Monthly Archives: July 2021

Consumers can learn from webinars and connect with top holistic practitioners to find natural remedies for common health concerns based on science and research.

(The Magazine Plus Editorial):- Redwood City, California Jul 19, 2021 (Issuewire.com)NourishDoc, the first 360-degree technology platform connecting wellness seekers and top holistic practitioners, announced today that it will start offering educational programs for chronic conditions. Integrative practitioners, professors, and researchers share their years of expertise in easy-to-understand informational sessions for natural remedies that can help heal millions around the world during these difficult times.

Consumers can easily learn and then connect with practitioners for their health concerns across holistic therapies. They can learn how to make smart choices for good gut health foods, adaptogenic herbs, SIBO diet, how to balance hormones, and even learn why your stomach growls. Experts include those in integrative medicine, functional medicine, Ayurveda, acupuncture, massage therapy, chiropractic, diet & nutrition, and holistic health coaches. The platform offers educational webinars, research, real-world case studies, and client stories.

Education by experts in integrative medicine for prevention and wellness remedies can go a long way in healing preventable conditions, said Nageen Sharma, CEO & Co-Founder, NourishDoc. We created NourishDoc to be a tool that brings education and transparency to people who are confused about holistic & integrative medicine therapies. They can now learn why and how holistic therapies can be effective for specific ailments from top integrative practitioners. Practitioners provide education for therapies, root causes of ailments, wellness plans that work, case studies, research, science, member stories and more to give consumers a 360 view that has been missing all along,

Consumers can easily learn, share, and connect with top holistic practitioners. The platform offers consumers a learning-oriented approach based on outcomes for their specific health concerns.

We created NourishDoc platform for holistic & integrative medicine for wellness to eliminate the confusion that can surround integrative approaches for healing. People want to hear directly from the practitioners about what the therapy can or cannot heal. They want to discover their practitioner support system to address health concerns before they worsen or address those where traditional treatments were ineffective, he added.

The wellness tech startup places an emphasis on the quality of practitioners and therapies. They have to be rooted in science and research studies. The wellness seminars are presented by practitioners who are recipients of national awards, professors in prestigious universities, and with real-world outcomes and research.

Health and wellness practitioners nationwide can sign up for free to list their practice on NourishDoc to share their expertise, grow their practice, enroll new clients, and manage the clients in an online platform.

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About NourishDoc:

NourishDoc is the first-of-its-kind technology platform for wellness seekers to learn, explore, connect and recommend award-winning credentialed practitioners. NourishDoc serves as a platform for consumers to find for a certain condition the right therapy, the right practitioner, the right integrative practices, and the right wellness plans. NourishDoc has over one thousand award-winning practitioners in specialties such as integrative medicine, functional medicine acupuncture, Ayurveda, diet & nutrition, holistic health coaching, and other integrative therapies. To join an educational session, share your wellness story, or recommend holistic practitioners you love, visit https://www.nourishdoc.com/.

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Nourishdoc Brings Top Integrative Medicine Practitioners For Wellness Workshops | The Magazineplus - The Magazine Plus

LAKE NONA, Fla., July 15, 2021 /PRNewswire/ --Deepak Chopra, M.D., Pioneer of Integrative Medicine, and Founder ofThe Chopra Foundationand Chopra Global, today announced the Chopra Integrative Medicine Center Telehealth platform, a curated network of leading integrative medicine healthcare professionals. The platform will provide access to leading treatment protocols to address the whole body, with the goal to enable everyone to achieve their health goals and enable peak living.

The goal of the telehealth platform is to enable a nationwide network of approved integrative medicine practitioners and hybrid local clinics for high touch patient services. The platform will enable industry leading continuous lifestyle monitoring and care services to ensure contextual interventions and care services can be provided in near real-time.

Deepak Chopra, MD, founder of the Chopra Integrative Medicine Center, said, "With the Integrative Telemedicine Network and practice, we aim to provide the highest-level credentialed doctors globally for Integrative mind body practices and a platform of medical advice that is personalized, predictable, precise, participatory and process oriented. Consultations will be in all areas for both prevention and treatment and in all medical specialties."

Integrated with CareSpan's Digital Care platform for patient care, the Chopra Integrative Medicine Center Telehealth platform will leverage Verizon's BlueJeans Telehealth solution to initiate patient visits and help ensure seamless data-driven virtual care conversations.

Announced this spring, BlueJeans Telehealth is a HIPAA-ready, purpose-built video conferencing solution for healthcare providers that streamlines the telemedicine experience to help improve patient care. By simplifying the virtual join and visit procedures, BlueJeans Telehealth is able to help facilitate greater access to care, provide more flexibility for providers and patients, improve safety and extend the reach of services available.

