Tuesday, December 31, 2013

Food As Social: What You Eat Is Influences by With Whom You Eat

Our Food Choices Are Influenced By Social Norms,  Study Suggests.  Medical News Today.  December 31, 2013.

(1)  The researchers say that social mechanisms affecting what we eat are there even when _____________________.




Cholesterol Association With Alzheimer's Protein Points To ??????????

Cholesterol Linked To Alzheimer's Protein, Unclear Why by Shereen Jegtvig.  December 31, 2013.

(1)  Patterns of "good" and "bad" cholesterol associated with heart disease also predict ___________________________.

(2)  Vascular risk factors are, as a result of this study, now also viewed as _________________

(3)  Assuming that this finding is replicated in other studies it will be even more important to
understand the mechanism _________________.

(4)  The brain and the heart form separate "pools" separated by __________________<


Monday, December 30, 2013

To Screen Or Not To Screen?

Breast Cancer Screenings:  What We Still Don't Know by H. Gilbert Welch.  The New York Times.  Opinion piece.

An eye-opening opinion piece pointing out that the decision of whether to screen is a close call.


Medical Billing System Overhaul Looms; New Detail Challenges Computer Systems

Who Knows The Code For Injury By Orca?  by Andrew Pollack.  The New York Times.  December 30, 2013.  Unable to locate in the online Times.  In print edition.

(1)  On ______________ virtually the entire health care system will switch to a new set of computerized used for determining  what _____________________ and how much _____________.

(2)  The new set of codes, known as _____________, allows for ________________.

(3)  More detail could allow for improved tracking of _________________ and better _______________________.

(4)  The need for prepare for ____________ and the Affordable Care Act and to achieve so-called ____________ use of electronic health records all at once could _____________________, many computer officials worry.

(5)  The I.C.D.-10 is the 10 revision of the _____________________________ which is issued by the __________________________________________.

(6)  The new I.C.d. will have about ___________ codes for diagnoses and _____________ for procedures.

(7)  The new codes should not be too hard for coders but harder for doctors who will have to be _______________________.

Sunday, December 29, 2013

Taxonomy Of Compassionate Speech Developed To Guide Medical Training

Researchers Study Compassionate Speech To Guide Doctors.  UPI.  December 28 2013.

(1)  In contrast to empathy, compassion  involves a _________________________.

(2)  The three main elements of compassion are _________ of suffering, __________ resonance, and movement toward ________________.


Saturday, December 28, 2013

New--And Reversible- Cause Of Aging Identified

New--And Reversible--Cause Of Aging:  Naturally Produced Compound Rewinds Aspects of Age-Relate Demise In Mice.  Science Daily.  December 19, 2013.

(1)  The restoration of _________ between the ________ and ____________ by means of administering a molecule naturally produced by _____________ showed in mice biological hallmarks that were comparable to those of much younger mice.

(2)  Self-contained organelles called _____________ have long been identified as key biological plays in aging.

(3)  The prevailing theory that age-related ills cannot be reversed rests on the belief that they are the results of _________________________ and _________ cannot be reversed.

(4)  This research begins to show how the physiology of cancer is similar to ________________________.


Friday, December 27, 2013

Crowdsourcing Used To Monitor Flu In New WebMD Tracker

How Bad Is The Flu In Your Neighborhood?  by Caroline Winter.  BloombergBusiness-Technology.  December 27, 2013.

The actual WebMD tracker is found here.  The data is based upon "a combination of geo-location data and information compiled from over 3 million Symptom Checker visits per month."  The Symptom Checker is feature of the WebMD website.

High Blood Pressure Is Highest In The Southeast With No Improvement Seen

High Rates Of High Blood Pressure Persist In US Southeast by Kathryn Doyle.  Reuters.  December 27, 2013.

(1)  ___________ of U.S. adults have high blood pressure.  In the southeast the rate is ____________.
(2)  High blood pressure accounts for up to ___________ deaths worldwide each year.

(3)  __________ was factored out from the research design of the study.

(4)  Blacks were nearly _______________ as whites to suffer from high blood pressure.

(5)  The racial difference was seen mainly among __________.

(6)  __________ seems to be a main driver of the problem especially among whites.

(7)  Other factors included ______________________.

(8)  Black people were ____________ as whites to have high blood pressure without knowing it.

(9)  Only ________ percent of those who knew they had high blood pressure were taking diuretics.

 

Thursday, December 26, 2013

Placebo Effect Shows Effectiveness-- Fake and Real Acupuncture Both show Results

Acupuncture, Real Or Not, Eases Side Effects Of Cancer Drugs  by Nicholas Bakalar.  The New York Times.  December 26, 2013.  

(1)  While the results could be attributable to a placebo effect, they could perhaps also result from ______________ some scientists suggest.

Study Suggest More Focused Approached to Meniscus Surgery

Common Knee Surgery Does Very Little For Some, Study Suggests by Pam Belluck.  The New York Times.  December 25, 2013.

(1)  A unique feature of this research is that one group of volunteer research actual surgery while the other received just _____________________.

(2)  This study added to other recent research suggesting that meniscal surgery should be aimed at a ____________ and that, for many physical therapy __________________

Neanderthal Genes The Source Of High Diabetes Risk Among Latin Americans

Neanderthals Gave Latin Americans Diabetes Risk by Cheri Cheng.  Counsel & Heal.  December 26, 2013.

(1)  The specific gene, _________, is extremely rare in people of _______________ descent, while roughly ___________ percent of people from ______________ have the gene.

(2)  Researchers reasoned that they gene could have developed due to _____________ Neanderthals and modern humans.

(3)  This kind of evolutionary genetic study could illuminate  new _____________ with drugs.

Monday, December 23, 2013

A Principal Architect Of Romneycare And Obamacare Assesses Healthcare Rollout

Will Health Care Reform Work Out?  An Interview by Andy Miller.  Georgia Health News.  December 19, 2013.

This interview with Jonathan Gruber, economics professor at MIT, provides a unique prospective to the rollout thus far.

Process Of Brain Connection "Streamlining" Occurs Earlier In Females Than In Males

Brain Connections May Explain Why Girls Mature Faster.  Science Daily.  December 19, 2013.

(1)  The research study found that while overall brain connections get __________, long-distance connections are _____________.

(2)  Why does brain function not deteriorate as connections are pruned?

(3)  The researchers found that connections between distant brain regions, between hemisphers, and between processing modules _____________________________.

(4)  Loss of brain connectivity during development can improve brain function by reorganizing the network _____________.

Saturday, December 21, 2013

Your Microbiome And You: What Clinicians Need to Know

Your Microbiome And You:  What Clinicians Need To Know by Scott Peterson, PhD.   Medscape.  December 20, 2013.

An excellent and brief presentation of the microbiome.

(1)  What is meant by referring to humans as a metaorgnism?

(2)  What are the aims and limitations of the Human Microbiome Project?

(3)  What are some of the direct effects of disruptions of the homeostasis between humans and their microbiotal counterparts?  Indirect effects?

(4)  What are two key practical questions raised by research on the microbiome?

(5)  What are some of the harmful gut impacts of fructose?

(6)  The link between the microbiome, obesity, and diabetes is thought to be related to ____________________.

(7)  The interplay between _____________________ opens a wholly new avenue of research into oncogenesis.

(8)  What is TMAO and how can it promote heart disease?

(9)  Infectious disease can be conceived of as an extreme___________________ between microbe and human.

(10)  Pharmacomicrobiomics examines how ______________________ affect _______________.

(11)  How can imbalance in microbiota lead to skin disorders?

(12)  How is a link between genetics and alterations in the microbiome perhaps related to ankylosing spondylitis?

(13)  How does gut microbial species perhaps lead to imparied memory and increased anxiety-like behaviors?

(14)  What are three needed areas of future research?



Stress-Sensitivity Gene Linked To Heart Attacks

Stress-Sensitivity Gene Linked To Heart Attacks, Death by Catharine Paddock PhD.  Medical News Today.  December 19, 2013.

(1)  The gene change already linked to stress is also tied to a ________ higher risk of heart attack or death in people with heart disease.

(2)  With the identification of this gene change there is now a "paradigm to move toward ___________  in cardiovascular disease.

(3)  The variation in a DNA sequence is located in a makes a _____________.

(4)  This variation is associated with higher levels of the stress hormone _____________.

(5)  The researchers say the raised cardiovascular sik may be associated with a blood compoung called ________ .


Friday, December 20, 2013

Study Confirms Narcolepsy As An Autoimmune Disease

Study Confirms Narcolepsy As An Autoimmune Disease.  Medical News Today.  December 20, 2013.

(1)  "Mimicry" refers to  when the immune system attacks a body protein because of it similarity to ________________________.

(2)  The wakefulness protein ___________ is very similar to part a protein from the ____________ virus.

(3)  Narcolepsy is a chronic disorder where the brain cannot control ______________.

(4)  A spike in narcolepsy cases in 2010 may have been related to __________________.

(5)  The vast majority with narcolepsy have a variant of the _______________ that is found in only a quarter of the population.

Racial Gap In Screening and Treatment Of Breast Cancer Is Growing With No Signs of Abating

Tackling A Racial Gap In Breast Cancer Survival by Tara Parker-Pope.  The New York times.  December 20, 2013.

(1)  In the 1980s breast cancer survival rates for white and black women were ____________.

