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Neurological Disorders
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Neurological Disorders

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Diabetes Prevention
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Stroke Intervention
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Featured Experts:

Curtis Benesch, M.D., M.P.H.
Larry B. Goldstein, M.D.
Dr. Babak S. Jahromi
Rebecca Weintraub Brendel, MD, JD
Rebecca Weintraub Brendel, MD, JD

Rebecca Weintraub Brendel, MD, JD

Assistant Professor of Medicine at Harvard Medical School and an Associate Physician at Brigham and Women’s Hospital

Dr. Weintraub is an Assistant Professor of Medicine at Harvard Medical School and an Associate Physician at Brigham and Women’s Hospital. She serves as a Faculty Fellow at the Berkman Center for Internet and Society at Harvard University and as a Young Global Leader at the World Economic Forum. Dr Weintraub was a co-founder of Jumpstart, the national AmeriCorps program, and she also serves as a technical advisor to Ashoka and non profits promoting the work of health entrepreneurs. Dr.

Neurological Disorders

Neurological Disorders

Larry B. Goldstein, M.D.

Professor of Medicine (Neurology) at Duke University and the Durham VA Medical Center

Dr. Goldestein is Director of the Duke Center for Cerebrovascular Disease, the Duke Stroke Center, and a Senior Fellow in Duke's Center for Clinical Health Policy Research.  Dr.

Dr. Babak S. Jahromi

Assistant Professor of Neurosurgery and Imaging Sciences
Cebrovascular, Stroke and Endovascular Program
University of Rochester Medical Center

Dr. Babak S. Jahromi has joined the University of Rochester Medical Center and serves as a URMC Assistant Professor of Neurosurgery and Imaging Sciences. Dr. Jahromi has received Canada’s highest awards for neurological research from the University of Toronto, the Royal College of Physicians & Surgeons of Canada, and the Canadian Neurological Society, and most recently completed fellowships in neuroendovascular surgery at the University of Miami and University of Buffalo.

Curtis Benesch, M.D., M.P.H.

Director, Strong Stroke Center
Associate Professor of Neurology and Neurosurgery
University of Rochester Medical Center

Dr. Benesch's specialty is cerebrovascular disease, with particular interest in acute stroke treatment, cost-effectiveness of stroke prevention, and patient education.

Stroke Intervention

(Source: NIH / National Institute of Neurological Disorders and Stroke) A stroke occurs when the blood supply to part of the brain is suddenly interrupted or when a blood vessel in the brain bursts, spilling blood into the spaces surrounding brain cells. Brain cells die when they no longer receive oxygen and nutrients from the blood or there is sudden bleeding into or around the brain. The symptoms of a stroke include sudden numbness or weakness, especially on one side of the body; sudden confusion or trouble speaking or understanding speech; sudden trouble seeing in one or both eyes; sudden trouble with walking, dizziness, or loss of balance or coordination; or sudden severe headache with no known cause. There are two forms of stroke: ischemic - blockage of a blood vessel supplying the brain, and hemorrhagic - bleeding into or around the brain.

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Resources
Resource Description: 
National Stroke Association reaches out to people who want to learn more about stroke, have survived a stroke, know someone who has suffered a stroke, or care for a stroke survivor.
A division of the American Heart Association: “We envision a world where stroke is minimized and ultimately eliminated as a major health problem. We look forward to a world where risk factors are reduced and rapid treatment is obtained.”
Reclaiming hope. Rebuilding lives. Our Mission: “To empower stroke survivors and their families to overcome ongoing challenges of life after stroke and rejuvenate their lives.”
For over 60 years, the Center for Disease Control and Prevention (CDC) has been dedicated to protecting health and promoting quality of life through the prevention and control of disease, injury, and disability.
Agency for Healthcare Research and Quality (AHRQ) was formerly known as the Agency for Health Care Policy and Research. Information from AHRQ's research helps people make more informed decisions and improve the quality of health care services.
Paramedics are required to rapidly analyze patient conditions and choose the best course of action to keep the patient stable and alive before they can be transported to a hospital or other treatment facility. Quick thinking, and the ability to perform standard diagnostic and treatment procedures in unpredictable conditions and locations are vital skills for any paramedic.
Medline Plus
Medline Description: 

Conduct an off-site search for Stroke information from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Key Points: 

Key Point 1

With a stroke time is critical. The faster intervention happens the fewer brain cells are injured. Time is brain!

