Gallup Healthways Well-Being Index for 2012. This survey is a partnership of the polling organization and Healthways a provider of solutions to maintain and improve health.
This survey is the result of interviewing at least 500 U.S. adults every day to ascertain life evaluation, emotional health, physical health, health behaviors, work environment, and basic access. State rankings with historical data are provided. Hawaii continues in 2012 to be #1 in well-being overall. West Virginia ranks #50. Georgia is at #33.
Thursday, February 28, 2013
Five Mental Disorders Share Common Genetics
5 Psych Disorders Have Common Genetics by Michael Smith. MedPage Today. February 27, 2013.
Autism, attention deficit-hyperactivity disorder (ADHD), bipolar disorder, major depressive disorder, and schizophrenia may share single nucleotide polymorphisms in two genes involved in calcium-channel activity. The study that uncovered this link was the largest-ever genetic study of psychiatric illness. This genetic link will have an impact on the diagnostic boundaries of psychiatric diagnoses such as found in the Diagnostic and Statistical Manual of Mental Disorders.
Autism, attention deficit-hyperactivity disorder (ADHD), bipolar disorder, major depressive disorder, and schizophrenia may share single nucleotide polymorphisms in two genes involved in calcium-channel activity. The study that uncovered this link was the largest-ever genetic study of psychiatric illness. This genetic link will have an impact on the diagnostic boundaries of psychiatric diagnoses such as found in the Diagnostic and Statistical Manual of Mental Disorders.
Health Care Disparities Constitute Economic Threat To Georgia
Georgia's Unhealthy Regions Are Whole State's Responsibility by Charles Hayslett. Georgia Health News. February 26, 2013.
Among the startling statistics in this opinion piece is the fact that a seven-county area in southwest Georgia has a premature death rate 14% worse than Mississippi, the state with the worse ranking in the nation. By contrast the north metro Atlanta area has a better rate than Minnesota, the highest ranked state. Low birth rate statistics are also revealing: 14.3% for southwest Georgia; 7.6% in north metro Atlanta. The article argues for an integration of health, economic development, and educational planning to address these disparities.
Among the startling statistics in this opinion piece is the fact that a seven-county area in southwest Georgia has a premature death rate 14% worse than Mississippi, the state with the worse ranking in the nation. By contrast the north metro Atlanta area has a better rate than Minnesota, the highest ranked state. Low birth rate statistics are also revealing: 14.3% for southwest Georgia; 7.6% in north metro Atlanta. The article argues for an integration of health, economic development, and educational planning to address these disparities.
Medicare Fix: There's Time For A Prudent Solution
Medicare Needs Fixing, But Not Right Now by Eduardo Porter. The New York Times. February 26, 2013.
There is evidence that the rise in health care costs generally is losing speed. Medicare costs are rising slower with the CBO 2020 estimate $126 billion less than predicted three years ago. Prodded by Obamacare incentives, Accountable Care Organizations are seeking effectiveness and low costs. Intriguing possibilities exist for further cost decreases. The tremendous differences in costs per person by geographical area points to possible cost saves of up a third. While the costs saving possibilities will not by themselves produce all the savings needed, there is little reason to panic and adopt ill-considered steps now.
There is evidence that the rise in health care costs generally is losing speed. Medicare costs are rising slower with the CBO 2020 estimate $126 billion less than predicted three years ago. Prodded by Obamacare incentives, Accountable Care Organizations are seeking effectiveness and low costs. Intriguing possibilities exist for further cost decreases. The tremendous differences in costs per person by geographical area points to possible cost saves of up a third. While the costs saving possibilities will not by themselves produce all the savings needed, there is little reason to panic and adopt ill-considered steps now.
It's The Sugar That Causes The Metabolic Syndrome, Folks
It's The Sugar, Folks by Mark Bittman. The New York Times. February 27, 2013.
The February 27 issue of PLoS draws a direct line from the consumption of sugar to diabetes. The remarkable thing about this study is that it satisfied a standard of medical causality (dose, duration, directionality, and precedence). Significantly, Bittman points out that metabolic syndrome, not obesity, is the underlying cause of our current upswing of chronic disease. Insulin resistance, perhaps related to consumption of added sugars, is the root cause.
The February 27 issue of PLoS draws a direct line from the consumption of sugar to diabetes. The remarkable thing about this study is that it satisfied a standard of medical causality (dose, duration, directionality, and precedence). Significantly, Bittman points out that metabolic syndrome, not obesity, is the underlying cause of our current upswing of chronic disease. Insulin resistance, perhaps related to consumption of added sugars, is the root cause.
Wednesday, February 27, 2013
Cost Cutting Is The Agenda For Hospitals With Or Without Sequestration
6 Key Observations On Sequestration and Hospitals by Jim McLaughlin. Beckers Hospital Review. February 27 2013.
This summary of recommendations from Huron Consulting Group contains some startling recommendations, such as that hospitals should reduce their cost structure 20-40% with or without sequestration. Perhaps even more startling is the proposal that hospitals be able to make margins on Medicare reimbursements, which many hospitals view as impossibly low.
Metastatic Breast Cancer Rising In Patients Younger Than 40, Though Numbers Remain Small
Metastatic Breast Cancer Rising In Patients Younger Than 40 by Dr. Sanjay Gupta. CNN The Chart Blog. February 26, 2013.
For unknown reasons, women in all races and ethnicities, from both rural and urban areas, have seen a 2% rise in metastatic breast cancer every year from 1976 to 2009.
For unknown reasons, women in all races and ethnicities, from both rural and urban areas, have seen a 2% rise in metastatic breast cancer every year from 1976 to 2009.
Security Flaws At CDC Bioterror Laboratories
CDC Bioterror Labs Cited For Security Flaws In Audits by Alison Young, USA TODAY. February 26, 2013.
A location of focus is the Atlanta campus which was subject of press reports last summer focused on unlocked security doors and issues with airflow systems. The HHS Inspector general cited lack of physical security of bioterror agents and access control procedures.
A location of focus is the Atlanta campus which was subject of press reports last summer focused on unlocked security doors and issues with airflow systems. The HHS Inspector general cited lack of physical security of bioterror agents and access control procedures.
Biotech Drugs Still Won't Copy by Christopher Weaver, Jeanne Whalen and Jonathan D. Rockoff. The Wall Street Journal. February 26, 2013.
Conventional drugs can be duplicated by reproducing the formula. Biotech drugs are products of living cells with altered DNA and are more difficult to reproduce. The difference between conventional and biotech has significance when patent protection of a drug expires and when generics move into the gap. While generics of conventional drugs are identical to the original, the similarity of the generics of biotech drugs is more difficult to assess. The article present issues involved in biosimilar drugs, or the generic equivalent of the biotech drugs.
Conventional drugs can be duplicated by reproducing the formula. Biotech drugs are products of living cells with altered DNA and are more difficult to reproduce. The difference between conventional and biotech has significance when patent protection of a drug expires and when generics move into the gap. While generics of conventional drugs are identical to the original, the similarity of the generics of biotech drugs is more difficult to assess. The article present issues involved in biosimilar drugs, or the generic equivalent of the biotech drugs.
When Diet Meets Delicious
When Diet Meets Delicious by Mark Bittman. The New York Times. February 26, 2013.
Bittman's comments provide context to the recent findings of the benefits of the "Mediterranean" diet, the essence of which is inclusion of healthful fat, vegetables, fruits, legumes, and beneficial, or less harmful, animal products. Bittman acknowledges the criticism of the findings, produced by Spanish researchers, by Dean Ornish who has developed a low-fat diet aimed at reversing heart disease. Ornish concedes that while the Mediterranean diet is better than what most people consume there is no evidence that it reverses heart disease. His low-fat diet, Bittman points out, has demonstrated the ability to do just that.
Bittman's comments provide context to the recent findings of the benefits of the "Mediterranean" diet, the essence of which is inclusion of healthful fat, vegetables, fruits, legumes, and beneficial, or less harmful, animal products. Bittman acknowledges the criticism of the findings, produced by Spanish researchers, by Dean Ornish who has developed a low-fat diet aimed at reversing heart disease. Ornish concedes that while the Mediterranean diet is better than what most people consume there is no evidence that it reverses heart disease. His low-fat diet, Bittman points out, has demonstrated the ability to do just that.
