Illness Walks The Runway by Tim Murphy. The New York Times. January 30, 2013.
Fashion Week come to New York on February 7 accompanied by the flu and norovirus. The Editor at large for Harper's Bazaar said it well: "Fashion Week season is a nonstop assault on the immune system." Coping strategies among the runway set.
Thursday, January 31, 2013
State Efforts May Restrain Competition In Biological Drugs
Biotech Firms, Billions At Risk, Lobby States To Limit Generics by Andrew Pollack. The New York Times. January 28, 2013.
The 2010 Affordable Care Act called for competition for biotechnological drugs. However actions in the states legislatures may have significant impact on the degree of competition and the amount of savings to be realized under ACA from prescribing biosimilars.
How biological drugs are made is outlined here.
The 2010 Affordable Care Act called for competition for biotechnological drugs. However actions in the states legislatures may have significant impact on the degree of competition and the amount of savings to be realized under ACA from prescribing biosimilars.
How biological drugs are made is outlined here.
Orphan Drugs No Longer Unloved
Drug Makers See Profit Potential In Rare Diseases by Jonathan D. Rockoff. The Wall Street Journal. January 30, 2013.
Drugs designed to treat rare diseases were once neglected as unprofitable by pharmaceutical companies. This article presents several drugs that show that this is no longer the case. Incentives from the FDA include quicker approval, tax benefits, and protection from competition make this class of products quite attractive. Also, the narrow genetic focus of these drugs also makes unnecessary, large-scale and expensive clinical trials. This drugs also often have astronomical prices--often covered by insurance-- making them a very profitable contributor to pharmaceutical companies revenue.
Drugs designed to treat rare diseases were once neglected as unprofitable by pharmaceutical companies. This article presents several drugs that show that this is no longer the case. Incentives from the FDA include quicker approval, tax benefits, and protection from competition make this class of products quite attractive. Also, the narrow genetic focus of these drugs also makes unnecessary, large-scale and expensive clinical trials. This drugs also often have astronomical prices--often covered by insurance-- making them a very profitable contributor to pharmaceutical companies revenue.
In A Post-Antibiotic Era New Infection Controls Needed
When Hospitals Become Killers by Betsey McCaughey. Opinion--The Wall Street Journal. January 30, 2013.
Carbapenem-resistant Klebsiella, CRK, is emerging as a major threat to public health and hospitals. This infection has spread even with strict implementation of CDC infection-control precautions. Powerful antibiotics are increasingly proving ineffective to deal with CRK. New standards to deal with CRK have been implemented in an infection at an NIH facility and include screening all patients for CRK and more rigorous cleaning (double cleaning with bleach + a hydrogen peroxide sprayer as well as reporting requirements for CRK.
Carbapenem-resistant Klebsiella, CRK, is emerging as a major threat to public health and hospitals. This infection has spread even with strict implementation of CDC infection-control precautions. Powerful antibiotics are increasingly proving ineffective to deal with CRK. New standards to deal with CRK have been implemented in an infection at an NIH facility and include screening all patients for CRK and more rigorous cleaning (double cleaning with bleach + a hydrogen peroxide sprayer as well as reporting requirements for CRK.
Wednesday, January 30, 2013
Neuronal Source of The Pleasant Sensations From Massage Identified
Sorting Out Stroking Sensations: Biologists Find Individual Neurons In Skin That React To Massage. Science Daily. January 30, 2013.
Scientists hope that this research will lead to further efforts to identify different types of neurons associated with various types of skin stimuli. With a unique research methodology which incorporated genetic tags, the use of light to identify firing neurons, advanced microscopy, and behavioral testing to measure the reaction to the firing of pleasure-related neurons, there is potential to do just that.
Scientists hope that this research will lead to further efforts to identify different types of neurons associated with various types of skin stimuli. With a unique research methodology which incorporated genetic tags, the use of light to identify firing neurons, advanced microscopy, and behavioral testing to measure the reaction to the firing of pleasure-related neurons, there is potential to do just that.
Go Red For Women Illustrates Persistent Problem of Heart Disease In Women
Go Red Campaign Gets To The Heart of Women's Health by Grace Bonds Staples. The Atlanta Journal-Constitution. January 28, 2013.
This article recounts the story of a woman who suffered heart attacks resulting from SCAD, spontaneous coronary artery dissection, after giving birth to quadruplets. This personal story is combined with the story of her support for Go Red for Women, a awareness campaign for women's heart health. Heart disease is the No. 1 killer of women. Since 1984 more women than men have died of heart disease each year.
This article recounts the story of a woman who suffered heart attacks resulting from SCAD, spontaneous coronary artery dissection, after giving birth to quadruplets. This personal story is combined with the story of her support for Go Red for Women, a awareness campaign for women's heart health. Heart disease is the No. 1 killer of women. Since 1984 more women than men have died of heart disease each year.
Georgia Physician/Novelist Dies at 90 From Complications Of Being "Slap-Clean Wore Out"
Dr. Ferrol Sams Jr., 90: Classic Author, Southern Humorist, Fayetteville Physician by Michelle E. Shaw. The Atlanta Journal-Constitution. January 29, 2013.
Sams practiced medicine for four decades before he acted on the inspiration provided by a Mercer University english professor and began his writing career in the 70's. Former Atlanta Journal-Constitution editor and a friend called him a "damn good doctor. But he was also a very, very good writer."
Sams practiced medicine for four decades before he acted on the inspiration provided by a Mercer University english professor and began his writing career in the 70's. Former Atlanta Journal-Constitution editor and a friend called him a "damn good doctor. But he was also a very, very good writer."
Low Risk Activities Repeated A Lot Can Be Very Risky
Jared Diamond's Guide To Reducing Life's Risks by Jared Diamond. The New York Times. January 28, 2013.
Drawing upon from 50 years of study of traditional society in New Guinea, Diamond presents a view of risk that emphasizes how frequent repetition of low risk activities, such as taking a shower, increases overall risk. New Guineans will not sleep under a dead tree even though the chance of the tree falling on any one occasion will be small. However they know that they sleep under a dead tree night after night for years, the chance of an accident will increase substantially.
Drawing upon from 50 years of study of traditional society in New Guinea, Diamond presents a view of risk that emphasizes how frequent repetition of low risk activities, such as taking a shower, increases overall risk. New Guineans will not sleep under a dead tree even though the chance of the tree falling on any one occasion will be small. However they know that they sleep under a dead tree night after night for years, the chance of an accident will increase substantially.
Risk and Probability: The Numbers Game in Life and Health
A Crash Course In Playing the Numbers by Abigail Zuger, M.D. The New York Times. January 28, 2013.
This is a review of the book, "Naked Statistics," by Charles Wheelan. While this book is not primarily about health, it supports the general idea that staying well is all about probability and risk, not certitude. Indeed, the overall theme, according to the review, is the benefits of achieving a statistical understanding of life. In terms of health Wheelan shows the health importance of distinguishing between mean and median, between correlation and causality. For me, one of the most interesting parts of the review was the inclusion of a chart illustrating nonlinear relationships and reverse causality of the effects of golf lessons on scores, the lesson being that more money spent does not translate into improved results. The health and medical applications are clear.
This is a review of the book, "Naked Statistics," by Charles Wheelan. While this book is not primarily about health, it supports the general idea that staying well is all about probability and risk, not certitude. Indeed, the overall theme, according to the review, is the benefits of achieving a statistical understanding of life. In terms of health Wheelan shows the health importance of distinguishing between mean and median, between correlation and causality. For me, one of the most interesting parts of the review was the inclusion of a chart illustrating nonlinear relationships and reverse causality of the effects of golf lessons on scores, the lesson being that more money spent does not translate into improved results. The health and medical applications are clear.
Tuesday, January 29, 2013
CDC Report On Foods That Made You Sick
What Food Made You Sick? by WebMD Health News. January 29, 2013.
This report is based a decade of data and is the first comprehensive estimate of food-related sources of illness. Produce accounts for nearly half of the illnesses while poultry is the source of most fatal infections. The size of the problem is significant with 128,000 American sent to the hospital with food-related illness and 3,000 killed annually.
This report is based a decade of data and is the first comprehensive estimate of food-related sources of illness. Produce accounts for nearly half of the illnesses while poultry is the source of most fatal infections. The size of the problem is significant with 128,000 American sent to the hospital with food-related illness and 3,000 killed annually.
Bionic Eye Awaits Approval by FDA
First Bionic Eye For US Market Awaits Approval From FDA by Jennifer Hicks. Forbes. January 29, 2013.
While this device would be the first of its kind in the United States, it was approved last year for Europe. A scientist who has been working on the project for 25 said: "If we continue to develop this type of technology and begin to understand the new electrical language of pulses to the brain, to the eye, we can apply it to other parts of the body and we can change our world and how we relate to it." This device represents the relatively new field of bio-electronics.
While this device would be the first of its kind in the United States, it was approved last year for Europe. A scientist who has been working on the project for 25 said: "If we continue to develop this type of technology and begin to understand the new electrical language of pulses to the brain, to the eye, we can apply it to other parts of the body and we can change our world and how we relate to it." This device represents the relatively new field of bio-electronics.
Quadruple Amputee Vet Gets Double Arm Transplant
Quadruple Amputee Vet Gets Double Arm Transplant. CBS News. January 29, 2013.
The Johns Hopkins doctors who performed the surgery called it the most complex and extensive transplant so far performed in the United States. The article contains an anatomical diagram of an arm transplant showing the complexity of the procedure. The difficulty is compounded by the possibility of rejection. To deal with this, the vet received bone marrow from the deceased donor in order to prevent rejection. Still he will not be able to move the arm immediately This is because the nerves in the attached arm will grow about an inch a month. As a result it will take over a year for most normal movement in the arm.
The Johns Hopkins doctors who performed the surgery called it the most complex and extensive transplant so far performed in the United States. The article contains an anatomical diagram of an arm transplant showing the complexity of the procedure. The difficulty is compounded by the possibility of rejection. To deal with this, the vet received bone marrow from the deceased donor in order to prevent rejection. Still he will not be able to move the arm immediately This is because the nerves in the attached arm will grow about an inch a month. As a result it will take over a year for most normal movement in the arm.
Three Major Georgia Health Care Agencies Make State Budget Presentations
Health Agencies Air Their Budget Concerns by Andy Miller. Georgia Health News. January 24, 2013.
Three major Georgia health care agencies received cuts under Governor Nathan Deal's budget proposal. These agencies are the Department of Community Health, the Department of Public Health, and the Department of Behavioral Health and Developmental Disabilities.
Concerns cited by the article include a possible underfunding of Medicaid due to more children brought into the program by the Affordable Care Act, the ability of the state to address the hypertension problem in Georgia, and the need for screenings, assessments, an treatment of mental illness.
Three major Georgia health care agencies received cuts under Governor Nathan Deal's budget proposal. These agencies are the Department of Community Health, the Department of Public Health, and the Department of Behavioral Health and Developmental Disabilities.
Concerns cited by the article include a possible underfunding of Medicaid due to more children brought into the program by the Affordable Care Act, the ability of the state to address the hypertension problem in Georgia, and the need for screenings, assessments, an treatment of mental illness.
Putting On A Happy Face Through Botox May Help Depression. Really
Botox May Help Depression, Doctor Suggests In New Book by Karen Weintraub. USA TODAY. January 28, 2013.
While studies of this treatment are small and preliminary, several experts cited by the article believe the idea is not far-fetched. In the words of Paul Ekman, an emeritus professor of psychology at the University of California-San Francisco Medical School: Depression is a neural circuit and if you interrupt that circuit in any way, you lessen its impact. Another expert said that loosening the frown muscles with botox could perhaps change how others respond to the person.
