Healthcare change across the globe is being driven by a need to curb the exponential cost increases within the industry. A heightened awareness of human factors research and the potential for evidence-based practice has gained much attention as a source of potential improvement. A new focus on quality and outcomes is driving the market in most countries. An example is the reduced payment for services and notable government influence through “value-based purchasing” causing dramatic changes in the U.S. healthcare delivery systems. Defining, capturing, and reporting clinical outcomes are a challenge for most organizations. Transitioning clinical data into electronic capture for accurate retrospective analysis is becoming a requirement and holds great promise for future clinical improvements. Decision-making in healthcare is becoming open for debate, as consumers, payers, and regulatory authorities all vie for control and influence. Prospects to redefine health care delivery processes and change the way people think about, access, and receive health services vary internationally. But opportunities are there for those who are prepared and understand healthcare financing, incentives for change, power, and influence.
Oxidative stress means a state there is imbalance between the oxidizing action and the reducing action due to reactive oxygen species (ROS) in a living body, resulting in the oxidizing action becoming dominant. Oxidative stress arises as the balance between production and removal is disrupted through excessive production of ROS and impairment of the antioxidant system. Oxidative stress has been reported to be involved in the onset and progress of various diseases. Characteristics of Type 2 diabetes are insulin secretion failure and insulin resistance, but it seems that oxidative stress is greatly involved in insulin secretion failure. In the insulin secretioninducing β cells of Langerhans islets in the pancreas, the amount of superoxide dismutase (SOD), which is representative of the ROS elimination system, is small and resistance to oxidative stress is considered to be weak. Regarding cancer, it is well known that chronic inflammatory conditions increase the risk of carcinogenesis. Cells such as neutrophils and macrophages are activated in the inflammation area leading to increase in production of active oxygen and nitric oxide. These free radicals cause DNA mutation and cell proliferation thereby promoting cancer development. When chronic inflammation is present, cancer develops more easily. Electronic water, which was developed to generate electron in water, was consumed for three weeks, after meals, between meals and before sleeping 6 times a day, and according to the test subjects’ possible time periods. The amount of drinking water was 750-1000 mL, and BAP and d-ROMs checks for all cases were carried out at 4:30 pm. The results of cancer patients and diabetes patients were seen as attached. As a result, the d-ROMs value in the degree of oxidative stress has reduced, and the BAP value, which is an indicator of plasma antioxidant capacity, has improved significantly.
Jean-Christophe Klein has graduated from ESSEC Business School in Paris and FH Dortmund in Germany. He has previous experiences in several countries in the healthcare sector as a strategy consultant and then investment banker, before co-founding libheros in December 2015 with Florence Herry, former nurse at hospitals and patients’ home, with the main objective to facilitate patients and healthcare professionals day-to-day life. He created libheros because he saw the lack of organization for medical homecares, when his mother needed unfortunately few years ago to organize nursing cares for his grand-father suffering from a lung cancer.
This figure is the part of hospitals emergencies in France (i.e. 3 million people every year) that are due to the fact that patients could not organized their medical homecares, mainly nurses homecares, generally after a hospitalization. Why because there is a real lack of visibility and information regarding who and how a patient could contact a medical homecare professional, such as nurses, to organize its homecares and return at home. In the current shift of the healthcare sector from a hospital centric system to a scheme organized around patients’ home, by reducing average duration of stay at hospitals, increasing ambulatory surgeries, the demand for specific nursing homecares will drastically increase in the future. At libheros, founded by Florence Herry, former nurse, we develop specific and dedicated online solutions for patients, nurses (libheros pro) and hospitals (libheros coordination) to improve the organization and coordination of medical homecares, with a strong objective to value nurses’ important role in the healthcare system. We will start by presenting what are the feedback from patients, nurses and hospitals professionals regarding today issue, based on the numerous interviews we conducted and then explain how, with innovative online solutions we deliver strong benefit to them and facilitate their respective day-to-day life, as well as improving the national healthcare system.
Obesity is a hazard mark associated with insulin resistance (IR). This study aimed to detect which risk factors might provide the greatest predictive value for IR in obese adolescents aged thirteen to seventeen years. One hundred obese adolescents with IR and matched age and sex 100 obese healthy controls without IR were included. Anthropometry, serum lipids and metabolic biomarkers were measured. Homeostasis model assessment of insulin resistance (HOMA-IR) was used to determine insulin resistance. Significant increase in serum lipids and metabolic parameters in obese cases with IR compared to those without. Positive correlations were observed between obesity measurements and metabolic risk markers, including increase of waist to hip ratio (WHR), sum of skin folds, blood pressure, insulin, HOMA-IR, TC, TG and LDL-C levels and decrease of HDL-C in IR adolescents. WHR showed the highest correlations with biochemical markers in IR cases. WHR was able to predict IR with area under the curve = 0.82 and TG-to-HDL-C ratio with area under the curve = 0.87. WHR and lipid/lipoprotein fractions are significantly associated with IR in obese adolescents and might be used for the prediction of IR and for cases at high risk for early intervention.
A right is something that is guaranteed and protected by a higher authority, such as a government, whereas a privilege is a special advantage or benefit that is granted to a person, a group, or to a category of people. A privilege, therefore, is granted to some and denied to others. The right to health care, or as some would say, the right to health, is a basic human right, as codified by international human rights law by the World Health Organization (1946), the Universal Declaration of Human Rights (1948), and the World Conference on Human Rights (1993). This presentation will compare the opinions of experts in the field of health care as to whether it is a right or a privilege in the United States. Most Americans access health care through their employers; for those people health care is a right. However, since 2005 most new jobs added to the economy have been classified as part-time, temporary, or seasons, which mean that they don’t provide access to health care for employees. While the majority of Americans claim to be in favour of universal health care, the United States doesn’t have it; 44 million Americans have no health insurance and 38 million Americans are underinsured. This presentation will examine some of the arguments surrounding the controversial subject of universal health care in an attempt to understand why we don’t have it. The history of connecting access to health care through employment will also be discussed.
Nikki Martyn is the program head of Early Childhood Studies at the University of Guelph Humber, Canada.
Bianca Phillips is advocating for a future where telemedicine allows for access to healthcare no matter where you live, where the mainstream use of wearable allows us to predict the onset of disease before it happens, and where clinical outcomes are improved because of uses of precision and personalized medicine. She believes that the digital health future should balance the needs of both patients and healthcare providers by placing human rights, evidence-based clinical benefits, risk and harm reduction at the center of digital health law-making, prior to matters of a business case being established. She aims to be a prominent voice for a digital health school of thought founded on these principles. She has established a network for digital health thought leaders, and all are welcome to join for updates, to express an interest in joining the team, or to list your initiatives on the website - www.e-healthconsultants.com.