The Health Based Tutorials

Autocidal Gravid Ovitrap (AGO) bucket trap is a standard 5-gallon bucket adapted in a specific way to capture mosquitoes. AGO traps are available for purchase online from Springstar. Two traps cost $75, free shipping: https://www.springstar.net/collections/mosquitoes/products/ago The Autocidal Gravid Ovitrap (AGO trap), was developed by the Center for Disease Control (CDC) and has been proven to reduce populations of Aedes mosquitoes by over 80%. It is effective for the mosquitoes that transmit Zika, dengue, chikungunya, and yellow fever. No pesticides or pheromones required. Just add water and a little hay. From Springstar website: "The Trap-N-Kill® Autocidal Gravid Ovitrap is an 18 liter black bucket fitted with a “capture chamber” on the top. The capture chamber allows you to swap out the sticky board without having to pull off the whole lid. Twist the top half of the chamber and you'll have access to where the sticky board rests. The bucket itself is filled with water up ...

Who are the doctors who don't get stressed at work? According to this meta-analysis, the personality type to have is: extravert who is open to experience and has a deep learning style . If you are this type, congratulations! If not, read below, and be sure to check the references at the end. The  Big Five  personality inventory measures personality based on 5 key traits: 1. neuroticism 2. extraversion 3. agreeableness 4. openness to experience 5. conscientiousness There are several approaches to work (SSD): - Surface-disorganised approach is apparently the worst, and is predicted by surface learning in medical school and by higher neuroticism scores and lower conscientiousness - Surface-rational approach to work is predicted by strategic learning in medical school, and by less openness to experience and higher conscientiousness - Deep approach to work is predicted by a deep approach to learning at medical school, by greater extraversion, by greater openness to experience, a...

From The Lancet: Small molecule inhibitors of Janus kinase (JAK) Much of the recent knowledge of the underlying mechanisms that drive rheumatoid arthritis and other diseases has come from preclinical studies of key cytokines, including tumour necrosis factor alpha, interleukin 6, and granulocyte–macrophage colony-stimulating factor. New Janus kinase (JAK) inhibitors include tofacitinib and baricitinib which are approved for treatment of arthritis and other rheumatoid diseases. Aggressive treatment, early For a complex, progressive, chronic disease such as rheumatoid arthritis, the timing of intervention is critical. In the past, the recommended treatment approach was slow and steady, referred to as “the pyramid”—ie, a base of physical therapy and non-pharmacological interventions, followed by conservative treatment with non-steroidal anti-inflammatory drugs, then glucocorticoid steroids and, finally, administration of a conventional disease-modifying antirheumatic drug (DMARD). Thi...

From WSJ: As an alternative to meetings, buff bosses are inviting their employees to exercise and work out (video): Some prospective employers ask baffled applicants to take jogs, lift weights or do sit-ups; ‘I thought I was going to pass out’, says one job applicant. Read more in WSJ here: Thanks for Your Job Application—Shall We Begin at the Squat Rack? http://buff.ly/2qNEG24

The one and only Dr. Roizen shares tips for Living to 100, using some memorable buzz words, among them: - avoid the "major agers" of stress and lack of sleep - have a relationship with your food - choose foods that "love you back" Here is the Cleveland Clinic Chief Wellness Officer, Mike Roizen, M.D.:

One in five American adults in a commercially insured plan were given prescriptions for short term use of oral corticosteroids during a three year period, with an associated increased risk of adverse events. Of 1.5 million adults, 21% received at least 1 prescription for oral corticosteroids over 3 period. The most common indications for use were: - upper respiratory tract infections - spinal conditions - allergies. Within 30 days of drug initiation, there was an increase in rates of: - sepsis - venous thromboembolism - fracture Risk over the subsequent 31–90 days. The increased risk persisted at prednisone equivalent doses of less than 20 mg/day. References: Short Term Use of Oral Corticosteroids and Related Harms http://buff.ly/2pI5qDY

Here are some of the more popular ones: The full list is here: Eurovision 2017 - Official Music Videos

Robert Steven Kaplan has addressed these 2 topics in 2 Google talks and 2 books, they are linked below. I developed 2 sheets based on the ideas from the talks, embedded below. How to be happier at your workplace: from employee perspective: Robert Steven Kaplan: "What You're Really Meant to Do" | Talks at Google: How to be happier at your workplace: from employer perspective: Robert Steven Kaplan | What to Ask the Person in the Mirror: Critical Questions for Becoming a More Effective Leader and Reaching Your Potential: Kaplan was vice chairman of The Goldman Sachs Group, he worked there for 23 years, then he had a change of heart, and became a Professor of Management Practice at Harvard Business School. He wrote the 3 books above in his second role, but that was not the end of road for him. In 2015, Kaplan was appointed as president and CEO of the Federal Reserve Bank of Dallas. References: Robert Steven Kaplan - Wikipedia http://buff.ly/2nzCsWH Federal Reserve...

American Academy of Dermatology: Not only can the ultraviolet radiation from indoor tanning beds lead to wrinkles, it also increases the risk of skin cancer, including melanoma, the deadliest form of skin cancer. On an average day, more than 1 million Americans tan in tanning salons. Research shows that nearly 70 percent of indoor tanners are female, primarily 16 to 29 years old.