While studies of this treatment are small and preliminary, several experts cited by the article believe the idea is not far-fetched. In the words of Paul Ekman, an emeritus professor of psychology at the University of California-San Francisco Medical School: Depression is a neural circuit and if you interrupt that circuit in any way, you lessen its impact. Another expert said that loosening the frown muscles with botox could perhaps change how others respond to the person.
Monday, January 28, 2013
Former Israeli Prime Minister, Assumed in Vegetative State, Shows Significant Brain Activity
Tests Conducted On Israel's Ariel Sharon Reveal Significant Brain Activity. .UCLA Newsroom. January 28, 2013.
The former prime minister of Israel has been assumed to be in a vegetative state since 2006 when he suffered a brain hemorrhage. However, this article recounts how brain activity and appropriate responses were found using functional magnetic resonance imaging.
The former prime minister of Israel has been assumed to be in a vegetative state since 2006 when he suffered a brain hemorrhage. However, this article recounts how brain activity and appropriate responses were found using functional magnetic resonance imaging.
JAMA Article Examines National Coordinated Care Projects, Including One In Atlanta
Atlanta Medicare Program Seeks Savings From Hospital Readmissions by Daniel Malloy. The Atlanta Journal-Constitution.
An article in the Journal of the American Medical Association examines 14 national demonstration projects during 2009 and 2010 aimed at reducing hospitalizations in Medicare. One of the programs examined was in Atlanta's eastern suburbs. The Atlanta program encompassed several nursing homes and home health organizations focused on care for seniors. Improving coordination of care in transitions was the aim of the program which has now expanded to twelve sites around the state. Preventing readmissions is viewed as a key objective for both patient care and cost control objectives. The approach taken in the program is consistent with the basic coordinated care approach required by the Affordable Care Act, though the study predates the 2010 law.
An article in the Journal of the American Medical Association examines 14 national demonstration projects during 2009 and 2010 aimed at reducing hospitalizations in Medicare. One of the programs examined was in Atlanta's eastern suburbs. The Atlanta program encompassed several nursing homes and home health organizations focused on care for seniors. Improving coordination of care in transitions was the aim of the program which has now expanded to twelve sites around the state. Preventing readmissions is viewed as a key objective for both patient care and cost control objectives. The approach taken in the program is consistent with the basic coordinated care approach required by the Affordable Care Act, though the study predates the 2010 law.
Researchers Aim To Use Lasers To Identify Flu
UGA Wins Grant To Study Flu With Lasers by Melissa Abbey. The Atlanta Journal-Constitution. January 24, 2013.
The technique for fingerprinting flu could facilitate the early identifying of the type of flu virus, potentially saving lives by determining the necessity of countermeasures such as quarantine or isolation.
The technique for fingerprinting flu could facilitate the early identifying of the type of flu virus, potentially saving lives by determining the necessity of countermeasures such as quarantine or isolation.
Is P4P DOA?
Carrots For Doctors by Bill Keller. Op-Ed Columnist. The New York Times. January 27, 2013.
Providing a critique and outline of the limitations of pay for performance (P4P) for doctors, Keller goes beyond criticism to delineate ideas that may work better. Pay for performance, according to the piece, does not address the biggest cause of high cost of American health care as compared with other nations. The reason other nations can devote less of their GDP to health care is that their system is single payer, providing bargaining power sufficient to require lower costs from suppliers. However, single payer seems not to be politically feasible in the United States as Keller notes. Not rejecting financial incentives totally, he provides some interesting ways to structure them so that they might work better than P4P. One idea is to give hospitals performance bonuses at the beginning of the year with a refund required at year's end if performance goals are not met. An interesting and insightful piece.
Providing a critique and outline of the limitations of pay for performance (P4P) for doctors, Keller goes beyond criticism to delineate ideas that may work better. Pay for performance, according to the piece, does not address the biggest cause of high cost of American health care as compared with other nations. The reason other nations can devote less of their GDP to health care is that their system is single payer, providing bargaining power sufficient to require lower costs from suppliers. However, single payer seems not to be politically feasible in the United States as Keller notes. Not rejecting financial incentives totally, he provides some interesting ways to structure them so that they might work better than P4P. One idea is to give hospitals performance bonuses at the beginning of the year with a refund required at year's end if performance goals are not met. An interesting and insightful piece.
Sunday, January 27, 2013
Memory Decline May Be Linked with Sleep Quality and Aging
Lighter Sleep May Dull Memory Skills In Seniors by Randy Dotinga. US News Health. January 27, 2013.
Study Links Aging In Brain To Sleep-Related Memory Decline by Benedict Carey. The New York Times. January 27, 2013.
While the study size is small and limited in sample diversity, it does appear to link less quality deep sleep in older adults and the ability to remember, in the study case, pairs of words. The prefrontal cortex, the part of the brain that helps with quality sleep, declines in volume with age perhaps contributing to loss of quality sleep
Study Links Aging In Brain To Sleep-Related Memory Decline by Benedict Carey. The New York Times. January 27, 2013.
While the study size is small and limited in sample diversity, it does appear to link less quality deep sleep in older adults and the ability to remember, in the study case, pairs of words. The prefrontal cortex, the part of the brain that helps with quality sleep, declines in volume with age perhaps contributing to loss of quality sleep
Contraception Coverage Generates Suits, Probable Supreme Court Decision
Challenges To Obama Birth Control Mandate Could Go To Supreme Court by Rachel Zoll, AP Religion Writer. The Christian Science Monitor. January 27, 2013.
Under the Affordable Care Act, religious groups who employ and serve people of only their own faith are exempt from the requirement that their insurance policies contraception for free. HHS is is attempting to develop an accommodation for faith groups who employ and serve others outside of that particular faith group. Lawsuits for that latter group are largely on hold until the terms are developed. The question of how this contraception coverage requirement of the ACA is to apply to for-profit businesses is subject for several suits focusing on the conflict between the rights of the business owner and the rights of employees who may not share those beliefs.
Under the Affordable Care Act, religious groups who employ and serve people of only their own faith are exempt from the requirement that their insurance policies contraception for free. HHS is is attempting to develop an accommodation for faith groups who employ and serve others outside of that particular faith group. Lawsuits for that latter group are largely on hold until the terms are developed. The question of how this contraception coverage requirement of the ACA is to apply to for-profit businesses is subject for several suits focusing on the conflict between the rights of the business owner and the rights of employees who may not share those beliefs.
Stress, Environment, Genetic Proclivity, Brain Chemistry Combine In Mental Illness
Genes and Environment Combine To Bring On Mental Illness by Jenny Marder. January 23, 2013.
Researchers at the Johns Hopkins Schizophrenia Center have shown, using mice as a model, that stress during adolescence influences the function of a gene known to increase at greater risk for developing several types of mental illness. Stress plus the mutated gene DISC1 was shown to produce depression and vulnerability to mental illness beyond adolescence to adulthood. The research team also found a relationship in the "mentally ill" mice between elevated cortisol and low levels of dopamine. Interestingly, the team found that RU486, the so-called abortion pill, blocks the effects of the cortisol and prevents the drop in dopamine.
Researchers at the Johns Hopkins Schizophrenia Center have shown, using mice as a model, that stress during adolescence influences the function of a gene known to increase at greater risk for developing several types of mental illness. Stress plus the mutated gene DISC1 was shown to produce depression and vulnerability to mental illness beyond adolescence to adulthood. The research team also found a relationship in the "mentally ill" mice between elevated cortisol and low levels of dopamine. Interestingly, the team found that RU486, the so-called abortion pill, blocks the effects of the cortisol and prevents the drop in dopamine.
Afghan Women Fertility Decline Reflects Public Health Campaign and New Possibilities For Women
Fertility Rate Drops In Afghanistan, But Will It Continue? by Haya El Nasser and Paul Overberg. USA TODAY. January 25, 2013.
In the 90's Afghan women could expect to have 8 children in a lifetime; In the mid-2000s the number fell to 6.3; At the end of end of the decade the number was 5.1. The high number in the 90s reflected the policies of the Taliban, e.g. not allowing girls to go to school, endorsing the practice of child brides, and ignoring women's health care. High fertility rates make reduction of poverty rate difficult.
In the 90's Afghan women could expect to have 8 children in a lifetime; In the mid-2000s the number fell to 6.3; At the end of end of the decade the number was 5.1. The high number in the 90s reflected the policies of the Taliban, e.g. not allowing girls to go to school, endorsing the practice of child brides, and ignoring women's health care. High fertility rates make reduction of poverty rate difficult.
Controversy Illustrates Sometimes Unexpected Difficulties That Public Health Campaigns May Encounter
NAACP Catches Heat For Opposing New York Large-Soda Ban by Rosie Mestel. Los Angeles Times. January 25, 2013.
New York Mayor Michael R. Bloomberg's effort to ban soft drinks larger than 16 ounces from a broad range of outlets has lead to opposition from the NAACP and the Hispanic Federation. These organizations fear that minority owned businesses will be disproportionately harmed by this effort. Some nutrition advocates point to NAACP funding by Coca-Cola Co. This controversy illustrates the fact that multiple constituencies and financial interests are impacted by public health decisions.
New York Mayor Michael R. Bloomberg's effort to ban soft drinks larger than 16 ounces from a broad range of outlets has lead to opposition from the NAACP and the Hispanic Federation. These organizations fear that minority owned businesses will be disproportionately harmed by this effort. Some nutrition advocates point to NAACP funding by Coca-Cola Co. This controversy illustrates the fact that multiple constituencies and financial interests are impacted by public health decisions.
Saturday, January 26, 2013
Cognitive Decline and Hearing Loss Linked
Listen Up: Dementia Linked To Hearing Loss by Janice Lloyd. USA TODAY. January 21, 2013.
A key point emphasized is that it is important for physicians to discuss hearing loss with patients and be proactive in addressing hearing declines in light of its association with cognitive loss.
A key point emphasized is that it is important for physicians to discuss hearing loss with patients and be proactive in addressing hearing declines in light of its association with cognitive loss.
Bono On the Role Of Technology In World Health And Poverty
Bono Sings The Praises of Technology by Brian Bergstein. Technology Review. January 2, 2013.
Perhaps my favorite quotation is this: "Great ideas to me are like great melodies. They are instantly recognizable, memorable, and have some sort of inevitable arc."
Perhaps my favorite quotation is this: "Great ideas to me are like great melodies. They are instantly recognizable, memorable, and have some sort of inevitable arc."
Expanding Foam Injected In Belly Stops Internal Bleeding
Injectable Foam Expands In Belly, Stopping Bleeding by Susan Young. Technology Review. January 22, 2013.
Up to a quarter of soldiers who died in combat could potentially be saved by a a new technique being developed with funding from DARPA (Defense Advanced Research Projects Agency). At present the only way way to deal with internal bleeding is to get the soldier to the hospital as soon as possible. This technique uses a foam that fills the abdominal cavity, forms a solid, and slows bleeding.
Bill Gates On The Power of Measurement
Bill Gates: My Plan To Fix The World's Biggest Problems. The Wall Street Journal. January 25, 2013.
Addressing a variety of health and educational issues, Gates illustrates the idea that precise and meaningful measurement are key to innovation and effectiveness.
Addressing a variety of health and educational issues, Gates illustrates the idea that precise and meaningful measurement are key to innovation and effectiveness.
Friday, January 25, 2013
Novel Approaches to Antibiotic Resistance Urged
Researcher Calls For New Understanding Of Antibiotic Resistance and Disease To End Growing Scourge of 'Superbugs" Medical News Today. January 25, 2013.
