How to Run Your Clinic With Profits : 5 Uncommon Tips

Cr. Luis Melendez

Source from Attunelive.com

Basic marketing principals and strategies are needed to create awareness about your clinic, which would make your clinic profitable. 

Here are 5 tips, aiming at increasing your clinic’s profitability in a not so common way:

  • Customer Care. Impressions of your patient towards the clinic is undoubtedly the most important and it usually begins with your reception desk. Don’t make them wait for too long while ensuring that the lobby is supplied with drinking water facility, reading material, television and soothing interiors. Coupled up with a warm, empathetic and helpful behavior of your staff and good medical prowess exhibited by you could be a recommendable patient experience that the patient will voluntarily share with friends and family.
  • Good IT usage. Waiting time could be reduced at your clinic by using a good IT solution to schedule your appointments that will automatically help you accommodate walk-ins in a much smoother manner for vacant slots as well as missed/did not turn up ones.
  • Creating A Network with Allied Services Professionals. Medical care to patients involves many others including Pharmacists, Physiotherapists, Counselors, Pathologists and many others. A team that is well networked (from professionals in allied medical services) can support each other with references.
  • A point of offer. In your marketing campaigns, offer something unique that would then create consumers. 
  • Automate and Have Central Control. Fully equip yourself with information on how things are working at every corner of your clinic. Having reports are the best form of control possible without being physically present at all times, everywhere. Get an automation solution as per the requirements of your clinic and train yourself to understand what the numbers spell out. 
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Reducing risks of osteoporosis fractures in Crohn’s disease with impact and resistance training

Cr. John Arano

Source from MIMS.com

A recent study shows that combined impact and resistance training exercises helps raise bone mineral density (BMD) and muscle function, which benefits patients with Crohn’s disease (CD) who has a high risk in developing osteoporosis and related fractures.

Researchers selected adults with stable CD (n=47, mean age=49.3 years) and were assigned to undergo an exercise intervention (n=23) or receive usual care alone (n=24) for 6 months. Usual care plus a combined impact and resistance training programme were given to the exercise group while patients underwent three 60-minutes sessions per week, with a gradual tapering of supervision to self-management.

Most of the patients had quiescent disease and none of the patients smoked. 216 months median time since the CD diagnosis and according to baseline BMD measurements, 12 patients had evidence of osteopaenia or osteoporosis at the lumbar spine and 20 at the left hip. The most common medications used for CD were immunosuppressants and biologics; none were on corticosteroids.

The bone mineral density (BMD) values were better in the exercise vs the control group at 6 months, with the difference significant at lumbar spine, but not at femoral neck nor at greater trochanter.

Even though there were three exercise-related adverse events (for instance light-headedness and nausea) the intervention yielded improvements in all muscle function outcomes and fatigue severity.

The findings highlight the intervention as a suitable model of exercise for reducing the future risk of osteoporotic fractures and physical disability in this high‐risk population, according to researchers.

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No adverse CV outcomes and excess risks of death from Febuxostat

Cr. Halacious

Source from MIMS.com

According to the results of a meta-analysis, the use of febuxostat does not appear to come with an increased hazard of mortality or adverse cardiovascular (CV) outcomes, for the treatment of patients with gout and hyperuricemia.

Data from 15 randomized controlled trials were collected by researchers and contributed to a total of 16,070 participants. The proportion of patients with hypertension varied between 27.7 percent and 100.0 percent, while those with diabetes ranged from 6.9 percent to 100.0 percent.

A median follow-up of 6.4 months were used across the trials, and the use of febuxostat vs control (allopurinol or placebo) did not result in a significant increase in the risk of CV mortality and all-cause mortality.

The same was true for adverse CV outcomes, as follows: major adverse CV events (risk difference [RD] 1.40 percent), myocardial infarction (RD, -0.06 percent), stroke (RD, 0.10 percent), or new-onset hypertension (RD, 1.58 percent).

Among patients with existing CV disease, the findings were consistent and the test (Egger’s regression test) did not detect significant publication bias.

