Trump’s Drug Importation Plan Fails Safety Test—Turner for Forbes - gmlevinmd@gmail.com - Gmail

Are you still ordering drugs online?It is not safe. Unless there have been major changes  the two studies done by the FDA reveal that drugs from overseas have serious quality control isues.







Trump’s Drug Importation Plan Fails Safety Test—Turner for Forbes 

Greenery (or Even Photos of Trees) Can Make Us Happier

A growing body of research shows that people who spend time outside in sunny, green and natural spaces tend to be happier and healthier than those who don’t. A study from Stanford last year, for example, found that young adults who walked for an hour through campus parkland were less anxious afterward and performed better on a test of working memory than if they had strolled along a busy street.

Precisely what is going on inside our bodies as we move through the greenery is largely unknown, however. It hasn’t even been made clear that nature itself is responsible for the greatest health benefits — they may come instead from physical activity, sunlight or, if you stroll with others, camaraderie. Now a new study published in The International Journal of Environmental Research and Public Health takes a step toward sorting these interactions out by focusing on pictures of the outdoors rather than on the real thing.

The researchers, most of them affiliated with VU University Medical Center in Amsterdam, focused on the sympathetic and parasympathetic nervous systems. The first responds to stress by triggering a fight-or-flight reaction, raising heart rates and putting us generally on edge; the second counters those responses, bringing physiological calm. For this study, nearly four dozen university students were outfitted with sensors to monitor electrical activity in the heart and then shown photos on a computer screen. Half the pictures displayed urban spaces full of buildings and parked cars; the rest were green places — but homely ones, like empty pathways flanked by trees, not majestic wilderness.

Having viewed the photos, the students tackled a series of increasingly difficult computerized math problems while an on-screen assessment compared their results with the average performance and, whether accurately or not, showed them to be subpar. This test has proved to be a robust means of raising stress levels. Afterward, the subjects re-viewed the pictures, retook the math test, then looked at more photos.

When the students saw green spaces after the math stressor, their parasympathetic nervous systems kicked in, lowering heart rates, for example. (Pictures from the concrete jungle had no such effect.) Interestingly, though, the same green scenes when viewed before the math test did not lessen the reaction to stress: Their heart rates still rose as they struggled with the problems.

for further details...........click here  

• How Walking in Nature Changes the Brain
• Which Type of Exercise Is Best for the Brain?
• A ‘Dose of Nature’ for Attention Problems

Spring Ahead, It's Daylight Saving Time,and an 8% increase in chance for having a Stroke during the next two days.

Those of you who read my post of March 11, 2016 know that they are at higher risk for cardiovascular events such as stroke during the next two weeks.

The twice-yearly time change isn’t just an inconvenience, it may cause a variety of unfortunate health and public safety threats as our collective bodies reset to a new schedule.

Much of the research on the health effects of the time shift relate to the circadian rhythms, the body’s internal clock that, when in sync, helps people wake up, eat and sleep around the same time every day.

A 2013 study from the American Journal of Cardiology found that two Michigan hospitals saw more heart attacks in the week after “springing forward” than the two weeks before.

Preliminary research also suggests the same is true for strokes.

Finnish researchers presented a paper during the American Academy of Neurology conference in April 2015, in which they found the rate of strokes increased by 8 percent after the time change.

“Previous studies have shown that disruptions in a person's circadian rhythm, also called an internal body clock, increase the risk of ischemic stroke, so we wanted to find out if daylight saving time was putting people at risk," study author Dr. Jori Ruuskanen, of the University of Turku, in Finland, said in a statement.

To make matters worse, time shifts may trigger cluster headaches, according to Stewart Tepper, MD, headache pain specialist at the Cleveland Clinic.

For younger Americans, the biggest threat may be one less hour at a bar on a spring weekend, although Pacific Beach's Hookah Lab — one of several establishments that stay open past 2 a.m. — is ready for the disruption.