The toll of antibiotic-resistance microbes is impressive: 2 million infected and 100,000 Americans killed at year. Among the methods recommended is attacking the microbe while at the same time not driving resistance, blocking the microbes access to resources with directly attacking it, and moderating the inflammatory response to the microbe.
The toll of antibiotic-resistance microbes is impressive: 2 million infected and 100,000 Americans killed at year. Among the methods recommended is attacking the microbe while at the same time not driving resistance, blocking the microbes access to resources with directly attacking it, and moderating the inflammatory response to the microbe.
Cervical Cancer-Causing Virus Found in the Brain ; Link to Epilepsy Suspected
Cervical Cancer-Causing Virus Found In The Brain, Shows Potential Connection To Epilepsy. Medical News Today. January 25, 2013.
As a result of this link new potential treatment options for epilepsy perhaps can be identified. For example, it is possible that treatments against HPV16 could be used to halt seizures
As a result of this link new potential treatment options for epilepsy perhaps can be identified. For example, it is possible that treatments against HPV16 could be used to halt seizures
Antibiotic Resistance A Serious Threat, Chief Medical Officer of England Warns
Antibiotic Resistance Now A Serious Threat, Warns Top Doctor. Medical News Today. January 25, 2013.
The Chief Medical Officer for England argues that antibiotic resistance is so serious as to constitute a civil emergency. England maintains a register of civil emergencies that must meet specific criteria. She raises the possibility that in 20 years people may die after simple operations because there would be no antibiotics left to deal with routine infections. She cites the case of gonorrhea which now has only one effective antibiotic treatment. Irresponsible use of antibiotics is to blame for this situation, she asserts.
The Chief Medical Officer for England argues that antibiotic resistance is so serious as to constitute a civil emergency. England maintains a register of civil emergencies that must meet specific criteria. She raises the possibility that in 20 years people may die after simple operations because there would be no antibiotics left to deal with routine infections. She cites the case of gonorrhea which now has only one effective antibiotic treatment. Irresponsible use of antibiotics is to blame for this situation, she asserts.
Thursday, January 24, 2013
Women Have Caught Up With Men in Risk of Dying Because Of Smoking-Related Illness
Women's Lung Cancer Rate Almost The Same As Men's. CBS News. January 23, 2013.
Women are starting smoking earlier and smoking longer. Lung cancer rates are still rising for women while they reached their peak for men in the 1980s. Among the many findings in this report was that smoking shaves more than 10 years off the average life span. Deep inhalation in order to take advantage of the reduced level of nicotine in cigarettes is consistent with the type of lung damage found in rising diseases. Citing a "massive failure of prevention" experts are concerned about the massive number of smokers in China and India.
Women are starting smoking earlier and smoking longer. Lung cancer rates are still rising for women while they reached their peak for men in the 1980s. Among the many findings in this report was that smoking shaves more than 10 years off the average life span. Deep inhalation in order to take advantage of the reduced level of nicotine in cigarettes is consistent with the type of lung damage found in rising diseases. Citing a "massive failure of prevention" experts are concerned about the massive number of smokers in China and India.
Percentage of PAs In Primary Care Has Decline By 20%
Study: 20% Fewer Physician Assistants Choose Primary Care by Heather Punke. Becker's Hospital Review. January 15, 2013.
A study found here suggests that age, gender and race affect the likelihood that a physician assistant will choose primary care. Women and Hispanic PA's are more likely to practice primary care.
A study found here suggests that age, gender and race affect the likelihood that a physician assistant will choose primary care. Women and Hispanic PA's are more likely to practice primary care.
The 40- Year Evolution Of An Issue Affecting Women's Health
Misconceptions by Linda Greenhouse. Opinionator. The New York Times. January 23, 2013.
A fascinating opinion piece about the evolution of Roe v. Wade. Linda Greenhouse points out that the original decision had very little to do with women's rights. Instead, the focus was on the rights of doctors, who faced prosecution for what they believed was protecting the best interests of their patients. Also interesting was the role of Roe in the political strategy of Richard Nixon. He viewed the abortion issue as a way to peel off northern Catholics from the Democratic party. This is an interesting case study of how health mixes with law and politics.
A fascinating opinion piece about the evolution of Roe v. Wade. Linda Greenhouse points out that the original decision had very little to do with women's rights. Instead, the focus was on the rights of doctors, who faced prosecution for what they believed was protecting the best interests of their patients. Also interesting was the role of Roe in the political strategy of Richard Nixon. He viewed the abortion issue as a way to peel off northern Catholics from the Democratic party. This is an interesting case study of how health mixes with law and politics.
Panel: Primary Doctors Should Screen Women for Domestic Abuse
Panel: All Women Of Childbearing Age Should Be Screened For Domestic Violence. Bloomberg News Service. January 23, 2013.
The United States Preventative Task Force's recommendation was limited to women of childbearing age because research could not establish the benefit for other groups. However, a senior investigator expressed the belief that screening for partner violence works, especially for women of childbearing age.
The United States Preventative Task Force's recommendation was limited to women of childbearing age because research could not establish the benefit for other groups. However, a senior investigator expressed the belief that screening for partner violence works, especially for women of childbearing age.
Wednesday, January 23, 2013
12% of Hospices Refuse Patients Without Caregiver At Home--Survey
Why Some Hospices Turn Away Patients Without Caregivers At Home by Michelle Andrews. NPR. January 23, 2013.
42% of patients were living in a private home when they died. Since family members can afford to leave work to care for the family member, the patient may be on their own. While options can usually be found, a more common problem is that hospice enrollment policies may discourage patients with high-cost medical needs.
42% of patients were living in a private home when they died. Since family members can afford to leave work to care for the family member, the patient may be on their own. While options can usually be found, a more common problem is that hospice enrollment policies may discourage patients with high-cost medical needs.
Limited Network Plans May Be Making A Comeback
HMO-Like Plans May Be Poised To Make Comeback In Online Insurance Markets by Julie Appleby. Kaiser Health News. January 22, 2013.
Insurance options that offer fewer choices because of limited networks of providers and are cheaper could be making a comeback on the online insurance exchanges. Such network options could appeal to younger and healthier people who see little need for expensive policies. Problems cold arise however if care is required out of network where patients can incur large copays or other costs.
Insurance options that offer fewer choices because of limited networks of providers and are cheaper could be making a comeback on the online insurance exchanges. Such network options could appeal to younger and healthier people who see little need for expensive policies. Problems cold arise however if care is required out of network where patients can incur large copays or other costs.
Settlement in Offing for $2 Billion Hip Lawsuit?
Johnson & Johnson Ready To Offer $2 Billion Hip Lawsuit Settlement? posted by Brett Emison. January 22, 2013.
Facing over than 10,000 lawsuits over its recalled metal-on-metal hip implants, Johnson & Johnson may be attempting to reach a settlement for more than $2 billion according to a Bloomberg report. There are 93,000 recalled implants which may require replacement more quickly than other such products. The New York Times also covered this story here.
Facing over than 10,000 lawsuits over its recalled metal-on-metal hip implants, Johnson & Johnson may be attempting to reach a settlement for more than $2 billion according to a Bloomberg report. There are 93,000 recalled implants which may require replacement more quickly than other such products. The New York Times also covered this story here.
Stem Cell Foe Leading Georgia Science Panel
Stem Cell Foe Named Chair of Science Panel by Aaron Gould Shenin. The Atlanta Journl-Constitution. January 23, 2013.
Rep. Ed Setzler has been named chair of the House Committee on Science and Technology of the Georgia House of Representatives. He has gained notice by opposing embryonic stem cell research and implanting microchips in people against their will.
Rep. Ed Setzler has been named chair of the House Committee on Science and Technology of the Georgia House of Representatives. He has gained notice by opposing embryonic stem cell research and implanting microchips in people against their will.
Reducing Hospital Readmissions Becomes Holy Grail
Medicare Eyes Hospital Readmissions by Joanne Kenen. Politico. January 23, 2013.
By linking medical and social services, by coordinating doctors and specialists as well as hospitals and nursing homes, a major multicity Medicare quality initiative has reduced readmissions by nearly 6 percent as compared with benchmark communities. Transition management is key to the success of this approach. This research project is presented in the Journal of The American Medical Association.
By linking medical and social services, by coordinating doctors and specialists as well as hospitals and nursing homes, a major multicity Medicare quality initiative has reduced readmissions by nearly 6 percent as compared with benchmark communities. Transition management is key to the success of this approach. This research project is presented in the Journal of The American Medical Association.
Tuesday, January 22, 2013
Required Flu Shot For Health Care Workers A Source of Controversy
Mandatory Flu Shots Opposed by Some Health Care Workers by Janice Lloyd. USA Today, January 16, 2013.
It is increasingly common for health care employers to require a flu vaccination. This has lead to resistance for a variety of reasons including medical and religious reasons as well as doubts about effectiveness. Employers cite the obligation not to spread the flu to patients. As of November 63% of health care workers had obtained the vaccine. Some workers who have refused have lost their jobs.
It is increasingly common for health care employers to require a flu vaccination. This has lead to resistance for a variety of reasons including medical and religious reasons as well as doubts about effectiveness. Employers cite the obligation not to spread the flu to patients. As of November 63% of health care workers had obtained the vaccine. Some workers who have refused have lost their jobs.
Fewer People Dieting; Those Not Overweight Viewed As Not That More Attractive
Fewer People Say They're On A Diet. Nanci Hellmich, USA TODAY. January 7, 2013.
The number of people on a diet declined from 31% in 1991 to 20% in 2012. In 1985 55% thought that someone not overweight was a lot more attractive than someone overweight. In 2012, that figure was 23%. This article contains many interesting statistics including the fact that 55% of people are trying to lose weight.
The number of people on a diet declined from 31% in 1991 to 20% in 2012. In 1985 55% thought that someone not overweight was a lot more attractive than someone overweight. In 2012, that figure was 23%. This article contains many interesting statistics including the fact that 55% of people are trying to lose weight.
Funding Medical Bills Through Crowfunding
'Crowfunding' Sites Pay Medical Bills, Raise Hopes by Cheryl Aikon. USA Today. January 18, 2013.
With medical costs being the No. 1 reason for bankruptcy in the US and crowd sourcing websites raising over $2.8 billion in 2012 for all types of needs. it is not surprising that some will seek a solution to medical costs by this method. Several sites are listed and their approaches are compared and contrasted.
With medical costs being the No. 1 reason for bankruptcy in the US and crowd sourcing websites raising over $2.8 billion in 2012 for all types of needs. it is not surprising that some will seek a solution to medical costs by this method. Several sites are listed and their approaches are compared and contrasted.
What Triggers Genes Increasing Risk of Rheumatoid Arthritis
Study Finds How Genes That Cause Illness Work by Gina Kolata. The New York Times. January 20, 2013.
Researchers have found four chemical tags in a cluster of genes that controls the immune response know to affect rik of rheumatoid arthritis. Gene C6orf10
Researchers have found four chemical tags in a cluster of genes that controls the immune response know to affect rik of rheumatoid arthritis. Gene C6orf10
Brain Pacemakers For Alzheimer's Patients
Brain Implants Tested In Alzheimer's Patients. The Associated Press. January 21, 2013.
Researchers at Johns Hopkins, University of Pennsylvania, University of Florida, and Banner Health System (Arizona) and Toronto Western Hospital have are exploring the use of deep brain stimulation to stop the deterioration of Alzheimer's patients. They have found indications that after at least 12 months of continuous stimulation, areas of the brain impacted by Alzheimer's showed more activity. Specifically, cells began to use more glucose.