Key Point 2

Restoring and maintaining blood flow is the key to protection of the brain. There may be multiple interventions that need to be done before the brain is fully protected.

Stroke

A stroke is the interruption of the flow of blood to any part of the brain, which causes damage to brain tissue. Today, some call it a "brain attack" to illustrate its seriousness and its relationship to heart attack (the interruption of blood flow to the heart). In this episode of Second Opinion, you'll learn about the diagnosis, prevention, and treatment of stroke.

Resources
Resource Description: 
This site is hosted by the Brain Attack Coalition. Their guidelines can be used to establish whether or not a patient is experiencing an acute stroke, the stroke's range and severity and the most effective treatment.
The American Health Assistance Foundation is a nonprofit charitable organization dedicated to funding research on Alzheimer's disease, glaucoma, macular degeneration, heart disease, and stroke. They offer free and inexpensive publications on all topics in both English and Spanish.
The American Stroke Association is the division of the American Heart Association that's solely focused on reducing disability and death from stroke through research, education, fundraising and advocacy. The site offers comprehensive information with sections on prevention, warning signs and life after stroke, plus an extensive "Heart and Stroke Encyclopedia."
The Brain Aneurysm Foundation provides support networks and educational resources to raise public awareness regarding early detection and treatment of brain aneurysms. The site includes information about treatment options and support for survivors.
This non-profit organization offers support and information to families of infants, children, and young adults who have hemiplegic cerebral palsy, hemiplegia, hemiparesis, or have experienced a stroke. The site includes sections on daily living, education, participation in sports, and insurance and financial issues.
This not-for-profit organization addresses critical issues specific to stroke in women, including research, prevention, treatment, education, and advocacy. The site includes a "Breaking News" section.
This site is provided by the U.S. National Library of Medicine and the National Institutes of Health. The section on Stroke includes links for information on prevention and screening, symptoms and diagnosis, treatment, rehabilitation and recovery, clinical trials and other research, and statistics.
Aphasia is an impairment of the ability to use or comprehend words, usually acquired as a result of a stroke or other brain injury. This site includes information in English, Spanish, Haitian-Creole, Russian and Chinese.
This government-created site includes broad-based information on disorders of the brain and nervous system. It includes many online publications dedicated to stroke.
The National Stroke Association (NSA) is a non-profit organization that provides education, services and community-based activities in prevention, treatment, rehabilitation and recovery for stroke victims. They offer educational information in both English and Spanish and free subscriptions to their magazine, "Stroke Smart."
This non-profit organization provides online support for stroke survivors and caregivers of adult stroke. Services include daily chat sessions and a message board with several forums for registered members (free). Educational resources do not require registration.
Medline Plus
Medline Description: 

Conduct an off-site search for Stroke information from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Stroke show panleists

Obesity

Magazine covers and newspaper headlines call it a national crisis. Confronted with the health and social costs of obesity, Americans will spend more than $30 billion dollars in their annual battle of the bulge, and most will lose the fight. Are we destined to be fat? And what's so wrong with a few extra pounds, anyway? We tackle these questions and more on this episode of Second Opinion.

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Resources
Resource Description: 
The Obesity Association provides is one of the web's most comprehensive sources of information on obesity and overweight.
Increase your understanding of adult obesity by referencing information from the National Institute of Diabetes and Digestive and Kidney Diseases, the primary National Institutes of Health organization for research on obesity.
The Centers for Disease Control provides an in-depth examination of overweight and obesity.
The National Heart, Lung, and Blood Institute offers an easy-to-use calculator to help you determine your Body Mass Index (BMI).
Learn more about the link between obesity and Insulin Resistance Syndrome at the American Association of Clinical Endocrinologists' website.
The American Heart Association offers a concise "Eating Plan for Healthy Americans".
It's easy to determine how many calories you burn doing your favorite exercise or activity with the online calorie calculator from CalorieControl.org.
Visit the American Academy of Family Physicians site for an information-rich section entitled, "Working with Your Doctor to Overcome Overweight and Obesity".
Medline Plus
Medline Description: 

Conduct an off-site search for Obesity information from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Obesity show panelists

Hypertension

It is called the silent killer, presenting few symptoms until there is serious physical damage. One out of three Americans suffer from hypertension and many of us don't even realize it. What qualifies as "high blood pressure," and what do the numbers mean? Panelists discuss the latest in diagnosis and treatment in this episode of Second Opinion.