"When the time change happens, we move with it," said server Kyle Lias. "Usually it goes by smoothly when it happens."

The most widespread effect of the time change may be muddle-headed drivers.

***  Research published in the  New England Journal of Medicine suggests that groggy drivers make the roads more dangerous on the Monday following the time change. 

" Ischemic stroke is the most common kind of stroke, accounting for 87 percent of all cases. It is caused by a clot blocking blood flow to the brain.

"Previous studies have shown that disruptions in a person's circadian rhythm, also called an internal body clock, increase the risk of ischemic stroke, so we wanted to find out if daylight saving time was putting people at risk," said study author Jori Ruuskanen, MD, PhD, of the University of Turku in Turku, Finland.

For the study, researchers looked at a decade of data for stroke in Finland to find the rate of stroke. They compared the rate of stroke in 3,033 people hospitalized during the week following a daylight saving time transition to the rate of stroke in a group of 11,801 people hospitalized either two weeks before or two weeks after that week.

Researchers found that the overall rate of ischemic stroke was 8 percent higher during the first two days after a daylight saving time transition. There was no difference after two days.

People with cancer were 25 percent more likely to have a stroke after daylight saving time than during another period. The risk was also higher for those over age 65, who were 20 percent more likely to have a stroke right after the transition."

  A solution may be to avoid driving on the Monday and Tuesday after the time change Sunday A.M. Workplace efficiency is probably effected as well. 

As for me, I am returning to my bed for the next two days....so not call me until Wednesday 

Workplace injuries also jump after the change, according to research in the Journal of Applied Psychology. And that same journal has published research that indicates the grogginess translates to more “cyberloafing” the first Monday back.

The image did not transfer to the blog well. If readers will go to the New England Journal of Medicine  you will find it in mid article.  Clicking on the image will enlarge and refine the image.

However the studies make a good point

*** Two days after the time change, the rate returned to normal. Cancer patients and those over the age of 65 saw the greatest increase in strokes following the time change.

'Springing forward' may bring crashes, strokes |

"Spring forward" works as a mnemonic and a public-relations push for daylight saving time, but it’s just another term for "losing an hour of sleep."

At 2 a.m. Sunday, most of the country will set clocks forward one hour. For San Diegans, that means that the sun will rise at 6:59 a.m. on Monday, when the day before it rose a few minutes after six.

With most web-enabled devices switching time automatically, the task of adjusting a few analog timepieces isn’t as laborious as it once was. But it still irritates certain people, and may have broader health and safety implications as well.

In 2014, a survey of 14,000 Utahns found that they found the requirement to move clocks forward in the spring and back in the fall annoying.

"The strong, repetitive drumbeat in those comments was convenience," Michael O’Malley, a spokesperson from the Utah Governor’s Office of Economic Development, told National Geographic. "Many people don't want to move their clocks, whether it's backwards, forwards, or sideways. They just want to pick a time and stick with it."

San Jose Assemblyman Kansen Chu introduced a bill in February aimed at ending the practice in California.

The twice-yearly time change isn’t just an inconvenience, it may cause a variety of unfortunate health and public safety threats as our collective bodies reset to a new schedule.

Much of the research on the health effects of the time shift relate to the circadian rhythms, the body’s internal clock that, when in sync, helps people wake up, eat and sleep around the same time every day.

A 2013 study from the American Journal of Cardiology found that two Michigan hospitals saw more heart attacks in the week after “springing forward” than the two weeks before.

Preliminary research also suggests the same is true for strokes.

Finnish researchers presented a paper during the American Academy of Neurology conference in April 2015, in which they found the rate of strokes increased by 8 percent after the time change.

“Previous studies have shown that disruptions in a person's circadian rhythm, also called an internal body clock, increase the risk of ischemic stroke, so we wanted to find out if daylight saving time was putting people at risk," study author Dr. Jori Ruuskanen, of the University of Turku, in Finland, said in a statement.

Should daylight saving time be ended?