Tuesday, February 26, 2013
Nurse Practitioners Seek New Opportunities To Care For Obamacare's Newly Insured
Nurse Practitioners Push To Help Care For Health Law's Newly Insured by Alvin Tran. February 20 2013.
This interview with the CEO of the American Association of Nurse Practitioners addresses issues including restrictive state laws on physician supervision of nurse practitioners, scope of practice concerns of physicians, Medicare reimbursement rates for services, and the increased demand for primary care as a result of implementation of the ACA.
This interview with the CEO of the American Association of Nurse Practitioners addresses issues including restrictive state laws on physician supervision of nurse practitioners, scope of practice concerns of physicians, Medicare reimbursement rates for services, and the increased demand for primary care as a result of implementation of the ACA.
Enhanced Wound Healing The Aim Of Bio-mimicry Discovery
Scientists Develop New Therapeutics That Could Accelerate Wound Healing. Medical Xpress. February 20, 2013.
The growth factor involved in natural wound-healing is unstable outside the body thus limited efforts to use it to speed wound healing. To stabilize the factor scientists have learned how to mimic the complex sugar to which it naturally binds. One possible use of this discovery is with diabetes sufferers whose wounds often heal slowly.
The growth factor involved in natural wound-healing is unstable outside the body thus limited efforts to use it to speed wound healing. To stabilize the factor scientists have learned how to mimic the complex sugar to which it naturally binds. One possible use of this discovery is with diabetes sufferers whose wounds often heal slowly.
Lower Income Patients Often Lack Electronic Health Communication Access in Clinics
Electronic Health Communications Often Unavailable To Lower Income Patients. MedicalXpress. February 26, 2013.
While low income patients may use various electronic communications technologies in their daily lives, they may find the "safety net" clinics they frequent lacking a patient portal or secure messaging. This study was focused on San Francisco and the diverse patient mix there. There is little research of interest among lower income individuals nationally. While electronic communications is becoming the norm in well-resourced settings, there should, according to the researcher, an effort to implement electronic communications in low-income settings.
While low income patients may use various electronic communications technologies in their daily lives, they may find the "safety net" clinics they frequent lacking a patient portal or secure messaging. This study was focused on San Francisco and the diverse patient mix there. There is little research of interest among lower income individuals nationally. While electronic communications is becoming the norm in well-resourced settings, there should, according to the researcher, an effort to implement electronic communications in low-income settings.
Study Points To Possible Gene Disruption From Lack Of Sleep
Sleep Deprivation May Disrupt Your Genes by Randy Dotinga. U.S. News. Feruary 25, 2013.
The study size is small and results are tentative and incomplete. However, there seems to be indications of a correlation between less active genes and lack of sleep.
The study size is small and results are tentative and incomplete. However, there seems to be indications of a correlation between less active genes and lack of sleep.
Second Largest Cancer Research Funding Source Under Investigation For Political Favoritism
Perry's Texas Cancer Fund Mired In Pay-To-Play Claims by Darrell Preston. Bloomberg. February 25, 2013.
The Cancer Prevention and Research Institute of Texas touts itself as the second-largest funding source for cancer research after the U.S. government. Among the allegations under review is a $11 million grant given, without scientific review, to a major campaign contributor of the Texas governor, lieutenant governor, and speaker of the Texas house.
The Cancer Prevention and Research Institute of Texas touts itself as the second-largest funding source for cancer research after the U.S. government. Among the allegations under review is a $11 million grant given, without scientific review, to a major campaign contributor of the Texas governor, lieutenant governor, and speaker of the Texas house.
Monday, February 25, 2013
Number of Men Nurses Increases
Report: More Men Entering Nursing Profession. USA TODAY. February 25, 2013.
While the proportion of male registered nurses rose from 2.7% in 1970 to 9.6% in 2011, men, on average earned more, $60.700 a year for men and $51,100 for women. Though the article did not draw this conclusion, this disparity could result in part from the fact that men represent 41% of nurse anesthetists, a relatively high-paying speciality.
While the proportion of male registered nurses rose from 2.7% in 1970 to 9.6% in 2011, men, on average earned more, $60.700 a year for men and $51,100 for women. Though the article did not draw this conclusion, this disparity could result in part from the fact that men represent 41% of nurse anesthetists, a relatively high-paying speciality.
Specialized Market For Bloodless Lung Transplants Produce Broader Applications
"Bloodless" Lung Transplants Offer Hint At Surgery's Future by Kevin Hack. The New York Time. February 24, 2013.
To accomodate the religious beliefs of Jehovah's Witness, surgeons are refining techniques for transplants that do not require blood transfusions. These techniques are beginning to have a measurable impact on blood usage.
To accomodate the religious beliefs of Jehovah's Witness, surgeons are refining techniques for transplants that do not require blood transfusions. These techniques are beginning to have a measurable impact on blood usage.
Political Dispute Halts Consideration of Important Health Care Workforce Issues
Panel On Health Care Work Force, Lacking A Budget, Is Left Waiting by Robert Pear. The New York Times. February 24, 2013.
Medical and health care workforce issues are important in light of changing demographics and the implementation of the Affordable Care Act. To confront these issues the health care law established a 15 member commission to address such issues as physician supply and enhanced use of professionals such as physician assistants. However, due to continuing resistance by Republicans to funding anything to facilitate the implementation of the ACA, the commission has not met. Indeed, according to the article, members are not to have contact with each other, in the absence of funding.
Medical and health care workforce issues are important in light of changing demographics and the implementation of the Affordable Care Act. To confront these issues the health care law established a 15 member commission to address such issues as physician supply and enhanced use of professionals such as physician assistants. However, due to continuing resistance by Republicans to funding anything to facilitate the implementation of the ACA, the commission has not met. Indeed, according to the article, members are not to have contact with each other, in the absence of funding.
Mediterranean Diet Study Points To Prevention Of Heart Disease and Stroke
Mediterranean Diet Can Ward Off Heart Disease: Study by Genevra Pittman. Reuters. February 25, 2013.
This study is notable for size and length. 7,500 people with cardiovascular risks were examined over 5 years. It was the first randomized trial of any diet pattern to show benefit to those initially without heart disease. The researchers found that no single ingredient was the secret to the success of the diet. It was instead, a blend of what is eaten and what is not eaten.
This study is notable for size and length. 7,500 people with cardiovascular risks were examined over 5 years. It was the first randomized trial of any diet pattern to show benefit to those initially without heart disease. The researchers found that no single ingredient was the secret to the success of the diet. It was instead, a blend of what is eaten and what is not eaten.
Sunday, February 24, 2013
Bitter Pill: Why Medical Bills Are Killing Us
Bitter Pill: Why Medical Bills Are Killing Us by Steven Brill. Time. February 20, 2013.
This article addresses the basic question: Why exactly are the bills so high?
A nice summary of the basic points of the article can be found here:
Steven Brill's 26,000-word Health Care Story, In One Sentence by Sarah Kliff. Wonkblog. The Washington Post. February 23, 2013.
This article addresses the basic question: Why exactly are the bills so high?
A nice summary of the basic points of the article can be found here:
Steven Brill's 26,000-word Health Care Story, In One Sentence by Sarah Kliff. Wonkblog. The Washington Post. February 23, 2013.
Iowa Farmer Argues For Health Care
Health Care Is About Care, Not Politics by Alan Guebert. WCFCourier.com. February 24, 2013.
The author cites a finding by the Urban Institute that "if all 50 states adopt the expanded Medicaid program their collective, 10-year cost would be $26 billion to $52 billion less than if all remained in today's Medicaid program for just the next five years."
The author cites a finding by the Urban Institute that "if all 50 states adopt the expanded Medicaid program their collective, 10-year cost would be $26 billion to $52 billion less than if all remained in today's Medicaid program for just the next five years."
Unique Los Angeles TB Strain Spurs Search For Those Exposed
Feds Try To Curb Outbreak Of TB On Skid Row by Anna Gorman and Andrew Blankstein. The Los Angeles Times. February 22, 2013.
While the outbreak has largely been concentrated in the skid row of downtown Los Angeles, public health officials are concerned it may spread. Nationally TB is spreading in the homeless even as it is declining in the broader population. Fortunately, the Los Angeles TB strain can be treated by all anti-TB medication.
