Medication Goes Digital by John McDermott. Inc. October 30, 2012.
Proteus Digital Health has received approval from the U.S. Food and Drug Administration for a pill containing a sensor that when it interacts with stomach relays medical information to a smartphone via a patch on the torso. From the smartphone the information can be transferred. Proteus hopes for a 2013 launch.
Friday, November 30, 2012
Innovative Hospital for the Indian Masses
Narayana Hrudayalaya Hospitals: For Bringing Medical Care To the Masses. 2012 The World's 50 Most Innovative Companies.
This Indian hospital system is designed to serve those who cannot easily afford treatment. Thru scale, cutting out distributors, building upon existing equipment infrastructure, and daily monitoring of profit and loss to balance paying and nonpaying patients, the hospital combines, in the articles words, "Walmart and Mother Theresa."
This Indian hospital system is designed to serve those who cannot easily afford treatment. Thru scale, cutting out distributors, building upon existing equipment infrastructure, and daily monitoring of profit and loss to balance paying and nonpaying patients, the hospital combines, in the articles words, "Walmart and Mother Theresa."
Healing Spaces: The New Hospital Room
The Best Medicine for Fixing the Modern Hospital by Russ Mitchell. Fast Company. December 2012/January 2013.
Research has shown that hospital room design has a direct effect on health. This research along with changing reimbursement incentives from Medicare emphasizing patient satisfaction has spurred an emphasis on hospital room design that is pleasant and therapeutic. Safety is also a factor in the emphasis on design with some estimates of up to 200,000 deaths each year from accidents and medical errors. This article addresses specifics of how the new hospital room might be designed. One surprising fact: Private rooms are more cost efficient than double rooms and less prone to spread of infection.
Research has shown that hospital room design has a direct effect on health. This research along with changing reimbursement incentives from Medicare emphasizing patient satisfaction has spurred an emphasis on hospital room design that is pleasant and therapeutic. Safety is also a factor in the emphasis on design with some estimates of up to 200,000 deaths each year from accidents and medical errors. This article addresses specifics of how the new hospital room might be designed. One surprising fact: Private rooms are more cost efficient than double rooms and less prone to spread of infection.
Thursday, November 29, 2012
Shared Medical Decision-making A Focus of Obamacare
ACA Boosts 'Shared Decision-Making" by Joanne Kenen. Politico. November 29, 2012.
Under ACA three multimillion-dollar grants seek to test and expand shared decision-making models. Under this approach patients are given tools to help them make decisions along with their doctors. The aim is to overcome patient lack of understanding of statistical risk and adaptation to treatments as well as doctor conscious or unconscious bias. This move toward shared decision-making is hoped to address health care expense and vast differences in treatment patterns across the nation. For example, patients in one ZIP code may be 20 times more likely to receive a medical procedure than patients in another ZIP code. To implement shared decision-making substantial changes in physician training may be required.
Under ACA three multimillion-dollar grants seek to test and expand shared decision-making models. Under this approach patients are given tools to help them make decisions along with their doctors. The aim is to overcome patient lack of understanding of statistical risk and adaptation to treatments as well as doctor conscious or unconscious bias. This move toward shared decision-making is hoped to address health care expense and vast differences in treatment patterns across the nation. For example, patients in one ZIP code may be 20 times more likely to receive a medical procedure than patients in another ZIP code. To implement shared decision-making substantial changes in physician training may be required.
You Car As A Medical Monitoring Device
A Car That Takes Your Pulse. The Wall Street Journal. November 27, 2012.
The changing demographics of drivers along with advances in mobile medical-monitoring technology has spurred automakers to research incorporating biometric sensors in automobiles. Pulse, blood sugar, and brain waves to measure stress are among the monitoring features automakers are researching. Already, driving behavior are in some models linked to safety systems, reflecting the trend toward self-driving cars and technology to eliminate driver errors.
The changing demographics of drivers along with advances in mobile medical-monitoring technology has spurred automakers to research incorporating biometric sensors in automobiles. Pulse, blood sugar, and brain waves to measure stress are among the monitoring features automakers are researching. Already, driving behavior are in some models linked to safety systems, reflecting the trend toward self-driving cars and technology to eliminate driver errors.
CRE Bacteria Poses Threat To Health Care
Deadly 'Superbugs' Invade U.S. Health Care Facilities by Peter Eisler. USA Today. November 29, 2012.
The bacteria is know as Carbapenem-Resistant Enterobacteriaceae (CRE) because of its ability off the antibiotic of last resort in fighting infection. While known for over a decade CRE now poses a wide-spread threat to hospitals and nursing homes around the nation. It has proved to be far deadlier than more well know infections MRSA and C-Diff. Spread to at least 41 states, the bacteria is often not recognized due to inadequate testing facilities in hospitals or, especially, in nursing homes. As a result, data tracking the bacteria is generally recognized as inadequate. In addition, there is no federal reporting requirement for the infection. Since there is little reliable data tracking of the infection is difficult. Screening procedures with no accurate data are also hampered. However transfer of patients from facility to facility seems certain to be reintroducing the bacteria to health care facilities, facilitating the spread. There is little prospect for new antibiotic for the infection due to economic considerations. Screening has shown some effectiveness but is not universally available. Regional strategies are thought to be important to deal with the institution-to-institution spread of the bacteria. Universal could also be important in addressing the institutional spread. Standard preventative measures are recommended by the CDC. Understanding the genetic dynamics of the single gene driving the spread could result in new screening procedures.
The bacteria is know as Carbapenem-Resistant Enterobacteriaceae (CRE) because of its ability off the antibiotic of last resort in fighting infection. While known for over a decade CRE now poses a wide-spread threat to hospitals and nursing homes around the nation. It has proved to be far deadlier than more well know infections MRSA and C-Diff. Spread to at least 41 states, the bacteria is often not recognized due to inadequate testing facilities in hospitals or, especially, in nursing homes. As a result, data tracking the bacteria is generally recognized as inadequate. In addition, there is no federal reporting requirement for the infection. Since there is little reliable data tracking of the infection is difficult. Screening procedures with no accurate data are also hampered. However transfer of patients from facility to facility seems certain to be reintroducing the bacteria to health care facilities, facilitating the spread. There is little prospect for new antibiotic for the infection due to economic considerations. Screening has shown some effectiveness but is not universally available. Regional strategies are thought to be important to deal with the institution-to-institution spread of the bacteria. Universal could also be important in addressing the institutional spread. Standard preventative measures are recommended by the CDC. Understanding the genetic dynamics of the single gene driving the spread could result in new screening procedures.
Wednesday, November 28, 2012
Targeted Muscle Reinnervation Gives Amputee Veteran A New Chance
Learning to Accept and Master, a $110,000 Mechanical Arm by James Dao. The New York Times. November 27, 2012.
Cpl. Sebasian Gallegos 's arm was blown off in Afghanistan. Now the new technology of targeted muscle reinnervation has made control of prothesis more intuitive. Projected future advances will allow amputees to feel with their prosthesis or use pattern-recognition software to move even more intuitively. Cpl. Gallegos has had to overcome the rigors of learning to focus on producing the movements he wants. He has had to overcome phantom-limb pain and nerve "cross talk" where some nerves are dominant, making certain movements difficult. This is an inspiring story of a determined individual.
Cpl. Sebasian Gallegos 's arm was blown off in Afghanistan. Now the new technology of targeted muscle reinnervation has made control of prothesis more intuitive. Projected future advances will allow amputees to feel with their prosthesis or use pattern-recognition software to move even more intuitively. Cpl. Gallegos has had to overcome the rigors of learning to focus on producing the movements he wants. He has had to overcome phantom-limb pain and nerve "cross talk" where some nerves are dominant, making certain movements difficult. This is an inspiring story of a determined individual.
Health Care Industry Megatrends
Health Care Industry Megatrends with Paul Keckley, Executive Director, Deloitte Center for Health Care Solutions.
Excellent brief overview of seven megatrends impacting the health care industry. The trends discussed by Dr. Keckley include demanding demographics, strategic globalization, unconstrained connectivity, constrained resources, accelerated consolidation, big data, and consumer discontent.
Excellent brief overview of seven megatrends impacting the health care industry. The trends discussed by Dr. Keckley include demanding demographics, strategic globalization, unconstrained connectivity, constrained resources, accelerated consolidation, big data, and consumer discontent.
Tuesday, November 27, 2012
HIV Testing Low Among Youth
Youth HIV Rate High, Testing Low by Michael Smith. ABC/MedPage Today. November 27, 2012.
Americans aged 13-24 account for a quarter of new HIV infections buy only a third of that group have every been tested. Every month 1,000 youth are becoming infected. A generational tragedy, the infection among youth is also staggeringly expensive. Since a lifetime of HIV care is about $400,000, $400 million of new health care costs are incurred each month.
