The Fifth Conference

You’ve probably heard of the hormone testosterone. The more natural testosterone you have, the greater the increase in muscle mass etc. An easy way to naturally increase the amount of testosterone in your body is through a testosterone enhancing supplements. Important to know the difference between testobooster and synthetic testosterone, which is illegal. A swedish “testosteron tillskott” has the goal to raise your levels to those natural, but synthetic has the aim to raise your levels to over them natural.

What is so called testosteron tillskott?

Testosterone is a hormone that promotes muscle growth. As the sound of the name is a testobooster (testosteron tillskott) a supplement that will increase the amount of testosterone naturally. The more natural testosterone, the greater the increase in muscle mass for hard-training individuals. More information about the so called ”swedish naturligt testosteron tillskott” can be found here.

How does a swedish testosterontillskott work?

Only buy a product that is 100% legal and natural. NOTE: You should buy from well-known brands, Swedish testosteron tillskott is preferable. This is because it has happened several times that rogue businesses mixed in illegal substances in their testoboosters for people to like them extra.
A testosterontillskott works by combining several ingredients that increase testosterone in the body. Because there are many subjects in scientific studies to increase the natural testosterone. Some have much and “heavy” research behind them, while others are more recently discovered and only preliminary results. Some of the substances have been shown to affect testosterone in the body and is usually included in a testosterone booster is as follows:

• Zinc
• Magnesium
• D-Vitamin
• Tribulus Terrestris
• DAA
• Macaextrakt
• Onions and garlic extract?

Dietary supplement

If you look a little closer at the contents of a testobooster you can draw your own conclusions if you think it’s working or not. Among other vitamins and minerals are said to be able to raise testosteron levels naturally. When you combine these substances in one tablet can increase testosteron levels naturally. But if you already have extremely high levels through optimal nutrition as a “testosteron tillskott” not make much difference. But there are very few that come up in these levels through diet alone.

What do avoid!

It is not unusual that the criticism directed at testoboosters often as it would raise the testosterone levels in the same way as anabolic steroids (synthetic testosterone). However, the purpose of a testobooster not raise your testosterone levels to those of the natural, but just to raise your levels to those natural.

Some Summarizing words of testosteron tillskott

Please just try a swedish naturligt testosteron tillskott to increase your levels. However, one should realize that they do not make you a “Belgian Blue” and muscles swell up overnight. A testobooster serves as said by maximizing your natural levels. Had the increased levels of the natural had been illegal . It really is not. But when you work seriously so is every extra% you can get gold worth. Therefore, a booster may not be recommended for a semi-serious hobby trainer, but it is something you really want to get good results! Then, one should not forget the psychological impact of a Testo booster either.

Dubai is well regarded for offering world-class medical services and health services like doctors on call Dubai. It is not easy to take care of your health in this day to day life. Being sick is one of the most stressful parts of life, especially when you need to visit the hospital too frequently. At this time, you feel hopeless and wish to improve your health fast. This is why we need home visit doctors Dubai for ample convenience.

Services Offered

Home healthcare providers offer a lot of services like primary care which includes treatment, diagnosis and care for the people with several health issues. Primary healthcare providers help monitor and manage pre-existing and ongoing conditions.
These doctors also provide vitamin injection Dubai to avoid diseases and maintain overall health. They provide services with vast experience and knowledge. They also perform routine checkups to keep track of your health and ensure your positive response to treatment. They also offer speech and physical therapies. These services are beneficial to the people of all ages, especially the ones who are unable to travel to hospitals and those who need special care.

What to Expect with Doctors on Call?

There are many benefits of doctors on call for residents of Dubai. Here’s what you can expect from home healthcare service providers –

Availability

We often worry a lot, especially when our loved one is sick or we have a child at home, and we are away from them. This way, home healthcare service providers can ease the burden by being around. We can also make changes to their services. You may not be able to go anywhere when you are sick, or you might not have the proper strength to reach the clinic. This way, calling the doctors is as simple as requesting and dialling services from an expert physician. It can also be made simple with portable medical tools to get the best services.

