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Improving Care for Black Patients With Heart Failure and Hypertension
ChristianaCare’s Center for Heart & Vascular Health has dramatically improved the clinical outcomes of Black patients living with heart failure and hypertension by using a digital hybrid platform that provides patients with a dedicated health coach to ensure their care plan is followed and treatment goals are achieved. Through this innovative approach, ChristianaCare achieved a significant improvement in the number of Black patients adhering to prescribed doses of guideline-directed medical therapy (GDMT) for heart failure. “At ChristianaCare, we are deeply committed to eliminating disparities and achieving health equity in the communities we serve,” said Kirk Garratt, M.D., medical director of the Center for Heart & Vascular Health. “We are proud that we have been able to significantly improve the health outcomes of our patients, especially addressing health disparities in the Black population for patients with heart failure and hypertension.” Approximately 32% of ChristianaCare’s heart failure patient population identify as Black, which is a higher percentage compared to the Black population nationally (12.4%). Historically, Black Americans have experienced racial disparities in heart failure treatment and experience worse patterns of adherence to guideline-directed medical therapy (GDMT) . Additionally, Black Americans have a 30% greater risk of death from heart disease than white Americans. Combining technology and human-powered guidance This novel approach to care is powered by Story Health, a leading health technology services company. Its digital platform and health coaches have been able to deliver superior outcomes for ChristianaCare’s patients regardless of race. Black patients in particular have made remarkable gains: 6 times improvement on target doses of beta blockers (76%). 7 times improvement on target doses ACE/ARB/ARNIs (54%). 2 times improvement on target doses of MRAs (57%). ChristianaCare was also able to achieve improvement in Black patients taking SGLT2 inhibitors, rising from a 32% baseline to 74%. Despite their vital role in treating heart failure, SGLT2 inhibitors are historically underprescribed and see lower adherence – largely due to affordability challenges, as costs can be $500 per month or more. Helping patients overcome cost barriers is critical, which is why the health coaches directly engage with patients to identify those who may need assistance and will work on their behalf to qualify for prescription assistance programs. “Along with their digital platform, the health coaches from Story Health understand the unique needs of our patients and have helped us create deeper, more accessible relationships with our patients to help improve their health and outcomes,” said Sourin Banerji, M.D., medical director of Advanced Heart Failure and Mechanical Circulatory at ChristianaCare. The health coaches serve as an extension of the clinician to identify and resolve challenges such as medication adherence, lab work coordination, transportation arrangement and even prescription assistance that cause disruptions in a patient’s care journey and lead to negative outcomes. Improved control of hypertension In addition to heart failure patients, ChristianaCare’s collaboration with Story Health supported patients with hypertension, delivering significant reductions in blood pressure for those enrolled regardless of race. Among Black patients specifically, there were significant decreases in average absolute systolic and diastolic blood pressure levels (17 mm Hg and 8 mm Hg, respectively) after 120 days, compared to 8 mm Hg and 5 mm Hg decreases for uncontrolled hypertensives in another digital program after 12 months. As a result of this initial success, ChristianaCare’s Center for Virtual Health is expanding the use of this care model beyond cardiology to support all patients in the population. Many of these patients struggle to manage high blood pressure, and the use of a continuous care program will be an important tool to help with medication management and addressing social barriers. “Health equity is an incredibly important initiative, and we see our mission as critical to helping specialty and primary care providers drive more equitable care,” said Story Health Co-founder and President Nita Sommers. “As an industry leader, ChristianaCare understands that every individual deserves compassionate care that is accessible, so we are honored to be working with its cardiology team and now the Center for Virtual Health to improve the health of patients.” ChristianaCare has been recognized numerous times for high-quality heart care. Among the many achievements are the American College of Cardiology HeartCARE National Distinction of Excellence Award for three consecutive years (2020-2023) and being named among Healthgrades top 100 hospitals for heart care in the U.S. for the past two years (2022-2023).
It's going to be a busy week in America when it comes to politics. And if you're covering - we have experts who can help with any of your questions or stories. Tom Smith - Professor in the Practice of Finance - Professor Smith is an expert in labor economics, entertainment and healthcare economics, as well as real estate and urban economies. David Schweidel - Professor of Marketing - Professor Schweidel has been closely researching the impact of AI in society, especially elections. He can speak on the impact AI is expected to have in this year’s elections. Professor Schweidel also has extensive work in election marketing. He researched negative campaign advertising and if a negative tone has a positive impact on election results. Ramnath Chellappa - Professor of Information Systems & Operations Management - Professor Chellappa is available to discuss the economics of information security and privacy. He can also discuss the economics and impact of AI. Raymond Hill - Professor Emeritus Hill is available to discuss any issues on the economy related to energy. If you are looking to arrange an interview - simply click any of the listed expert's icons to set up a time today or email Kim Speece for assistance.