(2)  _________ is the deadliest major American city for African-American women with breast cancer.

(3)  Over all, black women with a breast cancer diagnosis will die _______ years sooner than their white counterparts.

(4)  True or False:  Biological differences can explain the gap in breast cancer survival.

(5)  Among the reasons that Memphis is an epicenter for many diseases including breast cancer are
_________ disparities, __________ of the medical establishment, and lack of ________________.

(6)  Many black women in Memphis do not see______________ at all.

(7)  A network of __________ has proved to be effective in outreach to women on breast cancer outreach.


Thursday, December 19, 2013

New Target For HIV Therapeutics Identified In Lab

HIV Mechanism:  Suicide, Not Murder by Michael Smith.  MedPage Today.  December 19, 2013.

(1)  According to the research reported here, an over-the-top _________________ causes much of the damage that leads to AIDS.

(2)  In the laboratory the drug VX-765 effectively blocks ___________ activity,  __________ cell death, and the release of ________________.

(3)  VX-765 has been found safe and effective in clinical trials in ______________.

(4)  For the 16 million people with HIV who do not have access to triple-drug antiretroviral therapy a caspase 1 inhibitor might ________________ while people wait for antiretroviral drugs.

(5)  Blocking caspase 1 might reduce _____________ and prevent diseases of aging that strike HIV-positive people earlier than others.

California Continues Trend Toward Empowering Professionals Assisting Physicians

New Independence For California Midwives by Lisa Renner.  California Health Report.  December 19, 2013.

(1)  Under a new law licensed midwives will now be authorized to operate _________________ without physician supervision, with access to __________________________ used in their practice.

(2)  The law makes it easier for physicians to ________________ without fear of being sued.

Wednesday, December 18, 2013

New Blood Pressure Guidelines

Blood Pressure Guidelines Can Be Loosened, Panel Says by Gina Kolata.  The New York Times.  December 18, 2013.

(1)  The previous goals for blood pressure have been in place for more than _____ years.

(2)  The previous goal for blood pressure was below ____________.  The new guidline for people over 60 should be systolic of less than  __________  and diastolic of less than ___________.

(3)  Systolic pressure indicates the pressure on ___________ when __________.  Diastolic refers to pressure on blood vessels when _____________.

(4)  As a result of _____________ that counteract some of the benefits of blood pressure medication, maximum benefit may occur with less _______________ nd higher __________.

(5)  True or False:  Lower blood pressure is always better.

(6)  True or False:  Rigorous studies have established systolic blood pressure goals for younger people.

(7)  90 percent of blood pressure drugs are available as ____________.

(8)  True or False:  The final guidelines are sanctioned by the National Heart, Lung and Blood Institute.

Tuesday, December 17, 2013

A Lifelong Fight Against Trans Fats

A Lifelong Fight Against Trans Fat by Melanie Warner.  The New York times.  December 16, 2013.

The article puts a face on the long effort to ban trans fats, an effort which recently came to fruition with an F.D.A. rule issued in November.   Dr. Fred Kummerow is profiled in the article along with his current iconoclastic research at age 99.  

Using Data Trails To Determine Probable Medical Conditions--Access To Medical Records Not Required

Data Mining To Recruit Sick People by Joseph Walker.  The Wall Street Journal.  December 16, 2013.

(1)  Indirect clues to an individual's health are sometimes available from __________________________________ without accessing personal medical records.

(2)  Firms specializing in clinical trial patient recruitment often use ___________________ to identify sick and target them with ____________________.

(3)  As data-mining methods become more sophisticated it is harder to ______________.

(4)  The federal Health Insurance Portability and Accountability Act does not protect _______________________

(5)  A major driver of the trend toward using data mining for health records is the need to speed up recruitment and completion of______________.


Monday, December 16, 2013

Seven Viewpoints On The Role Of Drug Companies

Room For Debate:  Developing Cures Or Hyping Up Demand?  The New York Times.  December 16, 2013.

Overview of issues involved in drug company role in healthcare.  Be sure to look at the reader comments.

Brain Region Linkage Offers Method To Measure Consciousness For Surgery

What Anesthesia Can Teach Us About Consciousness by Maggie Koerth-Baker.  The New York Times.  December 10, 2013.

(1)  Successful anesthetization requires _______________, and ___________ isn't something we can measure.

(2)  What are two barriers to avoiding anesthesia awareness?

(3)  Lacking a direct measure for consciousness, anesthesiologist monitor for ___________.

(4)  Studies are increasingly finding that sensory networks in the brain remain locally functional
for _____________ but ____________ communication has broken down.

(5)  This finding suggest that anesthetics work best when different parts of the brain _____________.

(6)  While you need a brain to have ___________, you might not need a brain to _______________  
perhaps because pain response is a ___________ reflex.

(7)  Mashour's research suggest that anesthesia monitors might be more effective if they monitor how electrical signals _____________.

Saturday, December 14, 2013

Occupational Therapy Play Role In Safe Driving For The Elderly--Driving Rehabilitation Specialist

An Alternative To Giving Up The Car Keys by Alina Tugend.  The New York Times.  December 13, 2013.

(1)  In the United States about _____ million licensed drivers are over 65.

(2)  The groups that have the highest fatal crash rates are __________ and those ______ years and older.

(3)  Older drivers are often safer because they are less likely to ________________.

(4)  The increasing rate of fatal crashes beginning at age 75 is not necessarily because older people have more accidents but because ___________________________.

(5)  As flexibility and range of motion decrease with age, ____________ can help.

(6)  __________________ can adjust the range and intensity of light to improve night vision.

(7)  What are some of the advances in collision avoidance that can make driving safer for older people?

(8)  In some cases, medical insurance or Medicare will cover _____________ as part of occupational therapy.

(9)  The American Occupational Therapy Association provides a list on its website of occupational  therapists who specialize in _____________________.  

Sugar Makes You Want More Sugar Study Seems To Indicate

In Food Cravings, Sugar Trumps Fat by Anahad O'Connor.  The New York Times. Well blog. December 13, 2013.

(1)  The pleasure centers of the brain lit up more effectively in responce to  _________ than ________ in the study recounted in this article.

(2)  Dr Eric Stice citing research says in the article that "the more sugar you eat, ___________________________.

(3)  Low fat, low sugar milkshakes used in this study were shown to activate regions of the brain associated with ___________________, but they had no impact on _________.

(4)  According to Dr. Stice addressing societal problems with overeating should start with __________.

(5)  According to Dr. Avena from Columbia University when sugar is suddenly taken away opiate receptors should signs of ___________.

(6)  Dr. David Ludwig found that sugar milkshakes stimulate reward regions but also cause ___________________ which leads to cravings for foods that can quickly restore _____________-.

Friday, December 13, 2013

Four Overlooked Health Care Stories Of 2013

The 4 Most Overlooked Health Care Stories Of 2013 by Robert Pearl, M.D.  Forbes.  December 12, 2-13.

(1)  There were a number of investigative reports highlighting regional ______________ of American health care.

(2)  There is a growing realization that higher prices do not translate __________________.

(3)  What are two factors that lead to regional variation in costs

(4)  Cesarean birth rates in the U.S. are _________ the  World Health Organization's recommended rate of _________ percent.

(5)  According to the author, cesareans scheduled with less than 39 weeks of gestation are __________________.

(6)  Through the ACA insurance companies are mandated to  include ___________________.

(7)  In hypertension management, the average US. doctor achieves results that are ____________ than the best doctors.

(8)  The Physician Payment Sunshine Act requires that ___________________.


Technique To Mend Misfolded Proteins May Be Key To Cure For Several Diseases

New Drug Approach Could Lead To Cures For Wide Range Of Diseases.  Science Daily.  December 9, 2013.

(1)  Diseases caused by "misfolded" protein molecules include _________________________.

(2)  Misfolded protein molecules can still function however they are ____________ within the cell, thus causing disease.

(3)  The drugs that rescue misfolded proteins and return them to normalcy are called __________.

(4)  The research highlighted here is the first time the process of correcting misfolded proteins has worked in __________________.


Thursday, December 12, 2013

Incidental Findings Of Medical Tests/Procedures Raise Difficult Problems of Treatment and Communication

Medical Test Surprises:  What Should You Be Told?  Associated Press/Washington Post.  December 12, 2013.  

(1)  ________ percent of brain scans spot something unrelated that may require more tyesting.

(2)  Anywhere from ___________ percent of abdominal CT scans turn up incidental findings.

(3)   True or False:  Follow-up testing is without risk.

(4)  What do American College of Medical Genetics guidelines provide about reporting the results of genetic tests?

Cash-Only Psychiatry May Limit Access To Mental Health Services

Psychiatrists Top Cash-Only MD List by John Gever.  MedPage Today.  December 12, 2013.

(1)  The rate of Medicaid acceptance by psychiatrists was _________%.

(2)  The rates of insurance acceptance for all other physicians averaged about _________ points higher in 2009-2010.

(3)  With nearly half of psychiatrists apparently operating on a cash-only basis the impact of the Affordable Care Act on utilization of mental health services may be __________________.

(4)  What are the factors suggested by the study authors for the low acceptance of insurance among
psychiatrists?

Addressing Fears About Antibiotic Resistance, FDA Plans Effort To Phase Out Antibiotics In Animal Production

FDA Launches Plan To Curb Antibiotic Use In Animal Production by Ryan Jaslow.  CBS News.  December 11, 2013.