Family Help

In hospitals, you can only visit your loved one for specific hours. But if you have a doctor on call, you can always remain at home where your friends and family can visit all the time. There is also no need to worry about an unknown environment or a standard room to share with other patients. It also improves positive response to medication and therapy and faster recovery.

Reduces hospital readmission

By investing in in-home healthcare, you can significantly reduce the odds of getting readmission in the hospital. This way, there are high chances of recovery and lower chances of hospitalization. There are also reduced risk of getting infections, which take place after a long inactivity period, especially when you are taking bed rest which can slow the recovery time at the hospital. This way, home healthcare facilities can speed up recovery in a cosy environment.

Better Care

Home healthcare providers treat patients at their own pace without being in a hurry. There is also no queue of patients who are waiting to see their doctors. When a doctor visits your home, he can take a proper test and address your concerns personally. They can work on your case without any interruptions. You are the only patient they need to serve.

Cost-Effective

In comparison to getting admitted into a hospital, a doctor on call service is quite less expensive. They provide all the facilities to people who are released from the hospital but need specialized care. You can also save on consultation charges and get the same services as you get in hospital.

Bottom Line

All in all, home healthcare facilities are very beneficial for the people of all ages, especially young children and the elderly. It can save on doctors’ fees and hospitalization. It also helps avoid infection due to hospital stays.

Author Bio

I am a Health Writer and usually checks health treatment country wise, state-wise and city-wise. I found Dubai is best for health treatment. One can get Doctors on-call Dubai.

HEALTHCARE IS UNDER PRESSURE FROM SEVERAL DIRECTIONS. CORILUS IS CONNECTING THE STAKEHOLDERS IN THE SYSTEM TO RADICALLY STREAMLINE PROCESSES.

Increasingly, elderly care is becoming a multidisciplinary task requiring coordination between rest and nursing homes, general practitioners, physiotherapists, nurses and pharmacies. As institutional care is extending towards home-based care, the need for efficient coordination among the various actors in the system will only increase. Corilus, a leading ICT-provider for healthcare professionals and rest homes, is aligning itself to eHealth with open standard solutions for managing processes that cross organisational boundaries.

Healthcare under pressure

We’re acutely aware of the fact that the healthcare sector is under pressure; it needs to adapt to a number of clear trends and challenges. Firstly, demand for healthcare services is gradually increasing and will continue to increase in the coming years. Partly this is due to the ageing of our population. Older people require more care and are more likely to suffer from chronic illnesses.

Even among younger people, however, the prevalence of chronic illnesses such as obesity and diabetes is increasing. In parallel to these trends healthcare is becoming increasingly high tech—which requires important investments. And the regulator is adding pressure too by raising the bar on quality control and the traceability of medication. These trends all combine to drive healthcare costs upward—just at a time when governments are trying hard to reduce spending. And just to top it all off, there is an increasing shortage of healthcare workers, especially nurses. The sector is under pressure to expand, but it is restricted in doing so due to a shortage of money and people. That’s why ICT is destined to play such an important role in healthcare by saving time and creating more efficiency.

With the Healthcare sector under pressure, it needs to adapt to a number of changes and technological developments to overcome the challenges. The cost from local GP’s to Glasgow orthodontist, hospital staffs to A&E departments are significantly increasing meaning these services will become more expensive as more nurses, doctors and dentists are hired to cope. With such a high demand technological innovation offers our healthcare system a solution to cope with the current crisis.

Toward a hybrid model of care

It is interesting to see how these trends play out in one of our core markets, Rest and Nursing Homes. At present elderly care is concentrated at the institutional level, at the rest homes. However, in the years and decades ahead we cannot meet rising demand simply by building more rest homes. At Corilus we believe that the system will move towards a more hybrid model where all actors in the elderly care system—GPs, rest homes, nurses, pharmacies, physiotherapists, etc—will coordinate their work around patients who remain at home.