Americans aged 13-24 account for a quarter of new HIV infections buy only a third of that group have every been tested. Every month 1,000 youth are becoming infected. A generational tragedy, the infection among youth is also staggeringly expensive. Since a lifetime of HIV care is about $400,000, $400 million of new health care costs are incurred each month.
Differing Perspectives on Georgia Medicaid Expansion
Report Takes New Look at Medicaid Expansion Costs by Andy Miller. Georgia Health News. November 26, 2012.
Depending upon the point of view, expansion of Medicaid in Georgia is either a fantastic deal or far too expensive.
In a report released by the Urban Institute, 698,000 Georgians could enroll in Medicaid under expansion, roughly cutting the rolls of Georgia's uninsured in half. The Urban Institute estimates that Georgia's 10-year cost for expansion would be 1.8 billion, including reductions of $726 million in uncompensated care. Experts cited in the article point to the benefits of lowering the rates of premature deaths that Medicaid expansion could bring. In addition other provisions of the ACA will require expansion of Medicaid rolls by 157,000 even if the state does not opt for expansion.
On the other hand, Governor Nathan Deal believes that expansion will require a massive tax increase and crowd out other priorities. He also believes that cost estimates in the range of the Urban Institute low-ball the cost of the program. In any case, Governor Deal believes that Georgia does not have the money for expansion.
This article addresses expansion of Medicaid in other states.
Depending upon the point of view, expansion of Medicaid in Georgia is either a fantastic deal or far too expensive.
In a report released by the Urban Institute, 698,000 Georgians could enroll in Medicaid under expansion, roughly cutting the rolls of Georgia's uninsured in half. The Urban Institute estimates that Georgia's 10-year cost for expansion would be 1.8 billion, including reductions of $726 million in uncompensated care. Experts cited in the article point to the benefits of lowering the rates of premature deaths that Medicaid expansion could bring. In addition other provisions of the ACA will require expansion of Medicaid rolls by 157,000 even if the state does not opt for expansion.
On the other hand, Governor Nathan Deal believes that expansion will require a massive tax increase and crowd out other priorities. He also believes that cost estimates in the range of the Urban Institute low-ball the cost of the program. In any case, Governor Deal believes that Georgia does not have the money for expansion.
This article addresses expansion of Medicaid in other states.
New Clinic Arrangement in CVS Benefits Emory and CVS
Emory Healthcare Teams Up With CVS Walk-in Clinics by Misty Williams. The Atlanta Journal-Constitution. November 30, 2012.
Emory Healthcare is now teamed with 31 CVS CareMark Minute Clinics in the Atlanta area. While nurse practitioners will see the patients, they can, under the arrangement, now turn to Emory physicians for advice on diagnosis and treatment. The clinics increase the traffic in CVS stores while lessening the pressure on expensive Emory ER visits. This is just one of the many types of partnerships developing around the country. Mentioned in the article is cooperation between home health care firms and hospitals in order to lower readmission rates which will be increasingly penalized by the federal government.
Emory Healthcare is now teamed with 31 CVS CareMark Minute Clinics in the Atlanta area. While nurse practitioners will see the patients, they can, under the arrangement, now turn to Emory physicians for advice on diagnosis and treatment. The clinics increase the traffic in CVS stores while lessening the pressure on expensive Emory ER visits. This is just one of the many types of partnerships developing around the country. Mentioned in the article is cooperation between home health care firms and hospitals in order to lower readmission rates which will be increasingly penalized by the federal government.
On-site Clinics Save Money for Metro Atlanta Governments
Counties, Cities Eye On-site Clinics for Employees by Jaime Sarrio. The Atlanta Journal-Constitution. November 20, 2012.
Governments everywhere are seeking savings in health care for their employees. In Metro Atlanta, Cobb, Gwinnett, Dekalb, and Atlanta city government are seeking to emulate the savings of Marietta. Marietta saved $59,000 for prescriptions and drug testing in the first year its clinic program was in operation. Each of the governments investigating clinics are exploring differing options.
Governments everywhere are seeking savings in health care for their employees. In Metro Atlanta, Cobb, Gwinnett, Dekalb, and Atlanta city government are seeking to emulate the savings of Marietta. Marietta saved $59,000 for prescriptions and drug testing in the first year its clinic program was in operation. Each of the governments investigating clinics are exploring differing options.
Monday, November 26, 2012
MIT Lab Churns Out Companies for Cancer, Diabetes, and Other Diseases
Hatching Ideas, and Companies, by the Dozens at MIT by Hannah Seligson. The New York Times. November 24, 2012.
The MIT laboratory of Dr. Robert Langer has helped start 25 companies and holds 811 patents, issued or pending, to treat a wide range of diseases and conditions. As a result Dr. Langer's laboratory has developed tremendous expertise at the intersection of academic research and the commercial market. "His mission is to create the idea." Pharmaceutical companies value this laboratory mission because the lab's nimble and freewheeling approach is sometimes not found in large bureaucratic organizations. There are however dangers including conflict of interest and protecting the public good. In a variety of lab projects sponsored by the Bill and Melinda Gates Foundation, the United States Army, and a variety of companies, the common thread is MIT's historic mission of tech transfer for industrial development.
The MIT laboratory of Dr. Robert Langer has helped start 25 companies and holds 811 patents, issued or pending, to treat a wide range of diseases and conditions. As a result Dr. Langer's laboratory has developed tremendous expertise at the intersection of academic research and the commercial market. "His mission is to create the idea." Pharmaceutical companies value this laboratory mission because the lab's nimble and freewheeling approach is sometimes not found in large bureaucratic organizations. There are however dangers including conflict of interest and protecting the public good. In a variety of lab projects sponsored by the Bill and Melinda Gates Foundation, the United States Army, and a variety of companies, the common thread is MIT's historic mission of tech transfer for industrial development.
Sunday, November 25, 2012
More Uniform, Streamlined PA Licensure The Aim of Grant
American Academy of Physician Assistants Partners With the Federation of State Medical Boards to Modernize Licensing Process for PAs. American Academy of Physician Assistants. October 25, 2012.
The Federation of State Medical Boards and the U.S. Health Resources and Services Administration have received a grant to continue work toward uniformity and streamlining of PA licensure and practice. A common licensing process for PAs will make it easier for PAs to work in multiple states. 29 states have a common application for physicians. Officials of the two agencies aim to bring PAs into the process.
The Federation of State Medical Boards and the U.S. Health Resources and Services Administration have received a grant to continue work toward uniformity and streamlining of PA licensure and practice. A common licensing process for PAs will make it easier for PAs to work in multiple states. 29 states have a common application for physicians. Officials of the two agencies aim to bring PAs into the process.
Mercer, Memorial Hospital Groom Physicians to Stay in Region
Memorial, Mercer Groom Physicians to Stay in Region by Jan Skutch. Savannahnow. November 19, 2012.
This article delineates the relationship between the Mercer University School of Medicine and Savannah's Memorial University Medical Center. The fundamental philosophy underlying this relationship is the hope that physicians trained at Memorial will use their skills in the area. The goal of the Mercer/Memorial relationship is that at least 50 percent of residents will remain in Georgia. With 120 students at Memorial-Mercer, plans are being executed for a new education building.
This article delineates the relationship between the Mercer University School of Medicine and Savannah's Memorial University Medical Center. The fundamental philosophy underlying this relationship is the hope that physicians trained at Memorial will use their skills in the area. The goal of the Mercer/Memorial relationship is that at least 50 percent of residents will remain in Georgia. With 120 students at Memorial-Mercer, plans are being executed for a new education building.
Study: Online Contact with Physicians Increases Office Visits
Online Access To Docs Increases Office Visits, Study Finds by Eric Whitney, Colorado Public Radio. November 21, 2012.
In light of requirements from the Department of Health and Human Services that doctors offer online access to their patients, important questions arise. A new study in the Journal of the American Medical Association addresses one of these questions. Online access to doctors seems to increase, not decrease, the number of office visits from patients. Another key question involves compensation for email contacts. At present the health care system does not compensate doctors for time replying to emails.
In light of requirements from the Department of Health and Human Services that doctors offer online access to their patients, important questions arise. A new study in the Journal of the American Medical Association addresses one of these questions. Online access to doctors seems to increase, not decrease, the number of office visits from patients. Another key question involves compensation for email contacts. At present the health care system does not compensate doctors for time replying to emails.
Saturday, November 24, 2012
High School Senior Develops Artificial Neural Network for Breast Cancer Diagnosis
Too Smart For School by Mark Gordon. Gulf Coast Business Review. November 16, 2012.
This article features Brittany Wenger, winner of the Google Science Fair, who has developed a method for diagnosing breast cancer that has a 99.1 percent accuracy rate. This method uses artificial neural networks, a computing technology that mimics the brain. She plans to explore business opportunities, become a pediatric oncologist, and be on the team that cures cancer.
