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Dennis OConnor

Department of Family Medicine and Public Health | UC San Diego - 0 views

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    "Our mission is to improve public health through prevention research, education, and clinical care." The department's clinical care and community-based initiatives aim to transform health care in San Diego through the practice of family medicine, preventive medicine, sports medicine, integrative medicine, and research that is practice-based. We have a robust portfolio of innovative clinical and public health focused research projects that address contemporary public health challenges through tools from biostatistics/bioinformatics, behavioral medicine, epidemiology, policy, and dissemination and implementation science. We have established Centers of Excellence in cardiovascular epidemiology, health behavior and equity, integrative health, tobacco control, wireless and population health, and women's health. Innovative, interdisciplinary partnerships are ongoing with Qualcomm Institute/Calit2, Moores Cancer Center, the Scripps Institute of Oceanography, Center for Microbiome Innovation, and many other departments.
Dennis OConnor

Gmail - Update_ Groundbreaking New Article Accepted.pdf - 0 views

shared by Dennis OConnor on 29 Jan 21 - No Cached
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    January 28, 2021 Dear KRI Research Team, I am very pleased to announce that our latest article "Spiritual Fitness: A New Dimension In Alzheimer's Prevention" which I co-authored with ARPF SAC member, Andrew Newberg, M.D. of Thomas Jefferson University, has been accepted for publication by The Journal of Alzheimer's Disease. Dharma Singh Khalsa, M.D. Founding President / Medical Director Alzheimer's Research and Prevention Foundation (ARPF) www.alzheimersprevention.org drdharma@alzheimersprevention.org
Dennis OConnor

The Moral Determinants of Health | Health Disparities | JAMA | JAMA Network - 0 views

  • How do humans invest in their own vitality and longevity? The answer seems illogical. In wealthy nations, science points to social causes, but most economic investments are nowhere near those causes. Vast, expensive repair shops (such as medical centers and emergency services) are hard at work, but minimal facilities are available to prevent the damage.
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    by Donald M. Berwick, MD, MPP1 How do humans invest in their own vitality and longevity? The answer seems illogical. In wealthy nations, science points to social causes, but most economic investments are nowhere near those causes. Vast, expensive repair shops (such as medical centers and emergency services) are hard at work, but minimal facilities are available to prevent the damage.
Dennis OConnor

$44 Million NIH Grant to See if Dementia Can Be Prevented - BrainHQ from Posit Science - 0 views

  • The computerized brain training used in the prior study and the new study is found exclusively in the BrainHQ app, made by Posit Science,
  • The ACTIVE study provided the possible beginnings of an answer in 2017. Those results grabbed headlines worldwide, since it was the first large randomized controlled trial to show an intervention (of any kind) could be effective in reducing dementia risk and incidence. 
  • Some eighteen studies have been published on the impact of using BrainHQ among people with MCI or similar pre-dementia conditions
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  • Dr. Mahncke observed. “Billions have been spent in the thus far unsuccessful search for drugs to prevent MCI and dementia, and so it’s great to see a serious commitment to evaluating the plasticity-based training that has delivered so many promising results in recent studies.
Dennis OConnor

The Lyme Disease Biobank - Characterization of 550 Patient and Control Samples from the... - 0 views

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    Recommended by Sharon Wampler "ABSTRACT Lyme disease (LD) is an increasing public health problem. Current laboratory testing is insensitive in early infection, the stage at which appropriate treatment is most effective in preventing disease sequela. The Lyme Disease Biobank (LDB) collects samples from individuals with symptoms consistent with early LD presenting with or without erythema migrans (EM) or an annular, expanding skin lesion, and uninfected individuals from endemic areas. Samples were collected from 550 participants (298 cases and 252 controls) according to IRB-approved protocols and shipped to a centralized biorepository. Testing was performed to confirm the presence of tick-borne pathogens by real-time PCR, and a subset of samples was tested for Borrelia burgdorferi by culture. Serology using the CDC's standard two-tiered testing algorithm (STTTA) for LD was performed on all samples. LD diagnosis was supported by laboratory testing in 82 cases, including positive STTTA, PCR, culture, or 2 positive ELISA's with EM >5 cm, while the remaining 216 cases had negative laboratory testing results. For the controls, 43 were positive on at least one of the tiers, and 6 were positive by STTTA. This collection highlights and reinforces the known limitations of serologic testing in early LD, with only 29% of individuals presenting with EM >5 cm yielding a positive result using the STTTA. Aliquots of whole blood, serum, and urine from clinically characterized patients with and without LD are available to investigators in academia and industry for evaluation or development of novel diagnostic assays for LD, to continue to improve upon currently available methods."
Dennis OConnor