2024 presidential and Michigan state elections: MSU experts can comment
MSU experts can discuss national political issues to the Supreme Court and constitutional issues to Michigan's state politics and races The 2024 presidential election is in full swing. As President Joe Biden is set to cruise to the Democratic nomination and former President Donald Trump is likely poised to receive the Republican nomination, 2024 is setting up to be a rematch of 2020. Michigan’s primary is now earlier on the calendar, Feb. 27, with the Republicans holding a caucus to award their remaining delegates on March 2. Despite being a presidential election year, Michigan has important statewide elections. An open U.S. Senate seat, vacated by retiring Sen. Debbie Stabenow, could tip the balance of power in the Senate, potentially deciding which party holds the majority. Michigan’s seventh and eight congressional races have incumbents leaving office, making those set to be some of the most nationally watched and funded races nationally. The state House currently has an exact bipartisan split, setting up races with very high stakes. Michigan State University experts are available to comment on many issues of the presidential election including: political parties and their evolution, campaign strategy and polling, Trump’s legal troubles and the U.S. Supreme Court, political diversity and messaging and local elections and voting. Additionally, several of these experts can comment on Michigan’s federal and state elections. General presidential and Michigan election issues Corwin Smidt is an associate professor of American politics and research methods in the Department of Political Science in the College of Social Science. He can comment on national elections and polling for the presidential election as well as statewide elections. Contact: smidtc@msu.edu "Michigan continues to trend toward being a battleground state, but right now it looks like a battle of attrition. Donald Trump's poll numbers really haven't improved as much since 2021 as Joe Biden's have declined, but Governor Whitmer's popularity remains high. The state Republican party continues to have fights over its management and will have a contested and possibly divisive Senate primary. Despite this, Republicans have a chance to pick up seats in the US House and state legislature because of Democratic retirements and ongoing redistricting changes." Matt Grossmann is the director of MSU’s Institute for Public Policy and Social Research and a professor of political science. He is an expert on a broad range of topics surrounding the 2024 election, including political parties ,campaigns and elections. He also oversees survey research, candidate development and legislative training at MSU. Additionally, he can discuss Michigan’s primary and elections. Contact: grossm63@msu.edu “The presidential nomination process evolved out of reforms to the delegate selection process for those conventions, which now means delegates are overwhelmingly selected based on presidential primary results. From the voters’ perspective, it often looks like any other election where you select your preferred candidate. But the parties still have power to coordinate their rules and selection procedures. Michigan has an opportunity to set the terms for future elections, showing that it can become engaged, with diverse interests, and earn the right to vote early in the process in 2028. Since Michigan does not have party registration, voters will be able to participate in the primary of their choice, which has provided an incentive for individuals to vote in the contest that presents the most uncertainty.” Read more from Grossmann on MSUToday. Dante Chinni is a research specialist in MSU’s School of Journalism and is the director of the American Communities Project in the College of Communication Arts and Sciences. He can discuss polling and changes in the parties over time, as well as the voting patterns among groups in specific places. He can also comment on various Michigan political issues. Contact: chinni@msu.edu “In Michigan, and in other states, the 2024 election will be determined by the margin of victory in different kinds of places. Can the Democrats get what they need out of the big city and college town communities, like Wayne, Ingham and Washtenaw counties? Can the Republicans get the numbers they need out of blue-collar middle suburbs, such as Macomb? The turnout and margins in those kinds of places, and others, will determine who wins in November.” Constitutional issues and the Supreme Court Jordan Cash is an assistant professor of political theory and constitutional democracy in James Madison College. He can comment on general requests about the presidency and national elections as well as issues surrounding the Supreme Court. Contact: cashjor1@msu.edu “The 2024 election is already shaping up to be one of the most unusual elections in American history, but one of the most unique aspects is the role that the judiciary is likely to play in the process. With former president and likely Republican nominee Donald Trump facing indictments at both the state and federal levels, the election season is as likely to be punctuated with legal news and updates as it is with campaign speeches and negative advertising. Moreover, the Supreme Court will be critical as it has heard or will likely be hearing cases surrounding