(1)  Antibiotic-resistant germs are said to kill ___________ people a year.

(2)  The voluntary plan involves animal pharmaceutical companies to change the __________________________ so they would no longer be used for _______________.

(3)  Why is the FDA pursuing a voluntary approach instead of mandatory rule making?


Wednesday, December 11, 2013

Changes In Diet Shown To Quickly And Significantly Change Gut Microbiome

Chowing Down On Meat, Dairy Alters Gut Bacteria A Lot, And Quickly by Michaeleen Doucleff.  NPR.  December 11, 2013.

(1)  One type of bacteria that flourishes under the meat-rich diet used in the experiment has been linked to ____________ and ____________ in mice.

(2) Intestinal organisms influence many aspects of health including ________________.

(3)  The researchers found that the gut bacteria shifted with __________ after the food hit the gut.

(4)  The kinds of genes turned on in the microbes changed _________________.

(5)  According to one of the researchers this study is proof of concept that you can __________________________.


Tuesday, December 10, 2013

Move Toward Lifetime Care For Cancer Survivors

The Next Front In Cancer Care.  The Informed Patient.  The Wall Street Journal.  December 9, 2013.

(1)  Survivorship-care programs include services such as ____________________________.

(2)  What are some of the aftereffects of survival from cancer?

(3)  The number of cancer survivors is projected to grow from around _________ million now to _______ million by 2022.

Monday, December 9, 2013

Heart Stent Design Perhaps Enhanced By Mathematical Models Of Drug Release

Math Models Enhance Current Therapies For Coronary Heart Disease.  Science Daily.  December 9, 2013.

(1)  The design of drug-eluting heart stents is severely limited by _______________________________________.

(2)  This limitation could be addressed by developing models of  __________________________ and comparing the ________________________.

(3)  The integral equation called the _______________ can be shown under under  under certain circumstances to satisfy for the drug release concentration.  

Researchers: Using Contact Lenses To Deliver Glaucoma Medication Could Improve Effectiveness And Adherence

Your Contact Lens Might Someday Dispense Eye Drugs.  Health Day News.  December 9, 2013.

(1)  According to the author of the study, eye drops are an inefficient method of drug delivery that has _____________________.

(2)  The leading cause of irreversible blindness worldwide is __________.


Intel Survey Shows Openness To Technological Innovation In Healthcare Across Eight Countries

Technology Inspires Optimism For Healthcare.  Business Wire/PCB Design 007.  December 9, 2013.
While it would be very surprising for a survey funded by a major technology company to find that people hated the idea of technology in healthcare, the results of this survey of eight countries is interesting and significant.

(1)  __________ percent believe traditional hospitals will be obsolete in the future.

(2)  _______ percent of respondents are receptive to using toilet sensors, prescription bottle sensors or swallowed monitors to collect ongoing and actionable personal health data.

(3)  _______ percent indicated they would be willing to anonymously share their personal health information if it could lower medication costs or overall cost to the healthcare system.

(4)  _______ percent indicated that they would be willing to see a doctor via video conference for non urgent appointments.

(5)  The healthcare innovation least likely to be incorporated by the global population is __________________.

Saturday, December 7, 2013

Commonwealth Fund Study: Georgia Taxes Will Benefit Other States Which Expand Medicaid While Georgia Will Receive Nothing If It Does Not Expand

Study Calculates Cost Of Expansion Decision by Andy Miller.  Georgia Health News.  December 5, 2013.

(1)  Only _____________ would have net losses higher than Georgia among the 20 states that have opted not to expand Medicaid.

(2)  Over ____________ low-income Georgians could remain uninsured in 2014 if the state refuses to expand Medicaid.

(3)  A study by the Healthcare Georgia Foundation indicated that expansion would produce an economic impact statewide of _______ annually.


How Are Drugs Priced? Case Studies Illustrate

A Tale Of Two Drugs by Barry Werth.  Technology Review.  October 22, 2013.

(1)  In 2012, the FDA approved ___________new drugs, the most in a decade.

(2)  The primary customer for drugs in the United States is not the _____________
but the ___________ and _____________.

(3)  Demand for therapeutic drugs is price ____________ meaning increasing the price does not _______________.

(4)  The United States, with 5 percent of the world's population, buying more than  _______ percent
of the world's prescription drugs.

The article offers case studies of pricing of drugs including the cystic fibrosis drug kalydeco.

Friday, December 6, 2013

Drop In Teen Pregnancy Rate Drives Birth Rate Decline

U.S. Pregnancy Rates Slide, Near Record Lows by Carol Morello.  The Washington Post.  December 4, 2013.

(1)  Only in ________ has the birth rate been lower in the past 30 years.

(2)  The only group with increasing birth rates was women over __________.

(3)  The abortion rate has dropped reflecting a continuous slide since peaking in _________.

(4)  A sociologist quoted in the article said that "what happened was a a postponement of births among younger women with _________________."

(5)  Among teenagers having sex there has been a sharp increase in ___________________.

(6)  AIDS has forced many school districts to ______________.

(7)  The United States has ______________ among industrialized countries.

Relatively Small Cost Difference Between Healthy And Unhealthy Foods

Healthy Eating Costs Extra $1.50 A Day, Study Finds by Ryan Jaslow.  CBS News December 6, 2013.

(1)  The study finds eating a healthy diet filled with _________________________________ costs significantly more than a diet filled with ________________________.

(2)  The price difference between healthy and unhealthy foods is small in comparison with ______________________________.

(3)  This study reviewed ________ earlier studies from ________ high income nations.

(4)  The study called for an infrastructure for the production of _______________ which may increase availability and reduce costs.

(5)  Price differences by healthfulness appeared largest for ___________.

Thursday, December 5, 2013

Quest For Integrated Approach To Health Attracts Many Including Celebrities

Here's To Good Health (But No Toast) by Bee Shapiro.  The New York  Times.  December 4, 2013.

A profile of Dr. Frank Lipman whose appeal illustrates a strong desire by many for an integrated approach to medicine and health.

Dementia Predicted To Triple By 2050

135 Million People Worldwide Will Have Dementia By 2050:  Report.  HealthDay.  U.S. News And World Report.  December 5, 2013.

(1)  An estimated ________ million people worldwide have dementia.  By 2050 that number is predicted to increase to _________ million.

(2)  By 2050 ________ percent of people with dementia will live in middle- and low-income nations.

Wednesday, December 4, 2013

Palliative Care: Comforting The Afflicted

When Palliative Care Is The Best Care by Anna Gorman.  Kaiser Health News.  December 3, 2013.

(1)  According to the article, the role of a palliative care doctor is __________ patients instead of ____________, to help them ________ their illnesses.

(2)  Palliative care programs in hospitals are designed to relieve seriously ill patients' _______________.

(3)  Palliative care is recognized as a _______________.

(4)  The increase in popularity of palliative care programs is in part due to ____________________

(5)  Why do some doctors resist palliative care programs?

(6)  How  were palliative care physicians touched by the "death panel" controversy in Obamacare?

(7)  Why do patients sometimes refuse to see the palliative care team?

(8)

Exercise Could Be A Way To Deal With Sharp Rise In Dementia In The Coming Decades

Exercise Beneficial For Dementia.  MedicalXpress.  December 3, 2013.

(1)  This study is a review of eight trials showing that exercise could ________________.

(2)  There was the need for more evidence to understand how could reduce the burden on ____________________________.

(3)  As a result of these studies there is promising evidence for _______________ improving __________ and carrying out ______________.

Tuesday, December 3, 2013

Projected Expenditures On Health Care Law Now Estimated To Be Less Than Anticipated

Cost Of Health Care Law Is Seen As Decreasing by Annie Lowrey.  The New York Times.  December 2, 2013.

(1)  Both ________ expansion and ___________ for private insurance are ending up less expensive than anticipated.

(2)  The main reason, economist broadly agree, for the slowdown is ______________.

(3) Insurers and health care providers are agreeing to contracts that pay for __________ rather than _____________.

(4)  While there will be a drastic bump in health spending by government starting next year, economists expect _______________________.

(5)  Why is it possible that this time the slowdown will be more durable.

Monday, December 2, 2013

Dual Names For Drugs: Medication Errors Waiting To Happen

One Drug, Two Names, Many Problems by Theresa Brown.  Bedside.  The New York Times.  November 30, 2013.

The hazards of having two names for drugs (brand and generic) with a proposal for a solution.

Narrow Taste Range Resulting From Processed, Refined Foods Linked To Infant, Prenatal Diets And Obesity

Bad Eating Habits Start In The Womb by Kristin Wartman.  Opinion Piece.  The New York Times.  December 1, 2013.

(1)  The taste preferences that develop at crucial periods in infancy _________________.

(2)  True or False:  It is easy to change food preferences beyond toddlerhood.

(3)  Processed, refined foods could be setting children up for __________________.

(4)  Early exposures to foods leads to an _____________ phenomenon such that those flavors  are  preferred but take on __________________.

(5)  Junk food in utero and through breast milk leads offspring to develop a  reward pathway that is ___________________________.

(6)  Globally, infant formula is the _________________  with growth on track for a __________ increase in 2013 alone.

(7)  The World Health Organization recommends breast-feeding up to ____________.


Sunday, December 1, 2013

Passing The United States in Obesity, Mexico Taxes Soda And Junk Food

Viva Mexico by Mark Bittman.  The New York Times.  November 29, 2013.