Milli | Artificial Intelligence Powered Health Coach - 0 views

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    "Meet Milli A self-teaching personalized medical intelligence platform built from real-time analysis of millions of patient/doctor interactions. The Medical Intelligence Platform™ makes it easy to capture, aggregate, and analyze comprehensive patient data with human-augmented Artificial Intelligence. We provide doctors with suggestions for the likely underlying dysfunctions that lead to disease, recommendations for follow up tests, and predictions for which intervention will be most effective for each patient. Our Virtual Health Assistant then provides intervention support to the patient and tracks their adherence and medical outcomes. This closed-loop process enables the platform to systematically learn from every provider/patient medical encounter to learn how to better prevent and reverse disease."
Dennis OConnor

This Is How We Beat the Coronavirus - The Atlantic - 1 views

  • We’re closing schools and businesses and committing to social (really, physical) distancing. But as the sobering charts from the analysis show, this isn’t enough.
  • Asian countries have engaged in suppression; we are only engaging in mitigation.
  • At the moment, we can’t even test everyone who is sick.
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  • Testing will allow us to isolate the infected so they can’t infect others. We need to be vigilant, and willing to quarantine people with absolute diligence.
  • To achieve this, we need to test many, many people, even those without symptoms.
  • buried in the Imperial College report is reason for optimism. The analysis finds that in the do-nothing scenario, many people die and die quickly. With serious mitigation, though, many of the measures we’re taking now slow things down. By the summer, the report calculates, the number of people who become sick will eventually reduce to a trickle.
  • Our efforts are good, temporizing measures.
  • Social distancing cannot prevent these infections, as they’ve already happened. Therefore, things will appear to get worse for some time, even if what we’re doing is making things better in the long run.
  • Our primary approach is social distancing—asking people to stay away from one another.
  • We can create a third path. We can decide to meet this challenge head-on. It is absolutely within our capacity to do so. We could develop tests that are fast, reliable, and ubiquitous. If we screen everyone, and do so regularly, we can let most people return to a more normal life. We can reopen schools and places where people gather. If we can be assured that the people who congregate aren’t infectious, they can socialize.
  • We can build health-care facilities that do rapid screening and care for people who are infected, apart from those who are not.
  • We can even commit to housing infected people apart from their healthy family members, to prevent transmission in households.
  • We will need to massively strengthen our medical infrastructure. We will need to build ventilators and add hospital beds. We will need to train and redistribute physicians, nurses, and respiratory therapists to where they are most needed. We will need to focus our factories on turning out the protective equipment—masks, gloves, gowns, and so forth—to ensure we keep our health-care workforce safe.
  • most importantly, we need to pour vast sums of intellectual and financial resources into developing a vaccine that would finally bring this nightmare to a close
  • If we commit to social distancing, however, at some point in the next few months the rate of spread will slow. We’ll be able to catch our breath. We’ll be able to ease restrictions, as some early hit countries are doing. We can move toward some semblance of normalcy.
  • The temptation then will be to think we have made it past the worst. We cannot give in to that temptation. That will be the time to redouble our efforts. We will need to prepare for the coming storm. We’ll need to build up our stockpiles, create strategies, and get ready.
  • We need to keep time on the clock, time to find a treatment or a vaccine.
  • We all have a choice to make. We can look at the coming fire and let it burn. We can hunker down, and hope to wait it out—or we can work together to get through it with as little damage as possible.
Dennis OConnor

Integrative Considerations during the COVID 3.18.20.pdf - 1 views

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    Recommended by Dr. Michael Kurisu D.O.: There is a high level of interest in integrative strategies to augment public health measures to prevent COVID-19 infection and associated pneumonia. Unfortunately, no integrative measures have been validated in human trials. Notwithstanding, this is an opportune time to be proactive. Using available in-vitro evidence, an understanding of the virulence of COVID-19, as well as data from similar, but different, viruses, we offer the following strategies to consider. Again, we stress that these are supplemental considerations to the current recommendations that emphasize regular hand washing, social distancing, stopping non-essential travel, and getting tested if you develop symptoms.
Dennis OConnor

Every Vaccine and Treatment in Development for COVID-19, So Far - 1 views

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    Recommended by DeAunne Denmark, MD, PhD : "The projects these companies are working on can be organized into three distinct groups: Diagnostics: Quickly and effectively detecting the disease in the first place Treatments: Alleviating symptoms so people who have disease experience milder symptoms, and lowering the overall mortality rate Vaccines: Preventing transmission by making the population immune to COVID-19"
Dennis OConnor

