Category: sgecenefv

December 31, 2020

CRC Health Group acquires Habit OPCO, nation’s fourth largest opiate addiction treatment network

first_imgCRC Health Group, the nation’s largest provider of addiction treatment and related behavioral health services, today announced the acquisition of Habit OPCO, the nation’s fourth largest provider of opiate addiction treatment clinics. Founded in 1985, Habit OPCO has 22 treatment locations in Massachusetts, Vermont, New Hampshire, New Jersey and Pennsylvania. The acquisition increases CRC Health’s total number of comprehensive treatment centers to 80, and will help ensure the delivery of high-quality treatment services for the country’s surging opiate (prescription medication) abuse epidemic. The deal is expected to close in the first quarter of 2014.”We are very pleased to announce this acquisition as we seek to help the country’s growing number of individuals addicted to prescription pain killers and other opiates by providing high quality treatment options,” said R. Andrew Eckert, CRC Health Chief Executive Officer. “The statistics are staggering: more than 15 million people in this country abuse prescription drugs. And this epidemic is affecting every demographic in every area.”The addition of Habit OPCO expands CRC’s ability to offer individuals the latest, evidence-based addiction treatment services including medication-assisted treatments (MATs) with FDA approved medications like Suboxone and methadone. Together, CRC and Habit OPCO will administer MATs in a safe and caring environment as part of a multi-disciplinary approach that addresses the physical, physiological, spiritual and social aspects of addiction. Counseling is provided by professional clinicians who assist patients in learning new skills and making the necessary lifestyle changes to eliminate drug-seeking and drug-abusing behaviors.With its initial program in Boston, Habit OPCO experienced substantial growth beginning in the late 1980s, and was the first provider in the nation to offer mobile services. They were also among the first in the U.S. to be accredited, and earlier this year announced a 90% patient satisfaction rate.”Habit OPCO’s treatment centers share CRC’s commitment to quality care, and will expand CRC into the northeast, a region where we were previously under-represented,” said Eckert.”Indeed, CRC and Habit OPCO share in the mission to provide treatment for opiate addiction to communities in need in a manner which respects each individual’s worth and recognizes their desire to improve the quality of their lives,” said Tom Magaraci, CEO of Habit OPCO. “This was a natural fit and we are excited to work with CRC to continue providing the highest quality care.”About Habit OPCOHabit OPCO is a premier provider of substance abuse treatment in the eastern United States. The company operates a regional network of 20 opioid treatment programs, providing medication-assisted treatment and counseling to communities in Massachusetts, New Hampshire, New Jersey, Pennsylvania and Vermont. Habit OPCO utilizes a proven, multi-disciplinary approach to treatment that addresses the physical, psychological, and social aspects of drug addiction with coordinated delivery of medication and therapy. Habit OPCO has treated more than 100,000 people during their recovery from opiate dependence. The company’s clinical model enables its patients to achieve a drug-free lifestyle that improves health, reconnects them with family and friends, and helps them return to work so they can become productive members of their communities.About CRC Health GroupHeadquartered in Cupertino, Calif., CRC Health Group is the most comprehensive network of specialized behavioral healthcare services in the nation. CRC offers the largest array of personalized treatment options, allowing individuals, families and professionals to choose the most appropriate treatment setting for their behavioral, addiction, weight management and therapeutic education needs. CRC is committed to making its services widely and easily available, while maintaining a passion for delivering advanced treatment. Since 1995, CRC has been helping individuals and families reclaim and enrich their lives. For more information, visit www.crchealth.com(link is external) or call (877) 637-6237.CUPERTINO, CA–(Marketwired – December 10, 2013)last_img read more