While the outbreak has largely been concentrated in the skid row of downtown Los Angeles, public health officials are concerned it may spread. Nationally TB is spreading in the homeless even as it is declining in the broader population. Fortunately, the Los Angeles TB strain can be treated by all anti-TB medication.
An Expanded Circle of Victims Of Public Violence
The Price Of Public Violence by Alex Kotlowitz. Opinion. The New York Times. February 23, 2013.
Public violence has many victims beyond the direct victim including witnesses and friends of the victims. The effects are many-faceted and deep.
Public violence has many victims beyond the direct victim including witnesses and friends of the victims. The effects are many-faceted and deep.
Celiac Disease As A System: Gluten, Genes, Environment, Microbes, Breast Feeding
Who Has The Guts For Gluten by Moises Velasquez-Manoff. The New York Times. February 23, 2013.
While the article does not mention "systems perspective," this is, in fact what is presented as the evolving perspective on the disease. The gluten protein plays a part mediated by genetics, gut microbes, environmental conditions, and breast feeding. A key concept: "Such complexity both confounds notions of one-way causality and suggests different paths to the same disease," a disease which has quadrupled in the last 50 years in the United States.
While the article does not mention "systems perspective," this is, in fact what is presented as the evolving perspective on the disease. The gluten protein plays a part mediated by genetics, gut microbes, environmental conditions, and breast feeding. A key concept: "Such complexity both confounds notions of one-way causality and suggests different paths to the same disease," a disease which has quadrupled in the last 50 years in the United States.
Saturday, February 23, 2013
Transforming Medicine While Producing Middle Class Jobs In the Process
The Robot Will See You Now by Jonathan Cohn. Atlantic Magazine. March 2013.
Among the insights of this article is the possibility that healthcare technology, in contrast with other industries, will result in expanded mid-level employment. Implementation of technology in other industries hollowed out mid-level employment. In healthcare such occupations as physician assistant, nurse practitioner etc could, under this scenario flourish while the role of physician will evolve toward more of a "super-quality-control officer."
Among the insights of this article is the possibility that healthcare technology, in contrast with other industries, will result in expanded mid-level employment. Implementation of technology in other industries hollowed out mid-level employment. In healthcare such occupations as physician assistant, nurse practitioner etc could, under this scenario flourish while the role of physician will evolve toward more of a "super-quality-control officer."
FutureMed Site Offers Exposure to Events and People Shaping the Future of Medicine
FutureMed. Singularity University.
From the website: FutureMed educates, informs and prepares physicians, innovators, inventors, investors and senior healthcare executives to understand and recognize the opportunities and disruptive influences of exponentially growing technologies within medicine and healthcare, and to understand how many rapidly developing and converging fields affect the future of wellness, prevention, clinical practice and the biomedical industry.
From the website: FutureMed educates, informs and prepares physicians, innovators, inventors, investors and senior healthcare executives to understand and recognize the opportunities and disruptive influences of exponentially growing technologies within medicine and healthcare, and to understand how many rapidly developing and converging fields affect the future of wellness, prevention, clinical practice and the biomedical industry.
Executives Of Georgia Firm Indicted For Adulterated Food, Fraud, And Conspiracy
Peanut Corporation Of America Executives Indicted by Kathy Will. Food Poisoning Bulletin. February 23, 2013.
Among the charges presented in the article the fabrication of certificates of laboratory analysis for adulterated peanuts.
Among the charges presented in the article the fabrication of certificates of laboratory analysis for adulterated peanuts.
Hospital Settles Lawsuit For Honoring Request For Racial Bias In Care
Hospital Settles Nurse's Discrimination Suit by Robin Erb. The USA TODAY. February 22, 2013.
A Michigan teaching hospital initially honored the request of a swastika-tatooed man that African-American nurses not take care of his newborn and was sued by two nurses.
A Michigan teaching hospital initially honored the request of a swastika-tatooed man that African-American nurses not take care of his newborn and was sued by two nurses.
For Paid Family Leave, U.S. Ranks with Liberia, Suriname, and Papua New Guinea
In Paid Family Leave, U.S. Trails Most Of The Globe by Tara Siegel Bernard. The New Yrok Times. February 22, 2013.
In the article a public health expert points to lower infant mortality rates and lower illness and hospitalization due to increased breast feeding as a result of maternity leave. It also points out that most generous American companies' leave programs compare poorly with the 31 countries that provide a year or more of paid maternity leave, typically through government-run insurance.
In the article a public health expert points to lower infant mortality rates and lower illness and hospitalization due to increased breast feeding as a result of maternity leave. It also points out that most generous American companies' leave programs compare poorly with the 31 countries that provide a year or more of paid maternity leave, typically through government-run insurance.
Friday, February 22, 2013
Opinion Piece: Fluorescent Mosquitoes As A Way To Combat Dengue Fever
Dengue Fever Vs. Glowing Mosquitoes by Marc Zimmer. USA TODAY. February 21, 2013.
Dengue Fever is slowly spreading into the United States. Worldwide, it is 20 times more common than the flu and is, according to the World Health Organization, the "fastest spreading vector-borne viral disease."
Zimmer advocates using genetically modified mosquitoes which produce larvae that glow allowing scientists to track them. While he recognizes the trade-offs involved in adopting approach, he believes that the time for a decision is approaching.
Dengue Fever is slowly spreading into the United States. Worldwide, it is 20 times more common than the flu and is, according to the World Health Organization, the "fastest spreading vector-borne viral disease."
Zimmer advocates using genetically modified mosquitoes which produce larvae that glow allowing scientists to track them. While he recognizes the trade-offs involved in adopting approach, he believes that the time for a decision is approaching.
JAMA: Benefits Of Robotic Surgery for Hysterectomies Questioned
Study Raises Doubts Over Robotic Surgery by Melinda Beck. The Wall Street Journal. February 19, 2013.
The study found that robotic hysterectomies cost one-third more than other minimally invasive surgery with little aded benefit. Laparoscopic hysterectomies, also a minimally invasive technique, costs less. The head of Intuitive Surgical, the maker of the the da Vinci robotic system, in effect questioned the premise of the study saying that da Vinci was not to compete with laparoscopy but was purposed to provide access to minimally invasive surgery to women for whom laparoscopic procedures do not work as well.
The study found that robotic hysterectomies cost one-third more than other minimally invasive surgery with little aded benefit. Laparoscopic hysterectomies, also a minimally invasive technique, costs less. The head of Intuitive Surgical, the maker of the the da Vinci robotic system, in effect questioned the premise of the study saying that da Vinci was not to compete with laparoscopy but was purposed to provide access to minimally invasive surgery to women for whom laparoscopic procedures do not work as well.
Georgia Republicans Debate Medicaid Expansion
Republicans Debate Medicaid Expansion, moderated by Tom Sabulis. The Atlanta Journal-Constitution.
The participants in this debate are Jack Bernard, a former healthcare executive, Paul Broun, Representative of the 10th congressional district of Georgia, and Charlie Bethel, a Georgia State Representative.
Bernard argues in favor of extension based upon the belief that "the mark of a great nation is how it takes care of the less fortunate."
Broun argues that the needs of Georgia citizens require saying no to Medicaid expansion and a state healthcare exchange. He argues in favor of a bill he has cosponsored to freeze Medicaid and Children's Health Insurance Program spending and convert Medicaid into a block grant program though he does not discuss the prospects of his legislation being enacted into law.
Representative Bethel makes the case that Georgia cannot afford expansion using a projected cost to the state of Georgia of $4.5 billion over a 10 year period. He does not address the recent conclusion of a Georgia State University economist that the benefits of expansion could be $40 billion over that same time period.
The participants in this debate are Jack Bernard, a former healthcare executive, Paul Broun, Representative of the 10th congressional district of Georgia, and Charlie Bethel, a Georgia State Representative.
Bernard argues in favor of extension based upon the belief that "the mark of a great nation is how it takes care of the less fortunate."
Broun argues that the needs of Georgia citizens require saying no to Medicaid expansion and a state healthcare exchange. He argues in favor of a bill he has cosponsored to freeze Medicaid and Children's Health Insurance Program spending and convert Medicaid into a block grant program though he does not discuss the prospects of his legislation being enacted into law.