"With BlueJeans Telehealth, our goal is to change the conversation around what patient care should look like," said Eric Spadafora, VP and GM, BlueJeans by Verizon. "By tapping into our strength in video interoperability and meeting simplicity, the Chopra Integrative Medicine Center will be able to facilitate a new era of patient-centric care. We're proud to be a part of this initiative and provide a platform for the best minds in integrative medicine to come together and determine the best treatment options for patients moving forward."

CareSpan, provides theintegrated digital careplatform with a HIPAA- and ONC-compliant solution designed to meet the rapidly evolving needs of independent practices by combiningin-person and virtualcare delivery, electronic medical records (EMR), remote patient monitoring (RPM),patient engagement, andpractice management capabilities. Rembert de Villa, Vice-Chairman and CEO of CareSpan Health says,"We are honored to be part of this important initiative of The Chopra Integrative Medicine Center.CareSpan's digital care platform was designed and developed with the integration of physical and mental health in mind, and we are excited to play a role in support of the Center's vision."

Ara Suppiah, MD, leading the peak living program on the platform said, "The Chopra Integrative Medicine Telehealth Platform lives in the intersection of Allopathic, Alternative and Lifestyle medicine. World-renowned experts across various specializations will collaborate to provide personalized care. Leveraging state of the art technology we provide real-time interventions, contextual service and high touch care. This is peak living. This sets us apart."

Poonacha Machaiah, CEO of The Chopra Foundation, said, "The Chopra foundation will bring best in class evidence-based approaches to the care team. Chopra Foundation researchers and integrative medicine professionals will study and improve practices through comprehensive lifestyle analytics and provides insights to personalize and optimize wellbeing."

The Chopra Integrative Medicine Center Telehealth platform is currently being trialed and officially available for public release in November 2021. The first Chopra Integrative Medicine Center will be launched at Lake Nona (Orlando, Florida).

About Chopra Integrative Medicine CenterThe Chopra Integrative Medicine Center of Excellence founded by Deepak Chopra, MD leverages the best in evidence-based practices to enhance conventional, alternative, and lifestyle medicine patient care. The center is designed to treat patients with all types of health conditions with a special focus on preventive health and peak living. For further information please visit: https://www.chopra.health

AboutBlueJeans by VerizonBlueJeans by Verizon offers a HIPAA-ready, mobile-friendly telehealth platform that is secure and easy to use for clinicians and patients. Thousands of telehealth encounters are conducted by providers every day on BlueJeans, extending the reach of care and helping to drive better patient outcomes. For more information, visit https://www.bluejeans.com/products/telehealth.

About CareSpanCareSpan via its integrated digitalClinic in the Cloudoffering has dedicated to the future of integrated digital care, using sophisticated digital diagnostic and clinical decision support tools in collaboration with primary, specialty and mental health providers to drive better outcomes with a patient-centered approach. For further information please visit:www.carespanhealth.com

For Media Enquiries:Kristen Marion623-308-2638 [emailprotected]

SOURCE The Chopra Foundation

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Deepak Chopra Announces Chopra Integrative Medicine Center Telehealth Platform in Collaboration with BlueJeans by Verizon and CareSpan Digital...

Alternative medicine advocate Dr. Deepak Chopra is teaming up with Verizon and CareSpan on a new platform called Chopra Integrative Medicine Center Telehealth, which was designed to bring a network of holistic medical providers into one space.

The platform specializes in prevention but says it can treat patients with all types of health conditions. Specifically, the platform examines genetic and lifestyle factors in a person's life. It takes a collaborative approach to healthcare by integrating providers and services.

"TheChopraIntegrative Medicine Telehealth Platform lives in the intersection of Allopathic, Alternative and Lifestyle medicine," Ara Suppiah, MD, leading the peak living program on the platform, said in a statement.

Patients using the platform meet with a physician for "a series of 60-minute visits"which covers everything from health history, to lifestyle factors and diet to spirituality. Clinicians may meet with other colleagues to come up with a users' personalized plan. The plan typically hits on nutrition, sleep, hormones, strength and mind-body medicine.

The telehealth service runs on Verizon's BlueJeans Telehealth and is HIPAA-ready. Meanwhile, CareSpan will provide the integrated digital care platform, which the company boasts also HIPAA and ONC compliant.

WHY IT MATTERS

Telehealth became popular during the first wave of COVID-19. Whilethe numbers have dropped slightly according to a recent McKinsey report, about 40% of survey consumers said they would continue to use telehealth going forwards, up from 11% prior to the pandemic.