December 31, 2020

Burlington puts $70 million school bond question on November ballot

first_imgVermont Business Magazine Burlington residents will soon have the chance to weigh in on the future of Burlington High School (BHS). The City Council approved a resolution on Monday allowing Burlington School District (BSD) to place a bond question on the November ballot. The bond question will ask voters to allow the district to borrow up to, but not more than, $70 million for the District’s flagship educational institution. Council supported the measure 11-1.BSD asked City Council to put the bond on the ballot after the Board of School Commissioners approved a significant plan for the school which was put forth by BSD administration and the community-led BHS ReEnvisioning Committee this past April. The plan, which is available in its entirety at www.bsdvt.org/bhs-renovations(link is external), calls for renovating and building new construction around the two main buildings on the BHS campus, creating fully accessible, updated, and integrated learning spaces.  “We are appreciative of the support from City Council and Mayor Miro Weinberger for working in collaboration with us to find a path forward in securing the BHS Bond question on the November ballot,” said Superintendent Yaw Obeng. “Everyone recognizes it is past time to act on behalf of our students and we’re hopeful that residents will demonstrate their support for improved learning spaces for our flagship school.””On behalf of the school board I would like to thank Mayor Miro Weinberger and the City Council for their leadership by allowing the Burlington School District to put the BHS renovation bond on the ballot,” said Board Chair Clare Wool. “We are committed to engaging and educating the citizens of Burlington on this imperative renovation and city-wide investment. This is a critical step forward and an opportunity for our community to take action by determining the future of our great city.”Over the coming weeks, BSD plans to engage in community outreach around the project, including tabling at different locations, working with parents and volunteers to spread the word, and offering tours of the building. The community is invited to visit the BHS Renovation webpage to find updates, view the plan, find polling locations, and submit feedback regarding the plan.If the bond passes in November, the District plans to engage in another year and half of design work, community engagement, and site engineering studies, with a plan to break ground in the Spring of 2020. Students will be able to continue to attend classes during construction and the project is scheduled to be completed in the fall of 2022.Burlington School District (BSD) is a pre-k-12 public school system of about 4,000 students in Burlington, VT. BSD’s mission is to graduate students who: value different cultures, engage with the community, communicate effectively, think creatively, skillfully solve problems, and achieve at their highest academic, intellectual, and personal potential.Source: Burlington School District 9.25.2018last_img read more

December 31, 2020

USA Triathlon and Endurance Films release DVD training series

first_imgUSA Triathlon (USAT) and a gathering of leading multisport coaches and athletes have teamed up to create the first-ever training series presented officially by triathlon’s US governing body.The ‘USA Triathlon Training Series’, produced by Endurance Films, is a comprehensive five-DVD set. It covers every facet of one of the world’s fastest growing sports, with the hope of taking all triathletes to the next level.Filmed last summer in Colorado Springs and Boulder, Colorado, each video in the series tackles a different aspect of triathlon – from getting started in the sport to specific tactics and techniques for swim, bike, run and strength training.Guiding the viewer through the series is a hand-picked group of coaches and athletes who represent the best of American triathlon talent. The series offers unprecedented, face-to-face instruction from the coaches that mentor top US athletes on a daily basis, bringing the viewer the most current training information from the best in the business.”Triathletes of all levels will benefit greatly from the same coaching tips and training techniques that help prepare our elite athletes for the world’s most prestigious races,” said USAT Sport Performance Director Scott Schnitzspahn. “For the first time, USAT has developed a training series that can help all athletes reach untapped potential in both training and racing.”Ironman legend Mark Allen kicks off the series by outlining the fundamentals of triathlon – from choosing a race to equipment to training programmes – in the first disc. Disc two features USA Triathlon resident programme swim coach Mike Doane and Olympian Andy Potts demonstrating proper swim technique, drills, open water swimming strategies and more.From the swim, coach Tim Sheeper tackles the bike with a discussion of the fundamentals of road cycling in disc three, and Olympic and international running coach Bobby McGee breaks down the mechanics of running to help athletes gain an immediate technical advantage in disc four.The fifth and final disc features elite coach and trainer Bob Seehohar, as he reveals cutting-edge, safe and effective strength and flexibility methods designed to enhance triathlon performance.”One of the challenges in coaching or participating competitively in triathlon is a unified understanding of each sport as it pertains to the whole,” said McGee, who has assisted athletes in each Olympic Games since 1988.”Individual strengths and weaknesses are often subjectively assessed and may cloud how best to optimize your potential. We all understand some part of the sport better than another, and this USAT DVD series represents an exceptionally complete overview of what it takes to achieve success in the sport of triathlon.”In addition to the featured coaching greats, elite triathletes appearing in the series include several US National Team members, such as Olympians Sarah Haskins and Andy Potts, as well as Matt Chrabot and Sarah Groff.The five-DVD set is available for purchase online for US$129 at www.usatriathlontraining.com. Relatedlast_img read more

December 20, 2020

‘Changes the feel of Mission’ — Tattoo shop owner hopes wooly mammoth mural brings people to Johnson Dr.