Today rest homes already have a support function to home care, but this will become more intense in the years ahead. They’ll increasingly need to offer people day-care services or short-stay services. Also, we predict that rest homes will play a central role in the coordination and alignment of home care.

What makes an “e-patient”

After my diagnosis, I was given 24 weeks to live. That tends to focus the mind. When I beat the disease, I faced life with a whole new view. A year later, my physician enrolled me in an e-patient study group.

E-patient means “empowered, engaged, equipped, enabled” it means people taking charge of their own medical care and not depending on the system. The founders of this idea saw that with the internet patients would have access to things formerly only available to physicians. Now patients could have better information, connections with other cases, and so on.

When it was first developed, the “e” was popular for everything online. Today, being online does not make you an e-patient. Many people are online and remain very much not empowered.

The main “e” today is being an engaged patient instead of a passive recipient. You can be an engaged patient with or without the internet. If patients are highly activate partners in healthcare, that just brings an enormous new resource to the transaction, and it’s a resource that has been highly missing.

Patient empowerment means patient engagement

There are lots of definitions of patient empowerment. For many people, “patient empowerment” is shorthand for “watch out, medical errors happen all the time and you or your family may get harmed. So be aware.”

However, I’m a child of the ’60s. I watched the civil rights movement and the women’s liberation movement. I watched as people became empowered. To me empowerment means people being able to say what they want. Empowerment means people speaking up for themselves instead of feeling “no, I can’t say that.”

Many people get into patient empowerment after medical disasters. I came at it after being the recipient of a miracle cure. My diagnosis, treatment and hospital care were all superb. But as I studied healthcare, I began realizing there were massive inefficiencies in this field. Even where healthcare is efficient, it’s not accomplishing what it could. There’s this mythology built up around the medical field, and that has to change.

How patients are changing healthcare

Like the medicines that ended up saving my life, there are treatments that are not well understood by the medical community but are understood by the patient community. It raises the question: how could it possibly be that scientifically accurate information is more readily available among patients than among many doctors?

Twenty years ago this would not be true. At best, through dumb luck you might bump into somebody at a diner with valuable information that’s not available from most doctors. But today it’s very common.

For example, when interleukin, the medicine that saved my life, was first approved, it worked on seven percent of patients and four percent died. But by the time I underwent treatment four years ago, it was up to 20 percent of patients working, and they haven’t lost a patient in nine years. Things have drastically improved.

But your average oncologist doesn’t see a kidney cancer patient that often, they don’t know this.

Doctors are under increasing pressure to see more and more patients; there’s an explosion in the number of diagnoses possible. There’s also an explosion in journal articles. The doctors are simply overwhelmed.

In contrast to that, my kidney cancer patient community has one area of focus: we can go deep and wide. We can examine these topics in a detailed way that most physicians simply don’t have the ability to do by themselves.

This is a cultural problem, and there’s some pretty aggressive pushback from doctors superstitiously disbelieving how overwhelmed their profession has become. They have this belief that of course their support systems are keeping them up to date on everything they need to know. But it can’t. It’s not their fault; it’s a product of the information explosion.

The time it takes to go through the journal process — from getting the information to it landing on a doctor’s desk — is two to five years. If you have an estimated survival time of 24 weeks and there may be life-saving information out there that’s still working its way through that pipeline, this is a problem.

The problems with the established medical information “pipeline”

It’s true that valuable information can exist outside the medical pipeline. It’s true that people, without medical training, can hunt and find that information. It also explains why this whole thing has blindsided the establishment. They simply were not aware this was happening.

More enlightened doctors, especially those coming out of medical school now, get that this change has occurred. They’re beyond simply using e-mail; they’d rather IM with their patients.

But the assumption in the establishment is that it will upgrade itself. They cannot do this because they have out of date information and the old methods simply can’t keep up. If you’re in a medical crisis in this environment, it’s like stepping into traffic based on information that’s years old.