This article features Brittany Wenger, winner of the Google Science Fair, who has developed a method for diagnosing breast cancer that has a 99.1 percent accuracy rate. This method uses artificial neural networks, a computing technology that mimics the brain. She plans to explore business opportunities, become a pediatric oncologist, and be on the team that cures cancer.
Neuroprosthetic Device Streams Braille Patterns Directly on Retina
Blind Patient Reads Words Stimulated Directly Onto Retina: Neuroprosthetic Device Uses Implant to Project Visual Braille. ScienceDaily. November 22, 2012.
The device described in this article is a small camera mounted on glasses coupled with a processor to translate signals into electrical stimulation which are in turn transferred to a microchip with electrodes which are implanted on the retina. Now implanted in over 50 patients, many of these blind individuals can now see color, movement, and objects. This is the first time streamed braille onto a blind person's retina.
The device described in this article is a small camera mounted on glasses coupled with a processor to translate signals into electrical stimulation which are in turn transferred to a microchip with electrodes which are implanted on the retina. Now implanted in over 50 patients, many of these blind individuals can now see color, movement, and objects. This is the first time streamed braille onto a blind person's retina.
40 Percent of Surgery Complications Occur at Home
Many Surgical Complications Show Up After Patients Get Home by David Schultz. NPR. November 20, 2012.
The article points out that 40 percent of all surgical complications are experienced at home and with 50 percent of that number occurring with 9 days of leaving the hospital. The most common complication is infection around the surgical incision site. 78.7% of breast surgery, 69.4% of bariatric surgery, and 50.3 of hernia repair complications occur after discharge. Other complication rates are listed.
The article points out that 40 percent of all surgical complications are experienced at home and with 50 percent of that number occurring with 9 days of leaving the hospital. The most common complication is infection around the surgical incision site. 78.7% of breast surgery, 69.4% of bariatric surgery, and 50.3 of hernia repair complications occur after discharge. Other complication rates are listed.
Mammogram Linked to Unnecessary Treatment
Mammograms Leading to Unnecessary Treatment, Study Finds by N.C. Aizenman. The Washington Post. November 21, 2012.
The raging battle of the value of mammograms continues. The latest report published in the New England Journal of Medicine finds that more than 1 million women were treated unnecessarily for breast cancer over the last three decades. The study indicated that nearly one-third of women diagnosed would never have developed full-blown breast cancer. This study comes on the heels of other studies and the recommendation of the U.S. Preventative Task Force to raise the recommended age for the test and lower its frequency. The political sensitivity of the issue is illustrated by the new health law.
Here is an opposing view from the Radiological Society of North America.
The raging battle of the value of mammograms continues. The latest report published in the New England Journal of Medicine finds that more than 1 million women were treated unnecessarily for breast cancer over the last three decades. The study indicated that nearly one-third of women diagnosed would never have developed full-blown breast cancer. This study comes on the heels of other studies and the recommendation of the U.S. Preventative Task Force to raise the recommended age for the test and lower its frequency. The political sensitivity of the issue is illustrated by the new health law.
Here is an opposing view from the Radiological Society of North America.
Friday, November 23, 2012
Substandard and Fraudulent Medicines Pose Threat
Deadly Fake Medicines by Amir Attaran and Roger Bate. The New York Times. November 20, 2012.
This opinion piece recounts estimates that at least 100,000 people die every year from substandard and falsified medicines. Shoddy drug companies and organized criminal groups often produce drugs with no or harmful active ingredients. The article advocates a treaty that among other things will define "falsified" and "substandard" so that focused actions can be taken.
This opinion piece recounts estimates that at least 100,000 people die every year from substandard and falsified medicines. Shoddy drug companies and organized criminal groups often produce drugs with no or harmful active ingredients. The article advocates a treaty that among other things will define "falsified" and "substandard" so that focused actions can be taken.
Strategy For TB Found Counterproductive
How Fight to Tame TB Made it Stronger by Geeta Anand and Betsey McKay. The Wall Street Journal. November 23, 2012.
With the rise of drug-resistant strains of TB in countries such as India, public health officials are coming to consensus that aiming at the most easily treated forms of TB has strengthened the remaining TB variations. Officials are coming to agreement that a more comprehensive strategy of simultaneously addressing easy and difficulty strain is the way to proceed. First-hand accounts from India as well as a brief history of TB treatment strategies are included.
With the rise of drug-resistant strains of TB in countries such as India, public health officials are coming to consensus that aiming at the most easily treated forms of TB has strengthened the remaining TB variations. Officials are coming to agreement that a more comprehensive strategy of simultaneously addressing easy and difficulty strain is the way to proceed. First-hand accounts from India as well as a brief history of TB treatment strategies are included.
3D Printer Produces Artificial Cartlilage
Innovative 3D Printer Produces Artificial Cartilage. Medical News Today (MNT) November 22, 2012.
The Wake Forest Institute for Regenerative Medicine has combined two techniques--an electrospinning machine and an ink jet printer--to produce implantable cartilage. A combination of synthetic and natural materials insures both that the tissue would grow and that it would be strong.
The Wake Forest Institute for Regenerative Medicine has combined two techniques--an electrospinning machine and an ink jet printer--to produce implantable cartilage. A combination of synthetic and natural materials insures both that the tissue would grow and that it would be strong.
Electronic Shortcuts To Inaccurate Medical Records
A Shortcut to Wasted Time by Leora Horwitz. The New York Times. November 22, 2012.
In this opinion piece an internist addresses the role of electronic medical records in care. While the benefits of such records are clear, especially in regards to safety and efficiency, there are problems. The ease of documentation has apparently lead to documentation of procedures and examinations that did not happen at all. Hospitals received $1 billion more from Medicare in 2010 than they did in 2005 because, many suspect, of the ease of clicking for documentation. The Justice Department and HHS have warned the medical community about clicking without doing. The ease of copy and paste has also had distorting effects on records. The article also illustrates how the content of care could be distorted by the documentation and payment systems.
In this opinion piece an internist addresses the role of electronic medical records in care. While the benefits of such records are clear, especially in regards to safety and efficiency, there are problems. The ease of documentation has apparently lead to documentation of procedures and examinations that did not happen at all. Hospitals received $1 billion more from Medicare in 2010 than they did in 2005 because, many suspect, of the ease of clicking for documentation. The Justice Department and HHS have warned the medical community about clicking without doing. The ease of copy and paste has also had distorting effects on records. The article also illustrates how the content of care could be distorted by the documentation and payment systems.
Wednesday, November 21, 2012
Rules Issued For Implementation of Affordable Care Act
Obama Administration Moves Forward to Implement Health Care Law, Ban Discrimination Against People with Pre-existing Conditions. United States Department of Health and Human Services. November 20, 2012.
To implement the Affordable Care Act HHS issued three rules: (1) Defines and establishes a framework for nondiscrimination in health insurance. (2) Defines and establishes parameters for core benefits. (3) Defines rules under which wellness and health promotion efforts can be implemented.
To implement the Affordable Care Act HHS issued three rules: (1) Defines and establishes a framework for nondiscrimination in health insurance. (2) Defines and establishes parameters for core benefits. (3) Defines rules under which wellness and health promotion efforts can be implemented.
OB-GYN Group Recommends Over-The-Counter Birth Control Pills
OB-GYN Group: Birth Control Pill Should Be on Shelves by Kim Painter. USA Today. November 21, 2012.
The American College of Obstetricians and Gynecologists recommends that, in light of the safety of the pill, the step would be helpful in reducing unintended pregnancies. The ruling was questioned by those concerned about the impact on other women's health tests and procedures if the pill were available over-the-counter. The prospects for FDA approval of the recommendation are addressed in the article.
The American College of Obstetricians and Gynecologists recommends that, in light of the safety of the pill, the step would be helpful in reducing unintended pregnancies. The ruling was questioned by those concerned about the impact on other women's health tests and procedures if the pill were available over-the-counter. The prospects for FDA approval of the recommendation are addressed in the article.
Georgia Opt-Out of Medicaid Could Cost Grady Millions
Grady Could Have Big Loss in Medicaid Stand-Off by Misty Williams. The Atlanta Journal Constitution. November 21, 2012.
The Affordable Care Act as initially passed by Congress and signed into law by President Obama foresaw that cuts in funding for hospitals such as Grady would be at least partially offset by expansion of Medicaid and the individual mandate for insurance coverage. However with the ruling by the Supreme Court that states could opt-out of the expansion of Medicaid and word from the State of Georgia that the state would indeed opt-out, Grady Memorial Hospital faces a potentially sever funding squeeze. This article details the potential impacts of that squeeze.
The Affordable Care Act as initially passed by Congress and signed into law by President Obama foresaw that cuts in funding for hospitals such as Grady would be at least partially offset by expansion of Medicaid and the individual mandate for insurance coverage. However with the ruling by the Supreme Court that states could opt-out of the expansion of Medicaid and word from the State of Georgia that the state would indeed opt-out, Grady Memorial Hospital faces a potentially sever funding squeeze. This article details the potential impacts of that squeeze.