Chopra is pitching this new platform as a way to integrate care while using telehealth, and incorporating holistic factors into the mix.

"Because of technology, the future of well-being is very precise, it's personalized, it's predictable, it's preventable and it is a process that requires everyone's participation," Chopra said during a Facebook live call today.

THE LARGER TREND

This isn't the first time Chopra has been involved with digital health projects. In February, Fitbit announced that Chopra would headline a collection of wellness content for Fitbit Premium members. His sessions included topics such as mindfulness, breathing and stress management.

Chopra has also teamed up with author and major digital health player Dr. Eric Topol on a study to measure the physiological effects of medication.

In 2009 he founded the Chopra Foundation, a non-profit dedicated to research around mind-body practices.

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Dr. Deepak Chopra launches telehealth platform at the intersection of modern and alternative medicine - Mobihealth News

This article was originally published here

BMJ Support Palliat Care. 2021 Jul 15:bmjspcare-2020-002713. doi: 10.1136/bmjspcare-2020-002713. Online ahead of print.

ABSTRACT

BACKGROUND: We examine the impact of a 5-day online elective course in integrative medicine (IM) taking place during the COVID-19 pandemic, attended by 18 medical students from two faculties of medicine in Israel.

METHODS: The course curriculum addressed effectiveness and safety of IM practices highlighting supportive and palliative care, demonstrated the work of integrative physicians (IPs) in designing patient-tailored treatments and taught practical skills in communication regarding IM. Group discussions were conducted via Zoom with 32 physicians, healthcare practitioners and IM practitioners working in integrative academic, community and hospital-based settings, in Israel, Italy, UK and Germany. An 18-item questionnaire examined student attitudes and perceived acquisition of skills for implementing what was learned in clinical practice. Student narratives were analysed using ATLAS.Ti software for systematic coding, identifying barriers and advantages of the online learning methodology.

RESULTS: Students reported a better understanding of the benefits of IM for specific outcomes (p=0.012) and of potential risks associated with these therapies (p=0.048). They also perceived the acquisition of skills related to the IM-focused history (p=0.006), learnt to identify effectiveness and safety of IM treatments (p=0.001), and internalised the referral to IPs for consultation (p=0.001). Student narratives included reflections on the tools provided during the course for assessing effectiveness and safety, enhancing communication with patients, enriching their patient-centred perspective, raising awareness of available therapeutic options, and personal and professional growth.

CONCLUSIONS: Online clinical electives in IM are feasible and can significantly increase students awareness and modify attitudes towards acquirement of patient-centred perspectives.

PMID:34266910 | DOI:10.1136/bmjspcare-2020-002713

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From COVID-19 adversity comes opportunity: teaching an online integrative medicine course - DocWire News

The market is set to gain momentum in the coming years owing to the changing regulatory scenario, coupled with robust government initiatives, resulting in the establishment of strong transnational connections across healing pathways linking global, national, and local movements regarding alternative medicine. Additionally, government initiatives exploring norms related to the right to health in all its forms are set to supplement the participation of service providers and users in the field of alternative and complementary healthcare.

Integrative Health or Complementary and Alternative Medicine Market USD 82.27 billion in 2021 and is expected to expand at a CAGR of +22% from 2021 to 2027.

Top Key Players are covered in this report:

Columbia Nutritional; Nordic Nutraceuticals; Ramamani Iyengar Memorial Yoga Institute; The Healing Company Ltd.; John Schumacher Unity Woods Yoga Centre; Sheng Chang Pharmaceutical Company; Pure encapsulations, LLC.; Herb Pharm; AYUSH Ayurvedic Pte Ltd.

The report begins with a brief introduction and market overview, in which Integrative Health or Complementary and Alternative Medicine industry is first defined before estimating its market scope and size. Next, the report elaborates on the market scope and market size estimation. This is followed by an overview of the market segmentations such as type, application, and region. The drivers, limitations, and opportunities are listed for Integrative Health or Complementary and Alternative Medicine industry, followed by industry news and policies.

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This referential document assessing the market has been compiled to understand diverse market developments across specific regional pockets such as Europe, North and Latin American countries, APAC nations, as well as several countries across MEA and RoW that are directly witnessing maneuvering developments over the years.

In addition, the report provides insight into main drivers, challenges, opportunities and risk of the market and strategies of suppliers. Key players are profiled as well with their market shares in the global Integrative Health or Complementary and Alternative Medicine market discussed. Overall, this report covers the historical situation, present status and the future prospects of the global Integrative Health or Complementary and Alternative Medicine market for 2016-2026.

