Continuation of the Secretary of HHS Health and Human Resources Department Alex Azar Initiatives for 2030

In the 15th Meeting of the Secretary's Advisory Committee on National Health Promotion and Disease Prevention  Objectives for 2030 key points were made with regards to  the United States  dealing with an increased number of opioid related deaths and other problems associated with opioid addiction , addressing the problems will require a thorough understanding of drugs and non drug treatment (ahrq .gov 2019). Toward that proposal,  available  research and treatment options are  needed to create new public health activities that will enable the application of primary prevention mechanisms and analysis in primary care utilizing  genetic assessment tools .  Last week we discussed section 1701 of the public health act , in this discussion we provided an over view of Title XV11  where systemic process in exploration , development , demonstration and evaluation of said Tribal , State and Local implementations in public health (ODPHP 2019).
 Secretary Alex Azar National Health Promotion were recommended the inclusion of AI  Artificial Intelligence in health settings  and in Machine Learning ; an example of this were presented with the use of Radiology Tools were AI had been implemented to create better sensitivity and diagnostics (Catazano & Lin ,2019) . Another suggestion for tools implementation  is through (SCGE) or Somatic Cell Genome Editing and Bioinformatics Mutogenesis and Genomics Society for Synergistic Interactions for a better world .
 Author Kevin  Rodd published a report on Climate Change and Global Development and US  China Trade ; why is this important for inclusion within the 2030 Public Health Implementations  because possessing excellent financial acumen is part of having well being rather than just health ( Rodd , K 2019) .Providing US Citizens with excellent Trade deals is a vehicle to health attainment .  Key points made within this report were (1) Consumer sentiment (2) Renewable Energy (3) Private Investment Funds , and Stakeholder Activism . Curiously enough Rodd mentions SDG Framework in his report this are consistent with 2030 initiatives for Unicef and WHO or World Health Organization . Epigenetics and CRISP are a great start for Genetic implementation within 2030. 

References

Rodd , k (2019) Report on Climate Change and Global Development and US China Trade . Retrieved from http:www.imf.org/external/pubs/ft/fandd/2019/10/kevin -rudd-climate0change-development-and -trade.htm?utm_medium

NIH (2019) Somatic Cell Genome Editing (SCGE) National Institute of Health .Retrieved from http://www.commonfund.nih.gov/editing 

Catazano, T.M & Lin , E.C (2019) Primary Tuberculosis Imaging . Retrieved from http://www.emedicine.medscape.comarticle/358610-overview

Secretary Advisory Committee Initiatives for 2030: Wheres the Beef ?

Objectives and Scope for activities under 42 U.S.C  300 u ; secretary of health and human services has which authorizes supportive programs and appropriations of said activities in the following domains in public health (1) health education (2) application of health knowledge and the  increasing of health patterns in activities of daily living . But wheres the Beef?.  For the exploration ,development ,demonstration and evaluation of innovative health promotion concepts under title XVII Section 1701 of public health service act we first need too understand that rather then viewing these particular areas as concepts we can already scale up these areas of desired undertaking to due diligence (Healthy People 2030) One area in particular where new concepts can be readily applied are in AI  and Nuclear Medicine . In the article entitled " Rising to the Challenge of Artificial Intelligence in Healthcare " written by  authors Catazano & Lin they carefully illustrate the correct application  of AI to health care settings; and disciplines .  In harnessing the potencial  of artificial intelligence and applying these concepts to radiology we can improve Computer Vision to harness  algorithms which are among the most difficult concepts that human analysis can grasp only because these observance of said phenomena and tractable patterns must be keenly observed for long periods of time to then be desifferd and applied to algorithm .  These algorithms  when created must then be reviewed by the scientific community , validated applied to health care settings and patented. As one who has created algorithms in environmental health and in neurological processes I can say that the work involved is  tedious , time consuming and the scientist must be extremely dedicated to the task which can takes up to a year to complete . The promise of AI applied to radiology yields the following benefits to public health  fine detail in diagnostics , machine learning , and image analysis . The processes can aid in mitigating issue in diagnostics related to false positives and or false negative results in radiológic image  such as occurs with BKP or Bronchial-pneumonia and Tuberculosis ( Catazano & LIn ,2019). Analysis of these radio graphic images can be time consuming and tedious particularly for a physician in an emergency department with a heavy case load or in surge capacity . Objectives and Scope for activities under 42 U.S.C 300u seretary of health and human service was further undertaken by Healthy People and ODPHP during data subcommittee initiatives where the subcommittee in coordination with USALEEP  , Food Net , Public Alliance commissioned further determination of 2030 initiatives in accountability , surveillance and decision making by credible sources to strengthen data partnership infrastructure to meet challenges in the items above mentioned. Examples of scale up applications in AI were here described in  Ophthalmology and Radiology  .

References
Catazano , T.M  & Lin ,E.C (2019)  Rising to the Challenges of Artificial Intelligence in Healthcare .

Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives  for 2030 .Healthy People 2030

Cinema Therapy Prescriptives Understanding Public Health Modalities .

