado 32 years ago. Having researched the subject, Kramer had received treatments for stress, neck and shoulder pain, and for her knee surgery.
According to the Mayo Clinic website, acupuncture involves the insertion of very thin needles through your skin at strategic points on your body. A key component of traditional Chinese medicine, acupuncture is most commonly used to treat pain. Increasingly, it is being used for overall wellness, including stress management.
But Kramer hadnt been able to visit a Chinese medicinal practitioner locally until Shelly Sovola set up Five Rivers Healing Arts in Smith River, then Crescent City in 1992, at 1303 Northcrest Dr.
Sovola later combined her practice with her son, Joshua Francis, a licensed massage therapist.
Kramer took notice. I get my body massaged from Josh to make sure Im okay, said Kramer, and I usually go to Shelly for tune-ups, as I call them, even though there might not be anything going on.
Theyve helped me so many ways my stress level, sleeping. At my age, 69, sleeping is a big deal.
Sometimes, I schedule their services back to back. Which is really cool. I come out of there feeling like a noodle.
Sovola acknowledged that her practice differs markedly from western medicine. MDs are more about treating symptoms, she said. Very few know about nutrition, and if they do nutritional counseling, they can actually come under attack.
They hear about our herbs and say, Oh, yeah, youre just a needle-sticker. This medicine were in is over 5,000 years old. Its one of the original holistic medicines.
Sovola began her health studies in college as a psychology major. She said she always had been interested in health, yoga and nutrition. But she shifted from traditional western medicine when, I was introduced to polarity therapy. It changed my life, because it hinged on Chinese medicine.
I went through adjusting techniques of the meridians, the energy flows of the body, and I felt it released a lot of emotional baggage.
Shelley Sovola explains how the bodys health flows through the five elements of Chinese medicinal arts.
Here I was, studying psychology, and I find a system that is of a body-and-mind connection to a healing system. That started me on a whole new road. It became my passion to pursue.
Donnetta Summers, a Crescent City resident for more than 50 years and a retired teacher now in her 70s, has been receiving treatments from Sovola for more than two decades. Summers had been struggling with a back injury and was considering treatment beyond the prescribed physical therapy not to mention, working to avoid progressing to surgery.
A friend recommended acupuncture, said Summers, but Id heard stories of needles and thought it would be scary.
But you dont even feel it. (Sovola) usually does the area that needs working, such as the neck and shoulders. The needles go in and you lay there for 20 minutes or so. Then, massages in those areas afterwards.
Summers said shes also impressed with Sovolas knowledge of Chinese herbs as alternative medicinal treatments. Im using them for keeping my immune system up for the winter, and during flu and cold season.
Chinese herbs are my first option. Then, if I get really, really sick, Ill go to urgent care, said Summers.
Sovola said that both acupuncture and Chinese herbs help with a variety of issues involving internal medicine, including headaches, liver problems, gut health, allergies, the autoimmune system, injuries, and neck and back pain.
Also, working nutritionally with patients, I can help (them) get over their irritable bowel syndrome so they can have better digestion and get rid of migraines, Sovola said.
Im trained in prevention and treatment. The herbs can help them feel better, get to the bottom of their core. Ive got allergy training, too, because you change that, the whole body begins to heal.
Added Sovola, Whats happened is, our quality of food, including exposure to herbicides and pesticides, (is a problem). Nutrition is really, really key in my work with people. Not everybody wants to do it, but once they give it a try, they get better.
Sovola and her son share the Five Rivers Healing Arts Space. Francis also has a practice in Brookings.
A licensed massage therapist now for 11 years, Francis said theres a mainstream belief that massages are primarily about relaxing - a trip to the day spa. But in reality, he said, thats the least of it. Most people I see have some sort of pain, injury or trauma theyre trying to get through, be it their backs, necks or hips, he said.