The evidence were limited by the presence of low to moderate certainty, the researchers said. Recommendations of evaluating CV events and mortality as an outcome were stated by the researchers, as well as defining major adverse CV events, and comparing the outcomes among different doses of febuxostat over a longer follow-up duration in future trials.

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Therapeutic potential in COVID-19 with colchicine

Cr. Fusion Medical Animation

Source from MIMS.com

Based on a study, survival rate in patients with COVID-19 was improved with the use of colchicine, which are usually used for the treatment of gout and other inflammatory disorders as compared with standard of care (SoC).

The well-recognised anti-inflammatory effects and potential antiviral properties made it as one of the drugs that was considered for the treatment of COVID-19.  140 hospitalized patients who contracted COVID-19 had their outcomes evaluated as they were treated with SoC (hydroxychloroquine and/or intravenous dexamethasone; and/or lopinavir/ritonavir) and in 122 patients treated with colchicine and SoC.

The SoC group, have lower serum concentrations of C-reactive prottein and ferritin, as well as neutrophil count but higher PaO2/FiO2 ratio at baseline.

Survival when being compared over 21 days of follow-up, it was more favourable in the colchicine than the SoC group. A lower risk of death was strongly associated with colchicine, on Cox proprortional hazards regression (hazard ratio, 0.151).

At entry, there were a higher serum levels of ferritin, worse Pa02/Fi02 and poor survival at older age for the risk factors. 

With no treatment discontinuation due to severe adverse events, colchicine had a good safety profile. In nine patients, dosing was reduced from 1 to 0.5 mg/day due to diarrhoea.

With the aim of preventing the patient’s autoinflammatory response, the current study provides proof-of-concept data supporting the possible use of colchicine in the treatment of the early phase of COVID-19.

To determine the efficacy and safety of colchicine, properly designed trials are needed with the best protocol in terms of dosage and timing of administartion in patients with COVID-19, said the researchers.

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Differences between anxiety attacks and panic attacks

Cr. Victor Rodvang

Source from my.clevelandclinic.org

People have been using the terms “anxiety attack” and “panic attack” correspondingly, when in fact, they are two slightly different medical conditions.

A breakdown:

Anxiety is typical and although it is unpleasant, it helps motivate and protect individuals from threats.

Anxiety disorders comes in many forms and people usually respond to non-threatening things with outsized fear and dread.

Anxiety attacks is just another term for a panic attack.

Panic attacks occurs without warning and are intense attacks of fear and anxiety. It is usually harmless and last for about 15 to 20 minutes.

Panic disorder occurs when an individual has repeated panic attacks and it is also a type of anxiety disorder.

Panic attack symptoms

  • A feeling that what is happening around them is not real
  • Chest pain or discomfort
  • Chills or overheating
  • Dizziness
  • Fear of perhaps that they are dying or going crazy
  • Feeling that they might be choking
  • Increased heart rate
  • Nausea
  • Numbness
  • Sweating
  • Trembling or shaking

How to deal with panic attacks

  1. Labeling it. When panic attack happens, individual who are experiencing it often thinks that they are having a heart attack or losing their mind. It is advised to assure themselves that what is happening to them won’t kill them and that it will end.
  2. Keeping track. Note the attacks and when and where they happened, how long the duration was and things that might have triggered it.
  3. Breathe. Numerous claims from people of various backgrounds said that deep breathing exercises helps. It turns down the body’s panic response, helping the breath and heart rate to return back to normal.
  4. Distract the mind from focusing about the panic attacks. Do other things that helps. For example, smell something pleasant or watching a funny TV show.
  5. Getting help. Mental health professionals can help by using a Jedi mind trick, known as cognitive restructuring.
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Easy treatment for headaches

Cr. Adrian Swancar

Source from Healthline.com

Headache is defined as a pain arising from the head or upper neck of the body. The pain originates from the tissues and structures that surround the skull or the brain because the brain itself has no nerves that give rise to the sensation of pain (pain fibers). Several types of headaches exist, with tension headaches being the most common. Cluster headaches are painful and happen in groups or “clusters,” while migraines are a moderate-to-severe type of headache.

