Medicinal Marijuana in Conjunction with Digital Health :The Future of Public Health Interventions with the Elderly .

Our population is aging . Approximately 75 million Americans will be over the age of 65 by the year 2030 (Everette,2020) .Additionally a 2012 study performed by the Institute of Medicine IOM found that approximately one in five older adults experience mental health illness ;that ratio should it still exist by the year 2030 would equate to 15 million people . This ratio raises several questions for the future of Gerontology and Public Health , The first question that arises is ? What mental health interventions are most efficient in addressing this population , the next question is ? will digital health be an adequate intervention to meet the challenges of our impending future. Digital health is one of the fastest growing segments of the health care industry . There is an incredible demand for more convenient and integrated ways to treat the elder population . Tom Mihalievia :president of Clevland Clinic who is actively deploying a tele health platform to provide  broad access to high activity care services across a rang of medical specialties is on the right track ;and in congruence with President Trump  Administration to provide services to rural areas that would other wise suffer from deficiencies in care and disparities in health care services (Donavan,2020). Another fast approaching demand in Gerontological care is Medicinal Marijuana approved in 20 states and the district of Columbia Medicinal Marijuana is used widely by persons with cronic conditions ,,although there has been little research in the benefits of medicinal marijuana (Harvard Health , 20202) medicinal marijuana in conjunction with digital health can prove to be a combination therapy to address such conditions as Depression ,Cronic substance abuse ,and Anxiety Disorder or GAS . On December 6th 2019 the Trump Administration implemented the Telehealth Resource Center Network to Rural regions of the US ( RUS)  Rural Utilities Services applies Broad Band Services to increase economic development and Medical care is not the exception to this latest public health intervention : infact rural regions are often plagued with discrepancies in care ;particularly continuity of care because of transportation issues  . These interventions are in conjunction with modern technology , cost effectiveness in health care ,and are also in congruence  with HIPPA rules , because they comply with privacy in care ;especially if the client does not wish to disclose his or her condition because of fear of stigmatization .These interventions are very promising within a long term basis they decrease health care expenditures, and at the same time address transportation issues to reduce (No Shows) because of Climate Change , Natural Disasters and Poor Transportation availability at a clinical level. In addition Digital health can assists  person lets say with Paranoid Schizophrenia, Personality Disorder or Bipolarism  who can not leave the home because of feelings of ailment or inadequacy Digital Health serves as a mechanism of outreach to care . In closing Medicinal Marijuana has been proven to reduce secondary effects from Cronic Disease ,Chemotherapy , Suicide and can also serve its therapeutic effect in reducing damages from Mental illness such as changes in brain matter from long standing mental illness . .

References

 retrieved from http;//www.health.harrvard .edu /staying healthy/medical -marijuana-know-the -facts Harvard Health Publishing

HRSA(2020) Rural Utilities Services . RUS Rural Utilities Services USA

Nature (2020) Dile Adios a la Depresion Con Cannabis Medicinal . Nature Magazine Puerto Rico

Donavan ,F(2020) Digital Health USA

Everette,F (2020)   Digital Health Institute of Medicine IOM ,

Ecopsychology Vs Environmental Mimicry : Define wellbeing ?

Ecology studies the  relationship between human beings and natural environmental through both ecological and psychological principles ( Eco psychology .info.com 2020). Eco psychology  applies ecological and psychological theories and research methodology to study the relationship between people and the natural world : The focus being on well being attainment . Eco psychology seeks to develop and understand ways of expanding the emotional connection between individuals and the natural environment ;there by assisting individuals  with developing sustainable lifestyles and premeditating alienation from nature itself . Eco psychology has its social and mental health foundation through positive psychology .and is experiencing rapid growth . For those who have never heard of positive psychology , its concepts stem from fostering in ones life a positive human functioning through scientific understanding that positive is more productive than despair  and ;that this attitude builds thriving individuals ,families and communities( ICE 2020)  Can eco psychology foster personalized medicine ? .Perhaps through environmental mimicry. Environmental mimicry  is a distinct branch of holistic interventions which may be primary ,secondary or Tertiary in nature . A good example of environmental mimicry is what I coined as ceasing the teachable moment ,This intervention was produced during the last decade .Its official term today is a "Nudge " .Let me explain the science behind Environmental mimicry . a Nudge is a gentle in obtrusive way of pushing people inthe right direction ;but this nudge must be performed by  individuals who hold expertise in Eco psychology or Ecology .It is the same as ceasing the teachable moment (www.WUR.nl 2020) This mechanism's of great importance to public health because it may assist in teaching climate change adaptation and particularly in Health prevention and promotion  . It is important to note that well being usually includes excellent financial acumen and a healthy lifestyle ;can eco psychology and or environmental mimicry assist in well being attainment ? Perhaps. 


References

Retrieved from http: www.WUR.nl/en/show/mimicry-and-environmental-behaivior

Retreived from http:www.ecopsychology,info .com

988 What it means for Suicide Prevention : A Public Health Intervention .

     Federal Communication Commission Ajit Pai has proposed rule making to establish a new nation wide three digit phone number for a Suicide Prevention and Mental Health Hotline (FCC,2019) . The suicide rate in the United States is at its highest level since World War II , and designated 988 as the suicide prevention and mental health hotline . The problem that lead to this change is in the number which existed and were not a good fit for the setting nor the scenario in which suicide attempts usually play out .

      The telephone number used by persons in crisis was 1800-273-TALK or 1800-273-8255 , first we can notice that the number is to long , next we can appraise that the number is difficult to remember , and it is also time consuming . In addition to this where is the telephone number for Def Mute persons? or should we in public health assume that the def mute do not commit suicide ? . More than 20 Veterans commit suicide every day , between the year 2008 and 2016 there were more than 6,000 veterans who committed suicide (FCC,2019). "' According to the CDC : LGBTQ youth contemplate suicide at a rate almost three times higher than heterosexual youth and more than 500,000 LGBTQ youth will attempt suicide this year"".   Recognizing the need to ease access to potentially life saving resource congress tasked the FCC with analyzing the effectiveness of the current National Suicide Prevention Lifeline.

      This takes priority when evaluating the rate of suicide among the elderly population . Our population is aging approximately 75 million Americans will be over the age of 65 by the year 2030 . Additionally a 2012 study from the Institute of Medicine found that approximately one in five alder adults experience a mental health illness , substance use disorder or both . If this ratio still exists by the year 2030 it will accrue to be approximately 15 million people .
As it stands this year there were approximately 19% of the aging population between the ages of 55-65 who committed suicide and,  20 % over the age of 85.  988 when dialed connects aswell to the police department and the fire department in a collaborative effort to mitigate suicide attempts and suicide prevention .


References

FCC(2019) Report on the National Suicide Hotline Improvement Act of 2018 .Federal Communication Commission USA

Retrieved from http://www.docs.fcc.gov/public/attachment/DOC-359095.pdf

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