In this presentation, Nathan S. Bryan will provide an overview of the atmospheric and human nitrogen cycles and nitric oxide production pathways in humans. He will review evidence based nitric oxide research specific to vascular function and structure. In addition to nitric oxide production, he will review the importance of nitrate and how much is recommended daily for health benefits. Dr. Bryan will also discuss nitric oxide therapeutic interventional outcome data and how to control and regulate nitric oxide production

Outcome Objectives
Upon completion of this CME activity the healthcare provider will be able to:

1. Recognize nitric oxide production pathways in humans.
2. Demonstrate evidence on how NO affects vascular structure and function.
3. Communicate evidence based nutritional strategies to restore and replete NO production in humans to restore vascular structure and function.

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This presentation will address the burden of Alzheimer’s disease in the United States and the role of amyloid beta in the progression of this disease. You will be given the tools to help prevent Alzheimer’s disease through lifestyle medicine and modification.

Outcome Objectives
Upon completion of this CME activity the healthcare provider will be able to:

1. Outline the burden of Alzheimer’s disease in the United States.
2. Describe the role that the lipid-binding protein APoE4 plays in modifying the risk of Alzheimer’s disease.
3. List at least two normal roles for amyloid beta in the brain.
4. Describe the solutions lifestyle medicine provides to address the burden of Alzheimer’s disease.

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The program goal is to provide primary care providers with up-to-date knowledge and tools to correctly diagnose and differentiate patients with Type 1 vs Type 2 Diabetes and treat them appropriately for better patient outcomes.

Outcome Objectives
Upon completion of this CME activity the healthcare provider will be able to:

1. Identify the new glycemic goal targets for patients, and how best to achieve these goals
2. Identify the most recent developments in therapeutics for Type II Diabetes (T2DM).
3. Identify the less common Type I Diabetic in an epidemic of Type II.
4. Apply the measures that can help prevent progression to T2DM in patients at risk.
5. Implement the use of Toolkits to improve patient outcomes.

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The purpose of this course is to reflect on the current work environment, identify opportunities for improvements, and learn ways to promote a healthy workplace.

Participants will gain knowledge through improved communication, an environment that fosters inclusion and mutual support, and examine evidence-based practices that are within the control of the bedside nurse with the support of strong, caring nursing leadership.

Outcome Objectives
Upon completion of this learning activity, participants will:

1. Report increased knowledge in techniques that improve work relationships to foster an improved working environment.
2. Report their intent to change their practice to include techniques that improve interpersonal wellness and mutual support

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It is estimated that each day more than 1000 people are treated in emergency departments for not using prescription opioids as prescribed. Combine this with illicit drug use and the cost of treatment and productivity losses related to addiction and we have a current epidemic costing Americans over 500 billion dollars and rising.

This interactive course will give the participant the resources and tools necessary to identify, educate and treat opioid tolerant and opioid addicted patients in primary care. We will cover the pathophysiology of opioids and their receptors, then we will transition to discussing tolerance vs. withdrawal and addiction. We will also review overdose antagonist medications, medication assisted treatments as well as briefly discuss new treatments and research on the horizon.

Outcome Objectives:
Upon completion of this CME/CE activity the healthcare provider will be able to:

1. Describe the pathophysiology of opioid receptors in the dopamine reward pathway and how different opioids and opioid antagonists interact and bind to these receptors.
2. Describe the common clinical features of chronic opioid abuse and suspected opioid withdrawal including appropriate diagnostic work-up.
3. Discuss the current best practice treatment options for suspected opioid overdose including routes of administration and formulations as well as medication assisted treatment options.
4. Identify new or emerging areas of research and treatment options for opioid dependence including pharmacologic and psychosocial strategies.

To fully participate in this activity you must be Registered and Logged In to this website.

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