Keeping hydrate : The body need certain amount of fluid for it to properly function and by drinking too little, it may lead you to develop a headache. Researchers have found that the common cause of migraines and tension headaches mostly come from chronic dehydration. This can be relieved by drinking enough water which shown to relieve symptoms in dehydrated individuals within 30 minutes to three hours –  depending on their state.

Cr. LuAnn Hunt

Cr. Annie Spratt

Taking magnesium : A study suggests that treatment with 600mg of oral magnesium citrate per day helps in reducing the frequency and severity of migraine headaches. Headaches could be cured with prescribed medicines and can be prevented with consuming food that have high content of magnesium such as pumpkin seed, broccoli and certain amount of beans.

Limiting alcohol intake : Evidence shown that alcohol can trigger migraines in about one-third of individuals who experience frequent headaches. It also cause tension and cluster headaches in many people. Alcohol is a vasodilator, which widens blood vessels and allows more flow of the blood which may cause headaches in some people. The body could lose fluids and electrolytes from frequent urination as alcohol also acts as a diuretic which can cause or worsen headaches.

Cr. Giovanna Gomes

Cr. Gregory Pappas

Getting enough sleep : Sleeping less than you required can be detrimental to your health and may even cause headaches in some people. It is found that people who has sleep deprivation had more frequent and severe headaches but getting too much sleep has also been shown to trigger headaches. It is advised to have a minimum of 6 hours sleep a day, depending on the individual.

Practice yoga : One of the ways to relieve stress and improve your overall quality of life would be relaxing with yoga. A study was conducted and it showed that the effects of yoga therapy on 60 people with chronic migraines were reduced more than those who received conventional care alone.

Cr. Kiki Vega

Cr. Peter Secan

Having caffeinated liquid : Drinking beverages with caffeine such as tea or coffee may provide relief for a headache. It improves mood, increases alertness and constricts blood vessels. It also helps increase the effectiveness of common medications like acetaminophen and ibuprofen which are used to treat headaches with mindful caffeine intake.

Exercise : Increasing your activity level is said  to be one of the simplest ways in reducing headaches. A study which involved 91 people in 40 minutes of indoor cycling, three times a week was effective in reducing headache frequency than practicing relaxation techniques.

Cr. Jenny Hill

Cr. Dominik Martin

Sip some ginger tea : Ginger root has many beneficial compounds, including antioxidants and anti-inflammatory substances and they also helps reducing nausea and vomiting, which usually are the common symptoms associated with severe headaches.

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TB antibiotics in reaching targets

Cr. Simone van der Koelen

Source from Sciencedaily.com

Researchers have built up another technique that empowers them to envision how well antibiotics against tuberculosis (TB) reach at their pathogenic targets inside human hosts. The discoveries, published in the journal Science, boost understanding of how antibiotics work and could help direct the development of new antibiotics, which are truly necessary in the fight against drug-resistance.

TB treatment

TB stays as one of the world’s deadliest infectious diseases, with over a million TB-related deaths worldwide every year.

At the point when an individual is infected with Mtb (mycobacteria), their immune system attempts to clear the microorganism by calling upon specialised immune cells called as macrophages that perceive and engulf Mtb. However, the bacteria frequently discover ways to survive and duplicate, causing illness. Patients require at least four antibiotics for at six months to defeat the disease.

It was previously unknown whether antibiotics enter all the compartments of the macrophage where the Mtb hide and duplicate.

The method pioneered in this study, which consolidates three kinds of imaging (correlated light, electron and nano-scale ion microscopy), permits researchers to picture the circulation of TB drugs in Mtb-infected human macrophages at high resolution, for the first time.

A test-case TB drug

Utilizing bedaquiline as an test-case, the group contaminated human macrophages with Mtb, and following up after two days, they treated them with the medication. Their imaging results revealed that bedaquiline accumulated in various compartments of the cell, most eminently, inside lipid droplets.