Market Segmentation

Product Type Segmentation

Industry Segmentation

Moreover, the impact of COVID-19 is also concerned. Since outbreak in December 2019, the COVID-19 virus has spread to over 100 countries and caused huge losses of lives and economy, and the global manufacturing, tourism and financial markets have been hit hard, while the online market increase. Fortunately, with the development of vaccine and other effort by global governments and organizations, the negative impact of COVID-19 is expected to subside and the global economy is expected to recover.

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Regional Analysis:

Studying and analyzing the impact of Coronavirus COVID-19on the Integrative Health or Complementary and Alternative Medicine industry, the report provides in-depth analysis and professional advices on how to face the post COIVD-19 period.

Table of Contents:

Chapter 1: Global Integrative Health or Complementary and Alternative Medicine Market Overview

Chapter 2: Market Data Analysis

Chapter 3: Technical Data Analysis

Chapter 4: Government Policy and News

Chapter 5: Global Integrative Health or Complementary and Alternative Medicine Market Manufacturing Process

and Cost Structure

Chapter 6: Productions Supply Sales Demand Market Status and Forecast

Chapter 7: Key Manufacturers

Chapter 8: Up and Down Stream Industry Analysis Art Supplies

Chapter 9: Marketing Strategy

Chapter 10: 2021-2027 Integrative Health or Complementary and Alternative Medicine Market Development Trend

Analysis

Chapter 11: New Project Investment Feasibility Analysis

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Integrative Health or Complementary and Alternative Medicine Market Hit Stunning Double Digit CAGR +22% by end 2027 With Renowned Key Players Columbia...

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Buyer bewarepet products containing cannabidiol (CBD) are freely available and sold as supplements, but research shows labels arent always accurate and those products often get mixed with reputably-sourced brands.

Like clockwork, in early July, The U.S. Food and Drug Administrations (FDA) Center for Veterinary Medicine tweeted its yearly warning to pet owners about unregulated CBD products, ahead of the seasonal spike of CBD sales due to firework-induced dog anxiety. Distrust of the FDA abounds, but the organization may have a solid point when it comes to the sketchier side of CBD products marketed for pets.

Brett Hartmann gives his dogs Cayley, a six-year-old-Labrador Retriever drops of a cannabis based ... [+] medicinal tincture to treat hip pain and anxiety, June 8, 2017 at his home in Los Angeles, California. It's early morning, just after breakfast, and six-year-old Cayley is wide awake, eagerly anticipating her daily dose of cannabis. The black labrador, tail wagging, laps up the liquid tincture owner Brett Hartmann squirts into her mouth, a remedy he uses morning and evening to help alleviate Cayley's anxiety. As the multi-billion dollar medical and recreational marijuana industry for humans blossoms in the United States, so is a new customer base -- animals. / AFP PHOTO / Robyn Beck (Photo credit should read ROBYN BECK/AFP via Getty Images)

Recent findings from Leafreport found that 56% of pet CBD products that were sampled were mislabeled with inaccurate claims. Leafreport collected a sampling of 55 pet CBD products, and found over half had inaccurate labeling, most often, incorrect levels of CBD. Out of 55 pet products that were independently tested at Las Vegas-based Canalysis Laboratories, 31 contained the wrong amounts of CBD, and many also contained no THC despite being labeled as full-spectrum CBD.

Beyond pet products, the teams continued research also found an alarming amount of mislabeled delta-8-THC products (often converted from CBD-rich biomass or isolate in a lab) and on July 13, the team published findings detailing wildly different pricing standards between CBD products, meaning some companies scoop up newbieshook, line, and sinker.

One pet product was particularly deceptivecontaining only about 1.5% of the CBD the label claimed it contained, meaning that your pet might not even be getting amounts of the healing compound significant enough to do anything.

Instead, go with a brand that provides certificates of analysis and that is sold in a reputable store, such as a state-regulated dispensary or a CBD store that vets its vendors to ensure their products are safe.

What if we regulated pet CBD products better, consistently providing analytical data, or at the very leastallow veterinarians to properly guide pet owners?

Leafreportoriginally founded in 2019 in Tel Aviv, Israelis an online resource on CBD with discussions from medical doctors, clinical consultants, chemists, nutritional and natural health experts from around the world.

Dr. Zora DeGrandpre practices naturopathic medicine and is a medical and scientific writer and editor, specializing in naturopathic, functional, botanical, and integrative medicine. DeGrandpre writes online courses for medical students around the world including courses for continuing medical education and on the use of medical marijuana and CBD.

DeGrandpre explained that the same product caution that anyone uses for themselves should ideally be applied to their petsadding that consumers need to look into the companys history and reputation.