Think about this: your mother, your uncle, your kid is in a medical crisis. You want to save them and this is about as fundamental a need as it gets. So there is economic value in higher quality information, and it’s not coming from most hospitals.

Adapting patients — and doctors — to the new reality

A major goal is to get people adapted to the new reality. In some cases it clears up immediately. In others it requires transforming the culture, getting over people’s beliefs.

It turns out there are a certain percentage of people in the medical field — at least in America, but doubtlessly around the world as well — who are simply assholes. They have a god complex, they don’t want to change, and some of them get belligerent.

For example, my sister had a severe case of stomach pain. In her particular doctor’s office, it was the receptionist who was empowered to filter out who she thought should see the doctor. She told my sister that there was just a stomach flu going around. Finally she forced her way back in there where she saw a physician’s assistant who put her on an ambulance and rushed her to the emergency room. She had a major gallbladder problem; it was infected and hemorrhaging. She was hospitalized for two days.

In this case, her primary care physician was no longer taking her phone calls, and she would have died if she had followed their advice. But she knew to speak up for herself. That has nothing to do with better access to information on the internet; that’s patient empowerment of a different sort, and it’s just as vital.

There’s awakening people to this new reality — that they have information at their fingertips that simply wasn’t there two decades ago — but just as importantly, there’s a need to change the culture so they’re the ones empowered.

Can you tell us a little about the Radboud REshape & Innovation Center?

The Radboud REshape Center was set up by the end of 2010 when the Executive Board of the Radboud University Nijmegen Medical Centre as part of the adopted strategy that we need to transition toward participatory healthcare.  This was a pretty fundamental decision, as a result of intense discussions I had with the board, for the hospital because it touches on the core of what we are,.  It acknowledges that there probably is nothing as paternalistic as a hospital and that a total mental shift will be required if we are to succeed. At base it means that we need to start informing patients in such a way that they are able to make decisions—together with the physician—about their treatment.

Are people ready for that responsibility?

Not everybody but you have to look at this from a long-term perspective.  Innovations typically take about 7 years before they lead to real societal change, al least in healthcare.  It is true that the generation requiring care now does not need or want computers, but the generation coming in was brought up with computers.  Even today’s diabetes generation is young enough to have been brought up with computers.  It’s difficult to say how exactly this will evolve but attitudes and expectations are definitely changing.  For example, my son looked at me as if I was crazy when I tossed away a phone book delivered by mail, when I told him what we used to use it for.  They think differently, not only about communication but also about work processes and power relationships.

I’m convinced that the patient-doctor relationship and the role of the doctor in particular, are changing significantly. The doctor’s role will evolve to a more consultative and coaching role. In the 10 minutes they have with a patient they will have to focus on the right questions, helping patients make sense of the information and come to decisions. The problem is that patients only process about 20% of what is said during a consultation.  That’s why technology can really make a difference to improve communication.  Although I do want to make clear that Health 2.0 is not primarily about technology; it is about attitudes, roles and work processes.

Tell us about some of the innovation projects initiated by REshape

I like to think of our Reshape-programme as a Swiss army knife; it’s multipronged initiative.  We do research, we organize events and conferences, give lectures and workshops and we initiate innovative projects.  There is no silver bullet to transforming healthcare. We have to work at different levels.  For example, the conference call system I’m using now to talk to you is an open platform (Skype).  We’ve made it available for multidisciplinary consults but we specifically went for an open system so that patients and their relatives can join in too.  The idea is to place the patient in a much more central position.  So we’ve adapted this “consumer technology” to help patients to enter our newly developed video-conferencing system FaceTalk. Once they are in, our secure system takes over.  So we use standard technology to lower thresholds and broaden the use.

We’re handing iPads to patients to show short films about what they can expect in their treatment.  And for young adult cancer patients we’ve created a community to address specific challenges around identity, sexuality, careers, etc—concerns that are very specific to the 18-35 age group.  With regard to the technology it is important to avoid creating islands.  That’s why we use proven consumer technologies and simply add extra elements or combine techniques to simply create a new service for the care environment.  Obviously you can build huge proprietary systems but there is no point in that.