Researchers at Johns Hopkins, University of Pennsylvania, University of Florida, and Banner Health System (Arizona) and Toronto Western Hospital have are exploring the use of deep brain stimulation to stop the deterioration of Alzheimer's patients. They have found indications that after at least 12 months of continuous stimulation, areas of the brain impacted by Alzheimer's showed more activity. Specifically, cells began to use more glucose.
Patient Awareness During Surgery Sheds Light on What It Means to Be Conscious
Awakening by Joshua Lang. The Atlantic. January/February 2013.
Experts estimate that for every thousand patients who undergo general anesthesia each year in America, one or two will experience awareness. This article explores the meaning of consciousness in light of what we have learned from anesthesia and "intraoperative recall" or "anesthesia awareness."
Experts estimate that for every thousand patients who undergo general anesthesia each year in America, one or two will experience awareness. This article explores the meaning of consciousness in light of what we have learned from anesthesia and "intraoperative recall" or "anesthesia awareness."
Monday, January 21, 2013
ACL Injuries Have More Than Tripled Since 2000
Knee Surgeries Like RGIII's Are On The Rise by Janice Lloyd. USA Today. January 11, 2013.
Robert Griffin III of the Washington Redskins tore two of the four primary ligaments of the knee. Injuries to one of those ligaments, the ACL, are increasingly common and do not result from contact. A pivot, turn, or twist may cause the injury, which are expected to rise with the aging of the Baby Boomers. The article provides keys to avoiding this injury, interesting facts such as females are more at risk than males, and a brief overview of the surgery and rehab.
Robert Griffin III of the Washington Redskins tore two of the four primary ligaments of the knee. Injuries to one of those ligaments, the ACL, are increasingly common and do not result from contact. A pivot, turn, or twist may cause the injury, which are expected to rise with the aging of the Baby Boomers. The article provides keys to avoiding this injury, interesting facts such as females are more at risk than males, and a brief overview of the surgery and rehab.
Sunday, January 20, 2013
Obesity in Offsprings Linked To Endocrine Disrupting Compounds
Fetal Exposure To PVC Plastic Chemical Linked To Obesity In Offspring. Science Daily. January 15, 2013.
TBT, tributyltin, is used in PVC plastic and marine hull paint. According to Dr. Bruce Blumberg, UC Irvine professor of pharmaceutical sciences and developmental & cell biology, TBT is an obesogen. This class of chemicals acts in part by modifying mesenchymal stem cells during development, giving them a propensity to become fat cells. While the study focused on mice, there perhaps could be implications for children and pregnant women.
TBT, tributyltin, is used in PVC plastic and marine hull paint. According to Dr. Bruce Blumberg, UC Irvine professor of pharmaceutical sciences and developmental & cell biology, TBT is an obesogen. This class of chemicals acts in part by modifying mesenchymal stem cells during development, giving them a propensity to become fat cells. While the study focused on mice, there perhaps could be implications for children and pregnant women.
Medicaid Expansion Could Extend Mental Health Benefits to 13 Million More Americans
Easiest Path To Mental Health Funding May Be Medicaid Expansion by Michael Ollove. Stateline. January 18, 2013.
Public investment in mental health has withered in the 21st century with the decline being particularly pronounced since the beginning of the economic downturn. The Affordable Care Act offers possibilities to reverse this trend. Mental health coverage must be offered in the insurance exchanges must be offered, making this benefit available to an additional 8 million. An estimated 13 million would be eligible for mental health services under Medicaid expansion IF all states opted for expansion. 20 governors have committed to expansion with ten declining. The article examines alternative approaches to mental health services and funding in the states.
Public investment in mental health has withered in the 21st century with the decline being particularly pronounced since the beginning of the economic downturn. The Affordable Care Act offers possibilities to reverse this trend. Mental health coverage must be offered in the insurance exchanges must be offered, making this benefit available to an additional 8 million. An estimated 13 million would be eligible for mental health services under Medicaid expansion IF all states opted for expansion. 20 governors have committed to expansion with ten declining. The article examines alternative approaches to mental health services and funding in the states.
Lobbying And Health Care Costs: A Case Study
Fiscal Footnote: Big Senate Gift To Drug Makers by Eric Lipton and Kevin Sack. The New York Times. January 19, 2013.
The story of the lobbying effort by Amgen, the world's largest biotechnology firm, to delay price restraints for a class of kidney dialysis drugs for two years resulting in costs to Medicare of up to $500 million.
The story of the lobbying effort by Amgen, the world's largest biotechnology firm, to delay price restraints for a class of kidney dialysis drugs for two years resulting in costs to Medicare of up to $500 million.
The Political Calculus of Medicaid Expansion in Arizona
Medicaid Expansion Is Delicate Maneuver For Arizona's Republican Governor by Fernanda Santos. The New York Times. January 19, 2013.
Arizona Governor Jan Brewer's decision to expand Medicaid reflects the growing power of Latino voters in the Southwest. In the solid Republican South, by contrast, there is little political risk in refusing Medicaid expansion even in light of the region's substantial number of poor uninsured residents.
Arizona Governor Jan Brewer's decision to expand Medicaid reflects the growing power of Latino voters in the Southwest. In the solid Republican South, by contrast, there is little political risk in refusing Medicaid expansion even in light of the region's substantial number of poor uninsured residents.
Saturday, January 19, 2013
Gates Invests in Cancer Genetic Diagnostic Firm
Biotech Catches Eye Of Bill Gates by Ron Winslow. The Wall Street Journal. January 18, 2013.
Foundation Medicine Inc. makes a $5,800 test that analyzes biopsies for some 280 genetic mutations that are suspected of driving tumor growth. Several big drug companies are using the test to identify new drug targets. Mr. Gates was drawn to invest in the company after discussions with Michael Pellini, the CEO as well as background conversations with Eric Lander of the Broad Institute, and Silicon Valley venture capitalists.
Foundation Medicine Inc. makes a $5,800 test that analyzes biopsies for some 280 genetic mutations that are suspected of driving tumor growth. Several big drug companies are using the test to identify new drug targets. Mr. Gates was drawn to invest in the company after discussions with Michael Pellini, the CEO as well as background conversations with Eric Lander of the Broad Institute, and Silicon Valley venture capitalists.
WebMD 2012 Year In Health
2012 Year in Health: WebMD's Top Health Stories Of The Year. WebMD.
Among the stories mentioned are (1) Health reform law upheld by Supreme Court; (2) Diet drugs approved by the FDA to address the obesity crisis; (3) Dreaded diseases including West Nile, hantavirus, plague, and flesh-eating bacteria; (4) The PSA for prostate cancer was ruled not needed by the U.S. Preventative Services Task Force; (5) Fungal meningitis outbreak from steroid injections (6) Sitting found to be a health risk; (7) Excedrin, Bufferin, NoDoz, Gas-X recalled for production and potential mixing with prescription painkillers; (8) Designer drugs such as bath salts; (9) Children facing adult health problems because of obesity; (9) Tainted food and issues with energy drinks.
Among the stories mentioned are (1) Health reform law upheld by Supreme Court; (2) Diet drugs approved by the FDA to address the obesity crisis; (3) Dreaded diseases including West Nile, hantavirus, plague, and flesh-eating bacteria; (4) The PSA for prostate cancer was ruled not needed by the U.S. Preventative Services Task Force; (5) Fungal meningitis outbreak from steroid injections (6) Sitting found to be a health risk; (7) Excedrin, Bufferin, NoDoz, Gas-X recalled for production and potential mixing with prescription painkillers; (8) Designer drugs such as bath salts; (9) Children facing adult health problems because of obesity; (9) Tainted food and issues with energy drinks.
Cancer Death Rates Fall 20% Over 2 Decaes
Cancer Death Rates Drop 20% Over 2 Decades by Denise Mann. WebMD Health News. January 17, 2013.
This drop translates into 1.2 million lives spared. For some cancers the drop has ben even more dramatic: 40%+ for prostate cancer; 30%+ for colorectal, breast, and lung cancer. While there has been progress, liver, thyroid, and pancreatic cancers are on the rise and still one in four deaths in the U.S. is due to cancer. It is unknown what effect the obesity epidemic will have on death rates.
This drop translates into 1.2 million lives spared. For some cancers the drop has ben even more dramatic: 40%+ for prostate cancer; 30%+ for colorectal, breast, and lung cancer. While there has been progress, liver, thyroid, and pancreatic cancers are on the rise and still one in four deaths in the U.S. is due to cancer. It is unknown what effect the obesity epidemic will have on death rates.
Friday, January 18, 2013
Using Mindfulness To Soothe Physician Stress
Using Mindfulness to Soothe Physician Stress by Kevin B. O'Reilly. amednews. com. January 7, 2013.
According to a 2012 survey about half of doctors reported at least one symptom of burnout. Increasingly mindfulness meditation is being taught to physicians and medical students in order to deal with the stresses of medical life. A 2009 study of such programs showed positive results with lessening feelings of emotional exhaustion, depersonalization, anger, depression, and fatigue and increases in feelings of personal accomplishment, empathy, and vigor. A key point emphasized is body awareness from moment with integration of yoga-style movements into mindfulness programs. The article includes a very interesting list of "21 ways to cut stress during the workday."
According to a 2012 survey about half of doctors reported at least one symptom of burnout. Increasingly mindfulness meditation is being taught to physicians and medical students in order to deal with the stresses of medical life. A 2009 study of such programs showed positive results with lessening feelings of emotional exhaustion, depersonalization, anger, depression, and fatigue and increases in feelings of personal accomplishment, empathy, and vigor. A key point emphasized is body awareness from moment with integration of yoga-style movements into mindfulness programs. The article includes a very interesting list of "21 ways to cut stress during the workday."
Another Partnering Of Insurers and Providers In Georgia
Blue Cross, Emory Discussing New Initiative by Carrie Teegardin. The Atlanta Journal-Constitution. January 14, 2013.
Cooperation between the largest Georgia insurer and one of Georgia largest healthcare providers illustrates a national trend of insurers and providers coming together. Another example is the recent announcement that Piedmont and WellStar are forming an insurance company.
Cooperation between the largest Georgia insurer and one of Georgia largest healthcare providers illustrates a national trend of insurers and providers coming together. Another example is the recent announcement that Piedmont and WellStar are forming an insurance company.
Lack Of Health Insurance Is A Threat And Cost to All
Uninsured Cost Us All by Ricardo Azziz. Atlanta Forward Blog, moderated by Tom Sabulis. The Atlanta Journal-Constitution.
This article by the President of Georgia Health Sciences University is full of interesting statistics about health insurance in Georgia. For example, according to the article, Georgia is among the top five states in premature deaths due to lack of insurance. Another example: The Georgia Health Sciences Medical System, of which Dr. Azziz is CEO, provides more than $100,000 in unreimbursed medical care every day as a result of the legal, moral, and ethical requirements that the uninsured be served. In 2010, Georgia hospitals provided $1.5 billion in unreimbursed services to Georgia uninsured. Dr. Azziz provides a call to action to address lack of insurance. According to Dr. Azziz it is a cost to all Georgians.
This article by the President of Georgia Health Sciences University is full of interesting statistics about health insurance in Georgia. For example, according to the article, Georgia is among the top five states in premature deaths due to lack of insurance. Another example: The Georgia Health Sciences Medical System, of which Dr. Azziz is CEO, provides more than $100,000 in unreimbursed medical care every day as a result of the legal, moral, and ethical requirements that the uninsured be served. In 2010, Georgia hospitals provided $1.5 billion in unreimbursed services to Georgia uninsured. Dr. Azziz provides a call to action to address lack of insurance. According to Dr. Azziz it is a cost to all Georgians.