While different animals may respond differently to CBD, contaminants such as microbial products, heavy metals, toxins, and pesticides are often more toxic to pets than to humans, DeGrandpre says in an email. In addition, dogs appear to be particularly sensitive to THCso you should only use zero-THC products with dogs, and to be safer, with any animals. Also, there isnt a lot of research around CBD and animalsmany vets (for many reasons including legal and professional ones) urge caution when using CBD with your pet.

The effects of CBD on a 200-pound person is not going to work the same way on a 10-pound toy dog, which is why titration is a bit more imperative when dealing with pets, even though they are fully equipped with an endocannabinoid system. Source CBD, for instance, provides a dosing calculator for humans and pets, and relies an anecdotal reports from people who claim a variety of beneficial effects on both mammals and reptiles.

Luna, a pug with acne and seizures, takes her daily dose of CBD oil.

Finally, you should always use the same principle with pets that we recommend for humans! DeGrandpre adds. Start low and go slow, always monitoring the effects on your pet carefully. You want to ensure your pets health, after all! We also recommend checking with your vet to ensure that CBD products will not interfere with any medication that your pet may be on already.

The global pet CBD market is projected to witness considerable growth over the coming years of the forecast period 2018-2028, according to data compiled by San Francisco-based TMR Research. In Europe, researchers came to nearly the same conclusion: Data released on July 12 from Dublin, Ireland-based Research and Markets reported similar findings. The global CBD pet products market to rise with a CAGR of 41.3% during the forecast period (2021-2026). Research and Markets analysts attributed the rise in part to the 2018 Farm Bill, which set things off in the United States.

Some states in the U.S. are starting to allow specific provisions for veterinarians and medical cannabis, such as Nevadas forward-thinking Assembly Bill 101, allowing recommendations, sponsored by Assemblymember Steve Yeager. Then theres Californias Assembly Bill No. 2215, approved in 2018, which basically only allows veterinarians to discuss medical cannabis treatment without fears of repercussions. Californias Assembly Bill 384 would take it a step further, allowing them to give recommendations. Oregon and Washington State Veterinary Medical Associationspostedtheir owncautionary fact sheetsfor medical cannabis advice online. New Yorks Assembly Bill A5172 would offer similar provisions.

Eloise Theisen is a board certified Adult Geriatric Nurse Practitioner who specializes in cannabis therapy. For over 20 years, Theisen has worked primarily with cancer, dementia, and chronic pain patientsfocusing her efforts on cannabinoid therapies for the past five years. Theisen is the president of the American Cannabis Nurses Association.CBD products for pets and humans are still not regulated and testing is not required, Theisen says. It is important to look for companies that do independent 3rd party testing to ensure that the product label. matches the certificate of analysis. Some products may have THC levels that are above the legal limit and that could be unhealthy for pets. Additionally, some companies may have more or less CBD than listed on a label and you may not be giving your pet exactly what you expected.

Furthermore, some companies can be misleading about ingredients such as hempseed oil, which contains antioxidants and fatty acids, butno CBD.

I recommend only buying from a company that provides an independent 3rd party certificate of analysis, Theisen adds. It is important to know exactly what you are giving your pet. A comprehensive certificate of analysis from a reputable 3rd party testing lab will ensure that the product is free of contaminants and that the potency is accurate. If the company cannot provide a certificate of analysis, look for another company that does. There are enough companies out there providing transparency with their products.

In general, its on the consumer to vet the safety and ingredients in pet CBD productsfor the health of their pets, if for no other reason.

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Pet CBD Products Need Better Regulation, Researchers Say - Forbes

Former Emmerdale actress Leah Bracknell's widower has found love again two years after the star tragically passed away.

Leah, who played Zoe Tate in the ITV soap for 16 years, was diagnosed with stage four lung cancer in 2016.

She later passed away in September 2019, aged 55, following a three year battle with the illness, The Mirror reports.

READ MORE: Emmerdale star Samantha Giles quits Twitter after trolls hurl vitriolic abuse at her

The star also had television roles in Judge John Deed, A Touch of Frost, The Royal Today and DCI Banks, as well as performing on stage and in pantomime.

Leah and long term partner, Jez Hughes, were together for thirteen years before tiring the knot in March 2017, shortly after her diagnosis.

The pair opted to get married after the learnt that Leah's cancer was incurable.

To get the latest email updates from LeedsLive, click here.

It has been reported that the soap star's widower has been dating Precious Dunlop for over two months.

A source told The Sun: "Jez's friends are delighted for him and have wished them both well. It's been such a heartbreaking time losing Leah, but he is back in a happy place and is enjoying life once more."

"My husband is like my rock," she previously said of Jez. "He is by my side a lot of the time. He has been a great sounding board.