Positive psychology is a recent branch of psychology that studies the strengths and virtues that enable individuals and communities to thrive (Brigit,W 2019) . Cinematherapy is an interactive therapeutic modality that uses clients experiences with movies ( as prescribed ) for the therapeutic process . This approach lends itself very well to be combined with and integrated into positive psychology. Films draw clients into the viewing experience because they portray the subtleties  of the human mind as well as the many dimensions of the human spirit . Because the characters frequently model the development of desired virtues and strengths diagnosed by the therapist as needed by the client to build capacity ; among some of these strengths are 1) Wisdom and Knowledge 2) Open Mindness 3) Persistence 4) Courage 5) Humanity 6) Justice and Forgiveness  .

Mode and Artistry
In order to understand the modality of the therapeutic process one must comprehend the artistry of the actor . Like carpentry acting is a craft with a definite skill set and tools that allow the actor to cause the desired effect . Because acting is a  an action in  time  and a physical process  the action causes an elixer type of an affect upon the patient . It can also have the ability of causing insight into psychological stress. (Bruder, 2018). An action performed by an actor must be specific,must have a cap ,be fun to perform , must not be manipulated by the actor  and must be in  accordance with the playwrights wishes .

Prescriptive in psychological treatment using Cinema therapy
The prescribe analyzes the scenes necessary to provoke the desired affect upon the patient seeking treatment .This aspect of Cinema therapy is important in the final outcome of treatment in molding psychosocial behavior .These modalities can be prescribed in individual patients , couple therapy , adolescent therapy or even in community settings . Cinema therapeutics is definitely a great adjunct to psychotherapy and a unique approach in public health and Behavioral Science /


References

Brigit , W(2019) Positive Psychology &  The Movies . Transnational Effect of Movies through Positive Cinema Therapy.

Bruder, M ; Cohen, M ; Pollack , W & Zigler, S(2019) A Practical Handbook for the Actor Random House New York .

Pesticides in Food Production ; Bio security and Quality

Food is a universal human need , and people hope and expect that the food they consume will not hurt them.  From coast to coast Americans enjoy access to an array of meats and other animal products ,grains ,and thousands of frozen and packaged goods ( Sherrow, 2019) .Pesticide use  has long been a topic of debate across many agricultural spectrum . Except as provided by the sub chapter 11 contained in the Environmental Pesticide Control Section 13 ab no person in any state may distribute or sell to any person that is not registered under this sub chapter .

Drifting Pesticides     
Scientists have documented the effects of specific pesticides including three toxic organo chlorins ,DDT, and Heptachlorines . Introduced in the 1940's all three were applied to fruit, vegetables and Tobacco crops ( Food Safety ,2019) . Chlordane was used in lawn care and both Chlordane and Heptachlordane were used against termites . These products can enter the body by air and skin and then accumulate in fatty tissue and organs . They have been linked to liver disease and cancers ;including brain tumors . All three were banned -DDT in 1972 ,Chloridane and Heptachlore  in 1987  but they are not biodegradable .

Today there are safer pesticides and as we have evaluated in the past ( Public Health Professionals ) Pesticide use is still a topic of much debate were specific populations are concerned and were crops are concerned .

Principles In use of Pesticides.  

1- Conduct a hazard analysis : plants determine the food safety hazards , identify the preventative measures the plant can apply to control these hazards., identify  the preventative measures the plant can apply to control these hazards .
criticle
2- Identify critical control points . A  control-point (ICCP)  is a point step on procedure in a food process at which controls can be prevented ,eliminated or reduced to an acceptable level. A food safety hazard is any biological , chemical , or physical property that may cause a food to be unsafe for human consumption.

3- These are actions to be taken where monitoring indicates a deviation from an established criticle  point . The final rule requires a plants  (HACCP) plan to identify the corrective actions to be taken if a critter limit is not met. Corrective action action are intended to ensure that no product injurious health.

References

Sherrow, V (2008) Food Safety. Point Counter Point . Chelsea House Publishing USA

Public Health Waste Management : Levels of Treatment of Wastes Material

     Wast management Technology consists of various methods to ascertain healthy environment . Wast material come in various forms and may have different toxic and physical symptoms that often may not be perceived by persons exposed . Among some of the different types of wastes are 1- Solid Wastes , 2- Garbage , 3-Rubbish , 4-and Sludge , Solid Wastes are unwanted or discarded material with insufficient liquid content to be free flowing . The term refuse is synonymous  with solid wastes. Garbage is residual or commercial food wastes , and rubbish are residual and commercial solid wastes exclusive of garbage term trash is synonymous with rubbish (Rhyner et al,  1995) . Sludge is the solid semisolid , or liquid wastes generated from a municipal industrial water way treatment plant or air pollution control facility  excluding the treated efficient .