Its interesting for me to try to help these people out, and rewarding to see them progress through their wellness care. A lot of people dont understand its like maintenance on your vehicle. You go so many miles, you gotta give it a tune-up.
Crescent City resident Darlene Smith, 78, has been seeing Sovola on and off for 30 years. Smith said Sovola has used Chinese herbs to help cure Smiths allergies and eliminate her acid reflux.
When you think about it, how can this help me? Smith asked rhetorically. But the proof is in the pudding. Shes helped, and it is a wonderful science.
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Posted: at 8:51 am
To understand how hyperbaric therapy can effectively treat chronic wounds, we first need to comprehend what this alternative treatment option is and how it works. There is much information about this treatment option that the general population is unaware of. Gaining this vital information can help patients make a more informed decision about their own health and wellbeing.
Hyperbaric therapy, also known as HBOT, is a medical procedure that works by increasing the supply of oxygen in the body of the patient. This is accomplished with the help of a device called the hyperbaric chamber. The hyperbaric chamber is essentially a sealed and pressurized vessel which contains a mattress and a medicine cabinet. This chamber also has a sealed, clear glass window which allows the patient to look outside during a session.
In order to avail hyperbaric therapy, a patient must enter this chamber and remain inside for an hour or ninety minutes at the very least. During this time, 100 percent pure oxygen is administered to him or her, under heightened levels of atmospheric pressure. This can be as much as five times higher than normal air pressure at sea level.
The purpose of this heightened atmospheric pressure level is to allow the oxygen to dissolve quickly into the bodily fluids of the patient. Everything from the plasma to the cerebrospinal fluid absorbs the pure oxygen under the excess air pressure. Consequently, oxygen is now delivered to all parts of the body and the brain, even those which had previously been deprived of adequate oxygen supply because of damaged blood vessels or inflammations.
An increased supply of oxygen can offer numerous benefits. For one, oxygen helps with the regeneration of damaged tissues and also facilitates angiogenesis. Moreover, it reduces oxidative stress and enables quick recovery from injuries and wounds. The rapid formation of blood vessels and infection control are two other benefits of increased oxygen supply.
For these reasons, the FDA has approved the use of HBOT for treating a variety of conditions, including decompression sickness, diabetic foot ulcers, carbon monoxide poisoning, gas gangrene, and severe anemia.
A chronic wound is essentially a wound that refuses to heal in the proper way or within the expected amount of time. Every case is different, but if a wound refuses to heal even after three months have passed by, it is usually categorized as a chronic wound. Such a wound has likely been detained or stalled during one or more phases of the healing process, which slowed down or completely stopped the patient's natural recovery process.
In extreme cases, a chronic wound may take years to heal, or may never do so at all. This is especially the case if proper treatment is not administered in a timely manner. This is why the timely use of hyperbaric therapy is so important, and is regularly prescribed by doctors treating patients who have a chronic wound.
However, the number of hyperbaric therapy sessions needed will vary from one case to another, depending largely on the severity of the chronic wound. Usually, most chronic wound sufferers require anywhere between thirty to forty hyperbaric sessions in order to ensure a full recovery. Each session might last between one to two hours, depending upon the recommendation of the doctor or hyperbaric expert overseeing the treatment.
HBOT is a non-invasive and painless form of treatment, and is therefore recommended for children as well as adults suffering from chronic wounds. In most cases, hyperbaric treatment for chronic or non-healing wounds is covered and paid for by the patient's insurance provider. Numerous studies, conducted by reputed medical institutions, have found over the years that hyperbaric therapy improves the chances of recovery for patients living with chronic or non-healing wounds. In people who have chronic foot ulcers caused by diabetes, hyperbaric therapy may reduce the risk of an amputation.
On the other hand, for chronic wounds that fester because of an underlying disease or condition, studies have found that HBOT can be effectively used to reduce the size of the wound. Similar effects have been reported in the case of chronic wounds which were caused by a lack of blood supply through the veins and arteries. In all these cases, HBOT had a positive impact on the recovery process and the overall health of the patient.