"I think we support each other as well. My family do OK. Im not positive all the time, but I am optimistic."

Leah was diagnosed in 2016.

In August 2017, it was announced her targeted biological therapy had stopped working and that she had been surviving solely on expensive alternative treatments for several months.

Her quest to undergo alternative treatments of immunotherapy and integrative medicine in Germany led many to donate to Leahs treatment.

READ MORE: Ex-Emmerdale star Catherine Tyldesley used 50,000 of taxpayers' furlough money to help her business

Within a few days, kind-hearted benefactors had donated 50,000.

The Emmerdale actress stayed positive about the situation, and in 2019 she confirmed she was on an immunotherapy clinical trial which kept her cancer stable.

However, she died in September that year and her husband paid tribute to her : "My darling wife, best friend and soul mate flies free in spirit.

"I have been the luckiest man in the world to spend time walking, dancing, laughing, praying, dreaming, singing, drumming, talking, travelling, crying, planning, hoping, loving, going wild, exploring, rebelling, forgiving, celebrating, playing, sharing secrets at dawn, opening hearts, minds and soul- alongside a woman of such depth, power, humour, humility, honour, intelligence and love- it is impossible to do justice to with the transient, flimsy power of words."

"Ali (Leah's real name) is the bravest person I've ever met and she faced the last three years of cancer with dignity, grace and light.

"She shone bright in this world with fire in her heart and water in her soul. The great mystery of existence always visible through her beautiful eyes.

"She inspired and changed the lives of so many, loved ones and strangers alike.

"Every day I learn of more people who she helped which brings the warmth of pride and gratitude to have known her into my heart.

"She taught me more than I'm able to comprehend and we shared more than I dreamt was possible in this life. More than either of us thought was possible."

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Former Emmerdale star Leah Bracknell's widower finds love again two years after her tragic death - Leeds Live

Jacobs School of Medicine and Biomedical Sciences researchers are finding mental health screenings to be an important component for cystic fibrosis (CF) patients and their caregivers.

CF is a genetic, progressive disease that causes persistent lung infections and impacts the most basic physical processes. While recent breakthroughs have significantly extended the lifespan of patients with CF, the disease presents patients and their caregivers with significant, lifelong daily challenges.

Disease Takes Mental Toll on Patients, Caregivers

The primary purpose of CF clinics is to treat the physical disease, but providers are well aware of the mental toll it takes on patients and caregivers.

It can be challenging for people with CF and their families to sustain daily therapies and to live with a life-limiting disease, saysDanielle M. Goetz, MD, clinical associate professor of pediatrics and director of the Cystic Fibrosis Center of Western New Yorkat UBMD Pediatrics and Oishei Childrens Hospital.Our team began to feel that mental health screening was an important part of care to look at.

The Jacobs School/Oishei team effort was led by Goetz and Carla A. Frederick, MD, associate professor of medicine, with guidance from Drucy S. Borowitz, MD, clinical professor emeritus of pediatrics, and Beth A. Smith, MD, professor of psychiatry and pediatrics.

Depression Linked With Worse Health Outcomes

In 2013, the Buffalo researchers began systematically using efficient tools for screening for anxiety and depression in patients and their caregivers, both of whom exhibit higher rates of these conditions than the general population.

The researchers also developed an algorithm to determine which type of treatment would be necessary.

The screening process has been shared with other centers and was piloted at a larger CF center at the Ann and Robert H. Lurie Childrens Hospital of Chicago.

These tools and the research it is based on are described in apaperpublished in May in the British Medical Journal Open Quality.

CF is a disease that affects the whole body, including the ability to breathe and digest food, explains Goetz, who is also a pediatric pulmonologist with UBMD Pediatrics. The burden of taking two-to-three hours per day to clear the airways of mucus and taking multiple medicines can be so difficult and cause feelings of isolation.

The disease also can cause diabetes and liver problems.

It is a lot to think about and address, says Goetz, adding that previous studies have shown that depression in CF patients is linked with worse health outcomes, including decreased lung function, lower body mass index and increased exacerbations and hospitalizations.

Restrictions Can Lead to Feelings of Isolation

Due to the grave risk of passing infections to each other, people with CF are also not supposed to gather, as depicted in the book and adapted Hollywood film Five Feet Apart, which tells the story of a romance between two teens with CF.

In reality, CF patients are advised to stay six feet apart from each other (even before the COVID-19 pandemic), a restriction that by itself can lead to feelings of isolation and depression.

At the same time, since most CF patients are diagnosed as young children, parents or caregivers of CF patients are intimately involved with their care.