Roger Glover from Deep Purple: "We're all about late 60s, early 70s, and bodies have a way of not keeping up with your brain or your career. The time is approaching when it will end, but we don't want to face that. We don't actually want to make a date or a final tour or anything. We just want to carry on as long as nature allows or is kind of dignified. If we can't do what we do anymore, then yes, it's time to stop. But we're still doing it, and we're still enjoying it very much. So all we're saying is the door is closing, but it's not closed yet." Glover and Paice's Rock Antenne interview: References: Hamburg http://buff.ly/2luoS1E Photo Shoot for Deep Purple's 'Infinite': Exclusive Behind-the-Scenes Footage http://buff.ly/2mbtyxv

Francesco Gabbani won Festival di Sanremo 2017 with his catchy song “Occidentali’s Karma” (“Westerners’ Karma”) and will represent Italy during Eurovison 2017 song contest. You don't often hear quotes from William Shakespeare and Erich Fromm in the the first two lines of a song: Excerpts from the lyrics: "Internet experts, Honorary members of the selfie-addicted anonymous Cleverness is out of fashion, Easy answers, Pointless dilemmas. Whatever happens, panta rhei And 'Singing in The Rain'." The phrase panta rhei, "everything flows" either was spoken by Heraclitus or survived as a quotation of his. This famous aphorism used to characterize Heraclitus' thought comes from Simplicius, a neoplatonist, and from Plato's Cratylus. The word rhei is the Greek word for "to stream", and is etymologically related to Rhea according to Plato's Cratylus. The philosophy of Heraclitus is summed up in his cryptic utterance: "Ever-newer waters fl...

The Corrs are back with a new album, here is one of the singles: The Corrs - I Do What I Like - recorded at Church Studios: The first single from the album: The Corrs - Bring On The Night - recorded at Church Studios:

From Wikipedia: Charles Krauthammer is an American syndicated columnist, author, political commentator, and non-practicing physician whose weekly column is syndicated to more than 400 publications worldwide. Krauthammer became permanently paralyzed after a diving accident while in his first year studying at Harvard Medical School. After spending 14 months recovering in a hospital, and although wheelchair-bound, he returned to medical school, graduating to become a psychiatrist involved in the creation of the Diagnostic and Statistical Manual of Mental Disorders III, and later developing a career as a Pulitzer prize-winning writer. Fox TV interview: References: Charles Krauthammer - Wikipedia http://buff.ly/2lpQ5Gr

"I heard medicine takes Chuck Norris to feel better", and more in this commercial by UnitedHealthcare (US insurance company): The whole playlist is here: https://www.youtube.com/playlist?list=PL27D67B7541104930

Plan-based Diet and Uprooting the Leading Causes of Death - by Michael Greger, M.D. (video), a lecture and Q&A session at Tompkins County Public Library, Ithaca, NY:

Communication skills needed for patient-centered care include: - eliciting the patient's agenda with open-ended questions, especially early on - not interrupting the patient - engaging in focused active listening Practice this at least in the first 60-seconds, the so-called "golden minute". Understand patient's perspective Understanding the patient's perspective of the illness and expressing empathy are key features of patient-centered communication. Understanding the patient's perspective entails exploring the patient's: - feelings - ideas - concerns - experience regarding the impact of the illness - expectations from the physician Patient-centered communication - basic skills ( click here to enlarge the image ). Empathy Empathy can be expressed by: - naming the feeling - communicating understanding, respect, and support - exploring the patient's illness experience and emotions Before and after a diagnosis Before revealing a new diagnosis, the patien...

From the NEJM: The percentage of U.S. residents with up-to-date screening for colorectal cancer has not increased appreciably since 2010 and remains at approximately 60%. To achieve the highest level of adherence to colorectal cancer screening, it may be best to provide participants a choice, because the “best” strategy is the one that they will adhere to consistently. The NEJM reviews all the options in this table: http://blogs.nejm.org/now/wp-content/uploads/sites/6/2017/01/nejmcp1512286_t2.jpeg Full article is here: Screening for Colorectal Neoplasia - Now@NEJM http://buff.ly/2ikfKA0

The CEO and the Chief Experience Officer explain the rationale behind the physician ratings at Cleveland Clinic: Disclaimer: I am an allergist at Cleveland Clinic Florida.

From Italian : Pedro and Domenico jump, but Oreste thinks about it a bit... and finds another solution. #donkey #problemsolving Related: This little video even made it to Daily Mail: Donkey shows off his brains by using his TEETH to remove a fence http://buff.ly/2iYmpzn

From WSJ: As the tech world reveals the products that will impact the year ahead, Personal Tech columnists Geoffrey A. Fowler and Joanna Stern hunt for the most exciting and unusual, from AR glasses to breast pumps (video is below): http://on.wsj.com/2j9crYt

"A Florida woman is rushed to the emergency room with life-threatening injuries and only minutes to live. Experience her story as the Cleveland Clinic Florida Emergency Department team springs into action to save her": Disclaimer: I work at Cleveland Clinic Florida, but I am not paid for this post.