first_imgWhen Sean Gilbert bought what is now Headless Hands Custom Tattoo parlor three years ago, there was some discussion about a potential mural on the east side of the building. Now, he and muralist Daniel Lucid are bringing a wooly mammoth to Mission.The skull is the mural’s main feature, with mountains, floating rocks and vegetation in the background. Image courtesy of Sean Gilbert.Although the goal of the mural is to showcase Headless Hands as the art studio it is, Gilbert said he foresees the mural “almost as a destination.” Once it’s completed, Gilbert said the artwork will draw people into Mission and encourage them to grab a bite to eat downtown or explore the local shops.He also said the striking image of a giant mammoth skull on the side of his shop will provide an artful contrast to some of the other building exteriors nearby.“I feel like it changes the feel of Mission, where tan and taupe was what they wanted — now we’re going in a different direction,” Gilbert said. “People see it as maybe more of a unique, hipper area, more artsy. They might want to check out and spend more time down here.”The timeline for the completion of the mural is uncertain, although Gilbert and Lucid began working on the idea around the same time the coronavirus pandemic hit the Kansas City area earlier this year. Gilbert said it’s now partly dependent on the winter weather, but the mural could be completed either by the end of the year or maybe by next spring.Gilbert envisioned a mural that matched the tattoo parlor’s interior aesthetic, which he said is similar to a small museum, with an extensive collection of fossils, minerals, stones and rocks for customers to look at. Gilbert and Lucid landed on a large wooly mammoth skull with mountains in the background, as well as floating rocks with additional vegetation.The final concept design, Gilbert said, fits the dreamlike, prehistoric atmosphere he hoped for.“It has this kind of prehistoric yet magical feel to it,” Gilbert said. “It’s not crazy, it almost looks like this might be what life was like back then. I’m super excited about what we both came up with and how it’s turning out.”last_img read more

December 19, 2020

Could your credit union support entrepreneurs and change the world?

first_img 13SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr,Christopher Morris Christopher Morris is currently an engagement consultant at the Credit Union National Association (CUNA), providing specialized attention to broad and diverse stakeholders throughout the Midwest Region. Previously, Christopher was a … Web: www.cuna.org Details Wouldn’t it be cool if you could make the world a better place and support entrepreneurship?It’s definitely possible. I learned this recently visiting UnLtd USA in Austin, Texas. UnLtd USA is a nonprofit that seeks out, funds and supports social entrepreneurs – individuals whose business ideas seek to create social, environmental and/or civic change.I was lucky to talk with UnLtd USA staff and even one of their recent “investees” (East Side Compost Pedallers). Their model is simple: UnLtd USA looks for capable entrepreneurs with demonstrable impact and then builds an “ecosystem of support” around them. It’s a method that’s apparently working and growing. The USA is the first domestic chapter of this organization as they have a presence in places such as India, South Africa, Thailand and other countries around the world.The group of credit union people I was with were fascinated by UnLtd’s work and we immediately talked about how this would be a great type of organization for credit unions to support. For example, credit unions can leverage their charitable dollars in a whole new way – support small businesses with the added benefit of making a difference in your community…and possibly the world (which reminds me, if you haven’t looked at your credit union’s donation policy recently, it’s worth doing). Strategic philanthropy in action.Yes, I know that not every credit union is in Austin, but there are similar nonprofits and organizations out there in the social entrepreneurship space. And donations could just be the starting point. Some more ideas:Does your credit union have a foundation? This could be an interesting focus for a grant program in your community.Even if you don’t have a foundation, you could hold a “shark tank”-style competition for social entrepreneurs in your community and fund the best idea.Credit unions are experts in the financial arena. Perhaps think about lending that expertise to social entrepreneurs through partnerships, mentoring, and much more.Let’s not forget too that credit unions are similar to UnLtd in that they often create social change day in and day out, especially helping members in poverty worldwide. It’s our values and principles and through the guiding philosophy of “People helping people.”last_img read more