Biological Treatment of Wastes Solid  

     The common biological treatment   processes are composting anaero bio decomposition ( also called ) anaerobic digestion ; and     fermentation , of these composting are the most developed . Some examples of organic wastes that are anaerobic meaning lacking of air or grounded wastes are organic wastes that are anaerobic to biological processing include Sewage , Sludge and Organic material that are amenable to biological processing. An example of organic wastes are Agricultural material that when processed become compote. All wastes eventually become principle solid wastes when treated .
The Leachate .   

     Leachate is liquid from rain fall and the natural decomposition of waste that is filtered through the landfill to a Leachate Collection System . The Leachate job is to direct the leachate to collect somps so it can be removed from the landfill. The Leachate Collection System is designed with a minimum 2% Slope to Drain to collection somps . A Leachate  collection somps consists of an HDPE riser and submersible pump. Leachate drains to the leachate      collection system where  it is transferred to a central collection pump and piped to an onsite holding pond. If necessary the leachate is transferred to an offsite wastewater treatment plant for disposal.

Composting solid wastes and leachate treatment are principle mechanism used in public health saffety and population security . Deeper treatment of wastes can be observed through the Defence Clean Up Program whose Methods to secure environmental quality and safety .Some of these methods include Decontamination and Demolition or  D & D ..

References

Rhyner,C.R;Schwartz,L.J ;Wenger,R.B & Kobrel,H.G (1995) Wastes Management and Resource Recovery . 

Retrieved from http://www.austincommunitylandfill.wn.com environmental -protection/index.jsp

Traditional Chinese Medicine : Bitter Orange as an Alternative in the Treatment of Mood Disorders .

Traditional Chinese  Medicine or TCM is an ancient science although it became known in the west during the 1930's .TCM is more than four thousand years old according to relics, and historical documents acupuncture is also utilized as an accompaniment to TCM   . Traditional Chinese  Medicine dates back to the Neolithia period as well  as the oldest writing on TCM which dates back to the eleventh century BC  (Luengo , L.T & Ariso , C.M   2005).  Since the 1970;s the World Health Organization began to pay attention  to and   cmhc,s success in solving there health problems so that in the 1970' s it created the promotion and development  on traditional medicine programs . Today as TCM is becoming better known in the west scientists and doctors from Chinese hospitals and Universities conduct rigorous scientific studies on the efficiency and safety of different scientific studies on the efficiency treatment and safety of different therapeutic   (Herbal) medicine .


Bitter Orange for Mood 

There are many types of citrus from Bitter Orange to Mandarin Oranges as well as Valencia Oranges  and Tangerines . Bitter Orange is an effective Citrus fruit that is very much used for medicinal purposes in many regions of the world . Bitter orange is used to serve as a holistic treatment option in Liver Cirrhosis to treat Jaundice . Bitter Orange is also used to treat mood disorders  such as stress disorder , anxiety and depression .


References

Luengo, T.M & Ariso, C.M (2015) Medicinal Plants at Home : More than 100 Easy Practical , and Efficient Natural Remedies .

Antidotes par Levels in Hospital Pharmacy : An E.R Nurse Experience with Spider Bites.

Identifying a spider bite is easier if you can identify the spider , this how ever may go unnoticed by the victim of a spiders bite . More than 40,000 species of spiders have been identified in the world .Spiders bite is a common problem among people ,however few of them are harmful but delay in treatment can cause death since the spider bites are risk full to humans they should be taken seriously (Rahmani,  et al 2014) . Non venomous spiders include the Brown Recluse ,while venomous spiders include  the Northern Widow spider ,the Southern Widow spider, the Tarantula , and the the Brown Widow spider . There are two other Recluse spiders that are not venomous these include the Mediterranean Recluse and the  Chilean Recluse .

 The majority of the 3,000 spiders in the United States aren't poisonous even if they manage to bite there fangs are two weak to penetrate the skin . The symptoms of a spiders bite include (1) itchy skin (2) redness (3)  swelling ,and (4) Skin damage ,as well as a rash in the affected area .Other possible symptoms include pain ,muscle aches ,vesicles , and nausea . Complications from  a spiders bite include chills , anxiety, High blood pressure, necrosis, gangrene , amputation of the affected area and cellulitis or systemic blood infection or sepsis.

 Treatment for a spiders bite are as follows : elevating the affected area , doses of antihistamine or benedryl , antibiotic ointment and  ice pack   It is also noteworthy to state that most bites stem from a persons inadvertently putting on a pair of shoes were a spider might be present . There for it is wise to check shoes before placing them on the feet . Antidote par levels should always be maintained within the hospital setting  and public health poison control agencies may periodically perform public health awareness through media ,chats and patient education . Spiders make excellent companions and are loved by children and adults ,they spin beautiful webs  and contribute to environmental stability .


References

Rahman, F ; Mahdi, Khojasteh,S ; Bakhtavar, M.E ; Rahmani, F ; Nia,K.S ; & Faridaalaee, G (2014) Poisonous Spiders ; Bites , Symptoms, and Treatment , An Educational Review . Emergency 2(2) pg 54-58

Retrieved from http://wwwncbi.nlm.nih.gov/pmc/articles/PMC4614586