David Treleaven | Trauma-Sensitive Mindfulness - 0 views

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    Recommended by Jessica Block "My name is David Treleaven. I'm a writer, educator, and trauma professional who teaches people to offer mindfulness in a trauma-sensitive way. Unbeknownst to many, mindfulness meditation can exacerbate symptoms of traumatic stress. Instructed to pay close, sustained attention to their inner-world, people struggling with trauma can experience flashbacks, dysregulation, or dissociation.  On this site, you'll find resources designed to prevent this while leveraging the power of mindfulness towards trauma recovery."
Dennis OConnor

EpigeneticsRX - 0 views

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    "Precise. Personalized. Prevention. Express your best DNA - the power to impact genetic expression is in your hands. Epigenetics is the study of how lifestyle & environment influence the expression of your genes." OUR MISSION is to empower and inspire providers and patients in optimizing genetic potential through precise, personalized protocols that positively impact patients' health and future generations.
Dennis OConnor

MettaCare Rosetta Stone Dialogue - session 1 - YouTube - 0 views

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    "Tuesday, August 18, 2020 Articles referenced: Systems entrepreneurship: a conceptual substantiation of a novel entrepreneurial "species" https://link.springer.com/article/10.... Your 'Surge Capacity' Is Depleted - It's Why You Feel Awful https://elemental.medium.com/your-sur... The Role Of Empathy and Compassion In Preventing Burnout https://medium.com/thrive-global/the-..."
Dennis OConnor

NIH mobilizes national innovation initiative for COVID-19 diagnostics | National Instit... - 0 views

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    "The National Institutes of Health today announced a new initiative aimed at speeding innovation, development and commercialization of COVID-19 testing technologies, a pivotal component needed to return to normal during this unprecedented global pandemic. With a $1.5 billion investment from federal stimulus funding, the newly launched Rapid Acceleration of Diagnostics (RADx) initiative will infuse funding into early innovative technologies to speed development of rapid and widely accessible COVID-19 testing. At the same time, NIH will seek opportunities to move more advanced diagnostic technologies swiftly through the development pipeline toward commercialization and broad availability. NIH will work closely with the U.S. Food and Drug Administration, the Centers for Disease Control and Prevention and the Biomedical Advanced Research and Development Authority (BARDA) to advance these goals."
Dennis OConnor

11 HIPAA and Medical Records Privacy Myths for Patients - 0 views

  • You can be an empowered patient or advocate by knowing the basics of HIPAA and having the confidence to request records from providers. Here are some myths about HIPAA and how they affect you, the patient.
  • Myth: HIPAA Prevents Sharing of Information With Family Members
  • Myth: Only Patients or Caregivers May Get Copies of Health Records
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  • Myth: Employers Are Payers and Can Gain Access to an Employee's Records
  • Myth: HIPAA Laws Prevent Doctors From Exchanging Email With Their Patients
  • Myth: Providers Are Required by Law to Provide All Medical Records to You
  • Myth: Patients Denied Access to Their Records May Sue to Get Copies
  • Myth: HIPAA Laws Cover Privacy and Security for All Medical Records
  • Myth: Providers Are Required to Correct Any Errors Found in Patient Records
  • Myth: Your Health and Medical Records Cannot Affect Your Credit Records
  • Myth: Medical Information Cannot Be Legally Sold or Used for Marketing
  • Myth: HIPAA Can Be Used as an Excuse
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    "You can be an empowered patient or advocate by knowing the basics of HIPAA and having the confidence to request records from providers. Here are some myths about HIPAA and how they affect you, the patient."
Dennis OConnor

The Power of Advocating Through Music | Rachelle Babler | TEDxWestMonroe - 0 views

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    "Rachelle Babler explores the untapped powers of combining music and advocacy to create human impact. She did this after losing her sister to colon cancer to create awareness around prevention and screening. The response was overwhelming. While many have advocated through speeches, fundraisers and media, very few advocate through songwriting and music. Maybe music will be the critical voice that creates the awakening to help us unite, during times of chaos and separation. When we are divided by speech, we can be united and reunited through the power of song. Rachelle Babler grew up in Southern California near the sunny beaches of San Diego and has always been an avid explorer, traveler, musician and creative soul. At the height of her career in forensics, she quit her job cold turkey to pursue her "why" and found out what that was during a global pandemic, "TO empower others to consciously advocate, SO THAT they can heal, inspire and unite the human collective". She is a #1 International Best Selling Co-Author, Speaker, Advocate. Singer/Songwriter and proud mother to her two amazing children, Austin and Camryn. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx"
Dennis OConnor