December 18, 2020

FLA handling more mental health calls

first_imgThough they’re often thought of as the guys who help lawyers with substance abuse issues, the organization increasingly assists attorneys in dealing with mental health illnesses ranging from single stress-related depressive episodes to more clinical problems like Gene’s.Several studies show that lawyers suffer much greater incidents of mental health problems than the general population. In a landmark 1991 study of 105 professions, researchers found that lawyers were the most likely to commit suicide.FLA Executive Director Michael Cohen estimates that while about 12 or 13 percent of people calling FLA for help were suffering from stress-related depression five years ago, that number is now up around 50 percent.“My hunch is that, in another couple of years, it’ll comprise most of what we do,” Cohen says.Why are so many more lawyers calling?“There are a lot more lawyers and there’s a lot more financial stress. There’s a lot more competition for fewer dollars,” Cohen explains. “These are the conditions that are creating a lot of the unprofessional behavior we see out there. It leads to lawyers getting into situations they might not otherwise be involved in, trusting people that they wouldn’t trust otherwise, being put in very stressful situations. It might not always lead to clinical depression — but it’s definitely going to negatively impact their ability to practice.”Dr. Scott Weinstein has worked with FLA for three years, the last two as its full-time psychotherapist. He and Cohen seemed to view the increase in mental health calls as generally positive, as it meant that more lawyers were overcoming the stigma attached to depression and getting help, though usually not nearly as soon as their friends, families, and therapists would like.“The things that make us good lawyers make us terrible patients,” Cohen says. “We use our skills to argue that we don’t have problems. There’s this perception that we never show weakness. That makes us progress longer into mental illness and get into more and more trouble before we’ll admit we need help.”Until Gene walked through the door of his first FLA therapy session, he really thought his depression was something he had a handle on.“I really thought the only person who could fix me was me,” he said. “I thought, sooner or later I’ll find a way to fix this, because that’s what real men — real attorneys, real smart people — do.”Paralyzed It’s this kind of thinking that stymies many lawyers suffering from mental illness, Weinstein says, whether they’re dealing with a long-term problem or a more acute stress-related depressive episode.“One of the things I find fascinating about working with attorneys is this notion of paralysis,” he said. “They’re trained to be so competent and they really have to be on the ball. So when things like this hit them, they tend to be hit harder than other people. It hits them on a core level, and it gets to their idea of self-worth and self-respect. It’s a shock to the system.“So often what happens is they ignore it as long as they possibly can, and the problem builds and the fire gets hotter, and they get deeper and deeper in trouble and more and more depressed.”Cohen says that “most of the time, by the time someone calls our office, they’re sitting at their desk, looking at a mountain of unpaid bills, with no idea what to do. They’re paralyzed.” T he word “paralyzed” was used by all three men interviewed for this story to define the point many lawyers get to before they’ll seek help. And often a family member or friend’s insistence is the only thing that gets them there.Gene’s paralysis story was more literal. He describes waking up one morning knowing something was really wrong. He’d just lost an important case and was coming to grips with his dislike of the profession in general and his position as a litigator in particular — feeling “really, really uncomfortable with it all.” He woke up that morning literally unable to move or communicate with his wife and then-infant daughter, with horrible visions of being buried alive in his own grave.His wife found the business card of a psychiatrist given to him that week by a senior partner in his firm, and he started taking antidepressants and going to therapy. The sessions helped him realize a deep-seated anger, unhappiness, and entrapment in his profession as well as his marriage.Uniquely Suited FLA handling more mental health calls Associate EditorA 40-something lawyer — we’ll call him Gene — recalls the enforced 20-day hospitalization following the first of his several suicide attempts. His wife is divorcing him and his children are afraid of him. His clandestine mistress of five years, who’s just left him and made him want to kill himself in the first place, shows up at his bedside every few days to waffle about taking him back.The paralegal working in Gene’s solo-practice office periodically brings a stack of blank checks for him to sign; he thinks she’s a lifesaver for keeping the place afloat in his absence. He later finds out she’s bilked him out of more than $90,000 and left him in the wake of eight Bar ethics complaints, staring down a $2 million malpractice lawsuit. Too bad the malpractice insurance company had cancelled his insurance for failure to pay the premiums.Diagnosed with clinical depression, Gene spent years going in and out of psychologists’ and psychiatrists’ offices, on and off antidepressants, and had a few more years of brushes with death before his parents called to tell him about an ad they’d seen for Florida Lawyer’s Assistance, Inc.A Changing Practice By the time he walked into his first FLA meeting, Gene had been through years of therapy, as well as a divorce and the collapse of his solo practice. He’d also suffered more suicide attempts and didn’t really feel like he’d gotten a whole lot of help.“So my parents asked me to go to this FLA meeting, and I just went to get them off my back,” Gene says now. “There were two therapists, both attorneys who had dealt with similar issues and who had clawed their way back to respectability. We talked for an hour and a half and it cost me 20 bucks.“It was that night that I decided I really wanted to get well. I also made more progress in that hour and a half than I’d made in the whole previous year, talking to a psychiatrist for $200 a pop.”Cohen says that’s because FLA works hard not only to find therapists who can deal with attorneys, but takes pains to find people who are especially suited to dealing with their unique needs.“An attorney can overwhelm a therapist,” Cohen says.Gene explains that “these people had been there. They knew all the mind games that attorneys with different mental illnesses can play on people, and they wouldn’t let anybody get away with anything.”Gene found that not even his problems were insurmountable. As they do with each person who calls the FLA 800 number, therapists with FLA helped him to take apart the problems and deal with them in manageable pieces. An attorney in his group helped him deal with the Bar ethics complaints against him; another helped him find a divorce attorney he could trust.“We really are uniquely set up to help attorneys before the problems get way out of hand,” Weinstein says. “When they’re in the midst of something we can support them throughout the entire process.”Now that he’s remarried, employed in another area of the law that he loves and that’s far from the litigation work he couldn’t stand, Gene still attends FLA group therapy sessions, because it still helps.“I like to go not so much because I need help with daily things, but so that I can continue to improve in understanding how I got as bad as I did,” he says.“We still get a number of people saying, ‘I wish I knew about you earlier,’” Weinstein says. “There’s a lot of pressure out there, but there’s a lot of health being regained, too. That’s what’s really exciting for me. People are getting better.” To contact Florida Lawyers Assistance, Inc., call (800) 282-8981. FLA handling more mental health calls May 1, 2008 Kim MacQueen Associate Editor Regular Newslast_img read more