whether states can disqualify Trump from the ballot under the 14th Amendment and whether he has absolute immunity from when he was president. When we also consider that President Joe Biden is facing his own investigations from House Republicans, the election seems poised to not only raise the political stakes but also considerable constitutional and legal questions.” Read more from Cash about presidential elections on MSUToday. Brian Kalt is a professor of law and the Harold Norris Faculty Scholar in the College of Law. He can comment on 20th Amendment issues, the electoral college and presidential prosecution and immunities. Contact: kalt@law.msu.edu “A lot of constitutional law questions that seemed purely theoretical are now front and center in our election campaign. Hopefully, the Supreme Court will move quickly and provide some clarity and certainty on these issues so that when November rolls around, voters can make a fully informed choice.” Ryan Black is a professor of American politics in the Department of Political Science in the College of Social Science, and a faculty affiliate in the College of Law. His expertise includes public opinion and the Supreme Court, and he can speak to appointments and vacancies. Contact: rcblack@msu.edu “Results of the 2024 election have the potential to profoundly shift the center of gravity in the politics of appointments to the federal judiciary, which includes, most importantly, the Supreme Court. There is no doubt that a president's most enduring legacy is who they put on the High Court, but confirmation politics today make the partisan makeup of the Senate a prominent roadblock in a president’s path to success.” Erica Frantz is an associate professor of comparative politics in the Department of Political Science in the College of Social Science. She is a specialist on issues and themes relating to authoritarianism. Contact: frantzer@msu.edu “Today’s democracies typically fall apart at the hands of their elected leaders, such that elections are critical focal points for understanding democratic trajectories. Importantly, research shows that where leaders come to power backed by personalist parties – or parties that are synonymous with the leader’s persona – the risk of democratic erosion increases substantially. For the U.S., this implies that the more the Republican Party becomes indistinguishable from Trump, the more American democracy is vulnerable to collapse from within should Trump return to the presidency.” Political messaging and diversity Dustin Carnahan is an associate professor in the College of Communication Arts and Sciences. His work focuses on how exposure to political information influences people’s attitudes, beliefs and decisions. His recent research focuses on how people come to encounter and believe misinformation and the effectiveness of messages designed to correct misinformed beliefs. Contact: carnaha9@msu.edu “While research suggests that political misinformation does not have a profound impact on voters’ decisions, the proliferation of misinformation can have more subtle effects on voters and elections – such as fostering toxic discourse around issues and candidates, promoting political polarization and distracting from more substantive matters. Concerns around misinformation are likely to be of great interest during the upcoming election cycle as advances in AI technology pose significant challenges to voters’ ability to identify what is real and what is fake.” Eric Juenke is an associate professor of American politics in the Department of Political Science in the College of Social Science. He can comment on issues relating to minority candidates, specifically the candidacy and election of minority candidates. Additionally, he teaches in the Chicano/Latino Studies program. Contact: juenke@msu.edu “While we do seem to have a rematch at the top of the ticket, with a vice president who is a woman of color and another vice president who has yet to be announced but could also be a woman candidate, we will be seeing a continued diverse candidate pool this cycle, I expect. It’s still early yet in the congressional races, but there should be a number of high-profile races in the country and in Michigan that should highlight a more diverse candidate pool. While the parties still have a long, long way to go in recruiting and supporting women and racial and ethnic minority candidates to run for office, the trajectory is positive.” Daniel Bergan is an associate professor and the director of master’s studies in the College of Communication Arts and Sciences, who also has an appointment in James Madison College. His research focuses on constituent communications with policymakers. Contact: bergan@msu.edu “When communicating with a policymaker, especially one with whom you disagree, you want to prevent them from discounting your opinion. One way to do this is by citing quality evidence to support your position. When contacting a policymaker about an issue, be aware that they may discount your opinion if they disagree. But note also that carefully crafted communications can convey your position without being written off — and could improve how accurately the policymaker understands public attitudes about public policies.” Read more from Bergan on MSUToday. Importance of local elections Sarah Reckhow is a professor of American politics in the Department of