Parenting is hard, and parenting a child who has multiple medical and perhaps social needs is challenging, Goetz says.It makes sense that depression and anxiety are more common in these parents and caregivers. Watching and helping their child go through multiple stressors is painful.

We support the parents and caregivers, oftentimes talking to them about how they are dealing with their child or loved ones illness and how we can help them to seek help when needed.

Questionnaires Used With Clinical Assessments

In 2013, the center began to assess all of its 180 pediatric and adult CF patients for depression. The center is now screening between 95 and 99 percent of patients and caregivers.

The first step was a simple screening questionnaire (the Patient Health Questionnaire-2, or PHQ-2), which asks about the degree to which the individual has experienced either depression or anhedonia (lack of pleasure in activities the patient used to find pleasurable).

A positive response to either question triggers a more detailed questionnaire (the Patient Health Questionnaire-9 or PHQ-9) or Generalized Anxiety Disorder-7 (GAD-7) questionnaire, which the center now uses as the initial screening tools.

With these questionnaires, along with clinical assessments, the center assesses patients as having mild, moderate, moderately severe or severe depression or anxiety.

Patients are then referred to mental health specialists or treated at the CF center by its own mental health coordinator. They receive follow-up assessments to determine effectiveness of treatment.

Suicide Ideation Included in Screening Process

The researchers reported a higher prevalence of both depression and anxiety in the CF center than has been reported in the literature.

They also found that 5 to 10 percent of patients and caregivers had thought about committing suicide. The researchers had made the decision to include suicidal ideation in the screening process, and all clinic staff were trained to assess for this.

We looked at it this way, Goetz says. If we choose not to screen for suicidal ideation, it just means we may be missing it, not that suicidal ideation is not occurring.It is a challenging thing to screen for, though, if you dont know what to do with a positive screen.

So, it is important for the whole team to understand how to do the screening and how to make an emergency plan with patients, she adds. Anyone on the team can learn, especially nurses and providers, but really anyone, in case there isnt a social worker or psychologist on the team.

The centers emergency plans are tailored to each patient and may involve development of a suicide risk management plan, namely, a safety net for the patient, or urgent or emergent referral to a mental health professional.

Goetz explains that the stepped process, beginning with the short questionnaire, allows for quick screening for all people with CF and their caregivers.

A provider can then hone in on what needs to be done for each patient, with a focus on those who need more interventions, she says.

It has been so meaningful to have a social worker and psychologist in our clinic who can help support the providers in providing the best mental health care or referrals for care, Goetz adds. I cant say enough good things about this integrative approach and the importance of mental health and its impact on physical health.

Essential Role in Quality Improvement Efforts

CF Care Center teams also include nutritionists, respiratory therapists, nurse coordinators and research coordinators, all of whom play essential roles in quality improvement efforts.

The toolkit and related resources have now been disseminated on an international listserv for CF mental health and medical providers.

The CF Center of WNY at UB and Oishei Childrens Hospital, a Cystic Fibrosis Foundation-accredited center that treats patients from eight counties, has been involved in the CFFoundations Quality Improvement Network.

Goetz notes that the mental health screening project demonstrates a key premise of the quality improvement effort.

We know now that people with CF should be involved with our projects from their inception, Goetz says. That is an excellent aim for all teams looking to improve clinical care: The people who know best how to improve the process for disease assessment and management are likely the people living with the disease.

Other Co-Authors Are From Jacobs School

Along with Goetz, Frederick, Borowitz and Smith, other Jacobs School co-authors are:

Adrienne Savant, MD, of the Ann and Robert H. Lurie Childrens Hospital of Chicago, is also a co-author.

The research was funded by Cystic Fibrosis Foundation Therapeutics, part of the Cystic Fibrosis Foundation.

Read more:
Mental Health Screening Tools for CF Patients, Caregivers - ubmd.com

On the surface, healthy eating seems like an easy enough task. After all, the most nutritious foods come straight from the earth; pure and unprocessed. But fresh whole foods are not always accessible to everyone. With obstacles like food deserts, expensive organics, and high-priced meats, eating healthy on a budget seems nearly impossible.

According to Amrit Devgun, naturopathic doctor and applied ayurvedic practitioner at Northwestern Health Sciences University, healthy eating falls on a spectrum. Like exercising, eating well can start with small steps. For example, introducing conventional produce into your diet is better than not eating fruits and vegetables at all. "If you can't afford fresh organic produce, shop for pesticide-free fruits and vegetables in the freezer aisle," she says. "If expensive meats aren't doable, substitute with tofu or other alternatives, like beans or lentils."

When trying to save on your grocery bill, start by filling your pantry with shelf-stable items like beans, rice, and lentils. Dried foods, devoid of water, cost less because they are cheaper for manufacturers to store and ship. Packed with essential vitamins and minerals, these kitchen staples last months in your cupboard and yield substantial portions.