If you, or anyone you know, happen to be suffering from a chronic wound, then you should definitely consider availing hyperbaric therapy as an alternative treatment option for faster recovery. You can talk to your doctor, who would be able to further advice you on the right duration for and location of the treatment. You might notice some remarkable improvements in your condition after undergoing a few sessions of HBOT.
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Posted: at 8:51 am
Within the last two months, our practices social media and website traffic severely decreased. At first, I thought it was an unfortunate accident until I did some digging.
My research led me to learn that over the summer Google and Facebook starting censoring alternative health practices in response to the recent measles outbreak scare. Although we have no mention of vaccines on our pages, both entities slowed our traffic and our internet referrals plummeted faster than my bank account during a Target run.
Now I know what youre thinking, She works in alternative medicine and mentioned the word vaccine- this article has to be about that. Although an educated assumption, I refuse to enter my bruised ego into that internet boxing ring. Instead, I want to pose a question: What has malfunctioned in our logic and reasoning to allow Google and Facebook to censor material under the assumption that they believe we no longer have the ability to decipher what is true or false?
To understand why being complacent to this kind of pseudo-censorship is dangerous, we must first understand what Intellectual Wellness is. As we all know, our country was founded on the right to freedom of speech. Yet, as much as we hold that amendment near and dear, the digital age of communication has convoluted the true intent of this right. Instead of being a foundation for advancement, its more often used to fit manipulative agendas. This is why it is vital to understand how intellectual wellness relates to our well-being as individuals and as productive members of society.
Intellectual wellness allows humans to have an open mind when encountering new ideas. It allows us to continually participate in creative and mentally stimulating activities that expand our knowledge. Having an optimal level of intellectual wellness inspires exploration. The frequent participation in activities not only encourages personal enrichment but allows the interaction of sharing skills with others.
Through interaction, one becomes more mindful and better-rounded. Also, actively participating in scholastic, cultural and community activities stimulates curiosity. Curiosity is what motivates you to try new things, think outside the box, challenge ideas and develop an overall understanding of you see the relationship between yourself, others and the environment. Right now, ask yourself this question, Do I continually learn, listen without bias and welcome new ideas?
If you fall into the category of mainstream Americans who rely on social media to stay informed, its not farfetched to conclude that there may be a large portion of people who struggle within this dimension. Either they somehow, above all common sense, have unwavering confidence that what they know must be the absolute truth or on the flip side, believe if someone in an authoritative position tells them something, it must not be questioned. Neither of these develops intellectual wellness.
I fully understand that each one of us is human and therefore imperfect by design. Not every researcher, scientist, author, politicianetc. gets it right. Yet, we champion the mavericks who fought against all odds to discover a new truth. But what is it about 2019, that makes far too many people think they have it all figured out? Is this why internet giants feel the need to protect us?
Continued superiority in the belief that we have all the answers, and theres no chance at all that we might be wrong will be our greatest downfall. Each one of us has a unique perspective that was developed through positive/negative life experiences that formed our personal beliefs and morals. The beauty of being human is that through sharing and understanding each others perspectives, we grow as individuals.
When we close off the interaction or stay in a constant state of fight or flight, intellectual wellness becomes stagnate and health suffers. If we continue to allow outside powers to decipher what is true or false we are putting our advancement as well as the health and wellness of our country in jeopardy. And with all the issues we face in society today, we simply cant afford to stop learning, questioning, challenging and evolving.
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Posted: at 8:51 am
MADRID -- Interstitial lung disease (ILD) diagnoses based on lung samples collected through transbronchial lung cryobiopsy (TBLC) were reasonably concordant with those made using tissue collected surgically, an Australian researcher said here.