Tuesday, November 20, 2012
Job Loss, Age, and Heart Attack Risk Linked
Study: Unemployment May Raise Risk of Heart Attack by Nanci Hellmich. USA Today. November 19, 2012.
Using the massive Health and Retirement Study, researchers examined 13,451 individuals ages 51-75 for a relationship between joblessness and heart attack after age 50. They was found that multiple job losses may result in heart attack risks equal those associated with smoking, hypertension, and diabetes.
Using the massive Health and Retirement Study, researchers examined 13,451 individuals ages 51-75 for a relationship between joblessness and heart attack after age 50. They was found that multiple job losses may result in heart attack risks equal those associated with smoking, hypertension, and diabetes.
Sunday, November 18, 2012
Genotype Discovered That Impacts Daily Life Rhythms and Time of Death
Gene Distinguishes Early Birds From Night Owls and Help Predict Time of Death. Science Daily. November 16, 2012.
An article in the November 2012 issue of the Annals of Neurology researchers at Beth Israel Deaconess Medical Center and Brigham and Women's Hospital have identified a genotype that influences the time people awake and the time they are most vulnerable to acute medical events such as strokes and heart attacks. An implication of this study is more rational timing of medical interventions. For example, heart medications could be taken at times designed to protect individuals during periods of greatest risk.
An article in the November 2012 issue of the Annals of Neurology researchers at Beth Israel Deaconess Medical Center and Brigham and Women's Hospital have identified a genotype that influences the time people awake and the time they are most vulnerable to acute medical events such as strokes and heart attacks. An implication of this study is more rational timing of medical interventions. For example, heart medications could be taken at times designed to protect individuals during periods of greatest risk.
Sheets Designed to Prevent Pressure Ulcers
Improving Quality of Life for the Bedridden: Textile Pressure Ulcer Prevention. Science Daily. November 16, 2012.
Pressure ulcers are a serious problem which can lead to life-threatening complications. Swiss researchers have developed a special textile that produces fewer points and less surface area of contact with the skin. Also, the dot matrix surface of the fabric can absorb moisture. Tests have shown good results. This alternative may be attractive compared to more expensive alternatives such as mattresses with changing areas of pressure.
Pressure ulcers are a serious problem which can lead to life-threatening complications. Swiss researchers have developed a special textile that produces fewer points and less surface area of contact with the skin. Also, the dot matrix surface of the fabric can absorb moisture. Tests have shown good results. This alternative may be attractive compared to more expensive alternatives such as mattresses with changing areas of pressure.
Medical Monitor the Size of a Postage Stamp
Medical Vital-Sign Monitoring Reduced to the Size of a Postage Stamp. Science Daily. November 15, 2012.
This new device, now ready for clinical trials, has possible applications duplicating some components of EKG, an EEG, and devices used for the recording of physical activity. Developed by electrical engineers at Oregon State University, the new technology could install sensors on bandages, be manufactured in high volumes, and cost less than a quarter. No battery is required since the technology harvests energy from nearby devices such as a cell phone.
This new device, now ready for clinical trials, has possible applications duplicating some components of EKG, an EEG, and devices used for the recording of physical activity. Developed by electrical engineers at Oregon State University, the new technology could install sensors on bandages, be manufactured in high volumes, and cost less than a quarter. No battery is required since the technology harvests energy from nearby devices such as a cell phone.
Saturday, November 17, 2012
Liberal Think Tank Presents Health Care Cost Cutting Program
Health Care Cuts Are Coming: Here's Where Liberals Say You can Slice by Julie Rovner. NPR November 14, 2012.
While liberal groups reject dismantling Medicare and Social Security, this article states that they are in favor of measures to transform the system, modernize it so it can deliver high-quality, lower-cost care. They have the auspices of the Center for American Progress, they have released a plan that they claim will do just that. Some of the potential sources of savings this plan suggests are (1) building upon savings included in the Affordable Care Act, (2) lowering payments to some providers, (3) asking wealthier Medicare beneficiaries to pay more out-of-pocket for care, and (4) limiting the tax-free status of the insurance for people who earn more than $250,000.
While liberal groups reject dismantling Medicare and Social Security, this article states that they are in favor of measures to transform the system, modernize it so it can deliver high-quality, lower-cost care. They have the auspices of the Center for American Progress, they have released a plan that they claim will do just that. Some of the potential sources of savings this plan suggests are (1) building upon savings included in the Affordable Care Act, (2) lowering payments to some providers, (3) asking wealthier Medicare beneficiaries to pay more out-of-pocket for care, and (4) limiting the tax-free status of the insurance for people who earn more than $250,000.
Georgia Opts for Federal Exchange Under Health Care Law
Deal Refuses Part of Health Reform by Ray Henry, Associated Press. Athens Banner-Herald. November 17, 2012.
Georgia Governor Nathan Deal says that Georgia will not create the health insurance exchange required under the Affordable Care Act and leave that task to the federal government. Deal cited federal regulations as preventing the implementation of a "private free-market approach to small business exchanges." Deal has also strongly signaled that Georgia will not expand eligibility under the Medicaid program as allowed and funded under the ACA. The Supreme Court has ruled that such expansion is optional.
Georgia Governor Nathan Deal says that Georgia will not create the health insurance exchange required under the Affordable Care Act and leave that task to the federal government. Deal cited federal regulations as preventing the implementation of a "private free-market approach to small business exchanges." Deal has also strongly signaled that Georgia will not expand eligibility under the Medicaid program as allowed and funded under the ACA. The Supreme Court has ruled that such expansion is optional.
States Decide How They Want to Participate in Health Exchanges
States Decline to Set Up Exchanges For Insurance by Robert Pear and Abby Goodnough. The New York Times. November 16, 2012
Thus far 18 states plan to run their own exchange under the Affordable Care Act. 10 to 12 would operate some form of partnership with the federal government. 18 to 20 would have federal exchanges. Those who opted not to set up state exchanges cited federal rules that limit state control, the fiscal burden the exchanges will require, and lack of flexibility under federal rules Some states who have not decided will use additional time to seek more answers to their questions and obtain feedback from constituents. HHS Secretary Sebelius has extended the deadline for states to decide how to participate to December 14.
Thus far 18 states plan to run their own exchange under the Affordable Care Act. 10 to 12 would operate some form of partnership with the federal government. 18 to 20 would have federal exchanges. Those who opted not to set up state exchanges cited federal rules that limit state control, the fiscal burden the exchanges will require, and lack of flexibility under federal rules Some states who have not decided will use additional time to seek more answers to their questions and obtain feedback from constituents. HHS Secretary Sebelius has extended the deadline for states to decide how to participate to December 14.
Friday, November 16, 2012
Genome Sequencing for Fetuses
Genome Sequencing for Fetuses by The Editors, Ferris Jabr, Katherine Harmon, Emily Laber-Warren, David Biello, Daisy Yuhas, Adam Piore, Christopher Mims, Marissa Fessenden, and John Carey. Scientific American. November 14, 2012.
By sequencing the full genome of a fetus by taking a blood sample of the mother, the possibility of beginning prenatal therapies for single-gene disorders such as cystic fibrosis, Tay-Sachs, or fragile X would be possible. This noninvasive approach could be performed without endangering the pregnancy.
By sequencing the full genome of a fetus by taking a blood sample of the mother, the possibility of beginning prenatal therapies for single-gene disorders such as cystic fibrosis, Tay-Sachs, or fragile X would be possible. This noninvasive approach could be performed without endangering the pregnancy.
FDA Probes Health And Energy Drink Link
FDA Probes Whether Deaths Linked To Energy Shots by Elizabeth Weise and Jayne O'Donnell. USA Today.
At issue are 13 reports of deaths and 33 hospitalizations associated with highly caffeinated shots often sold in convenience stores. Due to the fact that energy drinks are classified as dietary supplements they are not regulated by the F.D.A and the amount of caffeine is often not known or inaccurately reported according to experts cited in the story. Soft drinks, by contrast, are regulated and must have no more than 71.5 milligrams of caffeine in a 12-ounce serving. An expert in caffeine toxicity listed among its possible symptoms cardiac arrhythmia, and psychotic episodes. The question of what the F.D.A. should do in response is the emphasis of this story.
At issue are 13 reports of deaths and 33 hospitalizations associated with highly caffeinated shots often sold in convenience stores. Due to the fact that energy drinks are classified as dietary supplements they are not regulated by the F.D.A and the amount of caffeine is often not known or inaccurately reported according to experts cited in the story. Soft drinks, by contrast, are regulated and must have no more than 71.5 milligrams of caffeine in a 12-ounce serving. An expert in caffeine toxicity listed among its possible symptoms cardiac arrhythmia, and psychotic episodes. The question of what the F.D.A. should do in response is the emphasis of this story.