Only Limited Information Needed For Pinpoint Identification of People From Online Genetic Information
Web Hunt For DNA Sequences Leaves Privacy Compromised by Gina Kolata. The New York Times. January 17, 2013.
Using only the long string of DNA letters, age of research subject, and state of the subject, researchers have successfully identified those subjects and their families. The ease with which this information was unearthed poses questions for privacy policy in science and has implications for the open sharing data to further genetic research. The guarantee of privacy granted to research subjects is called into question. Story also covered here.
Using only the long string of DNA letters, age of research subject, and state of the subject, researchers have successfully identified those subjects and their families. The ease with which this information was unearthed poses questions for privacy policy in science and has implications for the open sharing data to further genetic research. The guarantee of privacy granted to research subjects is called into question. Story also covered here.
Thursday, January 17, 2013
Belly Fat and Thigh Fat Are Genetically Different, A Fact With Implications for Diabetes
How Belly Fat Differs From Thigh Fat, And Why It Matters. Science Daily. January 11, 2013.
Belly fat and thigh fat differ according to gene expression. This is important since it is well known that belly fat is associated with higher risks of heart disease and diabetes. Storing body fat on the thighs and a pear shape actually reduces the risks of heart disease and diabetes in women. A researcher defines the problem men face is the inability to store fat on hips and thighs. This research could offer the possibility for the development of region-specific of obesity.
Belly fat and thigh fat differ according to gene expression. This is important since it is well known that belly fat is associated with higher risks of heart disease and diabetes. Storing body fat on the thighs and a pear shape actually reduces the risks of heart disease and diabetes in women. A researcher defines the problem men face is the inability to store fat on hips and thighs. This research could offer the possibility for the development of region-specific of obesity.
How The Human Brain Adapts To Injury
Research Reveals Exactly How The Human Brain Adapts To Injury. Science Daily. January 16, 2013.
Researchers at Carnegie Mellon have delineated the back-up mechanism for a temporary incapacitation of the Wernicke area, a key area for language comprehension. This mechanism included the contralateral areas, the areas next to the impaired area, and a frontal executive area. The researchers used a theory of how brain systems self-organize in response to change.
Researchers at Carnegie Mellon have delineated the back-up mechanism for a temporary incapacitation of the Wernicke area, a key area for language comprehension. This mechanism included the contralateral areas, the areas next to the impaired area, and a frontal executive area. The researchers used a theory of how brain systems self-organize in response to change.
Segregation Linked With Lung Cancer: Differential Racial Impact Noted
Segregation Linked In Study With Lung Cancer by Sabrina Tavernise. The New York Times. January 18, 2013.
After dividing the country into three levels of segregation, the study authors found a lung cancer mortality rate of about 20 higher in the most segregated counties. This differences persisted even controlling for smoking and socio-economic status. For whites, the effects of segregation were the opposite though it was unclear whether the difference was meaningful. In an editorial accompanying the research article in JAMA Surgery, Dr. David Change of the University of California San Diego noted: "We don't need drugs or genetic explanations to fix a lot of the health care problems we have." Environmental factors play a role in the stark difference in health outcomes in the United States.
After dividing the country into three levels of segregation, the study authors found a lung cancer mortality rate of about 20 higher in the most segregated counties. This differences persisted even controlling for smoking and socio-economic status. For whites, the effects of segregation were the opposite though it was unclear whether the difference was meaningful. In an editorial accompanying the research article in JAMA Surgery, Dr. David Change of the University of California San Diego noted: "We don't need drugs or genetic explanations to fix a lot of the health care problems we have." Environmental factors play a role in the stark difference in health outcomes in the United States.
Wednesday, January 16, 2013
Mental Health Parity, Doctors/Patients and Guns--Obamacare and Guns
Obamacare's Role in Gun Control by Kyle Cheney. Politico. January 16, 2013.
Public health will be impacted by President Obama's efforts to prevent gun violence. For example, he made clear that doctors can legally talk with their patients about guns. Next month, new Obamacare rules requiring that both Medicaid and the private sector offer mental health coverage with the same comprehensiveness they provide medical benefits. Also discussed in the article are plans to train 5,000 new mental health professionals.
Public health will be impacted by President Obama's efforts to prevent gun violence. For example, he made clear that doctors can legally talk with their patients about guns. Next month, new Obamacare rules requiring that both Medicaid and the private sector offer mental health coverage with the same comprehensiveness they provide medical benefits. Also discussed in the article are plans to train 5,000 new mental health professionals.
17 Year Virtual Ban On CDC Gun Violence Research Ending
Obama Plan Eases Freeze On CDC Gun Violence Research by JoNel Aleccia. NBC News. January 16, 2013.
President Obama has directed the Centers for Disease Control and Prevention and other scientific agencies to research gun violence. In addition he has requested $10 million from Congress to fund it. As a result of political pressure and the resulting lack of funding there has been no CDC gun-focused research since the mid-1990s. Among the research that resulted in pressure from the NRA and others were findings that homes with weapons were not better protected. For example, it was found that there was a five-fold increase in suicide risk in homes with guns. By contrast, traffic-related safety research, which has not been subjected to political pressure, has yielded dramatic results.
President Obama has directed the Centers for Disease Control and Prevention and other scientific agencies to research gun violence. In addition he has requested $10 million from Congress to fund it. As a result of political pressure and the resulting lack of funding there has been no CDC gun-focused research since the mid-1990s. Among the research that resulted in pressure from the NRA and others were findings that homes with weapons were not better protected. For example, it was found that there was a five-fold increase in suicide risk in homes with guns. By contrast, traffic-related safety research, which has not been subjected to political pressure, has yielded dramatic results.
Contrasting Republican Views On Medicaid Expansion: Arizona and Georgia
Jan Brewer Wants To Expand Arizona's Medicaid Program, and She's Right by Matthew Yglesias. Slate. January 15, 2013.
Deal Speech Shows Health Care A Top Priority by Andy Miller. Georgia Health News. January 16, 2013.
Jan Brewer, governor of Arizona, has opted for expansion; Georgia Governor Nathan Deal, against.
Deal Speech Shows Health Care A Top Priority by Andy Miller. Georgia Health News. January 16, 2013.
Jan Brewer, governor of Arizona, has opted for expansion; Georgia Governor Nathan Deal, against.
Average Weight People Are Disappearing Worldwide, Shaping Health Strategies
Decline In Average-weight Population Leads To Health Care Conundrum by Andrea Janus. CTVNews.ca. January 15, 2013.
Using data from 37 countries researchers from the University of Toronto and the Harvard School of Public Health found that average weight individuals in both poor and middle income countries are declining in number. The lead research indicated that ideally the greatest number of people will fall in the "average" category and that health strategies will vary greatly in a weigh-polarized world. The team is focusing now on if there is a disappearance of the "average" in wealthy countries.
Using data from 37 countries researchers from the University of Toronto and the Harvard School of Public Health found that average weight individuals in both poor and middle income countries are declining in number. The lead research indicated that ideally the greatest number of people will fall in the "average" category and that health strategies will vary greatly in a weigh-polarized world. The team is focusing now on if there is a disappearance of the "average" in wealthy countries.
Flu Fighting Social Media Tools
Five Social Media Tools To Fight The Flu by Bernhard Warner. Bloomberg Businessweek. January 16, 2013.
The tools highlighted include Google Flu Trends, Dizie, MappyHealth, HealthMap, and Flu Near You. They use several techniques including analysis of search data, tweets correlated to maps, disease related chatter on tweets, scanning on news aggregators and eyewitness reports, and enlisting users to monitor local disease outbreaks.
The tools highlighted include Google Flu Trends, Dizie, MappyHealth, HealthMap, and Flu Near You. They use several techniques including analysis of search data, tweets correlated to maps, disease related chatter on tweets, scanning on news aggregators and eyewitness reports, and enlisting users to monitor local disease outbreaks.
Tuesday, January 15, 2013
Consumer Share of Total Health Spending Actually Falls
Who Knew? Patients Share Of Health Spending Is Shrinking by Jay Hancock. Kaiser Health News. January 13, 2013.
While this trend is not likely to continue with the growing prevalence of high-deductable plans, the present decline has continued since 2000. Among the reasons for the decline cited in this article are shifts from brand name to generic drugs, availability of more information to shop and compare costs and quality, and avoiding the doctor during the economic downturn. Changes could come in 2014 with the health act requires the purchase of insurance or pay a penalty.
While this trend is not likely to continue with the growing prevalence of high-deductable plans, the present decline has continued since 2000. Among the reasons for the decline cited in this article are shifts from brand name to generic drugs, availability of more information to shop and compare costs and quality, and avoiding the doctor during the economic downturn. Changes could come in 2014 with the health act requires the purchase of insurance or pay a penalty.
Electronic Health Records Offer New Medical Knowledge
Mining Electronic Records For Revealing Health Data by Peter Jaret. The New York Times. January 14, 2013.
According to a recent report, electronic health records may be increasing the nation's medical bills. However this article focuses on the value for research in aggregating vast amount of clinical information, allowing the medical community to spot effective treatments and side effects. While the research benefits may be significant, new concerns have arisen. To maintain privacy, the EHRs must be "de-identified." While the EHR-based research will not replace clinical trials, the new research will broaden the knowledge available. In essence there will be a trade-off between perfect control and lots of data.
According to a recent report, electronic health records may be increasing the nation's medical bills. However this article focuses on the value for research in aggregating vast amount of clinical information, allowing the medical community to spot effective treatments and side effects. While the research benefits may be significant, new concerns have arisen. To maintain privacy, the EHRs must be "de-identified." While the EHR-based research will not replace clinical trials, the new research will broaden the knowledge available. In essence there will be a trade-off between perfect control and lots of data.
Flu Epidemic Impacts Flow and Volume of Patients In ERs.
Emergency Departments Are On The Frontline Of the Flu by Jenny Gold. Kaiser Health News. January 15, 2013.
While Mondays are typically the highest volume day in the ER, during a flu epidemic every day is Monday. In addition this year's strain H3N2 has proven to be particularly virulent, increasing admissions from the emergency room and make-shift adaptations to increased volume.
While Mondays are typically the highest volume day in the ER, during a flu epidemic every day is Monday. In addition this year's strain H3N2 has proven to be particularly virulent, increasing admissions from the emergency room and make-shift adaptations to increased volume.
The Perfect Sleep Position
Find The Perfect Sleep Position. Your Health. The Wall Street Journal. January 14, 2013.
Addresses concerns including obstructive sleep apnea, snoring, back pain, acid reflux, as well as shoulder and neck pain.
Addresses concerns including obstructive sleep apnea, snoring, back pain, acid reflux, as well as shoulder and neck pain.
Pharmaceutical Strategy in the Age Of Personalized Medicine
A Strategist's Guide To Personalized Medicine by Avi Kularni and Nelia Padilla McGreevy. Strategy + Business. Winter 2013.
With the rising prevalence of chronic diseases, such as cancer, diabetes, and dementia, the need for specifically tailored drugs has increased. Since these chronic diseases impact patients in different ways according to their genetic makeup, pharmaceutical companies are shifting their business models. Shifting emphasis from blockbuster drugs aimed at a general population to niche drugs aimed at highly segmented target patient groups, these companies are shifting sales strategies, clinical trial methods, and their relationship to diagnostic tests.
With the rising prevalence of chronic diseases, such as cancer, diabetes, and dementia, the need for specifically tailored drugs has increased. Since these chronic diseases impact patients in different ways according to their genetic makeup, pharmaceutical companies are shifting their business models. Shifting emphasis from blockbuster drugs aimed at a general population to niche drugs aimed at highly segmented target patient groups, these companies are shifting sales strategies, clinical trial methods, and their relationship to diagnostic tests.
