American Health Care Trends

The latest AMA Executive Summary “Health in the United States: Health Care Trends” carries both a little hope and a number of gloom.

Population Trends

By 2050 the segment of the population over sixty five will double from these days to eighty three.7 million. This manner that the superiority of chronic illness will upward thrust dramatically. Since 1990, smoking has reduced from 29.5% to 18.1% of the adult population. Probably as a end result, stroke has declined 34%, coronary heart ailment 27%, and most cancers 17%. This sounds good but…

Fat and Sluggish

Since 1990, the obesity rate in adults (defined as BMI over 30) has multiplied from 12% to 29.6%. During the equal time diabetes expanded from four.4% to 10% of all adults. Not vintage adults, all adults. The CDC predicts that by using 2050, thirty percentage of adults may have diabetes. As a result, weight problems is now the leading cause of heart assaults. Physical state of being inactive is a first-rate motive. Only 21% of adults get the USA Department of Health and Human Services advocated one hundred fifty minutes of workout weekly. My remark is that most get no exercising. Many employers now offer wellness applications that provide economic rewards for wholesome behaviors. This could be a big step within the proper course. Of route, punitive movements denying medical health insurance to the morbidly obese or out of control diabetics may also be coming, specifically if the federal authorities leaves the medical insurance enterprise to private agencies.

Is There a Doctor in the Zip Code?

The AMA reports that primary care medical doctors are remaining their practices and both retiring early or transferring to non-clinical regions like coverage, quality management, the pharmaceutical industry or even scientific informatics. Since the demand for health offerings will growth dramatically, an increasing percentage of number one care will be furnished by using PAs and Nurse Practitioners. I anticipate they’ll have increasing independence. This is not always a awful thing, lots of these caregivers are remarkable and provide compassionate and complete care. A possible byproduct of this trend can be an growth in call for for referrals and subspecialty care, inclusive of sending diabetics to endocrinologists and COPD sufferers to lung experts.

Take Responsibility or Someone Else Will

A dystopian future looms wherein the price of medical care is more than our sources can manipulate. In this alternatively terrifying state of affairs, a person will must be denied offerings, possibly both the powerless or folks that refuse to adopt obligatory fitness pointers. It hasn’t come to that but. We nonetheless have time to make advocated changes in weight-reduction plan and activity. Remember, who ought to have expected anyone would prevent smoking?

How Dangerous Is Sugar And Hcfs

Sugar is consumed by most Americans to the tune of 130lbs a year. That actually breaks down to more than a third of a pound per person per day, a staggering number to say the least. This is one of the reasons that I believe our health continues to decline despite advancements in the medical science.

I am not alone in my presumption. There are scientific facts and studies that actually back up this hypothesis. Dr. Lustig M.D., a pediatric endocrinologist at The University of California, San Francisco, is one of the health professionals leading the charge to educate the American public on the dangers of sugar consumption.

When Dr. Sanjay Gupta interviewed Dr. Lustig last year in a “60 Minutes Interview” concerning this matter, Dr. Gupta asked of him “What are all these various diseases that you say are linked to sugar?” Dr. Lustig replied “Obesity, Type2 Diabetes, Hypertension and Heart Disease itself, … and 75% of it is preventable”.

We often consume more sugar than we are aware of, because it is often hidden in many processed foods we eat every day like bread, sauces, cereals, salad dressings, yogurts and many others. (Just read the ingredients label of the foods you buy to confirm.)

Dr. Gupta then asked Dr. Lustig about High Fructose Corn Syrup (HFCS). “Is it worse than table sugar?” to which Dr. Lustig replied “No, because it’s the exact same … the problem is, they are both bad.”

I totally agree with Dr. Lustig in the presumption that they are both bad, but I disagree that they are equal. In a 2010 Study by Princeton University, two groups of Lab Rats were given sweetened water. One group was given water sweetened with sugar and the other group was given water sweetened with HFCS. Researchers noted that the rats given the HFCS sweetened water gained a lot more weight than the rats that were given water sweetened with sugar despite the fact that the calories were kept equal for both groups.

The Princeton researchers further noted “In addition to causing significant weight gain in lab animals, long-term consumption of HFCS also led to abnormal increases in body fat, especially in the abdomen, and a rise in circulating triglycerides”.

Nutritional biologist, Kimber Stanhope, is now finding evidence that backs up these theories. She is doing a five year study which is linking excess HFCS consumption to an increase in risk factors for Heart Disease which implies that calories from HFCS are different than calories obtained from other foods. The study found that consumption of HFCS led to increased levels of LDL Cholesterol (aka bad cholesterol) and other factors for cardiovascular disease.

Most Nutritionists will have us believe that a calorie is a calorie despite the form in which it is consumed, but the outcome of these studies proves that this is clearly not the case.

