health department

C. Nicholas Cuneo, M.D. in the NEJM : "With every faux interaction I felt myself being forced to shed another layer of authenticity, and I quickly grew to dread the whole tedious charade. PEARLS, it spelled out: Partnership, Empathy, Apology, Respect, Legitimization, and Support. With a smirk, I tossed it in the trash." Better understanding and educational approach are needed. -- Just as a side note, here is an overview of some empathy/communication mnemonics with the corresponding references: "PEARLS – which stands for partnership, empathy, apology/acknowledgment, respect, legitimation, and support" https://www.mdedge.com/familypracticenews/article/88977/neurology/use-pearls-build-relationships-patients "The NURSE mnemonic is a useful memory aid to assist you to comprehensively and appropriately respond to patients’ emotions" https://www.stepsforward.org/modules/empathetic-listening The NURSE mnemonic has been reproduced from Back A, Arnold R, Tulsky J.

Epigenetics "Tthere is nobody who disputes that epigenetics predicts life span”. Aging eight or more years faster than your calendar age equates to twice the typical risk of dying, while aging seven years slower is associated with half the risk of death, Horvath says. "Life span predictor" clock His lab has developed a "life span predictor" they named it after the Grim Reaper: DNAm GrimAge. The epigenetic clock is more accurate the younger a person is. It’s especially inaccurate for the very old. “At this point, we don’t have any evidence that it’s clinically useful, because there are big error bars.” Seed of the clock is strongly influenced by underlying genes: 40% of the ticking rate is determined by genetic inheritance, and the rest by lifestyle and luck: " I'LL do it" mnemonic: I nheritance L ifestyle L uck Eating a healthy diet including lots of vegetables and fish is associated with slower epigenetic aging. Sleep deprication speeds the cloc

The major 5 personality factors are abbreviated in the acronyms OCEAN or CANOE: - Openness to experience (inventive/curious vs. consistent/cautious) - Conscientiousness (efficient/organized vs. extravagant/careless) - Extraversion (outgoing/energetic vs. solitary/reserved) - Agreeableness (friendly/compassionate vs. challenging/callous) - Neuroticism (sensitive/nervous vs. resilient/confident) Researchers from Northwestern University sifted through data from more than 1.5 million questionnaire respondents to find at least four distinct clusters of personality types exist — average, reserved, self-centered, and role model — challenging existing paradigms in psychology. Read more here: https://news.northwestern.edu/stories/2018/september/are-you-average-reserved-self-centered-or-a-role-model/ The personality types are based on 5 widely-accepted basic character traits - you can run a simple test created by Jordan Peterson for Dr Oz here: https://www.doctoroz.com/quiz/quiz-whats-your-perso

From WSJ: Researchers studied surgeons as they performed surgical simulations and found they could identify novice from experienced surgeons by analyzing brain scans taken as the physicians worked. Prefrontal cortex , the part of the brain involved in planning complex behaviors was more active in the novices. Skilled surgeons had more activity in the motor cortex, which is important for movement. The researchers, who developed a machine-learning system to analyze the scans, also showed that training resulted in a shift toward higher activity in the motor cortex. Simple mnemonic: Prefrontal cortex Planning Pre-proficient level Motor cortex Masters The scans were not MRIs but fNIRS , short for functional near-infrared spectroscopy . A person wears a skull cap embedded with tiny lasers that beam near-infrared light into the skull. Some of that light reflects back out and can be captured by a detector placed nearby. The quality of the detected light gives scientists clues as to whether bl