December 16, 2020

Other: Desert Gateway Baptist Church

first_imgDESERT GATEWAY BAPTIST CHURCHDeveloper: Desert Gateway Baptist ChurchGeneral contractor: Rowland Companies Construction GroupArchitect: AAr/Thompson Designers Inc.Location: 2175 Gilbert Rd., GilbertSize: 18,216 SF on 4.75 acresThe $3M development consists of 3 buildings — a sanctuary with seating for 600, education/fellowship building and an administrative building. Construction began in May 2009 and finishes in February. Subcontractors include State Electric, Avila Masonry, Metro Mechanical & Plumbing and Ikon Steel.last_img

December 8, 2020

At What Age Does Your Brain Peak?

first_imgPacific Standard:Sports writers will tell you that athletes peak in their 20s, after which point their skills quickly erode. Most other things in our lives—our careers, for example—take a good deal more time to develop. Intelligence, it turns out, peaks a bit later, too, though with a twist, according to a recent study: Some facets of intelligence peak when we’re still in high school or college, while others continue to improve into our 40s, 50s, and beyond.Research on intelligence began a century ago with French psychologist Alfred Binet’s work aimed at identifying schoolchildren with learning disabilities in the early 1900s. For a while, psychologists focused on how they could measure intelligence. But more recently, psychologists have been interested in what makes a person intelligent, or, for that matter, whether there is even one single thing we could call intelligence. (Probably not.) As the latter idea’s taken hold, researchers have wondered how different sorts of intelligence develop over time. Answering that question has implications not only for scientists’ theories of intelligence, but could also improve teachers’ effectiveness, and help doctors identify and address cognitive decline in senior citizens.Read the whole story: Pacific Standardlast_img read more