What about cancer? Does excess sugar increase your chances for getting cancer? Louis Cantley, a Harvard Professor and the head of The Beth-Israel Cancer Center is researching the association between the two, and he has found that you absolutely limit your chances of getting cancer if you limit your sugar and HFCS intake.

In Conclusion, what are the best ways to limit sugar and HCFS, given added sugar is so prevalent in so many of the foods we eat every day.

1) Limit sugar as much as possible. (Dr. Lustig’s recommended amount of sugar for an entire day is less than what is in one soda.)

2) Avoid processed foods. Many foods have a lot of added sugar and HFCS. Choose instead whole foods in their natural state.

3) Avoid Soda’s. (Diet Sodas with artificial sweeteners may actually be worse for you) Choose unsweetened teas instead and if you have to sweeten it, sweeten it with Stevia or Honey.

4) Avoid Fruit Juices. (Yes this includes Orange Juice) Fruit juices have natural sugars which your body needs, but the fiber which helps to slow absorption has been stripped in juices. Fruit is a great source of something sweet if the whole fruit is consumed. When you drink straight Orange Juice, you may drink the juice of 5 Oranges with none to very little of the fiber. You wouldn’t usually consume that many Oranges if you were eating the whole fruit.

5) Always Read the Ingredients of any foods you purchase and not just the Nutrition Label. If it has added HFCS it will state it in the ingredients. (Also sometimes listed as Corn Syrup) The ingredients are also listed in descending order. In other words if Sugar or HFCS is among the first few ingredients, it means that product is loaded with it.

The Present and Future of Radiotherapy

The radiotherapy market is growing due to several factors, including an increase inside the wide variety of latest cancer cases and technological advancement within the hardware and software program used in radiotherapy. The current global markets are underequipped to cope with new instances of cancer. In low- and middle-income nations, simplest 10% of the populace has access to radiotherapy. Therefore, there exists a huge gap among the demand and the mounted base of gadget, which offers a huge opportunity for the agencies to develop inside the radiotherapy marketplace. Expansion of the radiotherapy market can be both lifesaving and profitable.

Effective making plans for the treatment

It is necessary, and non-stop technological developments are taking location to limit the exposure to radiation of healthy tissue, with the intention to avoid any side impact. This aim is a using force of R&D for radiotherapy. Software performs an increasingly full-size position in most cancers care. Population growth and increased lifestyles expectancy are including to the incidences of cancer. The software & offerings segment includes software program, that’s used for remedy planning, analysis, and services, that are wanted for the protection and efficient use of radiotherapy gadgets. The software program & offerings segment of the agencies are anticipated to grow, as software merchandise assist improve doctor engagement and scientific information-sharing, patient care control, and the management of most cancers clinics, radiotherapy facilities, and oncology practices for higher overall performance. Companies like Varian are constantly increasing their software portfolio. Software performs an increasingly sizable function in cancer care. At the same time, healthcare structures are concern to harsh budgetary constraints in almost each united states of america. As a end result, healthcare vendors face the assignment of accomplishing greater whilst the use of fewer sources. To obtain this intention, hospitals have a sturdy need for software program structures that make radiotherapy treatment cost-powerful. The improvement of effective software program will improve the shipping of superior radiotherapy in the destiny.

Introduction of new generation
Technology is another salient function. Radiation remedy remains a giant modality for most cancers treatment, that’s the number one using component for the designing of latest strategies to improve the survival price of cancer patients. New technology, like proton beam remedy, are available in advanced nations just like the United States, Germany, and United Kingdom, due to properly-installed compensation rules. Proton therapy can be used on tissues that are especially touchy, like brain, spine, and eye tumors. It is greater accurate, as compared to other X-ray radiation cures.

Advancement in the generation is likewise supporting to execute the making plans of the radiation therapy.

Technological advancement in current technology, inclusive of CT imaging, is making imaging extra correct and steady. This can supply a better representation of a tumor and assist in higher making plans. Already-existing era, such as IMRT, SBRT, IGRT, conformal 3D, VMAT, and others which might be used for radiation therapy remedy is present process various improvements. For instance, Varian is developing a software program, which may be used to expand better making plans tools, wherein statistical fashions can be used to calculate the quality of an IMRT remedy for a affected person. This is expected to boom the use of IMRT for treating most cancers. IGRT is the kind of radiotherapy. Research is greater centered on IGRT, so one can prove its fewer facet-results. IGRT may additionally include electronic portal imaging, fluoroscopy, ultrasound, CT test reconstruction, and breathing gating technology. SBRT is likewise growing as an choice for treating cancer. SBRT is used to escalate the dose to the centered tumor, that may growth nearby manage whilst restricting the dose to nearby crucial structures and normal tissues. This will purpose minimum damage to the surrounding tissues and therefore, will experience robust growth within the forecast length.