(1)  High-fructose corn syrup accounts for ________ percent of calories in the American diet.

(2)  The annual consumption of sweetened beverages in Mexico and the United States is around _________ gallons per capita.

(3)  Proponents of the tax linked its passage to assuring that purified drinking water would ________________.

(4)  The junk food tax will use _____________ to define processed foods that are detrimental to health.

(5)  Due to ______________ Mexico has suffered more than any other country by adapting the standard American diet.

Saturday, November 30, 2013

Writer's Brain, Reader's Brain: How Do They Link

Wired:  Putting A Writer And Readers To A Test by Jennifer Schuessler.  The New York Times.  November 29, 2013.

This article recounts a neuroscience experiment that may help "illuminate links between the way art is created and enjoyed, and possibly the nature of creativity itself."

Health Care Exchanges Challenge Human Decision Making Shortcoming

Are Our Brains Just Not Wired For Obamacare?  by Dhruv Khullar.  Politico.  November 26, 2013.

(1)  The selection of health insurance on the Obamacare exchanges or marketplaces requires many choices by citizens.  Humans have difficulty making optimal decisions under conditions of ______________.

(2)  People have difficulty weighing probabilities  of long-term ________________________ and in analyzing complex products with multiple _________________________.

(3)  They have difficulty in estimating the likelihood of _______________________.

(4)  "Choice overload" refers to making suboptimal decisions as the result of _____________.

(5)  What is an example of a heuristic in the Obamacare exchanges?

(6)  Why are the "navigators" important in Obamacare?

(7)  The results of Massachusetts shows that consumers prefer a manageable __________________
which differ _____________________.

Friday, November 29, 2013

Cholesterol Byproduct Related To Breast Cancer; Obesity Link Specified

High Cholesterol Provokes Breast Cancer Growth Spread:  Tumors Have Developed New "Source Of Fuel"  by Ajit Jha.  Medical Daily.  November 29, 2013.

(1)  The cholesterol byproduct identified functions in a similar manner to the hormone _____________.

(2)  What distinguishes the Duke University study is that a ___________ of how obesity affects tumors has been specified.

(3)  _____________ has been implicated in an estimated 75% or breast cancers.

(4)  There is a clear association between ___________ and resistance to the antiestrogen ___________, the most commonly use breast cancer therapeutic.

Rise In Unprotected Sex By Gay Men Raises H.I.V. Fears; Several Possible Causes Cited

Rise In Unprotected Sex By Gay Men Spurs H.I.V Fears by Donald G. McNeil Jr.  The New York Times.  November 27, 2013.

(1)  According to a survey by the CDC the number of men who told investigators that they had unprotected anal sex rose nearly ________ percent from 2005 to 2011.

(2) Being tested even once for H.I.V. is associated with men _______________.

(3)  What is "sero-sorting" and why is it an inadequate H.I.V. prevention strategy?

(4)  Studies have shown that people who take their antiretroviral drugs daily are ____________ to transmit disease.  However not all men on the drugs ______________________.

(5)  The CDC suggests that sexually active gay men be tested at least ____________.

(6)  The rates of infection among young black gay men is that older black gay men have ________________________.

Wednesday, November 27, 2013

At The Intersection of Basic Rights, The Health Care Law, And Women's Medical Decisions, Supreme Court Takes Contraception Cases

Justices To Hear Contraception Cases Challenging Health Law by Adam Liptak.  The New York Times.  November 26, 2013.

(1)  Many religious groups are __________ from the law's requirements for contraception coverage.

(2)  However, the administration argues that commercial corporations could not ______________ to opt out of compliance with the law.

(3)  Hobby Lobby argued before the Ten Circuit that compelled coverage for drugs and devices that can prevent embryos from ________________________ would make the company complicit in ______________.

(4)  The Tenth Circuit ruled that Hobby Lobby was a _________ under the Religious Freedom Restoration Act of 1993.

(5)  What is the relationship between this controversy and the Citizens United ruling by the Supreme Court?

Most Americans Don't Want Obamacare Shutdown; 54% Support The Law Or Want It Expanded

Despite Media Onslaught, Most Americans think It's Too Soon To Give Up On Obamacare by Sy Mukherjee.  Thinkprogress.  November 27, 2013.

(1)  Just under four in ten Americans said the law is __________ while __________ said it was too early to judge.

(2)  Optimism about the law was highest by far among ______________.

(3)  The uninsured are taking a __________ approach to enrolling in Obamacare marketplace plans.

(4)  Arkansas and Oregon have already cut their uninsurance rates by ______ and _____ respectively just by expansion of Medicaid.

Tuesday, November 26, 2013

More Insurance Options For Part-Time Workers Beginning In January

Health Law May Offer Part-Time Workers Better Options by Michelle Andrews.  Kiser Health News.  November 26, 2013.

(1)  Mini-med plans are favored by ______________ with large numbers of _______________, generally provide _______________________ with total coverage _________________.

(2)  The Affordable Care Act requires that nearly all plans eliminate _______________________________________.

(3)  A waiver from HHS has allowed some employers to __________________.

(4)  True or False:  Almost all employers offer coverage to part-timers.

(5)  If a part-time employee is not offered coverage at work they can shop for insurance ____________________ with subsidies available to those with incomes ___________________.

Monday, November 25, 2013

Taste Modifications and Obesity Linked

Does Obesity Reshape Our Sense Of Taste?  Science Daily.  November 21, 2013.

(1)  While it has been shown in research studies that obesity can lead to alterations in the ______ and in the _______________, the study recounted here is the first to ________________________.

(2)  Why is it important to understand the relationship between taste, appetite, and obesity?

Genetic Testing Firm Ordered To Stop Selling Testing Kits

FDA Tells 23andMe To Halt Sales Of Genetic Tests by Matthew Peronne.  AP/ABC News.  November 25, 2013.

(1)  What is the major complain the FDA has against the genetic testing kit?

(2)  Another major concern is that the marketing approach ______________ medical and health professionals.


MTV Series Illustrates The Impact of New Reproductive Technologies On Families

Half Siblings Linked By Mystery Father by Jon Caramancia.  The New York Times.  November 24, 2013.

This reality show focuses on one young woman who visits families with children who are her half siblings as a result of sperm donations by one man at a California sperm bank.  This series is scheduled for six episodes on MTV.

Friday, November 22, 2013

Trained Community Health Workers Offer Possibility For Health Care Cost Reductions

Cutting Health Care Costs With Concierge Medicine by Robert Pearl, M.D.  Forbes.  November 21, 2013.

(1)  The U.S. spends more on health care each year than the entire economy of __________.

(2)  Based upon a standard model of luxury goods expenditures/GDP growth--- medical expenditures track closely with luxury goods expenditures---the U.S. spends approximately ______________ more than what the model predicts.

(3)  ________ percent of the U.S. populations accounts for approximately two-thirds of health care costs.

(4)  One reason that interventions to reduce costs in high-cost populations fail is that the population is _________________.

(5)  Tertiary prevention aims to intervene in ways that avoid the _____________________.

(6)  ________________________ may be more effective than doctors or nurses in helping patients comply with their recommended treatment plan.

(7)  What are some patient-care problems that community health workers may be uniquely able to solve?

Lower Costs/Fewer Preventable Readmissions--Good NewsOn Health Care

This Chart Is Amazing News For Our Health Cost Problem by Sarah Kliff.  Wonkblog.  Washington Post.  November 20, 2013.

(1)  In Medicare, there was ________ spending growth between 2010 and 2013.   In Medicaid, per person costs ___________.

(2)  Between 2000 and 2007 health cost growht was an average rate of ____________.  Between 2011 and 20133 the health cost growth was __________.

(3)  The drop in preventable readmissions to hospitals coincided with _______________.

Thursday, November 21, 2013

Going Nutty Is A Healthy Way To Go

Go For Nuts--They May Help You Live Longer by Jenn Harris.  The Los Angeles Times.  December 21, 2013.

(1)  Over the course of the study those who ate daily portions of nuts reduced the death rate by _________ percent.  Those who only one portion a week reduced the death rate by _______ percent.

(2)  There was a ______ % reduction in deaths by heart disease and a _______ % reduction in deaths by cancer.

(3)  Nuts are rich in _____________________________________________.

(4)

Wednesday, November 20, 2013

How Doctors Die: Showing Others The Way

How Doctors Die:  Showing Others The Way by Dan Gorenstein.  The New York Times.  November 19, 2013.

The article makes the point that doctors are generally better planners than the general public and that we can learn from the plans doctors make.

Nobel Laureate, Citing Federal Funding Cuts, Advises Young U.S. Scientists To Pursue Scientific Careers In Other Countries

Go Elsewhere, Young Scientist by Binyamin Appelbaum.  The New York Times--Economix Blog.  November 19, 2013.

Key quote from Nobel Laureate in Medicine about spending cuts:  "it's not just in prospect, it's actual damage that is occurring right now."

Generational Fitness Levels Decline

Study:  Kids Are Less Fit Than Their Parents Were by Marilynn Marchione.  Associated Press.  November 20, 2013.

(1)  According to the American Heart Association this is first  study to show that ________________________________________________________.

(2)  The study seems to indicate that the decline in fitness seems to be leveling off in ______________ but is continuing in ________________________________.