Resources
Resource Description: 
Get comprehensive information about hypertension from the American Society of Hypertension.
Learn all about heart health through the American Heart Association.
Get comprehensive information on how to manage hypertension in the PDF version of Your Guide to Lowering Blood Pressure from the National Heart, Lung, and Blood Institute.
Learn about a clinically proven dietary approach for significantly reducing blood pressure in the PDF version of Facts About the DASH Eating Plan.
Use an interactive online tutorial from MedlinePlus to increase your understanding of hypertension.
Get the facts about ALLHAT, a major clinical study of antihypertensive medications completed in 2002.
Andrew Liebman, of the PBS series, Frontline, produced a documentary entitled, "Dangerous Prescription," which explores issues surrounding the safety of drugs, including antihypertensives. The complete documentary, along with sidebars and follow-ups, are on the PBS.org.
Medline Plus
Medline Description: 

Conduct an off-site search for Hypertension information from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Hypertension show panelists

Diabetes Prevention

(Source: NIH / National Diabetes Information Clearinghouse) The Diabetes Prevention Program (DPP) was a major multicenter clinical research study aimed at discovering whether modest weight loss through dietary changes and increased physical activity or treatment with the oral diabetes drug metformin (Glucophage) could prevent or delay the onset of type 2 diabetes in study participants. The DPP showed that people at risk for developing diabetes can prevent or delay the onset of diabetes by losing a modest amount of weight through diet and exercise.

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Webisode: 
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Resources
Resource Description: 
Our mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. We lead the fight against the deadly consequences of diabetes and fight for those affected.
NDIC was established in 1978 to increase knowledge and understanding about diabetes among patients, health care professionals, and the general public. To carry out this mission, NDIC works closely with NIDDK's Diabetes Research and Training Centers; the National Diabetes Education Program (NDEP); professional, patient, and voluntary associations; Government agencies; and State health departments to identify and respond to informational needs about diabetes and its management.
CDC has had a diabetes division since 1977. In 1989, the name of the division was changed to Division of Diabetes Translation, meaning that the division translates science into daily practice. In our applied or "translation" research, we take information from clinical trials and incorporate it into clinical and public health practices.
The Diabetes Prevention Program is funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) to determine the safety and efficacy of two interventions (intensive lifestyle and Metformin) relative to a control group (standard lifestyle recommendations) in preventing or delaying the confirmed development of diabetes. The objective of the study is to prevent or delay the onset of diabetes among persons at high risk using interventions designed to improve abnormal glucose metabolism.
Medline Plus
Medline Description: 

Conduct an off-site search for Diabetes Prevention from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

  • Diabetes - main page – all aspects.  Includes overviews, diagnosis, treatment, coping, alternative therapy, related issues, etc.

  • Diabetes Complications  - main page – all aspects.  Includes overviews, diagnosis, treatment, coping, alternative therapy, related issues, etc.
  • Diabetes Medicines - main page – all aspects.  Includes overviews, diagnosis, treatment, coping, alternative therapy, related issues, etc.
  • Diabetic Diet - main page – all aspects.  Includes overviews, diagnosis, treatment, coping, alternative therapy, related issues, etc.
  • Nutrition - main page – all aspects.  Includes overviews, diagnosis, treatment, coping, alternative therapy, related issues, etc.
  • Healthy Living - main page – all aspects.  Includes overviews, diagnosis, treatment, coping, alternative therapy, related issues, etc.
Key Points: 

Key Point 1

Type II diabetes is a huge problem in the U.S., and the numbers are rising dramatically.  It is a dangerous disease and people at risk should be monitored regularly and treated early.

 

Key Point 2

Prevention is the key… having an active lifestyle and eating healthy foods can really make a difference in your diabetes risk. By preventing the on-set of diabetes you can extend the length and quality of your life.

 

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