Shopping for nutritious food on limited funds requires a bit of strategy. Pay close attention to grocery store sales so you can stock up on discounted staples. Big box stores like Target and Costco offer easy-to-use digital coupons for their growing stock of organic and health food products. These large retailers usually provide private label options that eliminate marketing costs associated with household name brands. For the same reason, buying in bulk saves moneyand without packaging costs, bulk foods are discounted even further.

Weekly meal planning is another cost-saving measure that will pay off in spades. Spending just 30minutes preparing for the week ahead helps you spend less money and waste less food. Instead of throwing away leftover sauteed veggies, add them to your eggs the following morning. Grill chicken for dinner and save some to pair with leafy greens for lunch. And, consider which fruits and vegetables are in season. Food grown closer to home is less expensive. Importing grapes from Chile or peppers from Peru in the winter will increase the price dramatically.

The World Health Organization's (WHO) International Agency for Research of Cancer (IARC) lists five commonly used industrial pesticides as probably and possibly carcinogenic. Glyphosate, the main ingredient in Monsanto's Roundup, is the most widely used agricultural pesticide in the U.S. According to the Environmental Working Group (EWG), "250 million pounds of glyphosate are sprayed on American crops" each year. These toxic pesticides are so prevalent that researchers have even found residue of pesticides in breast milk.

"If you buy conventional produce, use a vegetable wash or drop of soap and water to remove pesticides on the surface.For harder foods, like potatoes, you can clean the skin with a food brush. Removing the skin works too, but you lose some important nutrients in the process. It's a balancing act." Amrit Devgun, Northwestern Health Sciences University

Reducing your exposure to harmful pesticides is as essential as ever. While it may seem overwhelming, community organizations like EWG can help you make informed decisions that protect your health and the health of your family. EWG publishes an annual "Shopper's Guide to Pesticides in Produce." Named the Dirty Dozen and Clean Fifteen, these lists make shopping for safer, conventional (non-organic) fruits and veggies simple.

Once home, you can further decontaminate your food."If you buy conventional produce, use a vegetable wash or drop of soap and water to remove pesticides on the surface," says Devgun. "For harder foods, like potatoes, you can clean the skin with a food brush. Removing the skin works too, but you lose some important nutrients in the process. It's a balancing act."

When deciding whether to invest in organics, Devgun suggests a shift in perspective. "With our exposure to the high amounts of pesticides in some of the foods we eat, many of us develop serious health issues. We end up spending significant amounts of money on health care," she says. "If you can, why not invest in the prevention of disease instead?"

A rule of thumb when shopping for healthy foods is shopping the perimeter. This strategy keeps you away from the temptations in the snack aisle and focuses your shopping trip on rainbow eating. Full of phytonutrients, colorful fruits and vegetables protect us from illnesses such as cancer, diabetes, and heart disease. Each color has disease-fighting superpowers, so eating the whole rainbow is ideal.

A Rainbow of Health-Boosting Phytonutrients

*Pro Tip: Growing your fruits and vegetables is one of the cheapest ways to get variety in your diet. With minimal care, a backyard garden is plentiful in the summer months. For apartment dwellers, a windowsill is a perfect place to grow fresh herbs. When neither works, you can share the cost with neighbors and build (or find) a community garden. At the end of the growing season, you can freeze or can your bounty for winter cooking.

As Michael Pollan famously writes in his book, In Defense of Food: An Eater's Manifesto, "Eat food. Not too much. Mostly plants." Devgun couldn't agree more. "Plant-based diets bring the best results for overall longevity and quality of life," she says. "Eating a plant-based diet is cheaper and helps us prevent chronic disease."

When prescribing a healthy diet to clients, Devgun often suggests cutting down on meat. "By reducing meat consumption, you naturally decrease your toxic burden." Plant-based eating optimizes your health by reducing inflammation, boosting your immune system and decreasing your cancer risk. It also helps you maintain a healthy weight.

Located in Bloomington,Northwestern Health Sciences Universityis a pioneer in integrative natural health care education, offering degree programs in chiropractic, acupuncture, Chinese medicine, massage therapy, medical assisting, medical laboratory programs, post-bac/pre-health, radiation therapy, and B.S. completion. ItsBloomington Clinicis open to the public andprovides chiropractic treatment,acupuncture, Chinese medicine, massage therapy, naturopathic medicine, and cupping.

See more content fromNorthwestern Health Sciences University.

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Is Healthy Eating Too Expensive? You Can't Afford Not to Try. - Mpls.St.Paul Magazine