Tuesday, November 19, 2013

Hidden Cameras To Confirm Abuse in Nursing Homes

Watchful Eye In Nursing Homes by Jan Hoffman.  The New York Times.  November 18, 2013.  

(1)  At present three states including ___________________ have permitted residents in long-term care facilities to maintain _______________________.  

(2)  Efforts in other states have stalled because of ______________________.

(3)  Hidden cameras have been relied upon by the _______________ in patient abuse and neglect  and abuse cases for years.  

(4)  What are some of the privacy issues involved in the use of granny cams?

(5)  What are the concerns of low wage health care aides?  

Genetic Testing Creates New Type Of Patient: Patient-In-Waiting

Genetic Testing Leaves More Patients Living In Limbo by Amy Dockser Marcus.  The Wall Street Journal.  November 18, 2013.

(1)  Among the diseases for which doctors monitor patients-in-waiting are __________________.

(2)  Under guidelines issued by the American College of Medical Genetics, when a doctor orders a specific genetic test the lab should check for ___________________________ even if _______________.

(3)  There are currently __________ patients-in-waiting for cystic fibrosis though there are probably more.

(4)  What treatment dilemna confronts physicians with patients-in-waiting?  


Monday, November 18, 2013

Health Care/Insurance In U.S. Compared With 10 Other Nations

Access, Affordability, And Insurance Complexity Are Often Worse In The United States Compared To 10 Other Countries.  The Commonwealth Fund.  November 13, 2013.

Among the many significant finds is that 37% of U.S. adults without recommended care, did not see a doctor when they were sick or failed to fill prescriptions because of costs, compared with as few as 4 percent to 6 percent in the United Kingdom and Sweden.

Sunday, November 17, 2013

Uncertainty About Time Of Dieting Payoffs May Be Key To Weight Loss Effectiveness

You're So Self-Controlling by Maria Konnikova.  The New York Times.  November 16, 2013.

(1)  According to this article a failure of self-control may be a reasoned response to ________________.

(2)  The more time passes without the expected reward the more _____________________.

(3)  Giving up can be a natural response to a time frame that ________________________.

(4)  There are probably a majority of situations in where waiting longer is a valid clue that the reward ______________________________.

(5)  When a decision maker is waiting he is constantly re-evaluating the _________________.

(6)  Instead of emphasis on the failure of will power, it might be more effective to better calibrate our ______________________ setting ____________________ that capture.

Selective Outrage About Obamacare Inequities

Hurricane Katrina, The Obamacare Rollout And Allowing Privilege To Shape Our Politics by Tara Culp-Ressler.  Think Progress.  November 16, 2013.

This article addresses the question of why little is heard about those poor and near-poor left uncovered as a result of the actions of the U.S. Supreme Court and some state legislatures.  The article contrasts this silence with an eruption of concern for the relatively prosperous individuals in the private insurance market who had their coverage cancelled as the system moves away from sub-standard coverage.

Opposed To Obamcare? Critics Lack Alternative Making Medicare-For-All An Option

If You're Against The ACA, What's Your Alternative by Caroline Poplin, M.D.  The Atlanta Journal-Constitution.  November 14, 2013.

Opinion piece by a physician/lawyer.

Heart Wounded By Love: Healed In A Hospital

Nursing A Wound In An Appropriate Setting by Thomas Hooven.  Modern Romance.  The New York Times.  November 14, 2013.

How a physician was healed from an ended relationship while a pediatric resident.

Saturday, November 16, 2013

Trading Music For Health Care

Will Play For Health Care (At Least At One Music Event) by Ben Sisario.  The New York Times.  November 16, 2013.

(1)  A recent survey found that _________ percent of artists of all kinds said they had not health insurance.  For musicians the number was _________ percent.  The national average for everyone is ___________ percent.


Volunteering For Dental Care

Will Work For Dental:  A New Health Care Model?  by Phil Galewitz.  Delaware Online/Kaiser Health News.  November 16, 2013.

(1)  The use of dental services has __________ significantly since 2007.

(2)  ______ % of U.S. residents saw a dentist in 2011.  _______ of low income adults younger than 65 lack dental coverage.

(3)  The number of dental visits to hospital ERs __________ from _________ in 2000 to ________ in 2010.

(4)  How is the Michigan program financed?

Friday, November 15, 2013

Restaurant Offerings of Vegetables Jump Significantly

Vegetables Shift To Center of Plate by Bruce Horovitz.  USA Today.  November 11, 2013.

(1)  Technomic reports that vegetable offerings on restaurant menus have jumped _______ % over the past three years.

(2)  What are four contributors to the increased popularity of vegetables?

Going Beyond Telling Patients To Lose Weight

Doctors Are Told To Get Tougher With Patients About Their Weight, Recommend Counseling .  Associated Press.  November 13, 2013.

(1)  According to new guidelines if a patient need to lose weight they are recommended to develop a _________ and refer the patient to counseling.

(2)  More than a _________ of U.S. adults are obese based upon statistics from the mid 2000's.

(3)  Earlier this year the AMA label obesity as a ___________.

(4)  What four actions do the guidelines advise doctors to perform?

Thursday, November 14, 2013

U.S. Healthcare: Costly With Lagging Outcomes

Health Outcomes Lag, Costs Rise by Joyce Frieden.  Medpage Today.  November 12, 2013.

(1)  Compared with other countries in the Organization for Economic Cooperation and Development, people in the U.S. are sicker with conditions such as ______________________________________
accounting for 75% of the deviation.

(2)  U.S. 2011 health expenditures stood at ______% of GDP, ______% more than the average for other members of the OECD.

(3)  What evidence indicates that rising healthcare costs are not the result in increasing demand and an aging population.

(4)  There has been an ______% drop in personal spending for physician services with the slack being taken up by _____________________.

(5)  Chronic illness costs for those under 65 account for _______% for healthcare spending showing the need for _____________________.

(6)  What has been the impact on physicians of insurance and hospital consolidations?

(7)  What are some of the possible reasons for poorer outcomes in the U.S.?

Wednesday, November 13, 2013

US Badly Trails Rwanda In HPV Vaccinations; South Leads The Way In Falling Behind

The Cancer Vaccine by James Hamblin.  The Atlantic.  November 13, 2013.

(1)  Of the __________ deaths in the United States as a result of cervical cancer __________ % are preventable by getting vaccinated against one specific virus.

(2)  As of August 2012, only _______ of U.S. girls have received all three doses of the HPV vaccine.

(3)  In Australia the vaccination rate for boys is ________ with girls approaching ___________.

(4)  Women with ____________ and without _____________ are less likely to initiate HPV vaccinations.

(5)  The author of the study indicated there is a need to examine whether _______________ affect vaccination rates in light of the extreme regional variation in vaccination rates.

Tuesday, November 12, 2013

Changed Guidelines For Statin Use

New Cholesterol Guidelines Abandon LDL Targets by Michael O'Riordan.  Medscape.  November 12, 2013.

(1)  According to the expert panel making the recommendations there is ____________________
to support treatment to a specific target.

(2)  The new guidelines identify __________ of primary-and secondary-prevention patients for focus of prevention efforts.

(3)  The cochair of the committee drafting guidelines on the assessment of cardiovascular risk stated that measurement of LDL is the best ________________________________.

(4)  The guidelines indicates four group to be treated including  (A)  Individuals with ________________, (B)  Individuals with LDL levels greater than __________  (C)  Individuals with diabetes aged 40 to 75 with LDL levels between ____________________________
and (D) Individuals without evidence of cardiovascular disease or diabetes but who have _____________________ and a 10-year ____________________.

Preventive Services For the 30 Million Still Uninsured After Obamacare--What Comes Next

Prevention Programs For People Without Insurance Still Play Key role by Michelle Andrews.  Kaiser Health News.  November 12, 2013.

(1)  The health law requires insurance coverage for preventive care including _______________
to patients free of charge.

(2)  There are _______ million people who will remain uninsured under the law, largely as a result of
decisions by states not to adopt ____________________________.

(3)  Other groups that may fall in the cracks in Obamacare coverage for preventive care include
__________________________________________________________________.

(4)  Why does lack of preventive care hit women particularly hard?

(5)  What is the misperception mentioned in the article that may lead to cuts in existing preventive programs?

Monday, November 11, 2013

Concierge Medicine: Options, Promises, And Problems

Pros And Cons Of Concierge Medicine by Jen Wieczner.  The Wall Street Journal.  November 10, 2013.

(1)  According to the article the retainer medicine industry is bifurcated into ____________________
_____________ and _______________________.

(2)  How do high-end and lower-end concierge medicine differ in acceptance of insurance?

(3)  What is the little know provision of the ACA that applies to concierge care?

(4)  Why does it sometimes make sense to pay for a concierge doctors on top of insurance?

(5)  Why is it sometimes advisable to select a high deductible policy and apply savings toward a concierge retainer?

(6)  Since concierge doctors don't need patients to come into the office to __________, they can provide care via video, email and phone.

(7)  Most lower-cost concierge practices keep theiir rates low by focusing on _________________.

23andMe Genetic Analysis Firm Aims To Revolutionize The Healthcare Industry

Anne Wojcicki Is The Most Daring CEO In America.  Fast Company.  November 2013.

(1)  According to a venture capitalist quoted in the article sales of genetic analysis kits is not the ultimate objective of 23andMe.  Instead once the data from this analysis is obtained, 23andMe can become the _____________ of personalized health care.