Representative Bethel makes the case that Georgia cannot afford expansion using a projected cost to the state of Georgia of $4.5 billion over a 10 year period. He does not address the recent conclusion of a Georgia State University economist that the benefits of expansion could be $40 billion over that same time period.
Thursday, February 21, 2013
New Guidelines For Genetic Testing In Children
New Guidelines For Genetic Testing In Children by Bonnie Rochman. Time. February 21, 2013.
The American Academy of Pediatrics (AAP) and the American College of Medical Genetics and Genomics have produced a joint statement of recommendations for how physicians should deal with this rapidly evolving area. First of all, they recommend that testing only be done when it would serve the medical best interest of the child. The nuances of "best interest" are discussed as well as the role of direct-to-consumer genetic testing companies such as 23andMe. An abbreviated version of the several recommendations can be found here.
The American Academy of Pediatrics (AAP) and the American College of Medical Genetics and Genomics have produced a joint statement of recommendations for how physicians should deal with this rapidly evolving area. First of all, they recommend that testing only be done when it would serve the medical best interest of the child. The nuances of "best interest" are discussed as well as the role of direct-to-consumer genetic testing companies such as 23andMe. An abbreviated version of the several recommendations can be found here.
Patient Injury Act SB 141 Introduced In Georgia Senate, Provoking Debate
Test of Georgia Senate Bill 141: Patient Injury Act; Create An Alternative Medical Malpractice Litigation
Opinion Piece: Georgia Patients Rights Under Assault by James "Jay" Sadd. The Atlanta Journal Constitution. February 21, 2013. Print or digital subscription.
The trial lawyers association president in this opinion piece presents his opposition to SB 141 as an assault on the right to trial by jury in the case of medical malpractice. He is also critical of having a panel of doctors sit in judgement of fellow doctors in cases of medical malpractice. Dismissing concerns about defensive medicine he cites the role of insurance companies in questioning unnecessary tests. According to this opinion piece the toll of preventable medical errors supports the present system.
Opinion Piece: Adopt New System For Medical Justice by Wayne Oliver. The Atlanta Journal Constitution. February 21, 2013. Print of digital subscription.
The system presented by Mr. Oliver would be similar to the one used for workers compensation claims. Under this proposed system in SB 141 a review panel of medical experts would, if appropriate, make a finding of "avoidable harm" and forward the finding to a compensation board for awards which would be no less than under the current system An advantage of this system would be that small claims for cases that might be too small for a lawyer to take would receive attention. Also, the opinion piece asserts doctors and hospitals would not be hauled into court under SB 141 and claims would be resolved quicker.
Opinion Piece: Georgia Patients Rights Under Assault by James "Jay" Sadd. The Atlanta Journal Constitution. February 21, 2013. Print or digital subscription.
The trial lawyers association president in this opinion piece presents his opposition to SB 141 as an assault on the right to trial by jury in the case of medical malpractice. He is also critical of having a panel of doctors sit in judgement of fellow doctors in cases of medical malpractice. Dismissing concerns about defensive medicine he cites the role of insurance companies in questioning unnecessary tests. According to this opinion piece the toll of preventable medical errors supports the present system.
Opinion Piece: Adopt New System For Medical Justice by Wayne Oliver. The Atlanta Journal Constitution. February 21, 2013. Print of digital subscription.
The system presented by Mr. Oliver would be similar to the one used for workers compensation claims. Under this proposed system in SB 141 a review panel of medical experts would, if appropriate, make a finding of "avoidable harm" and forward the finding to a compensation board for awards which would be no less than under the current system An advantage of this system would be that small claims for cases that might be too small for a lawyer to take would receive attention. Also, the opinion piece asserts doctors and hospitals would not be hauled into court under SB 141 and claims would be resolved quicker.
Ear Produced By 3-D Printer Could Be Ready For Humans by 2016
An Artificial Ear Built By A 3D Printer And Living Cartilage Cells. Smithsonian Magazine. February 21, 2013.
President Obama in his State of The Union address talked about the new, emerging industry of 3D printing. Cornell University scientists and engineers have built an artificial ear made of living cells, using 3D printing technology.
President Obama in his State of The Union address talked about the new, emerging industry of 3D printing. Cornell University scientists and engineers have built an artificial ear made of living cells, using 3D printing technology.
Waiver Key To Florida's Expansion Of Medicaid
Waiver In Hand, Florida's Rick Scott Backs Medicaid Expansion by Diane Webber. Kaiser Health News. February 20, 2013.
The federal government granted Florida the power to privatize Medicaid with attached conditions. With that waiver in hand, Florida Governor Rick Scott approved expansion with coverage of up to 1.5 million residents. Florida has the nation's third highest rate of residents without coverage
The federal government granted Florida the power to privatize Medicaid with attached conditions. With that waiver in hand, Florida Governor Rick Scott approved expansion with coverage of up to 1.5 million residents. Florida has the nation's third highest rate of residents without coverage
Why Governors, Including FL. Gov. Rick Scott, Are Expanding Medicaid While Passing On The Exchanges
Why Republican Governors Are Saying Yes To Medicaid, No To Obamacare's Exchanges by Sarah Kliff. Wonkblog. The Washington Post. February 21, 2013.
With the big news yesterday that Florida, pending approval from the legislature, had accepted Obamacare Medicaid expansion, another trends has become more apparent: Republican governors are more likely to accept expansion rather than a state-run exchange. The article points out that expansion has an upside--a lot of money. An exchange, on the other hand, offers governors little upside and potentially a lot of headaches. The extent of the upside is provided by the Urban Institute which estimates that expansion will bring in $952 billion in federal dollars to state Medicaid programs, if all states participated.
With the big news yesterday that Florida, pending approval from the legislature, had accepted Obamacare Medicaid expansion, another trends has become more apparent: Republican governors are more likely to accept expansion rather than a state-run exchange. The article points out that expansion has an upside--a lot of money. An exchange, on the other hand, offers governors little upside and potentially a lot of headaches. The extent of the upside is provided by the Urban Institute which estimates that expansion will bring in $952 billion in federal dollars to state Medicaid programs, if all states participated.
Wednesday, February 20, 2013
10 Categories Of Essential Health Benefits Outlined In New Obamacare Rule
New Healthcare Rule Expands Benefits For Substance Abuse, Mental Disorders by Ben Goad. The Hill. February 20, 2013.
Final Rule Issued On Required Coverage Under Health Law by Julie Appleby. Kaiser Health News. February 20 2013.
To facilitate comparison of healthcare plans on the state exchanges and provide standards for insurers the Department of Health and Human Services has produced a rule that delineates 10 "essential health benefits." Among the most significant essential items are benefits for substance abuse and mental disorders. These benefits are predicted to be expanded to 62 million Americans.
The Kaiser article specifies these essential categories of care as emergency services, maternity care, hospital and doctors' services, mental health and substance abuse, and prescription drugs.
Fast Company's Most Innovative Healthcare Companies 2013
Most Innovative Companies 2013: The World's Top 10 Most Innovative Companies In Health Care. Fast Company Staff. March 2013.
Among the winners is Proteus Digital Health for designing a method to place a sensor in pharmaceutical products to monitor by means of a smart phone the patients intake schedule and how the drug is affecting the body.
Also interesting are the companies in robotics including iRobot, a mobile communications portal and Mazor Robotics which has received FDA approval for brain procedures.
Among the winners is Proteus Digital Health for designing a method to place a sensor in pharmaceutical products to monitor by means of a smart phone the patients intake schedule and how the drug is affecting the body.
Also interesting are the companies in robotics including iRobot, a mobile communications portal and Mazor Robotics which has received FDA approval for brain procedures.
Silicon Valley Entrepreneurs Establish World's Richest Prize For Biology and Medicine
Mark Zuckerberg, Sergey Brin, Yuri Milner Create $33 Million Breakthrough Prize For Medical Research. Fast Company. February 20, 2013.
One of the winners, Cornelia I. Bargmann from Rockefeller University was so surprised by her $3 million award that she thought she was a victim of a Nigerian scam or a practical joke. The research of all 11 current winners is outlined in the article. Many of the researchers are focused on cancer. Further information about the prize can be found here.