Alzheimer's Detection Outpaces Cures
For Alzheimer's, Detection Advances Outpace Treatment Options by Gina Kolata. The New York Times. November 15, 2012.
New brain scan technology for Alzheimer's is now available in over 300 hospitals across the nation. However since cures are far behind detection, several problems are evident: (1) Patients may be denied long-term health insurance if the plaques characteristic of Alzheimer's are detected. (2) Since detection of a disease without a cure is such a serious matter, doctors who read the scan results must pass a special test for competence. Only 700 doctors have been qualified thus far. (3) Once again due to the seriousness of diagnosis, the F.D.A. has forbid incorporation of clinical information in their interpretation of the scans to avoid the influence of subtle bias obtained from the information.
New brain scan technology for Alzheimer's is now available in over 300 hospitals across the nation. However since cures are far behind detection, several problems are evident: (1) Patients may be denied long-term health insurance if the plaques characteristic of Alzheimer's are detected. (2) Since detection of a disease without a cure is such a serious matter, doctors who read the scan results must pass a special test for competence. Only 700 doctors have been qualified thus far. (3) Once again due to the seriousness of diagnosis, the F.D.A. has forbid incorporation of clinical information in their interpretation of the scans to avoid the influence of subtle bias obtained from the information.
Georgia Diabetes Cases Jump by 145% from 1995 to 2010
CDC: Diabetes Cases Continue to Climb in Georgia by Fran Jeffries. Atlanta Journal Constitution. November 15, 2012.
In addition to the large numerical increase, diabetes increased as a percentage of the Georgia population from 4.0 percent in 1995 to 9.8 percent in 2010 according to a study from the Centers for Disease Control. An official of the American Diabetes Association stated the essence of the problem: "People are still eating too muh and exercising too little."
In addition to the large numerical increase, diabetes increased as a percentage of the Georgia population from 4.0 percent in 1995 to 9.8 percent in 2010 according to a study from the Centers for Disease Control. An official of the American Diabetes Association stated the essence of the problem: "People are still eating too muh and exercising too little."
College Transfer, MCAT Scores and Med School Admission Linked in Study
Study: College Transfer Students May Have Trouble Getting Into Med School by Menachem Wecker. U.S. News and World Report. November 1, 2012.
Based upon a report from the Association of American Medical Colleges, researchers found that "multi-institutional attendance is associated with both lower mean MCAT exam scores and acceptance rate to medical school." Potential red flags mentioned in the article are transfers from a high ranked program to a lower ranked one and splitting courses in sequence, such as organic chemistry, between institutions.
Based upon a report from the Association of American Medical Colleges, researchers found that "multi-institutional attendance is associated with both lower mean MCAT exam scores and acceptance rate to medical school." Potential red flags mentioned in the article are transfers from a high ranked program to a lower ranked one and splitting courses in sequence, such as organic chemistry, between institutions.
Medical School Admissions Officials React to New MCAT
Medical Schools Admissions Officials Optimistic About New MCAT by Catherine Croux. U.S. News University. November 5, 2012.
Medical school admissions officials are optimistic about the new MCAT 2015 which will feature a new social and behavioral sciences section as well as a new critical analysis and reasoning section in addition to a natural sciences portion.
Medical school admissions officials are optimistic about the new MCAT 2015 which will feature a new social and behavioral sciences section as well as a new critical analysis and reasoning section in addition to a natural sciences portion.
Thursday, November 15, 2012
Mental Health Checkup
A Regular Checkup Is Good for the Mind As Well as the Body by Ann Carrns. The New York Times. November 14, 2012.
A quarter of American adults suffer from some type of mental health problem each year with 6 percent suffering from severe aliments, like schizophrenia or major depression. While family physicians were trained to spot symptoms of mental illness, the article mentions screening tools that are designed to begin a conversation with a professional. Other resources such as employee assistance programs are mentioned. Mental health benefits may expand with the 2014 implementation of the Affordable Care Act.
A quarter of American adults suffer from some type of mental health problem each year with 6 percent suffering from severe aliments, like schizophrenia or major depression. While family physicians were trained to spot symptoms of mental illness, the article mentions screening tools that are designed to begin a conversation with a professional. Other resources such as employee assistance programs are mentioned. Mental health benefits may expand with the 2014 implementation of the Affordable Care Act.
Hospital Kidney Donor Minimum Standards Set
Hospitals Ordered To Do More to Protect Kidney Donors by Kevin Sack. The New York Times. November 13, 2012.
With 94,000 + people on the waiting list for kidneys, the United Network for Organ Sharing which manages the transplant system under federal contract has established minimum standards to bolster public confidence in the system. The number of donors has dropped 10 percent over the last two years with thousands dying on transplant list dying each year. The new standards will require hospitals to collect medical data, including laboratory tests, on donors to determine the effects of kidney donation.
With 94,000 + people on the waiting list for kidneys, the United Network for Organ Sharing which manages the transplant system under federal contract has established minimum standards to bolster public confidence in the system. The number of donors has dropped 10 percent over the last two years with thousands dying on transplant list dying each year. The new standards will require hospitals to collect medical data, including laboratory tests, on donors to determine the effects of kidney donation.
Cold Cases Heat Up With New Analytical Tools
A Jane Doe Gets A Back Story by James Gorman. The New York Times. November 12, 2012.
Technologies from diverse fields are being applied to criminal cases with new hope for clues in cold cases. Among those technologies mentioned in this article are isotope analysis and 3D-ID for aiding in producing reconstructions of a face. In a case discussed in the article a geochemist was able to hypothesize that a body was that of a European due to a particular type of lead in the teeth. Also the presence of heavy oxygen isotopes he also was persuaded the crime victim probably grew up near the ocean.
Technologies from diverse fields are being applied to criminal cases with new hope for clues in cold cases. Among those technologies mentioned in this article are isotope analysis and 3D-ID for aiding in producing reconstructions of a face. In a case discussed in the article a geochemist was able to hypothesize that a body was that of a European due to a particular type of lead in the teeth. Also the presence of heavy oxygen isotopes he also was persuaded the crime victim probably grew up near the ocean.
Wednesday, November 14, 2012
USA Ranked 131 in Premature Births but Is Improving
U.S. Lowering Rate of Premature Births, But Slowly by Shefali S. Kulkarni. Kaiser Health News. November 13, 2012.
According to a March of Dimes report, the preterm birth rate for the U.S. is at the lowest rate in a decade at 11.7 percent in 2011. This reverses a 30 increase before 2006 of increasing preterm birth rate. The March of Dimes goal is to bring the rate to 9.6 by 2020.
Four evidence-based interventions cold lower the rate: (1) insuring expectant moms, (2) reducing the number of scheduled deliveries, (3) investing in smoking cessation programs, and (4) using progesterone therapy to help delay contracts.
According to a March of Dimes report, the preterm birth rate for the U.S. is at the lowest rate in a decade at 11.7 percent in 2011. This reverses a 30 increase before 2006 of increasing preterm birth rate. The March of Dimes goal is to bring the rate to 9.6 by 2020.
Four evidence-based interventions cold lower the rate: (1) insuring expectant moms, (2) reducing the number of scheduled deliveries, (3) investing in smoking cessation programs, and (4) using progesterone therapy to help delay contracts.
Antibiotic Use in Southeast Defies National Trends
Southeast Paying Health Price for High Antibiotic Use by Kim Painter. USA Today. November 13, 2012.
Patients from certain Southern states are twice as likely to be prescribed antibiotics as patients from Alaska, Hawaii, Oregon, and Washington. As a result of the high usage of antibiotics, resistance to infections has grown. In the nation as a whole antibiotic usage dropped 17% between 1999 and 2010. However, the rate of decrease is less in the states that use antibiotics more. Professional groups are uniting to address the overuse of antibiotics.
Patients from certain Southern states are twice as likely to be prescribed antibiotics as patients from Alaska, Hawaii, Oregon, and Washington. As a result of the high usage of antibiotics, resistance to infections has grown. In the nation as a whole antibiotic usage dropped 17% between 1999 and 2010. However, the rate of decrease is less in the states that use antibiotics more. Professional groups are uniting to address the overuse of antibiotics.
Panic Attack Does Not Deter Golfer From Tour Win
Panic Attack Leads to Hospital On Way to Golfer's First Victory by Karen Crouse and Bill Pennington. November 12, 2012.
This remarkable story of how golfer Charlie Beljan played through a panic attack, hospitalization, extreme fatigue, and fear to win his first PGA Tournament. In an understatment, Dr. Jeffrey Lieberman, chief of psychiatry at New York Presbyterian/Columbia hospital said "it's impressive that he had the cognitive wherewithal to manage his emotions and play winning golf." His win allowed him to avoid requalifying for the Tour.
This remarkable story of how golfer Charlie Beljan played through a panic attack, hospitalization, extreme fatigue, and fear to win his first PGA Tournament. In an understatment, Dr. Jeffrey Lieberman, chief of psychiatry at New York Presbyterian/Columbia hospital said "it's impressive that he had the cognitive wherewithal to manage his emotions and play winning golf." His win allowed him to avoid requalifying for the Tour.