(2)  The genetic data gathered could be extremely valuable to ______________________.

(3)  The company has collected data from 10,000 people with _______________, the world's largest ____________ community for genetic research.

(4)  According to recent survey sited in the article ________% of internists from academic medical centers deemed their knowledge of genetics as "very/somewhat poor."

(5)  A group of geneticists, lawyers, bioethics experts and social scientists are working on grants to develop a personal___________________ for ________________.

Behavioral Immune System Supplements Physical Immune System To Avoid Disease But Also Contributes to Prejudice

Do I Make You Uncomfortable?  by Rick Chillot.  Psychology Today.  November 11, 2013.  Complete article available in the physical, newsstand copy of the magazine.  November 2013.

Chillot highlights the impact of the role of a behavioral immune system as a supplement to the body's physical immune system.  This behavioral system "tends toward oversensitivity---which is why we might be more averse to practically anyone who strikes us as anomalous."  The implications of this system for violence, prejudice, fear of the "other," patterns of mobility, etc are obvious and fascinating

Sunday, November 10, 2013

Safety Net Programs, Such As Obamacare, Seen As Key To Transition To Entrepreneurial Econmy

Why I (Still) Support Obamacare by Thomas L. Friedman.  The New York Times.  November 9, 2013.

(1)  According to Friedman why is "the high wage, medium-skilled job over?"

(2)  The only high-wage jobs that will support the kind of middle-class lifestyle of old will be _________________ requiring _________________________.

(3)  Explain what Friedman means expanding how we think about employment?

(4)  Work may have to be thought of as a _____________________________.





Pro Coaches Health Problems Illustrate The Perils Of High-Pressure Occupations

N.F.L Coaches:  In Charge And At Risk by Ben Shpigel.  The New York Times.  November 9, 2013.

Health scares for John Fox of the Denver Broncos and Gary Kubiak point to the role of stress in coaching or, for that matter, any high pressure occupation


Saturday, November 9, 2013

Georgia Hospitals Funding Crisis Profiled In Report

Cuts In Hospital Subsidies Threaten Safety-Net Care by Sabrina Tavernise.  The New York Times.  November 8, 2013.

Impact of loss of disproportionate share hospital payments on Georgia hospitals Memorial Health in Savannah and Grady Memorial in Atlanta is the focus of this article.  .

Supreme Court Ruling And State Decisions Not To Expand Medicaid Results in Coverage Gap For Five Million Poor

The Coverage Gap:  Uninsured Poor Adults In States That Do Not Expand Medicaid.  Kaiser Family Foundation.  October 23, 2013.

The Coverage Gap:  Uninsured Poor Adults In States That Do Not Expand Medicaid.  Kaiser Family Foundation.  October 23, 2013.

This study looks at the effects of state decisions not to expand Medicaid as a result of the option made available by the June 2012 decision of the U.S. Supreme Court.  The coverage gap resulting from the states' decision not to expand means that five million poor uninsured adults will likely remain uninsured.

Friday, November 8, 2013

Different Genotypes In One Individual, Same Genetic Mutations Occur In Unrelated Individuals: Findings That Undermine Traditional Individuality

Novel Genetic Patterns May Make Us Rethink Biology and Individuality.  Science Daily.  November 7, 2013.

(1)  If an individual has several different genotypes and different people have the same genetic mutations, there are serious implications for _______________________.

(2)  The results of the research found here could point to the conclusion that mutations do not always _____________________.

(3)  Multiple genotypes from mutations within one's own body is somewhat analogous to __________.

(4)  The knowledge of how we accumulate mutations may facilitate separating genetic signals that may ________________ from those that ________________.

(5)  Non-random mutation of genes may affect __________ in ways not previously predicted.

New Rules To Bring More Equal Treatment to Mental Health

New Rule Demands Parity For Mental Health Coverage by Kevin Freking.  ABC News.  November 8, 2013.

(1)  The aim of the new rule implementing a five-year-old law is end discrimination faced by some mental health patients through _____________________________.

(2)  The issuance of these rules was part of an effort to reduce ________________.

(3)  The 2008 mental health parity law affects ______________ while the Affordable Care Act requires individual and small group plans to __________________________.

(4)  The White House director of drug control policy indicated that of the ____ million with a substance abuse disorder only about ________ in _______ receive treatment

One Guide Dog: Two Years Training Costing $45,000 To $60,000--And That Is Not The Only Obstacle

Precious Eyes by Paul Sullivan.  The New York Times.  November 7, 2013.

(1)  About ______ percent bred to serve as guide dogs do not make the grade.

(2)  The Urban Institute estimates that ____________ nonprofit groups operate in America, a ______ percent increase in the last decade.

(3)  Guide dog schools, for the most part, rely on __________ to finance daily operations.

(4) The high failure rate for guide dogs results from causes including _______________________.

(5)  Guide dogs failure rates are being addressed by ____________________.


Thursday, November 7, 2013

Being Bilingual Keeps Dementia At Bay

Speaking 2 Languages Can Help Keep Dementia At Bay by Mary MacVean.  the Los Angeles Times.  November 6, 2013.

(1)  In the study those individuals that spoke two language developed dementia  ________ later than those who spoke only one language.

(2)  There was _________ additional dementia-related  advantage from speaking three or more language.

FDA Proposes Rule That Could lead To the Elimination of Trans Fat

FDA Says Trans Fats Aren't Safe In Food by Thomas M. Burton and Julie Jargon.  The Wall Street Journal.  November 7, 2013.

(1)  The FDA Commissioner stated that further reductions in trans fats could prevent an addition _________ heart attacks and __________ death a year in the U.S.

(2)  Hydrogenated fats and oils are created when ____________ is added to vegetable oil to make it solid.

(3)  Trans fat is particularly useful in making products such as ___________________.

(4)  Trans fat is found naturally in animal products such as _____________________.

(5)  The Grocery Manufacturers say that since 2005 food makers have lower trans fat in food products by more than ___________%


Wednesday, November 6, 2013

654,000 Georgians Could Qualify For Obamacare Subsidy

654,000 In Georgia Could Qualify For Insurance Subsidy, Study Says.  The Atlanta Journal-Constitution.  November 5, 2013.  This complete article is available in the physical newspaper or by online subscription.

(1)  According to a report from the Kaiser Family Foundation, Georgia is ranked # _________ in terms of those eligible for Obamacare subsidies.

(2)  According to the report more than ________ million people nationwide could be eligible for tax credits through the Health Insurance Marketplace next year.

Tuesday, November 5, 2013

Medical Marijuana: Much Potential But Significant Roadblocks

Tapping Medical Marijuana's Potential by Jane E. Brody.  The New York Times.  November 4, 2013.

(1)  Testing of marijuana's medical potential is limited by its classification as an illegal ____________ drug.

(2)  Cellular receptors for marijuana's active ingredients are _______________________.

(3)  The endocannabinoid system has an impact on systems including _______________________________________________________.

(4)  Disorders including _______________________________________________ invole disruptions in the endocannabinoid system.

(5)  The strongest evidence for the health benefits of medical marijuana involves the treatment of ________________________.

(6)  THC is responsible for the _____________________________.

(7)  CBD is a compound in marijuana with ______________ but no __________________.

(8)  Purified and well-tested drugs derived from marijuana could offer a better approach than medical marijuana clinics which offer __________________.

(9)  Stimulation of CB2 receptors can relieve ____________ and increase the ________________.

 


DNA Test Reveals Significant Supplement Discrepancies

Herbal Supplements Are Often Not What They Seem by Anahad O'Connor.  The New York Times.  November 3, 2013.

(1)  The test used to examine the supplements was ________________.

(2)  Of 44 herbal supplements tested, _____________ showed no trace of the plant advertised on the bottle.

(3)  Americans spend an estimated ____________ a year on supplements.

(4)  Unlike prescription drugs, supplements are consider _________________ until proven otherwise.

Monday, November 4, 2013

Obesity Linked To Early Puberty In Girls, Study Finds

Obesity Linked To Early Puberty In Girls, Study Finds by JoNel Aleccia.  NBC News.  November 3, 2013.

Robotic Surgery Raises Issues Of Accurate Reporting

As Robot-Assisted Surgery Expands, Are Patients And Providers Getting Enough Information? by Marissa Evans.  Kaiser Health News.  November 1, 2013.

(1)  Use of surgical robots was first approved by the FDA in _____________.

(2)  The number of da Vinci systems increased _________ percent between 2007 and 2011.

(3)  A recent report in the Journal for Healthcare Quality found ___________ cases in which reporting fell short and ________ cases in which no FDA report was filed at all over a period of nearly  12 years.

(4)  What is the role of the FDA's Manufacturer and User Facility Device Experience database in the agency's product approval process?

(5)  Intuitive Surgical said in a statement that they would welcome a comparison of robotic-assisted surgery and _______________ adverse surgical events.

(6)  Among the advantages of robotic surgery are ______________________________________.

(7)  According to an associate professor of surgery at Johns Hopkins robotic surgery has shown benefits in _____________________.

(8)  The American Congress of Obstetricians and Gynecologist advises that "robotic hysterectomy is best used for _______________________________ in which improved outcomes over standard minimally invasive approaches ___________________.

(9)  True or False:  Hospital websites which describe robotic surgery almost always mention potential risks or complications.