Political Science in the College of Social Science. She can comment on topics related to education policy in the presidential election. She is a specialist on local elections and school board elections. Contact: reckhow@msu.edu “Partisan polarization is having a growing impact on education politics, and we can see growing disagreement between Democrats and Republicans on key issues such as school choice and curriculum. This polarization is playing a role in elections, even nonpartisan school board elections, and it will be an important trend to watch in 2024.” Erin Kramer is the community liaison coordinator for MSU Community and Student Relations. She also advises MSUVote to support students and the local community voting. She can comment on efforts to promote voting efforts and resources that can be offered by universities and municipalities. Contact: kramere6@msu.edu “Michigan State University is home to MSUvote, an Initiative that strives to support students in their civic engagement. Student participation in voting is both a right and a responsibility. MSUvote is committed to getting out the vote,getting out the vote, reducing barriers to registration, and supporting all educational initiatives. Over the years, Michigan State has been fortunate to work with the East Lansing, Lansing, Meridian Township, and Bath Clerks to support our students in exercising their right to vote. Participation is foundational to the function of democracy, and we are committed to supporting students in that activity. MSUvote has hosted registration rallies, absentee parties, and worked to facilitate awareness of elections through multiple campus channels over the years to support participation and education. This year, the MSU STEM Building will be home to one of East Lansing’s Early Voting Centers, it will be operating Saturday Feb. 17 through Sunday Feb. 25.” Top issues for voters David Ortega is an associate professor in the Department of Agricultural, Food and Resource Economics in the College of Agriculture and Natural Resources, where he is also a faculty laureate. He can comment on consumer, producer and agribusiness decisions that affect the agricultural and food sectors, including the cost of food, which remains a concern for many Americans. Contact: dlortega@msu.edu “Persistent high food prices are a constant reminder of the economic difficulties facing voters. Although overall inflation has cooled and grocery price increases have moderated, food costs 25% more today than it did four years ago. And given the frequent nature of grocery shopping, food costs have a disproportionate impact on how voters perceive inflation.” Robert Brathwaite is the associate dean for research and an associate professor with a specialization in international relations in James Madison College. He can comment on foreign conflict and relations, including how it will impact U.S. policy and the presidential election. Contact: brathwa1@msu.edu “As the war between Russia and Ukraine approaches it two-year mark, the political and economic ramifications of this conflict are becoming more profound. Some political dynamics to watch this year associated with this conflict include changes in NATO’s military posture, political unity of the European Union, deepening Sino-Russian strategic cooperation, and the 2024 US presidential election. This conflict will also impact important global economic trends this year that include global energy supplies, food security, technology export controls, and the role of the US dollar in the global economy. More importantly, this ongoing conflict is a catalyst to evolving changes in the global security architecture with costs and consequences that are unknown.” Jason Miller is the interim chairperson of them Department of Supply Chain Management and the Eli Broad Professor in Supply Chain Management in the Broad College of Business. He can comment on various supply chain issues such as the impact of Suez Canal diversions on disruptions and inflation as well as the impact of tariffs on U.S. firms and consumers, as foreign conflict and trade are top of mind this presidential election. Contact: mill2831@broad.msu.edu “Business leader across industries ranging from manufacturing and mining to retailing are closely watching the 2024 election cycle, as the outcome could substantially shape the business landscape in the form of tariffs, foreign policy toward China and Russia, and the extent of military escalation in the Mideast. All of these policies affect strategic, long-term decisions regarding global sourcing, market entry strategies, and capacity and demand planning.” Antonio Doblas Madrid is an associate professor in the Department of Economics in the College of Social Science. He can comment on the economy and the effect of inflation, which remains a top issue for voters this year. Contact: doblasma@msu.edu “The economy and inflation is an issue on the minds of many Americans.Forecasters and market-based measures of expectations both predict that inflation is likely to continue falling gradually in 2024, to about 2.5%. Thus, the inflation shock that hit the economy is expected to continue fading, although it may take some time to go that last mile from 3% to 2%. The Fed also appears to be quite optimistic on inflation, given its latest forward guidance.” Read more from Doblas Madrid on the economy and inflation on MSUToday.