Monday, November 12, 2012
The Moral Link to PTSD
Column: PTSD, The Moral Dimensions by Warren Kinghorn. USA Today. November 11, 2012.
In this column a Veterans Administration psychiatrist calls attention to the role of personal actions in contributing to the severity of PTSD. PTSD is not merely a matter of what happened to a soldier but what they did that may have violated their own personal moral or ethical core beliefs. In addition the author emphasizes that the cure to PTSD is not merely "technical" but also requires a supportive community that offers the "non-medical language of confession, repentance, and forgiveness."
In this column a Veterans Administration psychiatrist calls attention to the role of personal actions in contributing to the severity of PTSD. PTSD is not merely a matter of what happened to a soldier but what they did that may have violated their own personal moral or ethical core beliefs. In addition the author emphasizes that the cure to PTSD is not merely "technical" but also requires a supportive community that offers the "non-medical language of confession, repentance, and forgiveness."
Touch-Sensitive Plastic Skin Heals Itself
Touch-Sensitive Plastic Skin Heals Itself. Science Daily. November 11, 2012.
A chemical engineering professor and her team at Stanford have succeeded in developing an artificial skin that combines the self-healing ability of a plastic polymer and the conductivity of a metal. The conductivity is crucial in order to interface with the digital world. The material they developed is sensitive enough to detect the pressure of a handshake making it ideal for use in prosthetics.
A chemical engineering professor and her team at Stanford have succeeded in developing an artificial skin that combines the self-healing ability of a plastic polymer and the conductivity of a metal. The conductivity is crucial in order to interface with the digital world. The material they developed is sensitive enough to detect the pressure of a handshake making it ideal for use in prosthetics.
Fixing The Health Care Law
Improvements Sought For Health Insurance Law by Kelly Kennedy. USA Today. November 10 2012.
Since President Obama's health care law is to remain on the books, opponents and supports of the bill are focusing on areas of needed improvement. A variety of experts are focused on the issue of costs. There is wide agreement that cost and improvement of care must be addressed together. Coordinated care is key, while merely cutting payments to providers is seen as limited in possible impact. Prevention must be emphasized or cost control mechanisms such as the Independent Payment Advisory Board and limits on premiums will not work. The system must give incentives to health care professionals for keeping people healthy, streamline processes, and eliminating unnecessary tests by improving coordination.
Since President Obama's health care law is to remain on the books, opponents and supports of the bill are focusing on areas of needed improvement. A variety of experts are focused on the issue of costs. There is wide agreement that cost and improvement of care must be addressed together. Coordinated care is key, while merely cutting payments to providers is seen as limited in possible impact. Prevention must be emphasized or cost control mechanisms such as the Independent Payment Advisory Board and limits on premiums will not work. The system must give incentives to health care professionals for keeping people healthy, streamline processes, and eliminating unnecessary tests by improving coordination.
Sunday, November 11, 2012
Mobilization for Federal Research Funding in "Fiscal Cliff" Negotiations
Groups to Launch Campaign to Keep Federal Research Funding by Elise Viebeck. The Hill. November 9, 2012.
Several dozen research, patient, industry, and other health organizations are launching an advocay effort in the face of possible cuts during the negotiations on the fiscal cliff. Automatic cuts scheduled to go into effect on January 1 total $3.8 billion unless they are stopped.
Several dozen research, patient, industry, and other health organizations are launching an advocay effort in the face of possible cuts during the negotiations on the fiscal cliff. Automatic cuts scheduled to go into effect on January 1 total $3.8 billion unless they are stopped.
The States on Medicaid Expansion: Key To Health Reform
Where Each State Stands on ACA's Medicaid Expansion. The Advisory Board Company. November 8, 2012.
This is a listing of the current status of the states regarding the expansion of Medicaid, a central portion of the Affordable Care Act's thrust toward broadening health insurance for the poor. Interestingly, the states not participating (Florida, Georgia, Louisiana, Mississippi, South Carolina, and Texas) are states with tremendous numbers of uncovered citizens.
This is a listing of the current status of the states regarding the expansion of Medicaid, a central portion of the Affordable Care Act's thrust toward broadening health insurance for the poor. Interestingly, the states not participating (Florida, Georgia, Louisiana, Mississippi, South Carolina, and Texas) are states with tremendous numbers of uncovered citizens.
Mutating West Nile Virus?
Doctors Fear West Nile Virus has Mutated Into More Damaging Form by Brian Vastag (The Washington Post). November 10, 2012.
The 2012 epidemic of West Nile Virus has been notable for scope and severity. Some clinicians have noted increasingly serious brain damage impacting the speech, language, and thinking centers of the brain. The severity of some cases has lead some to believe that the disease has mutated into a more serious form. Others, such as the CDC, think that the severity may be just an outgrowth of number of cases. Some virologists and others disagree pointing to genetic changes in the virus foundmosquitos and birds in the Houston area. Since West Nile is composed of error-prone RNA instead of DNA it is more prone to evolve rapidly.
The 2012 epidemic of West Nile Virus has been notable for scope and severity. Some clinicians have noted increasingly serious brain damage impacting the speech, language, and thinking centers of the brain. The severity of some cases has lead some to believe that the disease has mutated into a more serious form. Others, such as the CDC, think that the severity may be just an outgrowth of number of cases. Some virologists and others disagree pointing to genetic changes in the virus foundmosquitos and birds in the Houston area. Since West Nile is composed of error-prone RNA instead of DNA it is more prone to evolve rapidly.
Testicular Cancer Case Diagnosed by Pregnancy Test And Reddit
Man's Positive Pregnancy Test Leads to Cancer Diagnosis With Reddit by Michelle Castillo. CBS News. November 7, 2012.
As a joke, a man used his girlfriend's pregnancy test and was shocked to discover that he tested positive. A friend of the man posted a "rage comic" on Reddit, also as a joke. However, some readers were aware that one of the chemicals produced by testicular cancer is also produced by women developing placenta. Anyone with that hormone in the body, man or woman, will test positive on a pregnancy test. While not discussed by the article, the implications for internet diagnosis and diverse uses of diagnostic tests are worthy of note.
As a joke, a man used his girlfriend's pregnancy test and was shocked to discover that he tested positive. A friend of the man posted a "rage comic" on Reddit, also as a joke. However, some readers were aware that one of the chemicals produced by testicular cancer is also produced by women developing placenta. Anyone with that hormone in the body, man or woman, will test positive on a pregnancy test. While not discussed by the article, the implications for internet diagnosis and diverse uses of diagnostic tests are worthy of note.
UGA Scientist Touts the Possible Benefits of Gargling Sugar Water
Self-Control Need a Boost? Gargle Sugar Water, Researchers Say. Boston.com/RelaxNews.
A University of Georgia psychology professor, Leonard Martin, has found indications that simply gargling sugar, without ingesting it, stimulates the motivational centers of the brain and increases attention and focus.
A University of Georgia psychology professor, Leonard Martin, has found indications that simply gargling sugar, without ingesting it, stimulates the motivational centers of the brain and increases attention and focus.
Alternative Approach to Alzheimer's Gains Attention
An Outcast Among Peers Gains Traction on Alzheimer's Cure by Janne Whalen. The Wall Street Journal. November 9, 2012.
This article traces the two prevailing theories of the causes of Alzheimer's disease and the growing attention being accorded to one of those theories. Up until now the prevailing theory is that Alzheimer's is cause by beta amyloid, a protein that forms sticky plaques in the brains of sufferers. With the failure of two large clinical trials of drugs designed to attack beta amyloid, new attention is being directed toward the alternate theory involving tau, another protein. Tau is thought to be involved in the tangles in the brain cells of Alzheimer's patients. The article focuses on the efforts of Dr. Claude Wischik, a long-time advocate of the tau theory, as he advances new possible cures for the disease. The article also provides an interesting historical and political case study of the evolution of cures for a significant disease.
This article traces the two prevailing theories of the causes of Alzheimer's disease and the growing attention being accorded to one of those theories. Up until now the prevailing theory is that Alzheimer's is cause by beta amyloid, a protein that forms sticky plaques in the brains of sufferers. With the failure of two large clinical trials of drugs designed to attack beta amyloid, new attention is being directed toward the alternate theory involving tau, another protein. Tau is thought to be involved in the tangles in the brain cells of Alzheimer's patients. The article focuses on the efforts of Dr. Claude Wischik, a long-time advocate of the tau theory, as he advances new possible cures for the disease. The article also provides an interesting historical and political case study of the evolution of cures for a significant disease.
10 Shocking Medical Mistakes
10 Shocking Medical Mistakes by John Bonifield and Elizabeth Cohen. CNN.com. November 5, 2012.
This article recounts some of the most common and well-known medical errors including a few more such as waking up during surgery as a result of under-dose of anesthesia and lost patients due to dementia-related wandering. Included in the article are preventive measures the patient can take to avoid these errors.