The bacteria can interact with and consume these lipid droplets. Be that as it may, the group (Crick-led team) didn’t know whether bedaquiline would be moved to the bacteria, or whether the lipid droplets were retaining the antibiotic and keeping it from arriving at the bacteria. Including a chemical that kept lipid droplets from forming significantly decreased the measure of bedaquiline in Mtb, proposing that the lipid drops are responsible for moving antibiotic to the bacteria.

“Now that we can see exactly where antibiotics go once they enter macrophages, we can build up a much clearer picture of how they reach their targets, and harness these observations to design more effective treatments in the future, not only for TB but for other infectious diseases too” says Max Gutierrez, Crick group leader and senior author of the paper.

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Women with recurrent pregnancy loss could reduce their stress with emotion-focused strategies

Cr. Matteo Di iorio

Source from MIMS.com

According to the data presented at ESHRE 2020, perceived stress in women who had recurrent pregnancy loss (RPL) could be reduced by meditation and mindfulness interventions.

Karen Kirchheiner from Hdidovre Hospital in Denmark, stated that studies have shown perceived stress and moderate-to-severe depression are more prevalent in women with RPL than other women trying to conceive.

“A 7-week meditation and mindfulness programme significantly reduced perceived stress [vs] a standard supportive care programme for women with RPL,” she said.

The researchers in the study randomized 76 women, 1:1 to receive supportive care alone or with a 7-week meditation and mindfulness programme facilitated by an authorized instructor. Daily guided audio of meditation for 10-20 minutes were also instructed for the women in the intervention arm while women in the control arm were instructed against meditation; 63 women completed the study.

Mean perceived stress significantly dropped from baseline in both the intervention and the control arms at 7 weeks with intervention outweighed the control protocol in terms of perceived stress reduction for between-group comparison.

The between-group difference was not significant as the perceived stress levels remained low in both intervention and control arms at 12 months vs baseline.

Women in the intervention arm had a significant reduction in personal stress from baseline, which were based on COMPI-FPSS scores at week 7. No significant differences were seen in the other two domains despite the reduced scores.

Consistent numerical reductions were seen across all COMPI-FPSS domains with the intervention protocol at 12 months, 9.2 to 8.7 points, and 7.9 to 7.6 points with only the social domain score reduction was statistically significant.

At week 7, depression was reported at baseline, dropping to none for two women in the intervention and at 12 months, only one had depression. However, these reductions did not equate to statistical significance.

Kirchheiner stated that there are no any significant decrease in depression in all three timelines and underlined that the study was not powered to detect differences in Major Depression Index (MDI).

“[Nevertheless, our studies suggest that] guided self-administered meditations could be a useful tool in the care for women experiencing RPL …. We now have a documented tool to reduce perceived stress. The question now is how to implement this in our clinical practice,” she concluded.

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Study shows that having red meat before exercise does not offer any additional benefits

Cr. Victoria Shes

Source from MIMS.com

A new study has shown that people who are consuming lean red meat in line with current recommendations does not improve muscle mass, strength, nor cognitive functions of healthy community-dwelling older adults undertaking resistance-based exercise training 3 days/week compared to those consuming carbohydrates.

154 random adults aged ≥65 years was picked by the researchers as they participated in a multicomponent 3-day/week resistance-based exercise programme to either a lean red meat group, the exercise plus lean red meat or a control group receiving carbohydrates in the form of one-half cup or rice or pasta or 1 medium potato, the exercise plus carbohydrate control, on training days.

For the primary outcomes in total body lean mass, leg LM, thigh muscle cross-sectional area, leg and back muscle strength, and executive function;  there were no significant differences between-groups in exercise-induced improvements.

There were also no significant differences in improvements for the secondary outcomes of global cognition function, fat mass, physical function measures, or systolic blood pressure.

In terms of arm Lm, gait speed, muscle density, and appendicular LM in the per-protocol analysis, the improvements were greater for the Ex + meat group than the C + Ex group.

At the same time, net improvements in working memory learning after 12 weeks and 24 weeks were greater in the C + Ex group than the Ex + Meat group.

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