Sunday, January 13, 2013
Keeping Patients Safe: A Case Study Of A Harvard Medical School Student and Her Mom
What A New Doctor Learned About Medical Mistakes From Her Mom by Marshall Allen. ProPublica. January 9, 2013.
In this interview, the young doctor who was at the time of her mother's illness, a first-year medical student, tells of how difficult it was to keep her mother safe in the hospital. Caring and qualified staff are not enough. Actual negligence is rarely the problem. Design issues, handoffs, confusion about drug names and labels, holes in coverage by staff with needed expertise, complexity, and overbooking of staff are some of the issues addressed. She also addresses how the experience of caring for her mother impacted how she practices medicine.
In this interview, the young doctor who was at the time of her mother's illness, a first-year medical student, tells of how difficult it was to keep her mother safe in the hospital. Caring and qualified staff are not enough. Actual negligence is rarely the problem. Design issues, handoffs, confusion about drug names and labels, holes in coverage by staff with needed expertise, complexity, and overbooking of staff are some of the issues addressed. She also addresses how the experience of caring for her mother impacted how she practices medicine.
Coupons and Deals: Appealing to Younger, More Episodic Patients
Doctors And Dentists Lure Patient With Money-Saving Deals Online by Ankita Rao. Kaiser Helath News. January 8, 2013.
5 to 10 percent of online coupon deals are for medical and health services. These deals may be the cheapest way individuals who do not need follow-up services. While few of people who use coupons become regular patients, the article suggests strategies to turn increase that number.
5 to 10 percent of online coupon deals are for medical and health services. These deals may be the cheapest way individuals who do not need follow-up services. While few of people who use coupons become regular patients, the article suggests strategies to turn increase that number.
Health Care Exchanges: Basic Questions Answered
A Guide To Health Insurance Exchanges by Julie Appleby. Kaiser Health News. January 10, 2013.
Among the questions answered are those about the structure and function of exchanges, who will be allowed to buy on the exchanges, presentation of insurance options, and the differences between federal and state exchanges. A very helpful introduction.
Among the questions answered are those about the structure and function of exchanges, who will be allowed to buy on the exchanges, presentation of insurance options, and the differences between federal and state exchanges. A very helpful introduction.
Design Strategies Have Implications For The Health Care System
Designing For Calm by Roger S. Ulrich. The New York Times. January 11, 2013.
While the major focus of this article is on the role of design as a calming influence in mental health facilities, it also the role that design could play in the wider world of health care. Since global statistics indicate that a third of all admitted psychiatric patients are involved in violent incidents, the issue is especially critical in mental health. However, in hospital emergency rooms for example design could also play a role in diffusing tensions in a stressful environment. Among the objectives that design could help accomplish is enhancing patient coping and sense of control.
While the major focus of this article is on the role of design as a calming influence in mental health facilities, it also the role that design could play in the wider world of health care. Since global statistics indicate that a third of all admitted psychiatric patients are involved in violent incidents, the issue is especially critical in mental health. However, in hospital emergency rooms for example design could also play a role in diffusing tensions in a stressful environment. Among the objectives that design could help accomplish is enhancing patient coping and sense of control.
Clinics Illustrate Cultural, Financial, Policy Issue In The Delivery Of Care
As 'Bodega Clinicas' Fill Void, Health Officials Are Torn by Sarah Varney. The New York Times. January 12, 2013.
The rise of these clinics in immigrant neighborhoods around Los Angeles provides a fascinating story of how a parallel health care system for uninsured Latino residents functions. They are mainly "cash-only" enterprises which are, in reality, doctor's offices and thus escape regulation required of licensed clinics. With the Affordable Care Act fast approaching, policymakers are puzzling about how to address these clinics. On the one hand, the clinics serve illegal immigrants who are prohibited from getting insurance under the ACA. On the other hand, there is some doubt about what the clinics are doing. They could be valuable in serving those immigrants who are accustomed to receiving healthcare in this manner and are uncomfortable visiting a medical complex for care.
The rise of these clinics in immigrant neighborhoods around Los Angeles provides a fascinating story of how a parallel health care system for uninsured Latino residents functions. They are mainly "cash-only" enterprises which are, in reality, doctor's offices and thus escape regulation required of licensed clinics. With the Affordable Care Act fast approaching, policymakers are puzzling about how to address these clinics. On the one hand, the clinics serve illegal immigrants who are prohibited from getting insurance under the ACA. On the other hand, there is some doubt about what the clinics are doing. They could be valuable in serving those immigrants who are accustomed to receiving healthcare in this manner and are uncomfortable visiting a medical complex for care.
Saturday, January 12, 2013
NYC Hospitals Chart Move Quality-Based Compensation for Physicians
New York City Ties Doctors' Income To Quality Of Care by Anemona Hartocollis. The New York Times. January 11, 2013.
In negotiations with physicians, the administrators of New York City's Health and Hospitals Corporation which runs the nation' largest public health system hope to incorporate quality measures in doctors' paychecks. Such a action would be in keeping with the broad national trend away from rewards for volume of medical services and more toward quality of service. The article contains several interesting observations about who such a system could be "gamed." For example studies of quality- based systems have shown that while measured quality service improved, unmeasured quality service declined.
In negotiations with physicians, the administrators of New York City's Health and Hospitals Corporation which runs the nation' largest public health system hope to incorporate quality measures in doctors' paychecks. Such a action would be in keeping with the broad national trend away from rewards for volume of medical services and more toward quality of service. The article contains several interesting observations about who such a system could be "gamed." For example studies of quality- based systems have shown that while measured quality service improved, unmeasured quality service declined.
Friday, January 11, 2013
Report: Half Of All Food Is Thrown Away
Report: Half Of All Food Is Thrown Away by Agence France-Presse. January 20, 2013.
This report was produced by the Institute of Mechanical Engineers. In the developing world the causes include inadequate infrastructure and storage facilities. "Buy-one-get-one-free" offers and consumer fussiness are the causes in the developed world.
This report was produced by the Institute of Mechanical Engineers. In the developing world the causes include inadequate infrastructure and storage facilities. "Buy-one-get-one-free" offers and consumer fussiness are the causes in the developed world.
In FDA Decision Sleep Aid Dosage To Be Lowered For Women
FDA Says Ambien Dosage Is To Be Lowered For Women by Vanessa Evans. Yahoo! Contributor Network. January 11, 2013.
A key factor in the FDA decision was finding that zolpidem, the active ingredient in Ambien, Zolpimist, and other drugs, affects men and women differently. Zolpidem absorbs more slowly in women than in men.
A key factor in the FDA decision was finding that zolpidem, the active ingredient in Ambien, Zolpimist, and other drugs, affects men and women differently. Zolpidem absorbs more slowly in women than in men.
Restricting Access To Vicodin: The Right Approach to the Painkiller Epidemic?
FDA Might Tighten Reins On Vicodin by Donna Leinwand Leger. USA Today. January 10, 2013.
In light of the burgeoning painkiller epidemic government agencies are weighing steps to restrict access to one of the most popular these drugs, vicodin, a combination of hydrocodone and acetaminophen. The Drug Enforcement Administration wants the Food and Drug Administration to classify vicodin as a Schedule II drug. This means that the rules governing doctors writing prescriptions for vicodin would be tightened. In evaluating this potential schedule change regulators are considering whether this action would in fact restrict access and hence abuse or would merely inconvenience patients.
In light of the burgeoning painkiller epidemic government agencies are weighing steps to restrict access to one of the most popular these drugs, vicodin, a combination of hydrocodone and acetaminophen. The Drug Enforcement Administration wants the Food and Drug Administration to classify vicodin as a Schedule II drug. This means that the rules governing doctors writing prescriptions for vicodin would be tightened. In evaluating this potential schedule change regulators are considering whether this action would in fact restrict access and hence abuse or would merely inconvenience patients.
Thursday, January 10, 2013
Antidepressants Are The Focus of New Movie From Steven Soderbergh
Where Pills and Crime Collide by Michael Cieply. The New York Times. January 9 2013.
"Side Effects" is scheduled to be released on Feb 8 with the actors Rooney Mara, Jude Law, Channing Tatum, and Catherine Zeta-Jones. The film is enmeshed in the world of common mood-altering drugs, though the drug that is the focus of the movie is fictionalized. Interestingly and significantly, the making of the film involved much contact with the pharmaceutical industry.
Grim Findings For Comparative National Health Study
For Americans Under 50, Stark Findings On Health by Sabrina Tavernise. The New York Times. January 9, 2013.
Among the startling findings were that American men ranked last in life expectancy among the 17 countries in the study and that guns, car accidents, and drug addiction were far higher in the United States. Firearm homicides--20 times higher than in the other countries; Highest diabetes of all the countries surveyed. Bright spot: Lower death rates from cancer than can be detected with a test. The 378 page report is available for free here or for $72 if you want a hard copy.
Among the startling findings were that American men ranked last in life expectancy among the 17 countries in the study and that guns, car accidents, and drug addiction were far higher in the United States. Firearm homicides--20 times higher than in the other countries; Highest diabetes of all the countries surveyed. Bright spot: Lower death rates from cancer than can be detected with a test. The 378 page report is available for free here or for $72 if you want a hard copy.
Wednesday, January 9, 2013
Innovative Packaging To Encourage Drug Adherence
Ring, Buzz, Flash: It Must Be Time To Take Your Medicine by Sumathi Reddy. The Wall Street Journal. January 8, 2013.
Alternatives or additions to the amber bottle include blister packs--already in use at Wal-Mart and Kroger-- glow caps, and QR codes, scannable by a cell phone for product information and video.
Alternatives or additions to the amber bottle include blister packs--already in use at Wal-Mart and Kroger-- glow caps, and QR codes, scannable by a cell phone for product information and video.
New Rules For Giving Good Cholesterol A Boost by Christopher Weaver. The Wall Street Journal. January 7, 2013.
In light of recent failures to find a drug boost to the "good" cholesterol has resulted in the consideration of different approaches. Current theories emphasize the possibility that medically-elevented HDL is not as effective as natural HDL in removing "bad" cholesterol from artery walls and toward the liver. The natural ways to raised HDL include avoiding carbohydrates, eating fish and olive oil, and losing weight. I found a quote from a Northwestern Medicine cardiologist interesting: "There's a big focus on drugs, partly because no one is making a lot of money selling nuts."
In light of recent failures to find a drug boost to the "good" cholesterol has resulted in the consideration of different approaches. Current theories emphasize the possibility that medically-elevented HDL is not as effective as natural HDL in removing "bad" cholesterol from artery walls and toward the liver. The natural ways to raised HDL include avoiding carbohydrates, eating fish and olive oil, and losing weight. I found a quote from a Northwestern Medicine cardiologist interesting: "There's a big focus on drugs, partly because no one is making a lot of money selling nuts."
The Private Sector and Public Needs
Health Care And Profits, A Poor Mix by Eduardo Porter. Economic Scene. The New York Times. January 8, 2012.
The United States relies, accord to this opinion piece, more on the private sector to provide social services than almost every other advanced, industrial nation. This reflects a more narrow understanding of the collective responsibility to provide social goods than other nations. Porter believes that this understanding is resulting in the delivery of public goods, including health of "lower quality, distributed more inequitably and at a higher cost than if government delivered or paid for them directly. He provides evidence to support this view, including the fact that the U.S. spends 18 percent of the nation's output on health care and still leave tens of millions without adequate acces.
The United States relies, accord to this opinion piece, more on the private sector to provide social services than almost every other advanced, industrial nation. This reflects a more narrow understanding of the collective responsibility to provide social goods than other nations. Porter believes that this understanding is resulting in the delivery of public goods, including health of "lower quality, distributed more inequitably and at a higher cost than if government delivered or paid for them directly. He provides evidence to support this view, including the fact that the U.S. spends 18 percent of the nation's output on health care and still leave tens of millions without adequate acces.