This article recounts some of the most common and well-known medical errors including a few more such as waking up during surgery as a result of under-dose of anesthesia and lost patients due to dementia-related wandering. Included in the article are preventive measures the patient can take to avoid these errors.
Saturday, November 10, 2012
Treatment Comparisons and the Most Effective Treatment
Why Studies That Compare Treatments Lack Impact by Pauline W. Chen, M.D. The New York Times. November 8, 2012.
It would seem obvious that comparisons of medical treatments would result in the broad implementation of the better treatment. However, frequently this is not the case. This article examines the reasons why. Among the reasons cited were failure of the study to consider the actual needs of clinicians and patients, the difficulty in adjusting to changing habits, and costs. A low cost option may be attacked by firms who profit from a more expensive alternative. In the face of these problems, there is optimism that the Patient-Centered Outcomes Research Institute can increase the impact of comparative studies
It would seem obvious that comparisons of medical treatments would result in the broad implementation of the better treatment. However, frequently this is not the case. This article examines the reasons why. Among the reasons cited were failure of the study to consider the actual needs of clinicians and patients, the difficulty in adjusting to changing habits, and costs. A low cost option may be attacked by firms who profit from a more expensive alternative. In the face of these problems, there is optimism that the Patient-Centered Outcomes Research Institute can increase the impact of comparative studies
Friday, November 9, 2012
Directory of Licensed Georgia Healthcare Facilities
State's Online Guide Makes Hospital-hunting Easier by Andy Miller. Georgia Health News. November 8, 2012.
The Georgia Department of Community Health has created this new listing of over 7,000 licensed facilities found here.
The Georgia Department of Community Health has created this new listing of over 7,000 licensed facilities found here.
Shift Length and Nursing Burnout
Nurses Burn Out on Long Shifts by David Pittman. MedPage Today. November 8, 2012.
With the shift next year basing Medicare reimbursement on global measures of care, the issue of nurse burn out takes on added significance. This article recounts research indicating an association of patient dissatisfaction, adversely affected safety concerns, and nurses' intention to leave the job with longer shifts. The article proposes actions at the institutional or regulatory board level.
With the shift next year basing Medicare reimbursement on global measures of care, the issue of nurse burn out takes on added significance. This article recounts research indicating an association of patient dissatisfaction, adversely affected safety concerns, and nurses' intention to leave the job with longer shifts. The article proposes actions at the institutional or regulatory board level.
Social Networking Sites Sometimes Used to Evaluate Med School Applicants
Status Update: Medical Schools May Check Applicants On Facebook by Alvin Tran. Capsules: The KHN Blog. November 8, 2012.
A study published in the Postgraduate Medical Journal found that a small percentage of admissions officers of medical schools and residency programs indicated that they have used social networking sites to evaluate applicants. The Association of American Medical Colleges according to the article makes no recommendation on social sites and admissions.
A study published in the Postgraduate Medical Journal found that a small percentage of admissions officers of medical schools and residency programs indicated that they have used social networking sites to evaluate applicants. The Association of American Medical Colleges according to the article makes no recommendation on social sites and admissions.
Thursday, November 8, 2012
Converting Combat Experience to a PA Career
GHSU Program Turns Battle Experience Into Degree by Tom Corwin. Augusta Chronicle. November 8, 2012.
This article uses the experience of a Georgia Health Sciences University Physician Assistant student to outline the Green to Grad program. This program helps veterans to enter the PA program by addressing unique problems veterans may face. According to the chairwoman of the PA another purpose is to achieve more balance between men and women in the program. At present 75% of the GHSU PA students are women.
This article uses the experience of a Georgia Health Sciences University Physician Assistant student to outline the Green to Grad program. This program helps veterans to enter the PA program by addressing unique problems veterans may face. According to the chairwoman of the PA another purpose is to achieve more balance between men and women in the program. At present 75% of the GHSU PA students are women.
Toward a "Greener" Hospital
Hospitals Are Getting Greener to Work Better by Andy Miller. Georgia Health News. October 25, 2012.
Hospitals use huge amounts of water and electricity, and dispose of more than 25 pounds of waste per bed per day. This article outlines steps Georgia hospitals have taken in design, monitoring, and rethinking materials needed in medical procedures. An example of the latter is in Atlanta hospitals owned by Dallas-based Tenet redundancies in surgical kits have been reduced.
Hospitals use huge amounts of water and electricity, and dispose of more than 25 pounds of waste per bed per day. This article outlines steps Georgia hospitals have taken in design, monitoring, and rethinking materials needed in medical procedures. An example of the latter is in Atlanta hospitals owned by Dallas-based Tenet redundancies in surgical kits have been reduced.
Urgent Care Clinics in Hospital and Patient Care Strategy
Hospitals Gamble on Urgent Care Clinics to Keep Patients Healthy by Jenny Gold. NPR>org. November 8, 2012.
Hospitals own more than a quarter of the urgent care clinics. They function in reducing pressure on emergency rooms with their costly care. The article details the advantages of the clinics to patients e,g, access to electronic hospital records and a more customer-service orientation.
Hospitals own more than a quarter of the urgent care clinics. They function in reducing pressure on emergency rooms with their costly care. The article details the advantages of the clinics to patients e,g, access to electronic hospital records and a more customer-service orientation.
Obamacare Post Election
Obamacare Survives--Now What? by David Nather. Politico.com November 7, 2012.
With the reelection of President Barack Obama, any prospect of repeal of the Affordable Care Act or Obamacare can now be discarded. This article provides a summary of key implementation issues for the law moving forward. This articles addresses the following issues:
(1) How the opponents of the law will continue to fight the law thru lawsuits about contraceptive coverage and the availability of subsidies through the insurance exchanges.
(2) Some states are moving toward implementing their own insurance exchanges, others are opting for exchanges conducted in partnership with the federal government. Other states are going to leave the responsibility to the feds.
(3) In addressing the so-called "fiscal cliff" there will be pressure to cut subsidies for individuals who buy insurance in the exchanges and meet low income benchmarks.
(4) There is a question of whether the exchanges will attract a mixture of sick and well individuals in order to balance costs.
(5) The individual mandate for purchase of insurance will present challenges of implementation and acceptance
(6) Will cost control mechanisms in the law work?
(7) Some employers may drop coverage and force employees to get coverage in the exchanges. However some employers have faced adverse publicity when they have attempted to do this.
(8) How will states implement the encouraged, but not required, expansion of Medicaid?
(9) How will reductions in reimbursements to Medicare providers and to Medicare Part D impact the availability of treatment for Medicare patients?
With the reelection of President Barack Obama, any prospect of repeal of the Affordable Care Act or Obamacare can now be discarded. This article provides a summary of key implementation issues for the law moving forward. This articles addresses the following issues:
(1) How the opponents of the law will continue to fight the law thru lawsuits about contraceptive coverage and the availability of subsidies through the insurance exchanges.
(2) Some states are moving toward implementing their own insurance exchanges, others are opting for exchanges conducted in partnership with the federal government. Other states are going to leave the responsibility to the feds.
(3) In addressing the so-called "fiscal cliff" there will be pressure to cut subsidies for individuals who buy insurance in the exchanges and meet low income benchmarks.
(4) There is a question of whether the exchanges will attract a mixture of sick and well individuals in order to balance costs.
(5) The individual mandate for purchase of insurance will present challenges of implementation and acceptance
(6) Will cost control mechanisms in the law work?
(7) Some employers may drop coverage and force employees to get coverage in the exchanges. However some employers have faced adverse publicity when they have attempted to do this.
(8) How will states implement the encouraged, but not required, expansion of Medicaid?
(9) How will reductions in reimbursements to Medicare providers and to Medicare Part D impact the availability of treatment for Medicare patients?
Tuesday, November 6, 2012
An Aging Brain and Blood Pressure
Memory Alert: Even Slightly High Blood Pressure May Age Your Brain--And Even If You're Under 40. Forbes November 6, 2012.
University of California at Davis researchers have found that any blood pressure over 120/80 may be aging the brain with risks for memory problems and Alzheimer's. The risk even extends to young people. Regular blood pressure checks are recommend no matter the age. Also The American Heart Association recommends eating less salt.
University of California at Davis researchers have found that any blood pressure over 120/80 may be aging the brain with risks for memory problems and Alzheimer's. The risk even extends to young people. Regular blood pressure checks are recommend no matter the age. Also The American Heart Association recommends eating less salt.
Epidemiological Lessons From the Porn Industry?
Unlikely Model in H.I.V. Efforts: Sex Film Industry by Donald G. McNeil. The New York Times. November 6, 2012.