One of the winners, Cornelia I. Bargmann from Rockefeller University was so surprised by her $3 million award that she thought she was a victim of a Nigerian scam or a practical joke. The research of all 11 current winners is outlined in the article. Many of the researchers are focused on cancer. Further information about the prize can be found here.
Medical School Professor Recounts How Medical Error Cost Him A Leg
Losing My Leg To A Medical Error by Frederick S. Southwick. The New York Times. February 19, 2013.
A professor of medicine at the University of Florida recounts the loss of his leg as a result of a medical error. He outlines some of the approaches to error reduction in medicine including learning from the efficiency and quality of manufacturing companies, as well as better coordination and communication.
A professor of medicine at the University of Florida recounts the loss of his leg as a result of a medical error. He outlines some of the approaches to error reduction in medicine including learning from the efficiency and quality of manufacturing companies, as well as better coordination and communication.
Antitrust Law Applies In Albany Hospital Ruling Of Supreme Court
A Stunning Blow To Albany Hospital Merger by Andy Miller. Georgia Health News. February 19, 2013.
Supreme Court Gives F.T.C. Win On Hospital Mergers by Andrew Pollack. The New York Times. February 19, 2013
In a unanimous decision, the Supreme Court accepted the concession of the 11th U.S. Circuit Court of Appeals that the merger of Phoebe Putney and Pamyra Hospitals in Albany, GA would lessen competition. The high court viewed this concession as determinative in light of what the Court felt was
a Georgia's lack of a "clearly articulated and affirmatively expressed" policy to hospital acquisitions that substantially lessen competition.
Supreme Court Gives F.T.C. Win On Hospital Mergers by Andrew Pollack. The New York Times. February 19, 2013
In a unanimous decision, the Supreme Court accepted the concession of the 11th U.S. Circuit Court of Appeals that the merger of Phoebe Putney and Pamyra Hospitals in Albany, GA would lessen competition. The high court viewed this concession as determinative in light of what the Court felt was
a Georgia's lack of a "clearly articulated and affirmatively expressed" policy to hospital acquisitions that substantially lessen competition.
Tuesday, February 19, 2013
Telomeres May Impact Health At All Stages Of Life
Cold Symptoms May Depend On Length Of Chromosome Cap by Nicole Ostrow. Bloomberg. February 19, 2013.
The telomere caps at the end of chromosomes may be even more important that previously thought. They have previously been correlated with aging and mortality. Now, the study discussed here presents for the first time the notion that telomere length may play a role in disease susceptibility in younger people.
The telomere caps at the end of chromosomes may be even more important that previously thought. They have previously been correlated with aging and mortality. Now, the study discussed here presents for the first time the notion that telomere length may play a role in disease susceptibility in younger people.
Hip Replacements 29% More Likely To Fail In Women Than Men
Study: Hip Implants More Likely To Fail In Women by Carla K. Johnson, Associated Press. USA TODAY. February 18, 2013.
Much is still unclear about, for example, which models work better for women. Since women have smaller joints and bones than men, the smaller femoral heads are more likely to dislocate and require repair.
Much is still unclear about, for example, which models work better for women. Since women have smaller joints and bones than men, the smaller femoral heads are more likely to dislocate and require repair.
Study of Vitamin D Found in Supplements Found Label Doesn't Match Contents
Vitamin Labels May Be Wrong by Nicholas Bakalar. The New York Times Well Blog. February 18, 2013.
Standards set by the United States Pharmacopeial Convention requires that pills contain 90 percent to 110 percent of the listed potency. The study in JAMA Internal Medicine found that the vitamin D bottles samples contained between 9 percent to 140 percent.
Standards set by the United States Pharmacopeial Convention requires that pills contain 90 percent to 110 percent of the listed potency. The study in JAMA Internal Medicine found that the vitamin D bottles samples contained between 9 percent to 140 percent.
Monday, February 18, 2013
Forbes Magazine 30 Under 30 In Science and Healthcare
30 Under 30 In Science And Healthcare. Forbes Magazine.
A fascinating collection of young people making an impact at an early age. I was struck by the work of Adrian Cheng who as developed a microscope technology for imaging the activity of thousands of cells in the brain simultaneously. This kind of work will be key to the Obama administration's efforts to create a Brain Activity Map.
A fascinating collection of young people making an impact at an early age. I was struck by the work of Adrian Cheng who as developed a microscope technology for imaging the activity of thousands of cells in the brain simultaneously. This kind of work will be key to the Obama administration's efforts to create a Brain Activity Map.
DNA Sequencing Use to Diagnose And Treat Childhood Neurological Disorders Becomes More Common
DNA Test For Rare Disorders Becomes More Routine by Gina Kolata. The New York Times. February 19, 2013.
Due to the sensitivity of brain function a defective gene is often the reason for a mystery disease especially in children. Gene sequencing is now, as a result becoming more routine. Even if no cure is available, the knowledge of the cause of the disease can help with insurance claims, special education courses, and planning for future children.
Due to the sensitivity of brain function a defective gene is often the reason for a mystery disease especially in children. Gene sequencing is now, as a result becoming more routine. Even if no cure is available, the knowledge of the cause of the disease can help with insurance claims, special education courses, and planning for future children.
Marketing Tool Or Service Alternative? Freestanding Emergency Department Engender Controversy
Benefits Seen In Solo ERs by David Markiewicz. The Atlanta Journal-Constitution. February 18, 2013. Available in print and digital subscription.
Historically FSEDs (Freestanding Emergency Departments) were intended to serve remote rural areas. However now there is a trend to building in affluent suburbs targeted by hospitals for their well-to-do and able-to-pay population. In Georgia the Department of Community Health's Certificate of Need Program must consider availability while guarding against duplication and unnecessary costs of healthcare facilities. The article reviews several cases where the Need Program has rejected hospital applications for FSEDs.
Historically FSEDs (Freestanding Emergency Departments) were intended to serve remote rural areas. However now there is a trend to building in affluent suburbs targeted by hospitals for their well-to-do and able-to-pay population. In Georgia the Department of Community Health's Certificate of Need Program must consider availability while guarding against duplication and unnecessary costs of healthcare facilities. The article reviews several cases where the Need Program has rejected hospital applications for FSEDs.
Losing Hope Of A Good Night's Sleep Is Risk Factor For Suicide: Study
Losing Hope Of A Good Night's Sleep Is Risk Factor For Suicide. Science Daily. February 14, 2013.
The study conducted by the Chairman of the Medical College of Georgia Department of Psychiatry and Health Behavior at Georgia Regents University adds hopelessness about sleep as an factor independent of other types of hopelessness as a predictor of suicidal thinking. The author of the study indicated that the risk of being suicidal at least doubles with insomnia as a symptom.
The study conducted by the Chairman of the Medical College of Georgia Department of Psychiatry and Health Behavior at Georgia Regents University adds hopelessness about sleep as an factor independent of other types of hopelessness as a predictor of suicidal thinking. The author of the study indicated that the risk of being suicidal at least doubles with insomnia as a symptom.
Brain Activity Map Project To Be Object Of Decade-Long Project
Obama Seeking To Boost Study Of Human Brain by John Markoff. The New York Times. February 17, 2013.
Seeking to replicate what the Human Genome Project did for genetics, the Obama administration is proposing a decade-long project that will have implications for diseases (Alzheimer's and Parkinson's), artificial intelligence and computers, and fundamental research. What the administration is proposing is not a static map of the brain--such a project is already underway--but a dynamic map of brain activity, the Brain Activity Map. Possible approaches to mapping brain activity include use of nanotechnology, i.e. molecule-size machines to measure and store brain activity at the cellular level
Seeking to replicate what the Human Genome Project did for genetics, the Obama administration is proposing a decade-long project that will have implications for diseases (Alzheimer's and Parkinson's), artificial intelligence and computers, and fundamental research. What the administration is proposing is not a static map of the brain--such a project is already underway--but a dynamic map of brain activity, the Brain Activity Map. Possible approaches to mapping brain activity include use of nanotechnology, i.e. molecule-size machines to measure and store brain activity at the cellular level
Sunday, February 17, 2013
Opinion Pieces Address Medical Costs
Health Care's Good News by Ezekiel J. Emanuel. The New York Times. February 14, 2013.