New Aston University spin-out company will develop novel ways to treat non-healing wounds
EVolution Therapeutics (EVo) has been founded on the work of Professor Andrew Devitt into the causes of inflammatory disease A failure to control inflammation in the body, usually a natural defence mechanism, can cause chronic inflammation, such as non-healing wounds Non-healing wounds cost the NHS £5.6bn annually, so there is a vital need for new treatments. Aston University’s Professor Andrew Devitt, Dr Ivana Milic and Dr James Gavin have launched a new spin-out company to develop revolutionary treatments to treat chronic inflammation in patients. One of the most common inflammatory conditions is non-healing wounds, such as diabetic foot ulcers, which cost the NHS £5.6bn annually, the same cost as managing obesity. Such wounds are generally just dressed, but clinicians say there is a vital need for active wound treatments, rather than passive management. The spin-out, Evolution Therapeutics (EVo), will aim to create these vital active treatments. Inflammation in the human body helps to fight infection and repair damage following injury and occurs when the immune system floods the area with immune cells. Normally, this inflammation subsides as the damage heals, with the immune system signalling to the immune cells to leave. However, in some cases, the usual healing mechanism is not triggered and the inflammatory response is not turned off, leading to chronic inflammation and so-called inflammatory diseases. EVo is based on Professor Devitt’s work on dying cells in the body, known as apoptotic cells, and how they contribute to health. Dying cells release small, membrane-enclosed fragments called extracellular vesicles (EVs), which alert the immune system to the death of cells, and then trigger the body’s natural repair mechanism and remove the dead cells. It is estimated that 1m cells die every second. Professor Devitt and his team have identified the molecules within the EVs which control the healing process and are engineering new EVs loaded with novel healing enzymes, to drive the body’s repair responses to actively heal wounds. Much of the research has been funded by the Biotechnology and Biological Sciences Research Council (BBSRC) with additional support from the Dunhill Medical Trust. Professor Devitt, Dr Milic and Dr Gavin received Innovation-to-Commercialisation of University Research (ICURe) follow-on funding of £284,000 to develop the vesicle-based therapy with EVo. Most recently, in December 2023, Professor Devitt and Dr Milic were awarded £585,000 from the BBSRC Super Follow-on-Fund to develop engineered cells as a source of membrane vesicles carrying inflammation controlling cargo. The team, together with Professor Paul Topham, also received funding from the National Engineering Biology Programme (£237,000) to support polymer delivery systems for vesicles. EVo is one of the 12 projects being supported by SPARK The Midlands, a network which aims to bridge the gap between medical research discoveries of novel therapeutics, medical devices and diagnostics, and real-world clinical use. SPARK The Midlands is hosted at Aston University, supported by the West Midlands Health Tech Innovation Accelerator (WMHTIA), and was launched at an event on 31 January 2024. Professor Devitt, EVo chief technical officer, said: “Inflammation is the major driver of almost all disease with a huge contribution to those unwelcome consequences of ageing. We are now at a most exciting time in our science where we can harness all the learning from our research to develop targeted and active therapies for these chronic inflammatory conditions.” Dr Gavin, EVo CEO, said: “The chronic inflammation that results in non-healing wounds are a huge health burden to individuals affecting quality of life as we age but also to the economy. Our approach at EVo is to target the burden of non-healing wounds directly to provide completely novel approaches to wound care treatment. By developing a therapy which actively accelerates wound healing, we hope to drastically improve quality of life for patients, whilst reducing the high cost attached to long term treatment for healthcare systems worldwide.”
Baylor Fashion Forecasting Expert: The Business and Power of Color
2023 Color of the Year Viva Magenta Every December for 20 years, the global color management company Pantone reveals its Color of the Year for the upcoming year. For 2023, Pantone has chosen a color that “vibrates with vim and vigor”: Viva Magenta. More than just a pretty color for fashion, Viva Magenta 18-1750 is the result of years of research into trends in technology, entertainment and fashion. But what does the Color of the Year mean to the average consumer? According to Baylor University fashion forecasting expert Lorynn R. Divita, Ph.D., retailers with this information can offer products that will resonate with their customers. “Color is the most important factor in whether someone is going consider a purchase,” Divita said. However, “Retailers have to get it right.” Pantone collaborated with diverse group of industry leaders such as Motorola, Lenovo, Spoonflower fabrics and Artechouse Studio to ensure they correctly identified emerging consumer tastes by making connections beyond the boundaries of fashion. “Fashion change happens because people demand novelty,” Divita said, “and retailers want to make people happy.” Using color forecasting is a low-risk way for retailers to provide that novelty. Unlike changes in skirt lengths or pant styles, color is a trend available to everyone. “You can choose how you do it. It is through a garment? Is it through an accessory? Color will translate to multiple categories. So, everybody can participate in a way that feels comfortable to them,” Divita said. Color Forecasting is typically a reliable way to predict trends, but it isn’t always sure thing. Consumers won’t purchase something they fundamentally don’t like. To be successful, color forecasters must be mindful of that. Divita points to the words of cultural reporter and author Virginia Postrel on the two criteria needed for a trend to takeoff: “Do I like that?” and “Am I like that?” If the answer to both questions is yes, the trend is more likely take off. If not, retailers will be stuck with warehouses full of unsold merchandise. Pantone began in 1963 as a color matching standard for the printing industry offering uniformity of color throughout the design and manufacturing process. The numbers behind each color are a recipe for creating an exact match. According to the Pantone website, “Pantone’s color language supports all color conscious industries; textiles, apparel, beauty, interiors, architectural and industrial design, encompassing over 10,000 color standards across multiple materials including printing, textiles, plastics, pigments, and coatings.” Using this industry knowledge, the company branched out into color forecasting in 1999 with its first color of the year, Cerulean. Today, the Pantone Color of the Year is an eagerly anticipated announcement for the fashion forward. Only time will tell if Viva Magenta will be embraced or become footnote in pop culture history. Until then, be on the lookout at your favorite stores for the next big thing. If you are looking for the correct Pantone Baylor colors, they are Baylor Green 3435 and University Gold 1235.