Adult film industry medical consultants say that in the 350,000 sex scenes filmed since 2004 not one case of H.I.V has been transmitted. The article points to rigorous testing requirements and monitoring for this record. The industry resists law requiring condoms in sex scenes for financial and market reasons. Also important to the industry is the comfort of performers. Condoms chafe limiting the number of sex scenes and therefore income for performers. California heath officials and others question the industry's record with other sexually-transmitted diseases. Gay porn by contrast has required condoms since the 1980s
Adult film industry medical consultants say that in the 350,000 sex scenes filmed since 2004 not one case of H.I.V has been transmitted. The article points to rigorous testing requirements and monitoring for this record. The industry resists law requiring condoms in sex scenes for financial and market reasons. Also important to the industry is the comfort of performers. Condoms chafe limiting the number of sex scenes and therefore income for performers. California heath officials and others question the industry's record with other sexually-transmitted diseases. Gay porn by contrast has required condoms since the 1980s
Support for Chelation Unclear After NIH Funded Trial
Alternative Therapy for Heart Disease Has Experts Concerned by Liz Szabo. USA Today. November 5, 2012.
While there was some indication that chelation had some benefit for cardiovascular problems, there were questions of statistical significance and possible skewing of the sample due to withdrawal of 17% of the study participants. The research leader said that the study should not be used to recommend the procedure. Chelation is an "off-label" procedure for rare cases of heavy metal poisoning used for cardiovascular purpose of reducing problems in individuals who have already suffered a heart attack. Tens of thousands of individuals have this procedure every year.
While there was some indication that chelation had some benefit for cardiovascular problems, there were questions of statistical significance and possible skewing of the sample due to withdrawal of 17% of the study participants. The research leader said that the study should not be used to recommend the procedure. Chelation is an "off-label" procedure for rare cases of heavy metal poisoning used for cardiovascular purpose of reducing problems in individuals who have already suffered a heart attack. Tens of thousands of individuals have this procedure every year.
Monday, November 5, 2012
The Imperative of Simplicity in Communications
In the article The Political Speechwriter's Life (The New York Times November 3the author Robert Lehrman provides a useful perspective on communications no matter what the field. Lehrman illustrates the need for simplicity by an illustration from medicine. He cites researchers who found that 40% of English-speaking hospital patients did not understand the common direction: "Do not take this medicine on an empty stomach."
Human Enhancement: Possibilities and Perils
How Science Can Build a Better You by David Ewing Duncan. The New York Times. November 3, 2012.
Enhancing human capabilities through medical technologies seems to an increasingly wide-spread possibility. Already such devices as a prosthetic arm that responds to thoughts, cochlear implants, electrodes to compensate for macular degeneration, and exoskeletons that allow the paralyzed to walk are being developed or have actually been used. The article also mentions drugs that alter enzymes and proteins that may enhance speed endurance or neural performance. Ethical and societal issues of human enhancement are also addressed in the article.
Enhancing human capabilities through medical technologies seems to an increasingly wide-spread possibility. Already such devices as a prosthetic arm that responds to thoughts, cochlear implants, electrodes to compensate for macular degeneration, and exoskeletons that allow the paralyzed to walk are being developed or have actually been used. The article also mentions drugs that alter enzymes and proteins that may enhance speed endurance or neural performance. Ethical and societal issues of human enhancement are also addressed in the article.
Sunday, November 4, 2012
Velcro People; Teflon People
Reaction to Everyday Stressors Predict Future Health. Science Daily. November 2, 2012.
According to Penn State researchers, stressors themselves do not determine long-term health consequences for individuals. Instead, it is how these individuals react to the stressors that determines future health consequences. The lead researcher divided people into two types: "Velcro" people have stress stick to them while "teflon" people shed their stress. Also interesting was the fact that individuals with lower cognitive abilities and education were more subject to stress than those with higher cognitive abilities and education.
According to Penn State researchers, stressors themselves do not determine long-term health consequences for individuals. Instead, it is how these individuals react to the stressors that determines future health consequences. The lead researcher divided people into two types: "Velcro" people have stress stick to them while "teflon" people shed their stress. Also interesting was the fact that individuals with lower cognitive abilities and education were more subject to stress than those with higher cognitive abilities and education.
Autism: Questions of Diagnosis and Definition
Are You On It? by Benjamin Wallace. New York Magazine. October 28, 2012.
This is article is an interesting case study of how a diseases and/or condition is defined and how the definition is applied by medical professionals and the general public. The article outlines the social, medical, and insurance consequences of the definition of autism.
This is article is an interesting case study of how a diseases and/or condition is defined and how the definition is applied by medical professionals and the general public. The article outlines the social, medical, and insurance consequences of the definition of autism.
First-Hand Account of Hospital Evacuation During Sandy
The Midnight Evacuation of NYU Medical Center by Samuel Penziner. The Atlantic Magazine. November 4, 2012.
This article is a vivid personal account of the teamwork and difficulties involved in the evacuation of the NYU Langone Medical Center during the hurricane Sandy. The author is a NYU medical student.
This article is a vivid personal account of the teamwork and difficulties involved in the evacuation of the NYU Langone Medical Center during the hurricane Sandy. The author is a NYU medical student.
Errors in Genetic Code the Target of New Drug
Drug to Fix Faulty DNA Gets Go-Ahead in Landmark Move That May Alter Medicine Forever by Jenny Hope. MailOnline. November 2, 2012.
The drug, Glybera, is aimed at a rare inherited disorder that disrupts fat production in the body. This is the first gene therapy approved for Europe. Two other therapies have been approved for sale in China.
The drug, Glybera, is aimed at a rare inherited disorder that disrupts fat production in the body. This is the first gene therapy approved for Europe. Two other therapies have been approved for sale in China.
Official Security Issues in The Biomedical Age
Hacking the President's DNA by Andrew Hessel, Marc Goodman, and Steven Kotler. The Atlantic Magazine. November 2012.
An age of personalized medicine based upon the design of cures based upon personal genetic code offers many possibilities for health and healing. The article explores the dark side of the biotechnology that this age is creating. Security issues for officials and others are discussed.
An age of personalized medicine based upon the design of cures based upon personal genetic code offers many possibilities for health and healing. The article explores the dark side of the biotechnology that this age is creating. Security issues for officials and others are discussed.
Thursday, November 1, 2012
Bionic Leg Powers 103 Story Climb
Man with 'Bionic' Leg to Climb Chicago Skyscraper by Janice Lloyd. USA Today. October 31, 2012.
This article tells the story of a amputee, fitted with a innovative prosthetic leg, who is slate to climb the Willis Tower in Chicago. This leg has a actively-powered knee which is controlled by neural signals from the brain and uses lightweight alloys.
Key links to institutes mentioned in story:
Rehabilitation Institute of Chicago
Center for Intelligent Mechatronics
This article tells the story of a amputee, fitted with a innovative prosthetic leg, who is slate to climb the Willis Tower in Chicago. This leg has a actively-powered knee which is controlled by neural signals from the brain and uses lightweight alloys.
Key links to institutes mentioned in story:
Rehabilitation Institute of Chicago
Center for Intelligent Mechatronics
Hospital Merger Illustrates Trends
Michigan Hospital Systems in Merger Talks by Matthew Dolan and Christina Rogers. The Wall Street Journal. October 31, 2012.
The planned merger of two of Michigan's largest hospital systems illustrates broad trends impacting hospital nationwide.
(1) The shift from inpatient to outpatient care;
(2) Deterioration of robust growth resulting from erosion of employee benefits;
(3) Increased competitive pressure and pressure on the bottom line from unpaid bills nd charity cases
(4) Expansion of coverage coupled with reduced reimbursements under Medicare resulting from the Affordable Care Act;
The planned merger of two of Michigan's largest hospital systems illustrates broad trends impacting hospital nationwide.
(1) The shift from inpatient to outpatient care;
(2) Deterioration of robust growth resulting from erosion of employee benefits;
(3) Increased competitive pressure and pressure on the bottom line from unpaid bills nd charity cases
(4) Expansion of coverage coupled with reduced reimbursements under Medicare resulting from the Affordable Care Act;
DNA Variation And Disease: One Step to Understanding the Link
Scientists Expand Catalog of Human Genetic Variation by Eryn Brown. Los Angeles Times. October 31, 2012.
By sequencing the DNA of 1092 people from 14 populations, scientist of the 1000 Genomes Project have identified over 38 million DNA variants. These variants could be key to understanding the genetic correlates of disease. In the future the variants could provide a first level check to determine a possible genetic cause to the disease.
Another account at
Personalized Medicine Moves Closer by Robert Lee Hotz. The Wall Street Journal. October 31, 2012
By sequencing the DNA of 1092 people from 14 populations, scientist of the 1000 Genomes Project have identified over 38 million DNA variants. These variants could be key to understanding the genetic correlates of disease. In the future the variants could provide a first level check to determine a possible genetic cause to the disease.
Another account at
Personalized Medicine Moves Closer by Robert Lee Hotz. The Wall Street Journal. October 31, 2012
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