The American health care system is moving toward an era of personalized medicine where the appropriate course of treatment can be defined with greater precision for the individual patient. In this era of “big data,” traditional statistics like readmissions capture a diminishing share of what patients mean by quality and value in health care delivery.

You are invited to join Health Affairs on Thursday, May 12, 2016, in Washington, DC, for a half-day forum for policy makers on the topic of, “Envisioning The Future Of Value Based Payment.” Featuring keynote remarks by David Blumenthal, President of the Commonwealth Fund, the program will include panels on existing and developing value based payment programs for hospitals and physicians, as well as how paying for value will evolve in a future with electronic health records, big data analytics, and personalized medicine.

http://www.healthaffairs.org/

Alan Weil
David W. Baker
Cheryl Damberg
Meredith Rosenthal
Dana Gelb Safran
Alan Lazaroff
Tom Valuck
David Blumenthal
David Bates
Frank Opelka
Melinda Buntin
Eyal Zimlichman
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Learning how to set you your goals so that they are in alignment with your intentions is a super important when it comes to health and weight loss. This small adjustment will help take the struggle out of the journey so you can have clarity and ease along the way.
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BEGINNERS GUIDE TO HEALTHY EATING: https://youtu.be/jwWpTAXu-Sg
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MORE HEALTH + WEIGHT LOSS TIPS
How To Lose Weight Without Dieting: https://youtu.be/fHZHi2uP7qk
4-Types of Eating: https://youtu.be/Fk3Cq4Vh40s
How To Stop Eating When Not Hungry: https://youtu.be/Ohx5lImrYy4
Physical vs. Emotional Hunger: https://youtu.be/ac0zcI8XTSo
Detox 360: https://youtu.be/5RQ2nL9m4UA
5 Tips for Curbing Sugar Cravings: https://youtu.be/sG6_SmU0mkY

Thanks for watching! I hope you have a healthy and delicious day! – xo Dani
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Trying to eat better or lose weight? Academy of Nutrition and Dietetics spokesperson Sandra Arévalo, MPH, RDN, CDN, CLC, CDE, FAND, explains how to set realistic and achievable goals. For more tips and information, visit www.eatright.org.

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Join us on https://www.patreon.com/statedclearly

While the origin of the new Coronavirus is not yet known, we do know where new viruses normally come from. Hint: Darwin’s theory of evolution is full of clues!

In this animation you will get a crash course in virology. You’ll learn how viruses differ from other microbes, why most viruses can only infect one type of host organism, and how viruses evolve to infect new hosts.

For more information on evolution, visit https://www.statedclearly.com/

For more information on the idea that this virus may have come from a lab, see our article here: https://www.statedclearly.com/articles/did-the-new-coronavirus-came-from-a-lab/

For an excellent and accurate Q&A about the coronavirus, including things about how it is treated and how to stay safe, see this video by Dr. Ines Dawson. It’s long but don’t worry, in the video description she has a table of contents. Click the question you care about and it will jump right to that spot in the video! https://youtu.be/oA8XYSftmtQ

Further Reading:
Overview of how new viruses evolve during spillover events
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2546865/

SARS coronavirus seems to have gone from bats to civets to people https://www.who.int/ith/diseases/sars/en/

RNA recombination as a source of genetic novelty in coronaviruses: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC241489/pdf/jvirol00041-0423.pdf

How recombination and reassortment work:
https://www.nature.com/articles/nrmicro2614

Recombination in single stranded RNA viruses
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3324781/

The evolution of SARS and a prediction that new coronaviruses will evolve in the future
https://jvi.asm.org/content/84/7/3134

How coronaviruses enter cells via binding and endocytosis: https://jvi.asm.org/content/92/3/e01933-17
https://www.nature.com/articles/cr200815

How we stopped the SARS coronavirus
https://www.cdc.gov/about/history/sars/timeline.htm

Pangolins as a potential intermediate host
https://www.nature.com/articles/d41586-020-00364-2

Corrections:
In the animation I call the virus COVID-19, but this is technically incorrect. COVID-19 is the name of the disease it causes. The virus itself is called SARS CoV 2. Thanks to YouTube user “Charles Starbuck” for pointing out the error.