Managing Menopause: Mind-Body Solutions for Hot Flashes, Sleep and Well-Being
In recognition of World Menopause Day, Baylor psychologist shares research on hypnotherapy's beneficial effects in relieving hot flashes (Image credit: Rana Hamid via Getty Images) The natural aging process of perimenopause and menopause can create a wide range of symptoms for women, with hot flashes and poor sleep being the most frequently reported – and most disruptive – symptoms. World Menopause Day is recognized on Oct. 18, and one Baylor University researcher has been on a 20-year mission to identify safe and effective options to hormone replacement therapy (HRT) to help women find relief from hot flashes and improve sleep and well-being during the menopause transition. Gary Elkins, Ph.D., professor of psychology and neuroscience and director of the Mind-Body Medicine Research Laboratory at Baylor University, is among the nation’s leading researchers on hypnotherapy and mind-body approaches, including continued funding by the National Institutes of Health (NIH) to evaluate the efficacy of a self-hypnosis intervention to reduce hot flashes and improve sleep, as well as other outcomes. “It is important to recognize that hot flashes are a natural part of menopause,” Elkins said. “They are not caused by stress or personality but are due to the decline in estrogen that occurs naturally with aging.” Perimenopause (the hormonal transition leading up to menopause) and menopause (the cessation of menstrual cycles) is the natural aging process marked by the decline in the reproductive hormone estrogen and progesterone in women and can last anywhere from seven to 20 years. Menopause usually begins around age 52 or can result from breast cancer treatment or hysterectomies. Although HRT remains the most effective treatment for hot flashes, it is not appropriate for everyone. A major NIH study found that HRT led to an increased risk of breast cancer and cardiovascular disease in some post-menopausal women and breast cancer survivors. Elkins’ research is aimed at giving women choices for their own healthcare, including alternatives such as hypnotherapy. “While hypnotherapy is not widely understood by many people, it can regulate hot flashes and improve sleep by managing how temperatures are perceived and regulated in the brain,” Elkins said. “Hypnotherapy is a mind-body therapy, similar to mindfulness and guided imagery, that involves the focus of attention, a relaxed state and therapeutic suggestions.” Elkins’ research on hot flashes and sleep and hypnotherapy has been clinically shown to reduce hot flashes by up to 80%, more effective than any other hot flash management tool available, with the exception of HRT. He also has found that hypnotherapy, as a mind-body intervention, can reduce hot flashes to a degree comparable to HRT, improve sleep quality by over 50% and reduce anxiety while increasing well-being. “Hypnotherapy involves daily practice of 15-minute hypnotic relaxation sessions that teach your brain to adapt to your body’s changing hormone level. Mental images for coolness and control are used to empower women to take control of the two most troublesome menopause symptoms – hot flashes and sleep,” Elkins said. Elkins offers the following suggestions for women to empower them and help them find relief from hot flashes, anxiety and interrupted sleep. Remember that hot flashes are a normal part of the perimenopausal/menopausal transition, and the effects a woman experiences are real. Talk to your doctor about options that may work for you. Everyone is an individual, and it is important to find what works best for you. A combined approach of mind-body hypnosis therapy along with low-dose medications can be helpful for some women. It can be helpful to keep a daily diary of your hot flashes to monitor them. Get good sleep. Poor sleep and night sweats can make hot flashes worse. Be knowledgeable about things that have not been shown to work, such as fans, cold packs and certain herbs. Seek support from family and friends. Elkins has developed the Evia from Mindset Health App to give women easy access to hypnotherapy for hot flashes. The app comes with a free trial that delivers evidence-based hypnotherapy intervention for women during the menopause transition and beyond.