Here's Why You Should Care About Holacracy - 1 views

  • For the first time in over a century, we’re beginning to see credible alternatives, and most of them point to this idea of responsiveness–that an organization should be built to learn and respond rapidly by optimizing for the open flow of information; encouraging experimentation and learning in rapid cycles; and organizing a network of employees, customers and partners motivated by a shared purpose.
  • Holacracy is simply the first fully formed alternative to C&C that real companies are using successfully. Is it the only replacement? Should everyone switch to it immediately? Definitely not. There will be many other operating models to choose from in the near future.
  • anies with traditional hierarchy can only change as fast as their leaders can handle it.
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  • To avoid chaos, it actually forces you to define roles and accountabilities far more rigorously than the old C&C system
  • Responsive organizations also risk falling prey to the tyranny of consensus and backtracking to old systems of authority. That’s why clear rules and protocols–like those outlined by Holacracy–are so vital and tend to work well.
  • to explain Holacracy, let’s look at what changes it makes
  • Holacracy forces a company to revisit its rules, roles, objectives, and authorities in short cycles. This prevents you from over-planning upfront.
  • you know that companies create products and services that are reflections of themselves. So it makes sense that in order to rapidly iterate your product, you should also rapidly iterate how your organization works.
  • By constantly iterating, Holacratic companies can relieve new tensions caused by changes so they can learn and adapt fast.
  • Working on the right thing is as–if not more important–than how hard you are working.
  • It’s not a waste to build multiple versions if it helps you find the right one.
  • In Holacracy, teams are renamed “circles,” and they can be created or destroyed anytime.
  • Circles only have the authority to change things that are in the domain of their authority.
  • People identify 1-1 with their title, making them imprecise and inflexible.
  • Holacracy fixes this problem by decoupling “role from soul.”
  • You can have more roles than employees, and it’s expected that people will fill multiple roles within several circles.
  • While Holacracy may have a hierarchy of circles, it tries to decouple the humans from that hierarchy as much as possible.
  • work which can be done wholly within a formal team is much easier than work that requires participation from multiple teams.
  • Holacratic orgs tend to spend more time arguing about who should be able to decide and why that wasn’t clear to begin with
  • The most effective way to solve any problem is to put together all of the people with the skills required to solve it.
  • Writ large: Distributing decision-making isn’t easy. It goes against generations of learned behaviors and deep-seated mental models.
  • Each circle has a single role called Lead Link who has authority over assigning people to other roles in the circle.
  • Holacracy makes it easy and relatively friction free to create new circles, rearrange people within them, tear it all down and start again.
  • Holacracy deals with this by creating rules around proposals that favor the proposer over objectors.
  • ritualistically squashed.
  • Thus, proposals are deemed “safe to try” as long as everyone agrees that they’ll help gather valuable data. “Safe to try” is a key idea in Holacracy.
  • The only valid objections are A) this circle doesn’t have the authority over the domain you’re changing or B) there is proof the change will cause material harm to the business before it could be mitigated.
  • You can’t simply object because you don’t like an idea or have a better one.
  • Of course, most of the rules are tribal. “Because that’s how we’ve always done it,” is a common phrase at traditional companies.
  • the rules have to be written down so anyone can look them up and quickly figure out who owns what and what the policies really are.
  • Glassfrog is the name of the software you use to help you run a Holacratic company. It’s theoretically possible to run Holacracy without it, but it would be hard.
  • Glassfrog helps you document your organizational structure, circles, roles, accountabilities, policies, etc. It also aids in running meetings. Finally, it provides an ongoing record of changes made to the organization.
  • For a distributed org to function, much more needs to be done in public, where it can be easily discovered by others.
  • . The point isn’t to pre-determine what works for everyone. It’s to give you a basic structure that helps you make the rules transparent, easy to change, and to increase the rate at which you change them.
  • The biggest challenge is dealing with how wrong everything feels at first.
  • ou have to give the new system a real try, which means using it to relieve tensions, reinvent itself and solve the problems it creates.
  • Holacracy “feels” weird to most newcomers.
  • In Holacracy, the power goes to the process itself, making it difficult for individuals to take advantage of their positions.
  • They also agree that Holacracy is not a panacea or definitive replacement for C&C.
  • There is no way to design a permanent org structure where the right people can work together with as few dependencies as possible.
  • f you choose to follow their lead, remember that distributing authority isn’t binary–it’s a spectrum.
  • not let the problems you know you will encounter get in the way.
Dennis OConnor