Viewers like you help make PBS (Thank you 😃) . Support your local PBS Member Station here: https://to.pbs.org/DonateEONS

Try CuriosityStream today: http://curiositystream.com/eons

There are fossils of viruses, of sorts, preserved in the DNA of the hosts that they’ve infected. Including you. This molecular fossil trail can help us understand where viruses came from, how they evolved and it can even help us tackle the biggest question of all: Are viruses alive?

Produced in collaboration with PBS Digital Studios: http://youtube.com/pbsdigitalstudios

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References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3094976/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609113/
https://www.ncbi.nlm.nih.gov/pubmed/19270719/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4096385/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3758182/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3190193/
https://hal.archives-ouvertes.fr/hal-00679842/document
http://bioinformatics.cvr.ac.uk/paleovirology/site/html/posts/2013-04-15_what_is_paleovirology.html
http://www.sciencemag.org/news/2017/04/giant-viruses-found-austrian-sewage-fuel-debate-over-potential-fourth-domain-life
https://www.khanacademy.org/test-prep/mcat/cells/viruses/a/are-viruses-dead-or-alive
https://serc.carleton.edu/microbelife/yellowstone/viruslive.html
https://www.nature.com/scitable/topicpage/the-origins-of-viruses-14398218#
https://www.nature.com/scitable/topicpage/discovery-of-the-giant-mimivirus-14402410
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2976387/
https://www.nature.com/news/giant-viruses-open-pandora-s-box-1.13410
https://www.ncbi.nlm.nih.gov/pubmed/19561090
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2946954/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2906475/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3179036/
https://www.theatlantic.com/science/archive/2018/05/a-7000-year-old-virus-sequenced-from-a-neolithic-mans-tooth/559862/
http://www.uniprot.org/uniprot/Q9P2P1
http://journals.plos.org/plosgenetics/article?id=10.1371/journal.pgen.1001191

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The February 2017 issue of Health Affairs will shine an important spotlight on the complex and constantly evolving relationship between work and health, from the perspective of both employers and employees. To draw attention to the issue, Health Affairs will host a briefing featuring authors from the journal who will present their studies and discuss strategies for building the safest, healthiest, and most productive workforce possible.

Access the issue here.
http://content.healthaffairs.org/content/36/2.toc

Alan Weil
Thomas Buchmueller
Sherry Glied
Victoria Blinder
Douglas L. Leslie
Brian Gifford
Bruce W. Sherman
David Rehkopf
Seth Seabury
Jean Abraham
Ron Z. Goetzel
Kimberly Jinnett
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Cathy Clark-Reyes, Registered Dietitian with Baptist Health Primary Care, explains when people start eating better, they start experiencing less boating, they start sleeping better, they start having more energy and their clothes start to fit better.