Estimating Adults Living with Intellectual Disabilities in America - Our Experts Look at the Numbers
A new study conducted by faculty researchers at the Institute of Public and Preventive Health at Augusta University shows the prevalence of intellectual disability (ID) in adults. But looking at childhood survey data of those with ID, conclusions can be drawn on how many adults have intellectual disability. The study was conducted by Teal Benevides, PhD, assistant professor in the Institute of Public and Preventive Health at Augusta University, Biplab Datta, PhD, assistant professor in IPPH and the Department of Health Management, Economics and Policy, Jennifer Jaremski, research associate in IPPH, and Michael McKee, PhD, associate professor at the University of Michigan. The study estimates the number of adults living with ID is .95% or 9.5 per 1,000 adults between the ages of 21 and 41. “Intellectual disability is diagnosed in childhood,” said Benevides. “It needs to be diagnosed early. It’s not something that just happens in adulthood. So relying on the estimate that’s from childhood surveys is a good start. It’s just aging estimates up based off the current population of the U.S. So I do feel pretty confident that we can base future projections off in the absence of better epidemiological evaluations of prevalence.” She added it’s important to realize a lot of people with ID are now out of high school and age out of educational services to support them at the age of 21. They may fall through the cracks during the transition to adulthood and may not be receiving the services they need. “Many adults with ID are going to require services and support. They’re likely going to require housing support, employment support and many of them are food insecure,” Benevides said. “I think policymakers at both the state and federal level need to know about this because regardless of whether or not our policymakers support Medicaid expansion, many people with ID are also going to need adequate healthcare coverage because the vast majority of people with intellectual disability are not employed.” Not just that, many of those with ID are more likely to experience disparities in housing, employment, education, poverty and more. Biplab Datta and Teal Benevides In Georgia, Benevides said there is a waitlist of 7,000 people looking for Medicaid services for adults with intellectual and developmental disabilities, and there’s just not enough resources available to assist those with ID. Another concern is that people with ID have the same life span and those who may prove care, such as parents or guardians, don’t know what will happen to their older children with ID when they aren’t around or are unable to assist them. “What alarms me is we don’t have sufficient services and supports for adults. We just don’t have them,” she said. “When people ask for services, support and resources, there’s no place to point them to unless they are children.” Biplab Datta, PhD, is an assistant professor in Institute of Public and Preventive Health and in the Department of Population Health Sciences at Augusta University. Teal Benevides, PhD, OTR/L is an associate professor and the Director of Faculty Development, Institute of Public and Preventive Health Both experts are available to speak about this important research - simply click on either expert's icon to arrange an interview and time to talk today.
The annual Healthy Georgia Report has been released by Augusta University’s Institute of Public and Preventive Health and it gives a snapshot of how Georgians stack up against not only neighboring states, but the country when it comes to a variety of health topics. This year’s report has added information on adult dental health, poor mental health, skin cancer and overdose deaths. Information on HIV risk behaviors, breast cancer screenings and colon cancer screenings have also returned. The report has been delivered to lawmakers, community leaders and researchers in Georgia to provide them with tangible figures on how Georgia is faring in numerous topics. The goal is to stimulate conversations about public health needs and, in turn, promote action, such as policy changes, greater community engagement and the appraisal of funds. Biplab Datta, PhD, assistant professor in the IPPH and the Department of Health Management, Economics and Policy, has collaborated with other IPPH faculty and staff to update the report. Datta has seen the impact this can have with state leaders. “They have a good appetite for data driven policy changes. I think this report actually helps them in that direction,” said Datta. “We tried to present data in a way that policy makers may find helpful in deciding on appropriate policy choices.” Overdose deaths is one of the new categories this year and is a hot topic nationwide. The report shows Georgia has the sixth lowest rate of overdose deaths in the country. Datta said that’s good, but the number is trending upwards and now should be the time to take steps to prevent it from getting worse. “We cannot be satisfied. We are doing a good job but need to be on our toes to prevent it from further ascending,” Datta said. Another category that Georgia is trending in a good direction is cigarette smoking. But the opposite is true for the obesity rate in the Peach State. The data shows Georgia has the 14th highest rate of obesity in all of the U.S. and the number is on the rise. The data also shows it’s related to household income and education. Adults who are below the federal poverty line and without a college degree are significantly more likely to be obese. Also, those in the 18-to-49 age group have a high rate of obesity compared to the national and regional average. “That is problematic because if someone is developing some cardiometabolic conditions in this age group, they will be at high risk for adverse cardiovascular events at an older age. So we need to focus on food habits, physical exercise, and other health promoting behaviors to prevent and control obesity,” Datta said. Another interesting topic is those in Georgia who have health insurance coverage. While coverage in adults is second lowest in the nation, there is a slight uptick in the number of people who have coverage from the past few years. The number is much better for children with health insurance. He points out that many state programs like PeachCare for Kids may account for the differences. Datta said one topic that definitely needs to be investigated more is cancer rates. He said we observe a low prevalence rate, despite the common perception and other data sources suggest a relatively higher incidence rate of cancer in Georgia. He believes we may be seeing lower survival rates that are not included in the survey. “I think we need more investigation into this particular issue,” said Datta. “Why are we seeing so low numbers of cancer prevalence when we know that cancer incidence rates are very high in Georgia?” The Healthy Georgia Report is the only report of its kind in the state Looking to know more or connect with Biplab Dhatta? Then let us help. Biplab is available to speak with media regarding this important topic. Simply click on his icon now to arrange an interview today.