November 19, 2020

Study finds link between vivid thoughts of death and authenticity

first_imgLinkedIn Email Share Pinterest Share on Twittercenter_img Being able to vividly recall experiences related to your own mortality may cause you to be more fully engaged in life, according to research published in the journal Motivation and Emotion.The research, which included 457 participants, found a link between authenticity and the vividness of experiences that made them think about mortality. People who were better able to vividly recall death-related experiences tended to also be more authentic, meaning they were more likely to feel true to themselves and less likely to be influenced by the opinions of others.PsyPost interviewed the study’s corresponding author, Elizabeth Seto of Texas A&M University. Read her responses below: Share on Facebook PsyPost: Why were you interested in this topic?Seto: In society, there is a pervasive idea that being your true, authentic self is the key to leading a happy, meaningful life. However, we do not know too much about the experiences that help us feel in touch with our true selves. Interestingly, existential philosophers, such as Martin Heidegger, suggest that an important antecedent to authenticity may be rooted in the ways we contemplate death. I wanted to examine this notion empirically, so I conducted several studies asking participants to think about their experiences with death, and interestingly, those who were able to recall these experiences more vividly, perceived being more authentic.What should the average person take away from your study?Different types of death reflection can give rise to feelings of authenticity. In my studies, I found that the subjective vividness of mortality-related memories — for example, being able to recall a close encounter with death with a lot of visual and perceptual detail — predicted greater feelings of authenticity and behavioral expressions of authenticity such as the pursuit of important goals and intrinsic aspirations. I believe that contemplations about death may seem debilitating at times, but how we think about death can be related to positive psychological outcomes.Are there any major caveats? What questions still need to be addressed?One important caveat to consider is that the possibility that these highly vivid memories may not entirely be accurate. Sometimes, people fill in details of memories or memories can be modified to fit into a person’s life narrative. Regardless, the robust relationship between the perceived vividness of the mortality-evoking memory and authenticity is still intriguing.A major question that still needs to be addressed is why do we see a relationship between the vividness of morality-evoking memories and authenticity. It is important to note that our research does not clarify a mechanism underlying this relationship, although my colleagues and I propose that an experience with mortality may be a significant event in a person’s life story serving to propel a movement towards authenticity (based on perspectives from the narrative identity literature). There is also the possibility that the vividness of the memory serves as an availability heuristic such that when an encounter with death comes to mind in vivid detail, it can profoundly affect one’s goals and aspirations.Is there anything else you would like to add?The ways we contemplating death can have both positive and negative relationships with authenticity. In my research, I identified a key component of mortality-evoking memories—subjective vividness—that is associated with positive consequences of death reflection. However, in exploratory analyses, I found that death rumination is negatively related to authenticity. That is, pervasive thoughts about death are associated with feeling less authentic. This research suggests that Martin Heidegger and other existential philosophers’ beliefs are generally supported, but not without the occasional exception.The study, “The association between vivid thoughts of death and authenticity“, was also co-authored by Joshua A. Hicks, Matthew Vess and Lisa Geraci.last_img read more