She also says when people start exercising, they start seeing less stress and they have better mental outlook.
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(USMLE topics) Crohn disease: pathophysiology, symptoms, causes, risk factors, complications, diagnosis and treatments. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/narrated-videos-by-topics/digestive-diseases/-/medias/47f8d399-6671-487c-909c-2ed1eb5b6a77-crohn-s-disease-narrated-animation
Voice by: Ashley Fleming
©Alila Medical Media. All rights reserved.
Support us on Patreon and get early access to videos and free image downloads: patreon.com/AlilaMedicalMedia
All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Crohn’s disease is one of the 2 major forms of inflammatory bowel disease. Inflammation caused by Crohn’s disease may affect any parts of the gastrointestinal tract, but it most commonly involves the end of the small bowel, the ileum, and the beginning of the colon. The inflammation is not continuous, inflamed segments are usually interrupted by normal healthy tissues.
Most people experience recurrent flares, when the disease is active, followed by symptom-free periods of remission.
Symptoms may differ depending on the parts of the digestive tract that are affected. Most common signs include diarrhea, abdominal pain and tenderness, loss of appetite, weight loss, fatigue and fever. Blood in stools occurs when the colon is involved; nausea and vomiting are usually the signs that the stomach or the first part of the small intestine is affected. About one third of patients present with perianal disease, including abscess, fistulas and ulcers. The disease also often manifests outside the intestine, especially in the joints, skin, and eyes.
Inflammation in Crohn’s disease extends to the entire thickness of the intestinal wall. Deep lesions in the mucosa often alternate with areas of mucosal swelling, creating a characteristic cobblestoned appearance. Extensive inflammation may cause thickening of the bowel wall and hypertrophy of the mesenteric fat that wraps around the intestine (creeping fat). Intestinal wall thickening, together with scar formation, may block the flow of digestive content, leading to bowel obstruction. Ulcers can extend through the bowel wall and form tunnels, called fistulas, which may connect to other loops of the intestine, to abdominal organs, muscles and even skin. A fistula may become infected and form abscesses, which can be life-threatening if not treated. In the long-term, Crohn’s disease may increase risks for colon cancers.
The disease has a major peak of onset between the age of 20 and 30, and a smaller peak later in life. White individuals, people with family history, and smokers are at higher risks.
The exact mechanism of Crohn’s disease is not fully understood, but it likely involves both genetic and environmental factors. Multiple genes are identified, most of which act in the immune system, or in maintaining the gastrointestinal epithelial barrier. This barrier separates the gut content from the underlying immune system, preventing the body from reacting to dietary antigens and resident bacteria of the gut. A crack in the barrier may increase the chance that the immune system overreacts to non-pathogenic antigens from the gut content.
Involvement of environmental factors is evidenced by higher disease incidence in developed countries, especially urban areas.
Diagnosis is made based on a combination of tests and imaging procedures.
Treatments start with dietary management to maintain good nutrition but avoid foods that may exacerbate symptoms. Some patients may benefit from nutrition therapy, a special diet given via a feeding tube or injected into a vein. The therapy provides nutrition while allowing the bowel to rest, reducing inflammation.
A number of medications can be prescribed depending on disease severity and the patient’s response to different drugs. These may include: antidiarrheals, anti-inflammatories, antibiotics, corticosteroids, immunomodulators and biologics.
Abscesses and fistulas are drained and treated with antibiotics.
Nearly half of patients require at least one surgery to manage recurrent intestinal obstructions or complicated fistulas or abscesses. Surgical removal of the diseased parts of the bowel may improve symptoms temporarily, but is not a cure, because the disease is likely to recur, usually near the reconnected tissue.
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Crohn’s disease is difficult to diagnose, because the symptoms overlap with other diseases. Physicals, x-rays, colonoscopies and biopsies aid in diagnosis.
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Become an action hero like Arnold Schwarzenegger in the new game of modern war – Mobile Strike! Build a base, control the action, and test your elite troops against enemies on the battlefield! With cutting-edge assault vehicles in your arsenal this worldwide MMO game tests your ability to wage a tactical and intelligent war.
It’s not whose arsenal is bigger, it’s whose arsenal is best! Design a customized base to reflect the kind of hero you want to be. Amass defenses to protect your base, or manufacture an arsenal unrivaled on the battlefield! In true MMO fashion you can join an alliance and bring to bear the benefits of a multilateral force as you dominate the action and become the Head of State in an entirely new kind of action game!

✔Join with millions of players from around the world
✔ Forge powerful alliances with elite players against formidable enemies
✔ Build and customize your base
✔ Engage with rogue war machines on the battlefield to collect items and experience
✔Train, level up and supply your commander with superior firepower
✔Use modern combat vehicles, artillery, and strategic units
✔Command 4 military tiers consisting of 16 troop types

Check out the elite new MMO Mobile Strike, a war game to end all war games!

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TOP 10 Hotel in the CIty of Love!

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In this video, I share with you how some of the most successful lifestyle brands have been able to make customers fall in love and become obsessed with their products and services. You can also learn more about how we help service-based experts and entrepreneurs launch their successful brand online at www.hannafitz.com

For your free brand consultation to learn more about our services go to www.hannafitz.com/apply

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A simple introduction to start using the imperfect tense to talk about healthy living

#helathyFOOD #healthyLIFE

MY OWN VERSION OF INASAL AND SWEET SPICY CHICKEN
MAPAPA WOW KA TALAGA

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