Questions are flying around about airplane safety
The Boeing Corporation is the recognized pioneer in aviation and aircraft manufacturing, but now significant quality control concerns are mounting in light of recent near disasters associated with Boeing's planes. David Primo, professor of political science and business administration at the University of Rochester, is available to tackle some of the regulatory, crisis management and reputational questions related to Boeing's recent safety problems, including: 1) This is just the latest in a string of black eyes for Boeing on safety. How badly will the company’s bottom line suffer as a result? 2) Has the company learned from how it handled the initial crisis with its MAX planes resulting from the fatal Lion Air and Ethiopian Airlines crashes? 3) What does the company need to do to prevent further damage to its reputation? 4) How will this change the nature of the relationship between Boeing and its main US regulator, the FAA?
It's coming this summer -- and it'll be twice as big! Two broods of cicadas are set to emerge this year, an event that last occurred more than 200 years ago and now has scientists, bug watchers, and fans of the loud and noisy (yet harmless) insects buzzing with anticipation. Media coverage of this popular event put on by nature is also starting, and John R. Cooley, a cicada expert at UConn, offered his expertise on the impending emergence to MassLive: This summer, some will get a chance to witness a phenomenon rarer — and probably louder — than Halley’s comet. For the first time in more than two centuries, two big groups of cicadas in the United States will emerge simultaneously from the ground. Cicadas, often called “heat bugs,” make their presence known throughout the country every summer by “singing” their loud song. But some of these large, flying insects only emerge from underground every so often, depending on their group, or brood. These “periodical” cicadas bury themselves in soil, where they spend most of their lives. This summer, millions of cicadas from broods XIX (emerging every 13 years) and XIII (every 17 years) will both crawl out from underground and fly across the south and Midwest looking for a mate, according to Cicadamania, a website dedicated to tracking the insects. The last time these two broods popped out of the ground at the same time was in 1803, Cicadamania reported – when the U.S. bought the Louisiana Territory from France. “You cannot possibly be unaware that periodical cicadas are out, because they’re out by the millions and millions, and they’re noisy, charismatic, active insects that are just everywhere,” John R. Cooley, an entomologist who studies cicadas at the University of Connecticut, told MassLive. “When you got them, you know it. And that’s what you can expect to see. That’s what any normal emergence looks like,” he continued. What folks will see are a whole lot of bugs that all look the same, as the ones that come out every decade-plus look the same as the ones that come out every year, Cooley said. Researchers are still exploring why some cicadas emerge periodically. One common theory is that their infrequent appearance helps them avoid predators and prevents enemies from synchronizing on their life cycle. But, Cooley said this theory is flawed since all cicadas have predators, but fewer than 10 species are periodical. Some of the cicada’s natural enemies include birds, moles and Cicada killer wasps, according to the University of California Integrated Pest Management Program. Another theory suggests the last ice age forced cicadas to evolve to have longer periodical life cycles. But, that theory is limited as many cicadas live near glacial areas – few of which are periodical, according to nature.com. “Science isn’t all about having the explanations,” Cooley said. “We just test hypotheses and there are a lot of hypotheses as to why these cicadas are the way they are, but none really stand up so far.” The emerging of cicadas is always a popular and trending topic, and if you have questions or are looking to cover, then let us help. John R. Cooley is an Associate Professor in Residence at the University of Connecticut. He is an entomologist, author, and leading authority when it comes to cicadas. Simply click on his icon now to arrange a time to talk today.