November 18, 2020

New Iowa State AMR center to focus on One Health research

first_imgA new research center, based in America’s proverbial heartland, is aiming to take on some of the big questions about antibiotic use in animal agriculture, the role that it plays in antimicrobial resistance (AMR), and how to improve health for people, animals, and the environment.The Institute for Antimicrobial Resistance Research and Education, based at Iowa State University, stems from the recommendations of a 2015 report by a joint task force from the Association of Public Land Grant Universities (APLU) and the Association of American Veterinary Medical Colleges (AAVMC), which called for the creation of a national institute that could coordinate and implement AMR research and education initiatives. Iowa State was chosen from eight land-grant universities to lead the institute, and will partner with the US Department of Agriculture, the University of Nebraska-Lincoln, the University of Iowa, and the Mayo Clinic.CIDRAP News spoke recently with the institute’s executive director, Paul Plummer, DVM, about the work the institute will be doing. Plummer is an associate professor of veterinary and diagnostic and production animal medicine at Iowa State and is well-versed in AMR. His research has focused on drug-resistant Campylobacter, and for the past 3 years he’s been collaborating with other scientists in the school’s AMR Consortium.The following excerpts from the interview have been lightly edited for clarity.CIDRAP News: What is unique about the institute’s approach to AMR research? Is there a gap that you see the institute filling?Plummer: I think, certainly, there are a large number of very good groups working on antimicrobial resistance, so it’s not for a lack of those. I think what the focus of our efforts is going to be is really trying to do an outstanding job of engaging with the livestock industry, animal agriculture, and veterinary medicine, and do that in a manner that focuses on the One Health perspective.We have strong connections to the animal agriculture industry, as well as to the [Iowa State] veterinary school, and so building on those engagements, getting everybody to the table, and developing research projects that look at the problem from a systems-level approach—from farm to fork, if you will—are certainly going to be focuses of our efforts.Our center certainly seeks to increase the engagement of veterinary medicine and animal agriculture in the AMR discussion in a manner that truly does look at the issue from a systems-level perspective.CIDRAP News: How will the One Health perspective guide the work of the center?Plummer: One Health, in its most simplistic form, is looking at the intersection of all of the health sciences—environmental health, human health, and veterinary/animal health. I don’t anticipate that every project that comes out of teams formed by the center is going to include all three of those, but we certainly have the opportunity, and the mission of our efforts is going to be focused on identifying not only the impact that recommendations or treatment decisions or stewardship campaigns have on one particular aspect of that, but really how they influence each other.So already our research teams have been spending a lot of time looking at, for instance, the role of antimicrobial resistance in runoff from agricultural livestock facilities, and whether that impacts human health, and if it does impact human health, how? And vice-versa, how do antibiotics or antibiotic metabolites that are present in wastewater effluent coming out of human hospitals work into our waterways and potentially impact livestock, agriculture, and the environment?Our mission also crosses into antimicrobial stewardship, just in the sense of what are the gaps, for instance, in vaccine technology, and how could we improve vaccine technologies that decrease the need to use antibiotics? How can we improve housing in animal agriculture that decreases the use of antibiotics? Our mission is not purely just about molecular analysis or detection or mitigation of antimicrobial resistance; it will also include an educational and research focus on alternatives to antibiotics and gaps in stewardship knowledge related to how do we best use what we have, in terms of dosing, frequency, duration, all those questions.CIDRAP: As you know, one of the big issues with AMR is the role of medically important antibiotic use in food-producing animals and its impact on resistance and on human health. Will research in that area be a priority for the center?Plummer: Definitely so. I am a veterinarian, so speaking from a personal perspective, and from an institute perspective, we recognize that antimicrobial use, even when we practice good stewardship, selects for antibiotic resistance. And certainly, any antibiotics we use, whether it’s in animal agriculture, pet medicine (treating our dogs and cats), and human medicine, all of those impact human health, and vice versa. And so I think certainly, because of our ties to the animal agriculture industry, there are a lot of questions related to how do we best use antibiotics, and how do we best identify new ways of decreasing antibiotic usage that don’t have downstream affects that are important to also consider.It goes beyond just stopping a particular use of a single antibiotic. How do we better manage those animals to make sure that they remain healthy and don’t have a welfare issue, and what impact does that have on economic and food security issues further down the system path? Members of our research group are already doing significant research in that area, and I anticipate that research will continue to grow.Because of our ability to work with the stakeholders and interact with them and recognize their need and their importance and their ability to produce high-quality food that all of us consume, we have to identify new ways to make sure we maintain the health of our animals, maintain our food security, and be good stewards of antibiotics.CIDRAP: There is some tension between people in the veterinary and agricultural communities who believe the focus should be on antibiotic overprescribing in human medicine, and those in the medical community who say there isn’t enough focus on antibiotic use in agricultural. Do you think the center can help bring those sides closer together?Plummer: I think certainly that’s our goal. And some of that will come through better research or new research and new ways and how they tie together. I think some of that comes from actually doing a better job of sitting down at the table and talking.We live in a system where, as health professionals, for all of us, it’s easy to point fingers at somebody else. And the fact of the matter is that all of us that are prescribing or using antibiotics impact antimicrobial resistance. Even good stewardship, and appropriate, prudent use of antibiotics, still selects for resistance. So I think this is an opportunity to get all those parties engaged to sit down and learn from each other and identify ways that each of them can do things in a slightly different way.I think certainly we have lots of opportunities on the veterinary side to improve our education of veterinary students and graduate practitioners, and make sure that we’re promoting good stewardship of antibiotics, and I think certainly efforts are under way in the human medicine side to do that as well.And in terms of veterinary medicine, we’ve also got significant issues about using antibiotics in pets. We often forget that we also have a lot of households in this country, 60% plus or so, that have dogs or cats that are sometimes receiving medically important antibiotics, and then those dogs and cats are licking our kids in the face or sleeping on their pillow. And so, there you’re almost closer to a potential zoonotic passage than through handling raw meat, for instance, or consuming something.That human/animal bond is important to us from a social and cultural perspective, but I sometimes think we don’t think about the impact that has on antimicrobial resistance. So I think our center also needs to be focused on what do we do on pet medicine.See also:Jul 27 CIDRAP News stewardship/resistance scan on Iowa State centerlast_img read more