The rate of health care cost increases has declined for about a decade now for reasons not associated with the economic slowdown. Short-term increases in insurance premiums should also decline with the implementation of the insurance exchanges and the resulting competition. Emanuel states that now is not the time for complacency. He recommends that the 2016 Affordable Care Act target for the implementation of competitive bidding (2016) be stepped up. The success of demonstration projects underway now shows that more savings could be realized.
The Health Benefits That Cut Your Pay by David Goldman. The New York Times. January 16, 2013.
In this opinion piece, Goldman points out hidden costs of health care benefits that serve to reduce the money that could increase take-home salary. Hidden for most employees until this year is the employer share of health benefits. Then there is also Medicare contributions and general taxes and more. While conceding that the performance of single-payer systems is better than out "unique disaster," he believes there is a better way. He advocates giving insurance only for rare, major, and unpredictable illnesses. He would like to cover "everyone but not for everything." Routine and expected care would be covered from individual health savings.
The rate of health care cost increases has declined for about a decade now for reasons not associated with the economic slowdown. Short-term increases in insurance premiums should also decline with the implementation of the insurance exchanges and the resulting competition. Emanuel states that now is not the time for complacency. He recommends that the 2016 Affordable Care Act target for the implementation of competitive bidding (2016) be stepped up. The success of demonstration projects underway now shows that more savings could be realized.
The Health Benefits That Cut Your Pay by David Goldman. The New York Times. January 16, 2013.
In this opinion piece, Goldman points out hidden costs of health care benefits that serve to reduce the money that could increase take-home salary. Hidden for most employees until this year is the employer share of health benefits. Then there is also Medicare contributions and general taxes and more. While conceding that the performance of single-payer systems is better than out "unique disaster," he believes there is a better way. He advocates giving insurance only for rare, major, and unpredictable illnesses. He would like to cover "everyone but not for everything." Routine and expected care would be covered from individual health savings.
Medical Homes Offer New Model for Primary Care
Medical Homes Offer Comprehensive, Efficient Approach To Patient Care by Guy Boulton. Milwaukee Journal Sentinel. February 16, 2013.
In the patient-centered medical home concept the emphasis is on primary care and the primary care physician who provides coordination and continuity of care. The usual emphasis in such a practice is on care for chronic diseases that account for a large portion of the nation's medical expenses. Research indicates that states with more primary care physicians have lower costs and better outcomes than states with more specialists per capita. The article provides an case study of the implementation of the concept at Froedtert Health Jackson Clinic with emphasis on the medical team including nurse practitioners and physician assistants.
In the patient-centered medical home concept the emphasis is on primary care and the primary care physician who provides coordination and continuity of care. The usual emphasis in such a practice is on care for chronic diseases that account for a large portion of the nation's medical expenses. Research indicates that states with more primary care physicians have lower costs and better outcomes than states with more specialists per capita. The article provides an case study of the implementation of the concept at Froedtert Health Jackson Clinic with emphasis on the medical team including nurse practitioners and physician assistants.
Poor Stress Responses May Lead to Obesity In Children
Poor Stress Responses May Lead To Obesity In Children. Science Daily. February 14, 2013.
Cortisol release in response to stressors in the absence of hunger was associated with calories consumed and BMI. Kids with cortisol levels remained high in response to stressors had the highest BMIs and consumed the greatest number of calories.
Cortisol release in response to stressors in the absence of hunger was associated with calories consumed and BMI. Kids with cortisol levels remained high in response to stressors had the highest BMIs and consumed the greatest number of calories.
Defying Trend, NY Governor Plans Legislation To Guarantee Late-Term Abortions In Certain Cases
Cuomo Bucks Tide With Bill To Ease Limits On Abortion by Thomas Kaplan. The New York Times. February 16, 2013.
Among the significant features of this proposal, which has not been made public, is moving abortion from the states penal law and regulate it through the state's public health law. The aim of the proposed law is to allow the state law to stand alone if Roe is reversed on the national level. As predictable, opponents of abortion are perturbed while supports are delighted.
Among the significant features of this proposal, which has not been made public, is moving abortion from the states penal law and regulate it through the state's public health law. The aim of the proposed law is to allow the state law to stand alone if Roe is reversed on the national level. As predictable, opponents of abortion are perturbed while supports are delighted.
Georgia Program For Women, Infants, Children: Management Crisis
"Huge Problems" Plague Georgia WIC Program Costs Taxpayers Millions by Rhonda Cook and Shannon McCaffrey. The Atlanta Journal Constitution. February 17, 2013.
According to a federal found that Georgia WIC had a poor record in keeping costs down at stores approved to accept WIC e.g. up to $7 a gallon for milk. Another consultant found low participation, high food costs, poor management, and fraud. Computer security and systems links have also been cited as problems. Fraud rings of stores sometimes have statewide reach, with recent guilty pleas in Atlanta, Savannah, Decatur, and Barnesville. Efforts are continuing to purge fraudulent vendors from the roles.
According to a federal found that Georgia WIC had a poor record in keeping costs down at stores approved to accept WIC e.g. up to $7 a gallon for milk. Another consultant found low participation, high food costs, poor management, and fraud. Computer security and systems links have also been cited as problems. Fraud rings of stores sometimes have statewide reach, with recent guilty pleas in Atlanta, Savannah, Decatur, and Barnesville. Efforts are continuing to purge fraudulent vendors from the roles.
10 Years In Prison For Young Georgia Woman: A Tale Of Prisons and Mental Health
A Question of Justice by Bill Rankin and Carrie Teegardin. The Atlanta Journal-Constitution. February 15, 2013. (Available in print and digital subscription).
While the emphasis of the article is on the prison system and mandatory incarceration, the story of Sarah Page Dukes essentially tells the story of how a person with a mental health/drug addiction problem ended up in prison serving a mandatory 10 year sentence under Georgia's mandatory sentencing law. An interesting case study of the relationship between the criminal justice and public health systems.
While the emphasis of the article is on the prison system and mandatory incarceration, the story of Sarah Page Dukes essentially tells the story of how a person with a mental health/drug addiction problem ended up in prison serving a mandatory 10 year sentence under Georgia's mandatory sentencing law. An interesting case study of the relationship between the criminal justice and public health systems.
Saturday, February 16, 2013
Georgia Regents Medical Center's Digestive Health Center Illustrates Patient-Centered Multidisciplinary Approach
Georgia Regents Seeks $10 Million Digestive Health Center, In Retrofit by Tom Corwin. The Augusta Chronicle. February 14, 2013.
Bringing together various digestive disciplines is aimed at coordinated and comprehensive care.
Bringing together various digestive disciplines is aimed at coordinated and comprehensive care.
Alcohol Use Is Ignored Factor iIn Cancer Deaths
Alcohol Causes 20,000 Cancer Deaths In The U.S. Annually by Michelle Castillo. CBS News. February 16, 2013.
3.5 percent of all cancer deaths are caused by alcohol according to a study in the American Journal of Public Health. The World Health Organization has said that alcohol is the third largest risk factor for disease burden and that 30 percent of cancer deaths are caused by five behavioral and dietary factors: high BMI, low fruit and vegetable intake, lack of physical activity, tobacco, and alcohol use. The article has interesting mortality statistics. An abstract of the article can be found here.
3.5 percent of all cancer deaths are caused by alcohol according to a study in the American Journal of Public Health. The World Health Organization has said that alcohol is the third largest risk factor for disease burden and that 30 percent of cancer deaths are caused by five behavioral and dietary factors: high BMI, low fruit and vegetable intake, lack of physical activity, tobacco, and alcohol use. The article has interesting mortality statistics. An abstract of the article can be found here.
Drugs for Medicare/Medicaid Eligible Seniors Subject Of Obama Proposal
Uphill Road For Plan To Cut Government Drug Costs by Katie Thomas and Robert Pear. The New York Times. February 14, 2013.
While this proposal has little chance of passage due to the opposition of Republicans and the pharmaceutical industry may nevertheless have significance in future negotiations about budget cuts in Medicare and Medicaid. Since 2006, those eligible for Medicare and Medicaid received drug coverage through Medicare. The significance of this is that the rate charged by drug makers to Medicare are higher than the rate allowed by drug makers to Medicaid. President Obama proposes to have the nine million people eligible for Medicare and Medicaid covered under Medicaid, a proposal, in his view, could realize substantial savings for the government.