To spread the message and stimulate debate on Health 2.0 we’re using events—again using proven concepts.  Pecha Kucha (a popular event format where presenters show 20 slides, in 20 seconds each) is a great technique to liven up presentations and to ban keynotes with 120 slides or more.  We started by bringing in external people to present material but now we’re seeing some of the doctors take up the challenge to present their experiences.  It is a great way to stimulate dialogue, to look at your message, not only content wise but into design as well.  And in April we have our first major conference, TEDxMaastricht. This is going to be one of the largest TEDx conferences in Europe to date—900 seats—and it will be dedicated entirely to the future of healthcare. Live streams in HD will be broadcasted to simulcast locations like Darwin Australia, Stockholm Sweden and many other places taking the amount of real-time visitors up to 10.000.

What is the higher goal of your organization? Is there really anything wrong with healthcare today?

Absolutely, there is something very wrong with healthcare.  At present it is mainly one-directional traffic.  Doctors say that they talk to patients; perhaps so, but there isn’t real negotiation with the patient.  For a doctor, the patient too often is simply a disease that generates data on which they base their medical decisions.  There is no real co-decision. Our mission is to inspire our colleagues to take a different approach to healthcare.  And we’re doing that in a piecemeal fashion; via small steps and proven methods we gradually want to change the way healthcare is done, but sometimes we have to use way’s never explored until now.  In a way, we’re trying to seduce our colleagues to work differently.  We want to offer tools and services that really appeal to people.  It is the little things that count here.  That’s why we’re using the iPad as an enabler—people want to use it.  FaceTalk is another example.  Technology can’t be a barrier; it needs to be an enabler, something that will seduce people into behaving differently.  But again, Health 2.0 is not simply about technology. In fact, you can apply Health 2.0 without technology.  Ultimately it is about co-decision.

Healthcare professions tend to think that they know what the patient needs.  That is not (always) the case.  We see this time and time again.  The whole sector is evolving with only one group in mind—the people who need care now, but it should also be preparing for the next generation coming in.

Why now? If Health 2.0 isn’t about technology, why is it making inroads now?

I think it has to do with the internet and the wider cultural shift that it is driving.  This isn’t only about healthcare—you can see similar trends everywhere.  It is about information access, or rather, the democratization of information. And it is about the increasing power of social networks.

For physicians this can be difficult to adapt to, especially because patients differ in their approach to seeking out and using information.  Some are proactive researchers who confront their doctor with mountains of data and information.  But there are others who are silently ‘testing’ their doctor’s expertise.  It is so difficult to integrate this into the education of doctors. But technology is opening up opportunities here.

It is really important that we prepare ourselves now, so that we can be ready in a few years to cope with the impending changes, not only in patient expectations but also the problem of staff shortages, increasing healthcare costs and exponential healthcare demands.

Are you optimistic about change in the healthcare sector?

I’m an optimist at core, but also a realist.  It will take years.  The danger is that we keep talking about change but nothing really happens.  In the healthcare sector we’re not very good at making changes, at making decisions—we talk too much.  But that is no excuse because it is an ethical decision.  It is unethical to delay; we need to get cracking on this.  That’s why with our innovation center we concentrate on short 30-day projects to rapidly test things in a real world setting.  And yes, we fail sometimes as well, but we will know within 30 days and hence can quickly cut our losses.  This is in contrast to most e-health projects that fail because they are far too large and complex.  And they tend to have very few generic elements in them.  All our projects rely on generic components—on proven consumer technology—so that ultimately we can involve the patients in these projects, also from home.  It is so important that these services are light, easy and accessible.

Obviously I don’t want to argue that we should kill all the large e-health projects but I do feel that there should be more programmes for supporting small projects, because I think it will ultimately be the small projects that