Antibodies and coronavirus immunity: everything we know. - 0 views

  • Antibodies will probably be key to getting us out of this—in one way or another. By Shannon Palus
  • one promising solution is the idea of antibodies and antibody tests.
  • as with everything about the virus, it’s not yet clear what role antibody tests will be able to play in getting us out of this, and it’s even not completely clear how much getting the coronavirus once prevents you from getting it again
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  • What is an antibody?
  • How do I get the anti-coronavirus antibodies?
  • The most basic (and worst) way to get the antibodies is to get the coronavirus.
  • So once you have the antibodies, you are immune against the virus?
  • We can’t count on immunity right now.
  • Wait, but aren’t there people out there who have gotten the novel coronavirus twice, within a short period of time?
  • So if I’ve been sick with COVID-19 already, should I assume I’m immune, or not?
  • OK. Let’s get to the tests. What’s the deal?
  • The fantasy of antibody tests is that they might be deployed to help us determine who can go back to work and school and normal social gatherings.
  • That sounds very promising!
  • even though the tests can provide a guess at immunity, even a positive result cannot guarantee anything.
  • So what are antibody tests actually good for right now?
  • They are tools to gather more data.
  • This is why the National Institutes of Health is currently recruiting 10,000 volunteers to take antibody tests.
  • There’s one clear way that they could help right now on an individual level: We’ve all been asked to basically assume we have the coronavirus; an antibody test could help clarify our own narratives.
  • If you test positive, you can also apply to donate plasma.
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    Recommended by Dr. Michael Kurisu D.O. 4/15/2020 Good summary. Not scientific or too detailed but good overall big picture view
Dennis OConnor

CONNECT WITH US: Follow us on Twitter Ornish Spectrum Facebook Ornish Spectrum YouTub... - 0 views

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    " CONNECT WITH US: ABOUT PMRI RESEARCH CONTACT US DONATE Alzheimer's Study Can Lifestyle Changes Reverse Alzheimer's Disease?"
Dennis OConnor

First U.S. Company Announces an Upcoming Home COVID-19 Test | Time - 0 views

  • Food and Drug Administration allowed certified labs, including commercial lab testing companies, to develop and distribute COVID-19 tests on Feb. 29.
  • People can order the Everlywell COVID-19 test on the company’s website, after first answering questions about their basic health, symptoms and risk factors for the coronavirus disease. A doctor still needs to prescribe the test, so telemedicine doctors from PWNHealth, a national network of physicians who prescribe diagnostic tests, then reviews these answers to determine if a person qualifies for testing, based on criteria established by the Centers for Disease Control and Prevention.
  • Currently, because COVID-19 tests are not plentiful in the U.S., doctors are trying to rule out other respiratory diseases like flu first, and only ordering tests for people with symptoms who also have other risk factors for infection, such as being in close contact with others who have been diagnosed.
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  • If the telemedicine doctor decides to prescribe an Everlywell COVID-19 test, the company says it will send the $135 test kit in two days (customers can pay $30 more to receive the kit overnight).
  • As with many of the commercially available tests, this one extracts SARS-CoV-2, the virus behind COVID-19, from the sample and then probes for specific genetic signatures of the virus.
  • If the test is positive, the company also provides a full telemedicine consultation with one of around 200 physicians that is included in the cost of the test.
  • Everlywell says it is ready to ship 30,000 COVID-19 tests, and plans to expand the number of labs processing the sample
  • kits will depend on the availability of swabs for collecting samples
  • global shortage of swabs for any lab performing the test.
  • We’re working hard to ramp up weekly capacity to test 250,000 Americans,” says Cheek
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    DeAunne Denmark, M.D. Phd - I was just reading about this last night. Dr forum blowing up about it. It could be a gigantic win for EverlyWell (and at-home D-T-C Direct-to-Consumer) if they do it right. But *must* do it right, e.g. including transparency re: methods, interfacing with HCP/EMRs, etc. The big issue may be collection variability, not unlike the microbiome. Nasal swab not trivial, more talk now about collection variability possibly accounting for a large proportion of "negs" turning positive. Hate to see a lot of false confidence running around at large infecting others.
Dennis OConnor

10 medical research trends we'll be watching in 2020 and beyond | LinkedIn - 0 views

  • 1.   Making patients the priority
  • 2.   Listening and learning from patients
  • 3.   Increased focus on long-term commitments (rather than short-term wins
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  • 4.   More inclusive medical research
  • 5.   More health data in the cloud
  • 7.   Greater focus on preventing disease, rather than treating it
  • 6.   A (much) bigger role for AI
  • 8.   More mysteries of the brain unlocked
  • 9.   Patient registries will continue aiding scientific discovery
  • 10. Continued optimism about the future
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