Tuesday, January 8, 2013
Health Care Executives Included in Best CEOS List
100; The Best-Performing CEOs In The World by Morten T. Hansen, Herminia Ibarra, and Urs Peyer. Harvard Business Review. January-February 2013.
Among the health care executives listed are John C. Martin of Gilead Sciences, Lars Rebein Sorensen of Novo Nordisk, David E. I. Pyott of Allergan, John Rowe of Aetna, George Paz of Express Scripts, David B. Snow Jr. of Medco Health Solutions, B. David Yost of AmerisourceBergen United States, Kenneth W. Freeman of Quest Diagnostics United Sates, Thomas P. Mac Mahon of Laboratory Corp. of America Holdings United States.
Beta Blockers May Reduce Dementia As Well As Blood Pressure
Blood Pressure Drugs May Also Reduce Dementia Risk by Janice Lloyd. USA Today. January 7, 2013.
These findings were presented at the American Academy of Neurology's annual meeting in March. While those treated by anti-hypertensives were found to have fewer signs of small strokes, signs of Alzheimer's, and less brain atrophy, a expert quoted in the article sees the need for randomized trails to test the association between hypertension treatments and dementia.
These findings were presented at the American Academy of Neurology's annual meeting in March. While those treated by anti-hypertensives were found to have fewer signs of small strokes, signs of Alzheimer's, and less brain atrophy, a expert quoted in the article sees the need for randomized trails to test the association between hypertension treatments and dementia.
Key Hospital Fee At Contention In New Georgia Legislative Session
New Medicaid Debate: Hospital 'Bed Tax' Renewal by Misty Williams. The Atlanta Journal-Constitution. January 8, 2013.
A fee or "tax" on Georgia hospitals' revenue enables the state to draw down approximately S500 million in federal Medicaid dollars. These dollars are then distributed to Georgia hospitals based upon the extent to which they serve low-income patients. The law is slated to expire in June. With expiration, there would be a damaging hole in a financial support structure of health care in Georgia. This fee is a key issue in the upcoming Georgia legislative session.
A fee or "tax" on Georgia hospitals' revenue enables the state to draw down approximately S500 million in federal Medicaid dollars. These dollars are then distributed to Georgia hospitals based upon the extent to which they serve low-income patients. The law is slated to expire in June. With expiration, there would be a damaging hole in a financial support structure of health care in Georgia. This fee is a key issue in the upcoming Georgia legislative session.
Monday, January 7, 2013
States Report Card for Mental Health Care
State Report Card on Mental Health Care by Liz Szabo. USA Today. January 7, 2013.
The overall U.S. grade is D according to The National Alliance on Mental Illness assessment of mental health services. Each state is judged according to "Innovations" and "Challenges." Among the more common innovations are "crisis intervention teams" to deal with mental health incidents, programs for veterans, telemedicine for mental health, and housing.
The overall U.S. grade is D according to The National Alliance on Mental Illness assessment of mental health services. Each state is judged according to "Innovations" and "Challenges." Among the more common innovations are "crisis intervention teams" to deal with mental health incidents, programs for veterans, telemedicine for mental health, and housing.
Lobbying Muscle, Savvy, Shield Hospitals From Some, But Not All, Fiscal Cliff Cuts
Hospitals Flex Lobbying Muscle To Bypass Some Cuts by Jennifer Haberkorn. Politico. January 7, 2013.
Avoided were cuts aimed at equalizing the differential between outpatient and in-hospital services, cuts to graduate medical education, and cuts to subsidize bad debts. Not avoided were cuts for reimbursements for disputed (by the hospitals) coding overcharges, and aid to help hospitals who treat many uninsured patients. The strategies employed by the hospitals and economic sources of hospital power (employment, effective hospital organizations, coordinated efforts, a hospital in every congressional district) are presented here.
Avoided were cuts aimed at equalizing the differential between outpatient and in-hospital services, cuts to graduate medical education, and cuts to subsidize bad debts. Not avoided were cuts for reimbursements for disputed (by the hospitals) coding overcharges, and aid to help hospitals who treat many uninsured patients. The strategies employed by the hospitals and economic sources of hospital power (employment, effective hospital organizations, coordinated efforts, a hospital in every congressional district) are presented here.
Most Frequently Used Diabetes Drug's Action Finally Explained After 50 Years of Use
Most -Used Diabetes Drug Works In a Different Way Than Previously Thought. Science Daily. January 6, 2012.
One of the classes of drugs used to control overactive glucose production in diabetes, biguanides, has been in use for over 50 years. The most popular drug in the class is metformin. However, the mechanism by which metformin decreases of production of glucose by the liver has not been completely understood until a research article in Nature which is reported on here. By more completely understanding the drug action of metformin, the authors of the study surmise that new drugs could be developed that focus on different cellular targets and therefore avoid some of the side effects of metformin.
One of the classes of drugs used to control overactive glucose production in diabetes, biguanides, has been in use for over 50 years. The most popular drug in the class is metformin. However, the mechanism by which metformin decreases of production of glucose by the liver has not been completely understood until a research article in Nature which is reported on here. By more completely understanding the drug action of metformin, the authors of the study surmise that new drugs could be developed that focus on different cellular targets and therefore avoid some of the side effects of metformin.
Sunday, January 6, 2013
Increased Interest In Hospital-Based Massage Practice
Help For Hospital-Based Therapy by Tracy Walton. Massage Today. January 2013.
This is basically a resource list for massage therapists who want to work in a hospital setting from the American Massage Therapy Association, the Hospital-Based Massage Network and others.
This is basically a resource list for massage therapists who want to work in a hospital setting from the American Massage Therapy Association, the Hospital-Based Massage Network and others.
Could Epidemiological Techniques Be Used To Show a Relationship Between Lead Exposure and Crime?
America's Real Criminal Element: Lead by Kevin Drum. Mother Jones. January/February 2013.
Kevin Drum uses a method to categorizing epidemics employed by a professor of economic and government at the University of North Carolina-Chapel Hill to provide a possible framework for understanding crime trends from the 60's to the 90's. The framework is basically this as presented in the article: If the epidemic spreads along communications lines the cause is information; If it spreads along transportation lines, the cause is microbial; If it spreads out like a fan, the cause is an insect; If the epidemic occurs everywhere, the cause is a molecule. Drum then goes on to build a case that the molecule linked to crime outbreak is lead. Of course, a major concern of such an effort would be to insure that correlation is not confused with causality. The significance of this article is that it is a case study of an application of traditional epidemiological techniques to a broader class of problems.
Kevin Drum uses a method to categorizing epidemics employed by a professor of economic and government at the University of North Carolina-Chapel Hill to provide a possible framework for understanding crime trends from the 60's to the 90's. The framework is basically this as presented in the article: If the epidemic spreads along communications lines the cause is information; If it spreads along transportation lines, the cause is microbial; If it spreads out like a fan, the cause is an insect; If the epidemic occurs everywhere, the cause is a molecule. Drum then goes on to build a case that the molecule linked to crime outbreak is lead. Of course, a major concern of such an effort would be to insure that correlation is not confused with causality. The significance of this article is that it is a case study of an application of traditional epidemiological techniques to a broader class of problems.
Poll: Few Are Aware Of the Full Range Of Health Problems Associated with Obesity
Poll: Few People Know Obesity Can Cause More Harm To Health Than Just Heart Disease, Diabetes by Associated Press. Washington Post. January 6, 2013.
The poll showed little awareness of the impacts of obesity on cancer, arthritis, sleep apnea, and infertility. High blood pressures and strokes were fairly low on the list of impacts. Also, even though government figures show that two-thirds of U.S. adults are overweight, about half of people think their weight is about right.
The poll showed little awareness of the impacts of obesity on cancer, arthritis, sleep apnea, and infertility. High blood pressures and strokes were fairly low on the list of impacts. Also, even though government figures show that two-thirds of U.S. adults are overweight, about half of people think their weight is about right.
CDC Report that 22 Million Women May Have Undergone Unnecessary Cervical Cancer Screening Provokes Discussion
What's Going On With Cervical Cancer Screening In US? by Zosia Chusiecka. Medscape Medical News. January 4, 2012.
The CDC report that 22 million women may have undergone unnecessary cervical cancer screening has provoked a discussion of the data itself. There is evidence that women of all ages are not fully cognizant of what a Pap test is, confusing any pelvic examination with the test therefore an over-reporting. Since the CDC data was based upon self-reporting this confusion could be crucial. Also CDC reports that women have received PAP tests after hysterectomy, a procedure specifically discouraged in the guidelines of major organizations. Also cited as a possible reason for excessive testing was confusion about what was needed to detect human papilloma virus. The costs of unnecessary testing could be substantial.
The CDC report that 22 million women may have undergone unnecessary cervical cancer screening has provoked a discussion of the data itself. There is evidence that women of all ages are not fully cognizant of what a Pap test is, confusing any pelvic examination with the test therefore an over-reporting. Since the CDC data was based upon self-reporting this confusion could be crucial. Also CDC reports that women have received PAP tests after hysterectomy, a procedure specifically discouraged in the guidelines of major organizations. Also cited as a possible reason for excessive testing was confusion about what was needed to detect human papilloma virus. The costs of unnecessary testing could be substantial.
Saturday, January 5, 2013
Exercise, Cut In Fat May Have Saved Ancient Egyptian Princess From Heart Disease
Egyptian Princess Mummy Had Oldest Known Heart Disease by James Owen. National Geographic Magazine. April 15, 2011.
An Egyptian princess lived 3,500 years ago and is the earliest known sufferer of atherosclerosis. Her along with about half of other mummies in the Egyptian Museum in Cairo show signs of the disease. Among the possible causes include a pampered and sedentary lifestyle, consumption of meat, and diabetes. Genetics could also be a contributing factor.
An Egyptian princess lived 3,500 years ago and is the earliest known sufferer of atherosclerosis. Her along with about half of other mummies in the Egyptian Museum in Cairo show signs of the disease. Among the possible causes include a pampered and sedentary lifestyle, consumption of meat, and diabetes. Genetics could also be a contributing factor.
The Vast World of Smallness
Small, Small World by Nathan Wolfe. National Geographic. January 2013.
This short article with marvelous photographs presents our emerging appreciation of the role on microbes in our world and in our bodies. Some interesting facts: The number of phages, bacteria-infecting viruses, inhabiting our body numbers in the trillions; About three pounds of microbes inhabit our bodies; With so many microbes in us, we are both an organism and a densely populated ecosystem; There are 7, 947 species of microbes on our tongue; Only 1 in 10 cells in the body is human. We are only beginning to understand the roles of microbes in our health.
This short article with marvelous photographs presents our emerging appreciation of the role on microbes in our world and in our bodies. Some interesting facts: The number of phages, bacteria-infecting viruses, inhabiting our body numbers in the trillions; About three pounds of microbes inhabit our bodies; With so many microbes in us, we are both an organism and a densely populated ecosystem; There are 7, 947 species of microbes on our tongue; Only 1 in 10 cells in the body is human. We are only beginning to understand the roles of microbes in our health.
Experts Address Controversial New Report On Obesity: Even A Little Overweight Presents Hazards
Experts Weigh In On the Dangers Of Extra Pounds by Nanci Hellmich. USA Today. January 4, 2013.