In 65 patients biopsied with both methods, TBLC demonstrated 70.8% histopathological agreement with surgical slides and was consistent with 76.9% of diagnoses made by a multidisciplinary team of pathologists, radiologists, and clinicians blinded to final diagnoses, reported Lauren Troy, PhD, of Royal Prince Alfred Hospital in Camperdown, Australia, at the annual European Respiratory Society meeting. Concordance was nearly perfect in those cases where the diagnostic team rated their confidence in TBLC as "definite" or "high."
"Our findings support the clinical utility of cryobiopsy as an alternative to surgery for patients requiring lung tissue for interstitial lung disease diagnosis," Troy said. Findings were also published in The Lancet Respiratory Medicine to coincide with her presentation.
"If I could distill all of the study findings down to one sentence, it is that in this cohort, the larger tissue specimens generated by surgical biopsy really only added meaningful information to the diagnostic process in one in 10 patients," Troy said.
Surgical biopsy has historically been considered the gold standard for diagnosing interstitial lung disease, and tissue is recommended to be evaluated via a multidisciplinary discussion among clinicians, radiologists, and pathologists.
But in the past five years, TBLC -- generally considered to be less invasive and carrying fewer risks than surgical biopsy -- has replaced the traditional method in many specialist centers, according to Christopher Ryerson, MD, of the University of British Columbia and Centre for Heat Lung Innovation and Kerri Johannson, MD, MPH, of the University of Calgary, both in Canada, writing in an accompanying editorial.
"All data considered, there appears to be a role for TBLC," Ryerson and Johannson wrote, "but interstitial lung disease programs considering implementation should select patients thoughtfully and adhere to standardized procedural approaches."
They also noted that neither technique is perfect, "and there remains a clear need for better diagnostics such as molecular classifiers that can remove the reliance on histopathological pattern."
The so-called COLDICE study involved nine Australian hospitals with interventional pulmonology and ILD specialists. Patients with advanced disease were excluded from the trial, and all of those included had both procedures done while under a single anesthetic.
The cryobiopsy itself involved a small cryoprobe attached to a therapeutic bronchoscope placed in a subpleural location. It was activated for 3-7 seconds and took 4-6 samples from two probes. Balloon blockers were placed in the airways after each TBLC until bleeding stopped. Then, two surgical biopsies were obtained through video-assisted thoracoscopy (VATS) in the same lobes.
Samples (n=130) were de-identified and evaluated by expert pathologists, who then convened with radiologists and clinicians to reach a diagnostic consensus. All specialists also recorded their diagnostic confidence for each case as definite (90%-100%), high (70%-89%), or low (51%-69%).
Overall, 65 patients with questionable or unclassifiable interstitial lung disease at initial screening were included. Their mean age was 66 and 52% were women. No patients had concomitant connective tissue disease and were generally physiologically robust.
None of the procedural outcomes like freeze time or site of biopsy were associated with the TBLC and surgical biopsy comparison, the authors reported.
In total, 25 adverse events occurred, including 14 cases of mild or moderate airway bleeding and one case of pneumothorax. Two patients suffered acute exacerbations of idiopathic pulmonary fibrosis within two weeks of biopsy, and one of them died 50 days after the procedure. An additional death from cerebrovascular accident occurred less than 6 months after the procedure. Troy noted that, due to the study design, her team could not differentiate which procedure (if either) caused these events.
Among 39 cases in which diagnostic confidence in TBLC samples was rated as "high" or "definite," 37 (95%) were concordant with the surgical lung biopsy diagnosis, Troy said.
On the other hand, 26 cases were initially deemed "unclassifiable" or interpreted as interstitial lung disease with "low confidence" by the multidisciplinary team for TBLC diagnosis. Of these, six (23%) were reclassified with "high or definite confidence" due to surgical lung biopsy samples.
These six cases tended to favor idiopathic pulmonary fibrosis diagnosis when using TBLC samples and hypersensitivity pneumonitis diagnosis when using surgical biopsy, the authors noted.