• Yes! It's a useless and unnecessary practice.
• No! The time switch is a welcome change.

SEE RESULTS

Two days after the time change, the rate returned to normal. Cancer patients and those over the age of 65 saw the greatest increase in strokes following the time change.

To make matters worse, time shifts may trigger cluster headaches, according to Stewart Tepper, MD, headache pain specialist at the Cleveland Clinic.

For younger Americans, the biggest threat may be one less hour at a bar on a spring weekend, although Pacific Beach's Hookah Lab — one of several establishments that stay open past 2 a.m. — is ready for the disruption.

"When the time change happens, we move with it," said server Kyle Lias. "Usually it goes by smoothly when it happens."

The most widespread effect of the time change may be muddle-headed drivers. Research published in theNew England Journal of Medicine suggests that groggy drivers make the roads more dangerous on the Monday following the time change.

Workplace injuries also jump after the change, according to research in the Journal of Applied Psychology. And that same journal has published research that indicates the grogginess translates to more “cyberloafing” the first Monday back.

So, go ahead and click that next U-T link.

Next: Sleep is elusive for more than a third

Lawmakers trying to get rid of daylight saving in Michigan

WSYM - Lansing, MI

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'Springing forward' may bring crashes, strokes | SanDiegoUnionTribune.com

Lemonaid Health - FAQs

Lemonaid Health - FAQs

The Affordable Care Act and Accountable Care Organizations (not your grandfather's Buick) or What is in it for the patient?

Building An ACO—What Services Do You Need And How Are Patients & Physicians Impacted?

The definition of an accountable care organization (ACO) involves two elements: organization and payment. First, an ACO is organized as one entity capable of taking both clinical and fiscal responsibility for care. Second, ACOs operate using a payment model centered on a budget target: if the ACO spends less than the budget target, it shares in the savings, while, in some models an ACO that exceeds its budget target might be required to pay more.

ACOs differ from past models like health maintenance organizations (HMOs) and preferred provider organizations (PPOs) in various ways. Most importantly, they are provider, not health plan focused. In ACOs, people are attributed to the model; they do not sign up as in insurance plan. Furthermore, ACOs, unlike insurance plans, do not set premiums, nor do they control benefit design.

In summary, patients will not at all be aware of transactions, and the overall effectiveness for cost containment are highly in doubt.

The strongest case for the ACO model may be that it allows organizations to capture the efficiencies if they can achieve them and thus succeed financially with lower revenue growth.Thus while it is not certain that organizations can make this transformative turnaround, the alternative looks particularly bad.



Blogger's note:

This post is part of a Health Affairs Blog symposium stemming from “The New Health Care Industry: Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon Center for Health Law and Policy. Links to all posts in the symposium will be added to Abbe Gluck’s introductory post as they appear, and you can access a full list of symposium pieces here or by clicking on the “Yale Health Care Ind



New Health Care Symposium: Building An ACO—What Services Do You Need And How Are Physicians Impacted?

Humans Trust This Emergency Robot more than Common Sense

Getting people to trust robots is as big a deal for the future of technology as building them. But, it turns out, acquiring that trust might not be that difficult. Test subjects at the Georgia Institute of Technology willingly followed an emergency robot to safety during a simulated fire, even when it led them away from clearly marked exit signs, New Scientist reports. The findings even surprised Paul Robinette, the graduate student in charge of the study: "We thought that there wouldn't be enough trust, and that we'd have to do something to prove the robot was trustworthy."

30 subjects started out the test by following the robot, a customized Pioneer P3-AT, down a hallway and into a room, where they were asked to fill out a survey. Eventually, a smoke alarm went off and simulated smoke filled the hall. The robot would then lead them through the smoke down a new path, and towards a doorthey've never seen before. All the while, the subjects could have easily exited through the clearly marked path they originally came through. 26 of the test subjects ended up following therobot, while two never left the room (the other two were kicked out of the study).


Humans trust this emergency robot more than common sense