While this proposal has little chance of passage due to the opposition of Republicans and the pharmaceutical industry may nevertheless have significance in future negotiations about budget cuts in Medicare and Medicaid. Since 2006, those eligible for Medicare and Medicaid received drug coverage through Medicare. The significance of this is that the rate charged by drug makers to Medicare are higher than the rate allowed by drug makers to Medicaid. President Obama proposes to have the nine million people eligible for Medicare and Medicaid covered under Medicaid, a proposal, in his view, could realize substantial savings for the government.
Possible Reason Identified Explaining Why Diabetes Doubles The Risk of Dying After Heart Attack
Study Finds Possible Link Between Diabetes and Increased Risk of Heart Attack Death. Medical Express. February 15, 2013.
the possible link unearthed by University of Iowa researchers begins with oxidative stress, a product of diabetes. With oxidation-based activation of the CaMKII enzyme, the researchers belief the death risk of diabetes suffers increases as indicated in mouse studies. With the over-activation of this enzyme there follows death of pacemaker cells, abnormal heart rhythm, and more-frequent death.
the possible link unearthed by University of Iowa researchers begins with oxidative stress, a product of diabetes. With oxidation-based activation of the CaMKII enzyme, the researchers belief the death risk of diabetes suffers increases as indicated in mouse studies. With the over-activation of this enzyme there follows death of pacemaker cells, abnormal heart rhythm, and more-frequent death.
10 Facts On Sanitation Deserve Attention After "Cruise Ship From Hell" Incident
10 Facts On Sanitation. The World Health Organization. March 2011.
In light of the lack of sanitation reported on the "cruise ship from hell" it is relevant to revisit this WHO report from 2011. Among the facts highlighted here is that 2.6 billion people globally lack access to adequate sanitation. Diarrhea, a largely preventable illness with good sanitation, kills 1.5 million people a year.
In light of the lack of sanitation reported on the "cruise ship from hell" it is relevant to revisit this WHO report from 2011. Among the facts highlighted here is that 2.6 billion people globally lack access to adequate sanitation. Diarrhea, a largely preventable illness with good sanitation, kills 1.5 million people a year.
Friday, February 15, 2013
Georgia Firms Share Ways To Cut Health Costs
GA. Firms To Share Ideas On Cutting Health Costs by Andy Miller. Georgia Health News. February 13, 2013.
Employers are increasingly seeking to provide incentives for healthy employee behavior, share best practices with other Georgia firms, and forming cost effective relationships with healthcare providers.
Employers are increasingly seeking to provide incentives for healthy employee behavior, share best practices with other Georgia firms, and forming cost effective relationships with healthcare providers.
Georgia Medicaid Program Receives Financial Bandaid: Provider Fee Bill Signed
Deal Signs Hospital 'Bed Tax' Bill, But Health Care Woes Persist by Greg Bluestein and Misty Williams. The Atlanta Journal-Constitution. February 13, 2013.
Georgia Governor Nathan Deal signed a bill that would avert an approximately $700 million hole in the state's Medicaid program, possibly also averting some hospital closures. There are still significant funding gaps in the Medicaid program with more problems to come. As a result of the state's decision not expand Medicaid with funding as provided by the ACA, hospitals such as Grady may suffer losses of federal funding of up to $45 million dollars.
Georgia Governor Nathan Deal signed a bill that would avert an approximately $700 million hole in the state's Medicaid program, possibly also averting some hospital closures. There are still significant funding gaps in the Medicaid program with more problems to come. As a result of the state's decision not expand Medicaid with funding as provided by the ACA, hospitals such as Grady may suffer losses of federal funding of up to $45 million dollars.
Thursday, February 14, 2013
Vibrations From Snoring May Result In Thickened Carotid Artery, Leading to Health Risks
Don't Ignore The Snore: Snoring May Be Early Sign Of Future Health Risks. Science Daily. January 24, 2013.
The study presented here found changes in the carotid artery of snorers, even those without sleep apnea. Thickening of the carotid artery is a precursor to atherosclerosis and may precede sleep apnea according to the researchers.
The study presented here found changes in the carotid artery of snorers, even those without sleep apnea. Thickening of the carotid artery is a precursor to atherosclerosis and may precede sleep apnea according to the researchers.
5.8 Million Women Have Used "Morning After" Pill; Worries About Contraception Failure Cited
5.8 Million Women Have Used "Morning After" Pill by Sharon Jayson. USA TODAY. February 14, 2013.
This report from the National Center For Health Statistics is the first report on emergency contraception.
Worries about the reliability of their birth control method motivated about half that number to use emergency contraception.
This report from the National Center For Health Statistics is the first report on emergency contraception.
Worries about the reliability of their birth control method motivated about half that number to use emergency contraception.
Cheery Valentine's Day News
STI Epidemic: Nearly 20 Million Sexually Transmitted Infections In the U.S. Each Year, Researchers Find. Huffingtonpost. February 13, 2013.
Of those 20 million new infections each year, half occur in people between ages 15 and 24. In total there are over 110 million STIs in the United States right now. STI's cost about $15.6 billion yearly not including productivity loss. Condom use is presented as vital in light of those statistics.
Of those 20 million new infections each year, half occur in people between ages 15 and 24. In total there are over 110 million STIs in the United States right now. STI's cost about $15.6 billion yearly not including productivity loss. Condom use is presented as vital in light of those statistics.
Economic Impact Of Medicaid Expansion In Georgia
The Economic Impact Of Medicaid Expansion In Georgia. Healthcare Georgia Foundation.
This report, released this week, can be downloaded here. The report outlines the economic, employment, and health benefits that could flow from expansion. Expansion is opposed by Governor Nathan Deal citing costs and regulatory burden.
This report, released this week, can be downloaded here. The report outlines the economic, employment, and health benefits that could flow from expansion. Expansion is opposed by Governor Nathan Deal citing costs and regulatory burden.
Suicide and Guns In the Home: A New Focus
To Reduce Suicide Rates, New Focus Turns to Guns By Sabrina Tavernise. The New York Times. February 13, 2013.
Suicide acts with guns are far more effective than other methods of suicide with 85% fatality rate with guns and 2% with pills. The three states with the highest gun ownership rates are the top three in suicide rate. Nearly 20,000 of the 30,000 gun deaths in the United States in 2010 were suicides. Most researchers say that the weight of the evidence indicates that the presence of guns in a house increases the risk of suicide. In addition to statistics such, the article tells the story of Kameron Reichert, a teenage suicide victim and puts it in the context of national suicide prevention efforts.
Suicide acts with guns are far more effective than other methods of suicide with 85% fatality rate with guns and 2% with pills. The three states with the highest gun ownership rates are the top three in suicide rate. Nearly 20,000 of the 30,000 gun deaths in the United States in 2010 were suicides. Most researchers say that the weight of the evidence indicates that the presence of guns in a house increases the risk of suicide. In addition to statistics such, the article tells the story of Kameron Reichert, a teenage suicide victim and puts it in the context of national suicide prevention efforts.
Wednesday, February 13, 2013
Hyper-Parents A Cause Of Depression In College Students
Hyper-Parents Can Make College Aged Children Depressed--Study by Belinda Goldsmith. Reuters. February 13, 2013.
The study finds that "helicopter parents" can undermine the need of college students to feel autonomous and competent.
The study finds that "helicopter parents" can undermine the need of college students to feel autonomous and competent.
Drug Discount Program: Essential Or Abused?
Dispute Develops Over Discount Drug Program by Andrew Pollack. The New York Times. February 12, 2013.
