Dr. Bray Links

Wednesday, December 13, 2017

The Caregiver Crisis: Rising Demand, Short Supply Puts Elderly at Risk

    The median cost for a one-bedroom apartment in a senior assisted living community is $43,539. It ranges from roughly $30,000 (Missouri) to $80,000 (District of Columbia), according to Consumer Reports.

    The average cost of a private room in a full-service nursing home is over $87, 000 per year.

    At the other end of the age curve, childrens' daycare costs an average of about $20,000. In the last 25 years, childcare costs have doubled.

https://holisticprimarycare.net/topics/topics-h-n/healthy-aging/1919-the-caregiver-crisis-rising-demand-short-supply-puts-elderly-at-risk.html

Monday, December 4, 2017

Pediatric non alcoholic fatty liver disease

Recently, interesting dietary supplements such as probiotics and long-chain omega-3 polyunsaturated fatty acids have been adopted in adults with NAFLD [91, 92]. Interestingly, these dietary supplements, although considered pharmacological interventions, are often based on natural compounds present in specific foods (yogurt, fish oil, etc.). Among the pathogenetic factors leading to NAFLD, the persistent crosstalk among the gut, the immune system, and the liver, plays a pivotal role [93]. In fact, it is now accepted that specific nutrients increase the intestinal permeability to bacterial endotoxins, activating an immune-mediated inflammatory response of liver resident cells, leading to a profibrogenic phenotype [94]. One recent study on animal models [95], has demonstrated a pivotal role of restoring gut microflora in protecting the liver from fat and preventing cardiovascular disease.

https://bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-13-40

Friday, December 1, 2017

Taking Care of the Physician - NYTimes.com

"It has been shown in some studies that if the physician is exercising, if the physician is taking care of themself, eating well, sleeping better, they have patients who have better clinical outcomes," said Dr. Hilary McClafferty

https://mobile.nytimes.com/2017/11/13/well/family/taking-care-of-the-physician.html