An engaging story from the NYTimes about runners older than 90, and more. Among the quotes: “99 percent of all claims of being 115 or older are false.” “Old age always wins. It’s shocking. No matter how hard you try, it beats you.” Apart from that, nothing would stop him, not even a colostomy bag: "The oldest competitor would be an Australian legend, John Gilmour, 97, a World War II veteran who was captured by the Japanese and put into forced labor. Malnutrition and the harsh conditions permanently shrouded his vision. Still, he resumed his running career after the war. He knew what a body could withstand. The pain of sport was nothing compared with the pain of capture. In his mid-60s, he could still run a marathon under three hours." Read the full story here: http://www.nytimes.com/2016/11/20/sports/119-year-old-runner-world-masters-championships.html Image source: OpenClipart.org, public domain.

We often receive an email from the Chief of Staff on Wednesdays. The email is meant to unite the physicians at Cleveland Clinic around a common idea/topic/thought for that week. One of the emails mentioned "A virtuous culture built on the seven classical virtues of trust, justice, hope, temperance, wisdom, courage and compassion. These virtues offer us 25 centuries of wisdom about human conduct at its best." As a simple exercise, try thinking about one of those each day of the week , make it the "theme of the day ": Monday - Trust Tuesday - Justice Wednesday - Hope Thursday - Temperance Friday - Wisdom Saturday - Courage Sunday - Compassion These concepts are not new, of course. There have been multiple different variations proposed throughout the centuries. Some examples are references below. If you feel adventurous, don't limit yourself to 7 virtues but consider the 24 Prussian virtues below: https://en.wikipedia.org/wiki/Prussian_virtues https://en.wikipedia....

From WSJ : Bottle-flipping has become a worldwide phenomenon. But some schools are trying to ban the flippers:

From Mayo Clinic: To protect against cervical cancer and other cancers caused by HPV infection, the Centers for Disease Control (CDC) is now recommending that 11- and 12-year-olds receive two doses of HPV vaccine at least six months apart. This is a change from the previously recommended three-dose series. The CDC says adolescents ages 13–14 also can receive the HPV vaccine on the new two-dose schedule. However, those who start the series later will continue to need three doses. Self-administered HPV Test is one of the Top 10 Medical Innovations 2017, selected by the Cleveland Clinic:

Do you know that feeling lonely impacts your ability to build up an immunity after getting the flu vaccine? From the Google Talks lecture series: "Although we have bandages for cuts, chicken soup for colds, and ice packs for bruises, most of us have no idea how to treat day-to-day emotional injuries such as failure, rejection, and loss. But, as Guy Winch, Ph.D., points out, these kinds of emotional injuries often get worse when left untreated and can significantly impact our quality of life. In this fascinating and highly practical book he provides the emotional first aid treatments we have been lacking."

Here is a list of sample exercises from the Costco magazine, which means chair yoga is hitting the mainstream: http://www.costcoconnection.com/connection/201606?pg=44#pg44 Chair yoga is a gentle form of yoga that is practiced sitting on a chair, or standing using a chair for support. The poses, called Asanas, are often adaptations of standard Hatha yoga poses. Chair yoga is especially suitable for busy people stuck at their desks at work, or those unable to participate in a traditional yoga class due to the effects of aging or disabilities. Chair Yoga is one of the gentlest forms of yoga available. Complicated maneuvers and complex movements are typically not included. Related reading: Chair Yoga - Wikipedia, the free encyclopedia http://buff.ly/2bXErdD

Leonard Haze was a great drummer. He passed away in his sleep last weekend at age 61. I saw him on tour with Ian Gillan in 1992 and the whole band was amazing. He had this humongous Ludwig drum kit and was a powerful drummer. Lenny Haze recorded the Toolbox album with Gillan, one of the songs from the album, Don't hold me back, is linked below: Considering the recent deaths of many rock and roll greats, this Facebook post by Lenny from January seems very relevant: Leonard Haze, thinking about a lot of things . January 2: "That's enough. Why is it so hard to get old ? You loose friends as you go. With Bill F rates today that's for me since Christmas a total of 4 people I know passing away. Christmas eve my step daughter Danielle Galvin ' s Aunt & best friend at 36. From something she didn't know about. Lemmy two days after Christmas something he just discovered. Bill Frates today. I heard he was very I'll but still. You add on Mark Weaver & I am sorr...

Angus Young from AC/DC in Rolling Stone : "Malcolm was always one to battle through. He would look at me in times of crisis and go, "We'll just go in and do some work. We'll sit and write some songs." He had that drive, and I feel obligated to keep it going, maybe because I was there in the beginning with him. When you sign on and say, "I'm gonna do this and that," it's always good to say at the end of it, "I've done all I said I would do." That was always the idea, especially when we were younger – me, Malcolm, Bon. You had to show up and be on time." It's a long way to the top if you wanna rock 'n' roll, AC/DC: Read more here: AC/DC's Angus Young Talks Retirement, Malcolm Young Health Update http://buff.ly/2ctJepx