(10)    Product liability litigation involving robotic surgery may pose questions as to whether the _______________________________________ was responsible.

Up To Seven Million People Could Qualify For Health Insurance Entirely Paid For By Subsidy Under Obamacare

Under Health Care Act, Millions Eligible For Free Policies by Reed Abelson and Katie Thomas.  The New York Times.  November 3, 2013.

(1)  Most of these plans are the ______ plans which are the least __________ and require people to pay most ___________________________.

(2)  A large number of these individuals who could qualify have incomes just above the ________________________.

(3)  The availability of zero-premium plans may make health insurance especially enticing to the ______________ needed to make the health marketplace succeed.

(4)  According to the McKinsey researchers about _____________ eligible for zero-premium plans were under _______ and _______.


Out-Of-Pocket Expenses As Side Effects: A Necessary Patient-Doctor Conversation

Doctor, First Tell Me What It Costs by Peter A. Ubel, M.D.  The New York Times.  November 3, 2013.

The author advocates treating the financial implications of treatment options in a manner similar to possible side effects.

(1)  The Center for American Progress estimates that a breast cancer patient in Massachusetts with a high deductible plan could face more than ____________ in out-of-pocket expenses.

(4)  The Affordable Care Act will have only a modest impact on _________________ because the limits it sets on out-of-pocket are ____________________.

Saturday, November 2, 2013

Grady Hospital Faces Consequences Of State Funding Decisions

Grady Chief Fears Effects Of Funding Loss by Andy Miller.  Georgia Health News.  October 29, 2013.

(1)  The loss of DSH funding was intended to be compensated for by ___________________.

(2)  However with the Supreme Court decision to ___________________ and Georgia's decision not to _____________________ the planned for source of funds for Grady will not be available.

(3)  Mental health services at Grady could be cut.  Grady is the __________________ provider of mental health services in Georgia.

Housing A Key To Reducing Healthcare Costs

Want To Keep People Out Of The Hospital?  Make Sure They Have A Place To Live by Harold Pollack.  The Washington Post Wonkblog.  November 2, 2013.

Key point of this article:  A small amount spent on supportive housing can result in substantial healthcare savings.

Friday, November 1, 2013

One Major Reason For Bumpy Rollout of Insurance Exchanges

The Obamacare Sabotage Campaign by Todd S. Purdum.  Politico.  November 1, 2013.

The article documents what the multifaceted campaign by Republicans to resist Obamacare.  

Medicaid Expansion Critical, Hospitals And MDs Say

Medicaid Expansion Critical, Hospitals And MDs Say by Misty Williams.  The Atlanta Journal-Constitution.  October 31, 2013.  This article is available to online subscribers and in the physical newspaper.  The link above is not to the complete article.

(1)  The Medical Association of Georgia recently voted to endorse expansion of Medicaid by using Medicaid money to buy_________________________________ similar to an approach used in Arkansas.

(2) Doctors object to traditional Medicaid because they say it ___________________.

(3)  Expansion of the program would include an estimated _____________ low-income Georgians.

(4)  Governor Deal objects to expansion because he says ______________________.

Thursday, October 31, 2013

Malaria In U.S. Hits 40-Year High

Malaria In U.S. Hits 40-Year High.  MedPage Today.  October 31, 2013.

(1)  The _________ cases in 2010 represent an _______ % increase from 2010.

(2)  The number of "severe" cases increased from ________ in 2010 to ________ in 2011.

(3)  The CDC suggested that causes might include ___________________________.

(4)  The U.S. figures also appear to ___________ increases in other countries.

(5)  Most imported malaria cases came from the continent of _________.

(6)  The single country that gave rise to the largest of number of cases was __________


Neurologists On The Sidelines Of Michigan/Michigan State Game

In Michigan, Sidelines Are Offices Of Neurologists by Joanne C. Gerstner.  The New York times.  October 30, 2013.

Why State Exchanges Sites Worked While the Federal Site Faltered

Why State Exchange Sites Worked While the Federal Site Faltered by Patrick Marshall.  The Seattle Times/Kaiser Health News.  October 31, 2013.

(1)  Several states running their own exchanges including ______________________ have exceeded federal enrollment targets.

(2)  The federal system must be capable of integrating with _______________________.

(3)  The federal Data Services Hub provides one connection to _____________________ to verify consumer application information for _______________________.

(4)  In Washington state eliminating legacy hardware and out-of-date software has made it easier to ___________________________________, an option not open to architects of the federal site.

(5)  Proximity to those with a stake in the system, ______________________, provide another advantage to state systems.

(6)  Managing contractors is another advantage possessed by state exchanges.  For example Washington state had ________ outside contractors while the federal site had ________.

(7)  Vendors at the federal level may have been more hesitant to alert the sponsor of problems because ________________________.

(8)  How does having a "single throat to choke" aid in the implementation of such a large project?  How did the states and federal efforts contrast in this regard.

Wednesday, October 30, 2013

Female Styles Of Competition And Aggression Offers Insight To Violence, Depression, And Suicide

Exploring Female Competition And Aggression.  Medical News Today.  October 28, 2013.

(1)  Female competition may be more ________ than that of males, favoring strategies that reduce the risk of ________________.

(2)  According to the issue examined in this article competition between young women "is about __________________."

(3)  Women typically use indirect aggression such as _____________________.

(4)  Unfavorable sex ratio and variance in male income increases competition for even _________________.

(5)  What is "coalitionary aggression?"

(6)  Gossip  can sometimes lead to __________________.

(7)  Since women have enhanced social skills they are more vulnerable to __________________.

(8)  Higher levels of _____________ in women plays a role in deciding whether to engage in physical violence.

(9)  How does human social evolution relate to the female strategy of social exclusion?

Insurance Cancellations In Context

Obamacare Is Radically Changing the Individual Insurance Market---And That's A Very Good Thing by Igor Volsky.  Thinkprogress.  October 29, 2013.

(1)  True or False:  Before Obamacare people never had their health coverage cancelled.

(2)  Before Obamacare _____________ to individuals with serious medical conditions.

(3)  Healthy people benefited from a system that denied coverage to the sick but only if _______________________

(4)  Before Obamacare the system was such that more than 60 percent of medical bankruptcies occurred to people who ____________________.

(5)  Many young and healthy beneficiaries may like the low premiums they pay today  but the out-of-pocket expenses if they become ill could send you into ______________.

(6)  Under the Affordable Care Act if your policies don't provide you with comprehensive insurance or have substantially changed since 2010 you will be required to ________________.  

Tuesday, October 29, 2013

Google Search Patterns Offer Public Health Officials About Focusing Anti-Smoking Campaigns

Thinking Of Quitting Smoking?  Mondays May Be Your Day by Kim Painter.  USA Today.  October 29, 2013.

(1)  Searches for smoking help decline through the week with Saturdays ________ % lower than Mondays.

(2)  As a result of these patterns of search results it may be effective to target online ads ___________ and fully staff _____________ then also.

(3)  Tobacco use is the single largest _____________________.

(4)  Nearly one in _________  adults still smoke.


Potential Hacking Of Medical Devices Receives Attention

Of Fact, Fiction And Cheney's Defibrillator by Gina Kolata.  The New York Times.  COctober 27, 2013.

(1)  While there have been _________ reported incidents of anyone malicious reprogramming, the possibility has caused device manufacturers to institute ________ management programs.

(2)  The wireless function of a defibrillator allows the doctor to be fixed _____________ in the doctor's office if something goes wrong.

(3)  What are two examples of malware impacting a healthcare environment?


Monday, October 28, 2013

From Problem To New Rules: Painkiller Regs Took Decades

F.D.A. Shift On Painkillers Was Years In The Making by Barry Meier and Eric Lipton.  October 27, 2013.

(1)  In the ________ drug companies successfully argued to Congress that Vicodin and similar products should be placed in the less restrictive category of Schedule III.

(2)  By the _______ drugs like Vicodin were being widely abused.

(3)  In __________ Dr. Ronald J. Dougherty filled a formal petition urging federal officials to crack down on painkillers.

(4)  A D.E.A. investigation in ________________ stated that "law enforcement has documented the diversion of millions of dosage units of hydrocodone by theft, doctor shopping, fraudulent prescriptiosn, bogus call-in prescriptions."

(5)  The F.D.A. rules in ___________ that the pain pills should remain in Schedule III.

(6)  Explain and put into context the relative roles of Representative Fred Upton and Senator Joe Machin III.

Sunday, October 27, 2013

Designing Scent Into Environments For Therapeutic Results

Scent And The City by Lance Hosey.  The New York Times.  October 25, 2013.

Presents a proposal to create what the author calls "medicinal urbanism."

First-Ever Accounting Of Child Gunshot Deaths And Wounds

Terrible Tally:  500 Children Dead From Gunshots Every Year, 7,500 Hurt, Analysis Finds by Bill Briggs, NBC.  October 26, 2013.

(1)  The rate children and teenagers die in hospitals every year has increased by ___________ percent in a decade.

(2)  The number hospitalized after being wounded by gunfire has spiked by more than_______ percent from 1997 to 2009.

(3)  __________ of every 10 firearm wounds were inflected by handguns.

Medical Marijuana And Widespread Availability Produce Few Problems In California

Few Problems With Cannabis For California by Adam Nagourney and Rick Lyman.  The New York Times.  October 26, 2013.