The director of the Centers For Disease Control and Prevention and the chair of the nutrition department at the Harvard School of Public Health address a report this week from the National Center for Health Statistics. They address the limitations of the statistical analysis of the report including the limitations of using BMI as means to understand death rates. The CDC director points out that waist circumference and skin-fold thickness may be more accurate for some types of analysis. The Harvard representative points to numerous methodological and sampling issues with the study calling it "rubbish."
The director of the Centers For Disease Control and Prevention and the chair of the nutrition department at the Harvard School of Public Health address a report this week from the National Center for Health Statistics. They address the limitations of the statistical analysis of the report including the limitations of using BMI as means to understand death rates. The CDC director points out that waist circumference and skin-fold thickness may be more accurate for some types of analysis. The Harvard representative points to numerous methodological and sampling issues with the study calling it "rubbish."
Spanish Research Team Develops Vaccine That Temporarily Brakes HIV
Scientists Say Vaccine Temporarily Brakes HIV. AFP. January 4, 2012.
While the results of the vaccine declined over time, the research team at Barcelona University's Hospital Clinic, said that the results were the best yet recorded for such a treatment. After 12 weeks of the trial, the HIV load dropped by more than 90 among 12 of the 22 patients who receive the vaccine. The basic approach of the vaccine was to instruct the immune system to learn to destroy the virus.
While the results of the vaccine declined over time, the research team at Barcelona University's Hospital Clinic, said that the results were the best yet recorded for such a treatment. After 12 weeks of the trial, the HIV load dropped by more than 90 among 12 of the 22 patients who receive the vaccine. The basic approach of the vaccine was to instruct the immune system to learn to destroy the virus.
Friday, January 4, 2013
Coding System Controversy Leads To Hospital Funding Reductions in Fiscal Cliff Deal
Behind The Fiscal Cliff Deal, A Prolonged Hospital Finance Fight by Jordan Rau. Kaiser Health News. January 3, 2013.
Reductions to hospitals in the fiscal cliff deal may total $15 billion over a decade. As a result of a 2007 change in the way hospitals submit bills for Medicare patients, there has resulted a running controversy about whether hospitals were overcharging Medicare. The 2007 coding system made it easier for hospitals to more specifically describe their level of service to patients. The Centers for Medicare & Medicaid Services studied trends in billing and determined that there was indeed substantial overbilling. The fiscal cliff legislation allows Medicare to recoup overpayments made between 2010 and 2012. The proceeds of the recovery will be used to meet scheduled cuts to payments to doctors who treat Medicare patients. In addition, the fiscal cliff deal extends until 2022 ACA reductions in payments for hospitals that treat large number of uninsured/poor patients.
Reductions to hospitals in the fiscal cliff deal may total $15 billion over a decade. As a result of a 2007 change in the way hospitals submit bills for Medicare patients, there has resulted a running controversy about whether hospitals were overcharging Medicare. The 2007 coding system made it easier for hospitals to more specifically describe their level of service to patients. The Centers for Medicare & Medicaid Services studied trends in billing and determined that there was indeed substantial overbilling. The fiscal cliff legislation allows Medicare to recoup overpayments made between 2010 and 2012. The proceeds of the recovery will be used to meet scheduled cuts to payments to doctors who treat Medicare patients. In addition, the fiscal cliff deal extends until 2022 ACA reductions in payments for hospitals that treat large number of uninsured/poor patients.
Membership Financed Medical Practice In Duluth: An Alternative To Insurance
Insurance-free Doctor Prefers Quality Over Quantity by Keith Farmer. Gwinnett Daily Post. January 4, 2013.
This profile of a Gwinnett County physician provides key facts about his practice and highlights what the physician sees as advantages of the membership approach to primary care. Charges include $35 per month membership and $15 per visit fee for members. Appointments are scheduled for 45 minutes per patient and overhead for the practice is low. There are only two employees, the physician and a receptionist.
This profile of a Gwinnett County physician provides key facts about his practice and highlights what the physician sees as advantages of the membership approach to primary care. Charges include $35 per month membership and $15 per visit fee for members. Appointments are scheduled for 45 minutes per patient and overhead for the practice is low. There are only two employees, the physician and a receptionist.
Atlanta Endoscopy Firm Merges With Israeli Firm, Obtains Venture Capital Infusion
Atlanta's Medical Technology Industry Gets A Shot In the Arm by Greg Bluestein. The Atlanta Journal-Constitution. January 4, 2013.
Alpharetta-based endoscopy firm, EndoChoice, has announced plans to merge with an Israeli firm, Peer Medical Ltd. Research and design will be housed in Israel with a manufacturing facility planned for Germany. EndoChoice also has raised $43 million from the prominent silicon valley venture capital firm, Sequoia Capital. There are around 500 medical device companies in the Atlanta area employing more than 25,000.
Alpharetta-based endoscopy firm, EndoChoice, has announced plans to merge with an Israeli firm, Peer Medical Ltd. Research and design will be housed in Israel with a manufacturing facility planned for Germany. EndoChoice also has raised $43 million from the prominent silicon valley venture capital firm, Sequoia Capital. There are around 500 medical device companies in the Atlanta area employing more than 25,000.
Disease Forecasting Models Increasing Incorporate Weather
Flu? Malaria? Disease Forecasters Look To The Sky by Mike Stobbe, The Associated Press. January 3, 2013.
Increasingly weather is being incorporated into computer disease prediction models. The article cites some successes such as hantavirus and Rift Valley fever in Africa. A model that was created by Columbia University faculty is said to be able to predict the peak of the flu season up to seven weeks in advance. While there is some optimism about such models one expert said that he "wasn't sure any of them are ready for prime time."
Increasingly weather is being incorporated into computer disease prediction models. The article cites some successes such as hantavirus and Rift Valley fever in Africa. A model that was created by Columbia University faculty is said to be able to predict the peak of the flu season up to seven weeks in advance. While there is some optimism about such models one expert said that he "wasn't sure any of them are ready for prime time."
Thursday, January 3, 2013
Johns Hopkins Experiments With Robots For Infection Control
Robots Fight Superbugs In Hospitals by Christina Ortiz. Discovery News. January 3, 2012.
Johns Hopkins Hospital is experimenting with two robots in its infection control efforts to prevent the rise of superbugs. One robot sprays a light bleaching agent into a sealed room. A thin layer of hydrogen peroxide coats all the surfaces of the room. The second robot breaks down the bleaching agent into its water and oxygen components, making it non-toxic. The hospital has bought two pairs of robots after positive test results.
Johns Hopkins Hospital is experimenting with two robots in its infection control efforts to prevent the rise of superbugs. One robot sprays a light bleaching agent into a sealed room. A thin layer of hydrogen peroxide coats all the surfaces of the room. The second robot breaks down the bleaching agent into its water and oxygen components, making it non-toxic. The hospital has bought two pairs of robots after positive test results.
Hillary Clinton's Blood Clot No Barrier to Future Possibilities
Clinton's Future 'As Good As Her Past,' Docs Say by Jacque Wilson, CNN. January 3, 2013.
The article contains relevant medical information about the Secretary of State beyond a good long0-term prognosis: (1) Cerebral vein thrombosis are rare affecting 1 in every 100,000 people. (2) A person who has had a blood clot in the past will have a higher risk of getting one again. (3) For some individuals there is a genetic predisposition for clots though it is not know if this is the case with the Secretary, (4) A 2007 study found that the more a person travels the higher the risk of clots. The article contains a link about other key facts about blood clots.
The article contains relevant medical information about the Secretary of State beyond a good long0-term prognosis: (1) Cerebral vein thrombosis are rare affecting 1 in every 100,000 people. (2) A person who has had a blood clot in the past will have a higher risk of getting one again. (3) For some individuals there is a genetic predisposition for clots though it is not know if this is the case with the Secretary, (4) A 2007 study found that the more a person travels the higher the risk of clots. The article contains a link about other key facts about blood clots.
4.2 Percent of Drivers Sleeping Behind the Wheel: CDC Study
4.2 Percent of Drivers Admit to Sleeping Behind The Wheel In Past Month, CDC Study Finds by Michelle Castillo. CBS News. January 1, 2013.
2.5% of fatal crashes and 2.0% of nonfatal crashes involved drowsy driving according the the National Highway Traffic Safety Administration though officials admit that the figures could be as high as 15 to 33 percent due to data collection difficulties. The CDC estimates that 41 million workers don't get enough sleep.
2.5% of fatal crashes and 2.0% of nonfatal crashes involved drowsy driving according the the National Highway Traffic Safety Administration though officials admit that the figures could be as high as 15 to 33 percent due to data collection difficulties. The CDC estimates that 41 million workers don't get enough sleep.
Wednesday, January 2, 2013
EMR Which Do Not Include Psychiatric Medical Records May Adversely Impact Treatment
'Protecting' Psychiatric Medical Records Puts Patients at Risk of Hospitalization. Science Daily. January 2, 2012.
Among the striking points brought out in this Johns Hopkins study of the psychiatry department of 18 top hospitals is this: Patients from hospitals which did not provide full access to psychiatric records in the electronic medical records (EMR) were 40 percent less likely to be admitted in the first month after hospital discharge. The stigma associated mental illness and the desire to protect the patient may result in care and treatment issues.
Managing Two Diseases at Once: Cancer and Diabetes
Juggling Diabetes And Cancer by Anahad O'Connor. Well Blog. The New York Times. December 31 2012.
According to some estimates, as many as one in five cancer patients also has diabetes. The article explores the shared biological links, cancer treatment impacts on diabetes including chemotherapy impacts on blood sugar levels for example as well as establishing priorities in treatment. Also addressed briefly is diabetes treatment's impact on cancer.
According to some estimates, as many as one in five cancer patients also has diabetes. The article explores the shared biological links, cancer treatment impacts on diabetes including chemotherapy impacts on blood sugar levels for example as well as establishing priorities in treatment. Also addressed briefly is diabetes treatment's impact on cancer.
Study: H.I.V.-Positive Smokers Lose More Years to Tobacco Than to The Virus
Mortality: H.I.V.-Positive Smokers Lose More Years to Tobacco Than To the Virus, A Study Says by Donald G. McNeil. The New York Times. December 31, 2012.
The Danish study found that a 35-year-old H.I.V nonsmoking patient was likely to live to 78. A 35-year-old H.I.V smoking patient likely to live to 63. Both smokers and non-smokers were treated under the Danish universal health care system.
The Danish study found that a 35-year-old H.I.V nonsmoking patient was likely to live to 78. A 35-year-old H.I.V smoking patient likely to live to 63. Both smokers and non-smokers were treated under the Danish universal health care system.
Tuesday, January 1, 2013
Obesity Mortality Risk Concentrated In Most Severe Cases According to Study
Study Suggests Lower Mortality Risk For People Deemed to Be Overweight by Pam Belluck. The New York Times. January 1, 2012.
This report suggests that, in the aggregate, the risk of obesity is concentrated in the highest obesity levels, that an otherwise healthy person who is overweight is at less risk and is not more likely to die than normal-weight people. The article points to indicators of poor health (cholesterol levels, blood pressure, and blood sugar) that in combination with overweight point to need to lose weight. Location of the pounds could be important with fat inside the belly worse than say fat on the thighs. An expert interviewed suggested that, in the light of this and other studies, the body mass index (BMI) is not a complete measure of health.
This report suggests that, in the aggregate, the risk of obesity is concentrated in the highest obesity levels, that an otherwise healthy person who is overweight is at less risk and is not more likely to die than normal-weight people. The article points to indicators of poor health (cholesterol levels, blood pressure, and blood sugar) that in combination with overweight point to need to lose weight. Location of the pounds could be important with fat inside the belly worse than say fat on the thighs. An expert interviewed suggested that, in the light of this and other studies, the body mass index (BMI) is not a complete measure of health.
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