Troy reported receiving support from Erbe Elektromedizin, Medtronic, Rymed, Olympus, Cook Medical, Karl Storz, ZEISS, Boehringer Ingelheim and Roche, and Menarini.
Ryerson and Johannson reported receiving honoraria from Boehringer Ingelheim and Hoffmann-La Roche and Johannson also received support from Theravance, Blade Therapeutics, The Chest Foundation, and UCB Biopharma SPRL.
The study was funded by Erbe Elektromedizin, Medtronic, Cook Medical, Rymed, ZEISS, Karl Storz, Olympus, and The University of Sydney and John Hunter Hospital.
last updated 10.01.2019
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Posted: at 8:51 am
By GILLIAN SLADE on October 2, 2019.
Medicine Hat Public School Division is promising a high level of community consultation before a decision is made on a location for a community hub.
Wherever the project ends up, if it ends up coming to fruition, the board would insist that consultation occur within the community in order to determine the level of support or opposition to the project placement, said Mark Davidson, superintendent of schools.
Davidson recently revealed that the board had entered into a partnership with the food bank to explore the creation of a community hub that would include the food bank and alternative learning facilities.
The food bank plans to build a 35,000 square-foot Community Food and Wellness Centre that would include facilities to prepare the brown bag lunch program, kitchens where people can prepare, cook food and even learn to cook. There will be gardens, a greenhouse and outdoors cooking facilities. Anyone could come for a meal and pay what they can. The estimated cost is $8.5 million.
A number of locations are being considered but Celina Symmonds, executive director of the Medicine Hat & District Food Bank, has declined to reveal those locations.
The school division has architectural drawings of a community hub design envisioned for the cole Les Cyprs school building, 945 First Ave. SE, located next to Central Park.
Davidson says that location was simply used as a starting point for discussions. He says other sites are being considered. A key consideration is easy access for students whod use the alternative learning opportunities there.
Were at the beginning of a long road if this is ever to come to fruition, said Davidson, noting they have not even established a budget yet for this phase. Only at the point where a memorandum of understanding is established would a budget be established. He estimates the time frame is many months away.
He says the board serves the entire community and would embark on consultation before doing anything that would change the shape of a community. He expects the consultation process would involve open houses, dialogue opportunities, sharing in the design process and an invitation for feedback on the ultimate shape of the physical structure.
The board has indicated to me already that before they enter into any kind of formal agreement, to continue to commit to an end result, that the community, wherever that might be, would have to have voice in the vision for that part of the community, said Davidson, noting it would be similar to consultations when new schools are planned and built.
Spencer Schutte and Alison Jacques, homeowners on the Southeast Hill, say they specifically bought homes there because of the sense of community that is reminiscent of neighbourhoods in the 1950s where children run in and out of neighbours homes, neighbours frequently have meals together and some even go on vacation together. They have concerns a food bank in their midst would change that.
Symmonds has recently made a commitment to consult with the neighbourhood. She stopped short of saying there would be a vote but said she would knock on doors to hear directly from residents.
Schutte believes there should be an independent risk assessment done to determine the potential outcome of putting a food bank in the middle of a residential neighbourhood. That should be followed with a vote by property owners and residents in the neighbourhood affected.
If there is to be a joint project, Davidson feels, it would likely be all those participating who would engage in consultation.
I dont envision separate processes, said Davidson.
There are benefits from a joint venture and these include reduced capital costs and reduced ongoing costs of ownership, said Davidson. Those benefits are eclipsed by the alternative learning opportunities and, he says, it is not only for students who have difficulty learning in a traditional setting but includes others who may simply prefer an opportunity in this setting.
Symmonds, in addition to being executive director for the food bank, is also a trustee of the school division. A presentation to the school division was made by the food bank in camera some months ago.
Davidson says Symmonds has not been involved at all and has not been present for any discussions relative to anything, any partnership, this one or others, between Medicine Hat Public School Division and the food bank.
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