(1)  Warnings against the adverse consequences of partial legalization have proved __________.

(2)  Research suggests that marijuana has been a ______________ for younger people.

(3)  True or False:  Driving after marijuana is more dangerous than driving after alcohol.

(4)  True or False:  Legalized medical marijuan has often resulted in cheaper prices.

(5)  A Gallup poll indicated that ______ percent of the American people favor legalization.

(6)  What are some law enforcement concerns with full legalization?

(7)  After California, medical marijuana has been legalized in  __________ states.

(8)  In some parts of the state marijuana is _____________ as alcohol.

(9)  In a study to be published in The Journal of Policy Analysis and Management there was found a correlation between ______________________________________.

(10)  True or False:  There is clear evident of increased drug use among high school students in Los Angeles during the period when medical marijuana shops opened.

(11)  The marijuana cultivation business in Northern California has been an _________ for many communities.

(12)  A common complaint about marijuana cultivation is the overwhelming ________.

Saturday, October 26, 2013

Psychological, Social, and Physiological Importance Of the Face Demonstrated in Transplant

For Victim Of Ghastly Crime, A New Face, Ad New Beginning  by Abby Goodnough.  The New York Times.  October 25, 2013.

The account of a woman whose face was destroyed by her estranged husband and who received a face transplant.

Medical School Applicants, Enrollment Reach All-Time High; Residency Bottleneck Still A Problem

Medical School Applicants, Enrollment Reach All-Time Highs.  Association Of American Medical Colleges.  October 24, 2013.

(1)  The number of students enrolled in their first year of medical school exceeded _____________ for the first time.

(2)  The total number of applicants to medical school was _____________  surpassing the previous record set in __________.

(3)  The present cap on residency slots has not changed by Congress in __________ years.

(4)  The overall growth in medical school enrollment can be attributed to _____________________
____________________.

(5)  The median undergraduate GPA for applicants  was ________ with an MCAT schore of ________.

(6)  Enrollees in medical school were _________% male and _______% female.

Friday, October 25, 2013

Medical And Scientific Advance: Charting The Path To Longer Life Span

Why We Live 40 Years Longer Today Than We Did In 1880 by Joe Pinsker.  The Atlantic.  November 2013.

A great charter mapping life span and medical advances.

Continuing Industry Trend Of Building Links To Academia, Major Drug Company Moves Corporate Headquarters Near Cambridge University

AstraZeneca Cozies Up To Cambridge University by Jeanne Whalen.  The Wall Street Journal.  October 22, 2013.

(1)  Other pharmaceutical firms have obtained research labs in _________________ which have become centers of _________________.

(2)  A major problem many pharmaceutical companies are also struggling with is how to improve ___________________.

(3)  Most pharmaceutical companies in recent years have ____________ and spend more on ______________ or striking _____________________.

(4)  AstraZeneca said its aim is for its researchers to to create a "very _____________"

(5)  What are some of the possible culture conflicts between Cambridge and ZstraZeneca?

Thursday, October 24, 2013

Success Stories Of Those Who Made The Exchanges Work For Them

The Obamacare Success Stories by Eleanor Clift.  The Daily Beast.  October 23, 2013.

Contrary to impression one might get from the flood of accounts of trouble with the healthcare exchanges, people are signing up and getting substantial help with their personal health insurance situations.  This article contains several such stories.

Worldwide Stroke Numbers Rise, Survivors Increase; Young People Increasingly Hit

Stroke Numbers Up Worldwide by Todd Neale.  MedPage Today.  October 23, 2013.

(1)  Stroke survivors increased ________% since 1990.

(2)  In 1990 _______% of strokes occurred in people younger than 65.  In 2010 the figure for that age group was _________%.

(3)  _________ not _______ stokes accounted for the majority of worldwide deaths.

(4)  The _______________ of the global population is leading to a rise in the number of young and old patients with stroke.

(5)  There was a __________% drop in the age-stnadardized rate of stoke in high-income countries and a __________ % increase in low and middle income countries.

(6)  According to the authors of the report, the "finding suggest that stroke should no longer be _________________________."

(7)  The shift of stroke burden is likely to continue to shift toward _____________unless effective __________________ are implemented.

(8)  The rate of hemorrhagic stroke fell in _______________ while rising by ____% in countries with low and middle income levels.

(9)  Intervention targets to prevent hemorrhagic stroke include ______________________.

Wednesday, October 23, 2013

In Pilot Project In Oregon Psychologists Are Put In Doctor's Offices, Joining Primary Care Team

Oregon Experiment Puts On Primary Care Teams by Kristian Foden-Vencil, Oregon Public Radio/Kaiser Health News.  October 22, 2013.

The state of Oregon is using the Medicaid program to experiment with delivery of primary care.  In one visit the patient can see different kinds of doctors in a single visit.  This article deals with the St. Charles Health System where psychologists are placed in doctors' offices.

Tuesday, October 22, 2013

Unexpected Side Effects Of Surviving Breast Cancer: A First-Person Account

Torpedo-Shaped Boobs And Hot Flashes At Dinner:  Breast Cancer survivor On the 'Embarrassing' Side Effects Of her Treatment by Sadie Whitelocks.  Mail Online.  October 22, 2013.

Politics and The Healthcare Website

Politics Set The Stage For The Obamacare Website Meltdown by Julie Rovner.  NPR.  October 22, 2013.

(1)  When it became clear that HHS would need more money to build the federal exchange, why was more money not available?

(2)  What were reasons for delay in implementing exchanges?

(3)  What was the administration's miscalculation about state-created exchanges?

Monday, October 21, 2013

First Steps Toward An Epigenetic Clock To Measure Biological Aging Instead Of Mere Chronological Aging

Scientists Discover New Biological Clock With Age-Measuring Potential  by Melanie Haiken.  Forbes.  October 21, 2013.

(1)  This "epigenetic clock" measures the natural process by which _________________________.

(2)  Women's breast tissues _______________________.

(3)  The researchers believe that they have produced a "first-ever _________________ across most tissues and cell types."

(4)  Another method of age prediction is based upon __________ length.

(5)  Comparing the ages of different tissues and organs in the same individual could spur a search for an __________________.



Brief Guide To Health Insurance Exchange Rollout

Your Guide To Obamacare's Bumpy Rollout by Igor Volsky.  Think Progress.  October 21, 2013.

(1)  The federal website required users to ________________________ which created a bottleneck.

(2)  Insurers complained about receiving ___________________________.

(3)  Experts are attributing some of the problems to the use of ____________, last-minute__________, messy __________ and an inability to ____________________.

(4)  Also questionable was the ability of the Centers for Medicare and Medicaid Services to _____________________________.

(5) About _____________ people have already begun applying for insurance through federal and state exchanges.

(6)  State-run marketplaces are proving more adept at ________________________.

(7) Problems that could healthy people from signing up are critical for the risk___________________.

Sunday, October 20, 2013

Dialogue On Handling Medical Errors

Sunday Dialogue:  Handling Medical Errors.  Sunday Review.  The New York Times.  October 18, 2013.

Excellent brief discussion of issues raised by medical errors and their reporting.

Making Bad Decisions: Medical And Otherwise

Why We Make Bad Decisions by Noreena Hertz.  Opinion.  The New York Times.  October 19, 2013.

(1)  Studies have shown that __________________ patients are misdiagnosed.

(2)  An estimated __________ hospital deaths each could have been prevented with the proper disease diagnosis.

(3)  A study at Emory University showed that when confronted with the expert, the independent decision-making parts of many subjects brains ________________________.

(4)  It is crucial not only to ask questions of experts  but also ____________.

(5)  How does optimism distort decision-making?

(6)  We need to push ourselves to hear ________  as well as the __________.

(7)  The author learned in his research that the super-confident ________________ did not always perform well.

Saturday, October 19, 2013

"Low T", An Invented Condition According to Some Physicians Fuels Spending

A Push To Sell Testosterone Gels Troubles Doctors by Elisabeth Rosenthal.  The New York Times.  October 15, 2013.

(1)  Testosterone gels generated over __________ in American sales last year with the number expected to _______________ by 2017.

(2)  Once a niche treatment for  men suffering from conditions caused by endocrine tumors or effects of chemotherapy, testosterone gels are increasingly being sold as a _________ product.

(3)  Testosterone gels sell for more than _________________ a month retail.

(4)  True or False:  The appropriate use of testosterone gels has been firmly established in scientific studies.

(5)  True or False:  Low testosterone is main cause of erectile dysfunction.


Gene Therapies Near Or In Late-Stage Human Trials; FDA Approvals Probably Not Far Off

When Will Gene Therapy Come To The U.S.?  by Susan Young.  Technology Review.  September 30, 2013.

(1)  The Dutch biotech firm UniQure has been given approval by European regulators to sell its genetic treatment for ___________________.

(2)  Most gene therapies use a modified __________ to deliver a working copy of a gene to patients who lack a healthy version.

Study Points To The Positives Of Caregiving

Think All Caregivers Are Unhappy?  They're Really Not by Nancy Shute, NPR News.  Kaiser Health News.  October 18, 2013.

(1)  Just ______ percent of the people surveyed said they had caregiving strain.

(2)  Family caregivers were ________ percent less likely to die than non-caregivers over six years.

(3)  Caring for someone with dementia can be more stressful and depressing because ____________________________.

(4)  Caring for someone after a stroke can be very positive because _______________.