A dispute between hospitals and pharmaceutical companies about a a program known as 340B which allows a hospital to purchase drugs at a deep discount if a hospital serves poor people. The dispute centers around the fact that the hospitals are using the discounted drugs not just for poor people but for Medicare or private insurance payments. In those cases the hospitals profit from the gap between the discount price and the reimbursement. The pharmaceutical companies lose in such an arrangement and they are beginning to object. Hospitals assert that the program was never intended to support only poor people but also the general program of hospitals that treat poor patients. With the expansion of Medicaid in many states more hospitals will be eligible for the discount. Of Georgia interest is a quote from the director of pharmacy at Columbus Regional Healthcare System
A dispute between hospitals and pharmaceutical companies about a a program known as 340B which allows a hospital to purchase drugs at a deep discount if a hospital serves poor people. The dispute centers around the fact that the hospitals are using the discounted drugs not just for poor people but for Medicare or private insurance payments. In those cases the hospitals profit from the gap between the discount price and the reimbursement. The pharmaceutical companies lose in such an arrangement and they are beginning to object. Hospitals assert that the program was never intended to support only poor people but also the general program of hospitals that treat poor patients. With the expansion of Medicaid in many states more hospitals will be eligible for the discount. Of Georgia interest is a quote from the director of pharmacy at Columbus Regional Healthcare System
Developing Good E-Patients
Feds' 'E-Health' Initiative Reaches Out To Patients by Joanne Kenen. Politico. February 11, 2013.
Going beyond the multibillion dollar effort to involve doctors and hospitals in health information technology, officials at the Department of Health And Human Services and endeavoring to created engaged patients through technology. The more engaged the patient the more likely they are to engaged in preventive and healthy practices. The article cites the Beacon communities use of text message for diabetes assessment. The report that is the basis for this article is found here.
Going beyond the multibillion dollar effort to involve doctors and hospitals in health information technology, officials at the Department of Health And Human Services and endeavoring to created engaged patients through technology. The more engaged the patient the more likely they are to engaged in preventive and healthy practices. The article cites the Beacon communities use of text message for diabetes assessment. The report that is the basis for this article is found here.
Study: Impact of Medicaid Expansion In Georgia Would Be $8 Billion A Year
Medicaid Changes May Bring New Jobs by Carrie Teegardin and Misty Williams. The Atlanta Journal-Constitution. February 13, 2013. (Available in the print edition).
According to the study by the Healthcare Georgia Foundation, Georgia would receive $8 billion dollars a year in economic impact including about 38,000 new healthcare jobs as a result of expansion of Medicaid as provided by the Affordable Care Act. As a result of the jobs state and local tax collections would increase by a combined $276 million. Governor Nathan Deal opposes expansion saying that his projections show a state cost of $4.5 billion over ten years for expansion--costs, he says, the state cannot afford. The Governor supports a block grant approach to Medicaid, an approach opposed by the Obama administration. Opponents of expansion also say that the current Medicaid program, even without expansion, costs too much.
According to the study by the Healthcare Georgia Foundation, Georgia would receive $8 billion dollars a year in economic impact including about 38,000 new healthcare jobs as a result of expansion of Medicaid as provided by the Affordable Care Act. As a result of the jobs state and local tax collections would increase by a combined $276 million. Governor Nathan Deal opposes expansion saying that his projections show a state cost of $4.5 billion over ten years for expansion--costs, he says, the state cannot afford. The Governor supports a block grant approach to Medicaid, an approach opposed by the Obama administration. Opponents of expansion also say that the current Medicaid program, even without expansion, costs too much.
Tuesday, February 12, 2013
Demand For Protein, Confinement Agriculture, Use Of Antibiotics Increase Antibiotic Resistance in China And Elsewhere
Antibiotic-Resistant Bacteria Surround Big Swine Farms--In China As Well As U.S. by Maryn Mckenna. Wired. February 12, 2013.
This article highlights a report on Chinese swine production and the role of antibiotics to promote efficiency and animal growth. Significant antibiotic resistance was found around the swine farms. A key sentence from the report follows: The diverse set of resistance genes detected potentially confer resistance to all major classes of antibiotics, including antibiotics critically important for human health.
This article highlights a report on Chinese swine production and the role of antibiotics to promote efficiency and animal growth. Significant antibiotic resistance was found around the swine farms. A key sentence from the report follows: The diverse set of resistance genes detected potentially confer resistance to all major classes of antibiotics, including antibiotics critically important for human health.
2020 Medicare/Medicaid Spending Seen As 15% Less Than Projected Three Years Ago
Slower Growth Of Health Costs Eases Budget Deficit by Annie Lowrey. The New York Times. February 11, 2013.
The rate of spending growth is at its lowest rate in decades. Significantly this rate has now continued for four consecutive years. While there is no complete understanding of the reasons for the decline, it seems that the recession, changes in how healthcare is delivered, and incentives in the Affordable Care Act (Obamacare) have all contributed. If this trend continues it promises to have significant impact on the U.S. long-term fiscal situation while not solving the difficulties completely.
The rate of spending growth is at its lowest rate in decades. Significantly this rate has now continued for four consecutive years. While there is no complete understanding of the reasons for the decline, it seems that the recession, changes in how healthcare is delivered, and incentives in the Affordable Care Act (Obamacare) have all contributed. If this trend continues it promises to have significant impact on the U.S. long-term fiscal situation while not solving the difficulties completely.
What Does A Hip Replacement Cost? Who Knows?
Report: Hip-Replacement Cost Hard To Pin Down by Kathryn Smith. Politico. February 12, 2013.
The survey of hospitals found a tremendous range of quoted price in those cases when the prices were provided at all. The price mystery presents a problem for those who argue that when patients are required to shop for the best healthcare deals there will be market pressure on hospitals to reduce costs.
The survey of hospitals found a tremendous range of quoted price in those cases when the prices were provided at all. The price mystery presents a problem for those who argue that when patients are required to shop for the best healthcare deals there will be market pressure on hospitals to reduce costs.
Monday, February 11, 2013
Three Groups Of Researchers Using Different Methods Come To The Same Conclusion About Salt
Cutting Salt Slowly Could Prolong Half A Million Lives, Study Finds by Karen Keller. ABC News. February 11, 2013.
The researchers found that reducing salt consumption gradually over a decade could prolong the lives of up to 500,000 people by reducing risk of hypertension and heart disease. The secret to accomplish this reduction is working with food companies to reduce the amount of salt put in commercial foods. A salt industry objected saying that reductions of salt would harm people with diabetes and other conditions.
The researchers found that reducing salt consumption gradually over a decade could prolong the lives of up to 500,000 people by reducing risk of hypertension and heart disease. The secret to accomplish this reduction is working with food companies to reduce the amount of salt put in commercial foods. A salt industry objected saying that reductions of salt would harm people with diabetes and other conditions.
Largest Gathering in Human History Is Laboratory For Public Health Researchers
Can Big Data From Epic Indian Pilgrimage Help Save Lives? by Somini Sengupta. The New York Times. February 8, 2013.
More Than Two Dozen Killed In Kumbh Mela Stampede by Raksha Kumar, Heather Timmons, and Malavika Vyawahare. The New York Times. February 10, 2013.
The first article deals with a Harvard public health team who are taking advantage of the largest gathering of human-kind in the history of the world to track illnesses and create the largest public health data set ever among a transient population. The festival is expected to draw more than 100 million people.
The second article focuses on deaths that resulted from a stampede of the masses at Kumbh Mela Hindu religious festival.
More Than Two Dozen Killed In Kumbh Mela Stampede by Raksha Kumar, Heather Timmons, and Malavika Vyawahare. The New York Times. February 10, 2013.
The first article deals with a Harvard public health team who are taking advantage of the largest gathering of human-kind in the history of the world to track illnesses and create the largest public health data set ever among a transient population. The festival is expected to draw more than 100 million people.
The second article focuses on deaths that resulted from a stampede of the masses at Kumbh Mela Hindu religious festival.
Is Mass Transit A Gateway To Fitness and Relaxation?
Transit Riders Get Fit, Stay Relaxed by Steve Visser. The Atlanta Journal-Constitution. February 11, 2013.
While the article focuses on the relaxation and health experiences of MARTA riders in Atlanta, it also cites a 2010 study published in the American Journal of Preventive Medicine that points to weight loss benefits of light rail.
While the article focuses on the relaxation and health experiences of MARTA riders in Atlanta, it also cites a 2010 study published in the American Journal of Preventive Medicine that points to weight loss benefits of light rail.
States Not Accepting Medicaid Expansion Create Problems for Employers
Medicaid, A New Health-Care Fight by Louise Radnofsky. The Wall Street Journal. February 10, 2013.
When the Supreme Court ruled that states could opt-out of Medicaid expansion under the Affordable Care Act, a problem were created. In those states that opt-out, employers are bracing for increased costs. Under the ACA as originally conceived, employers with lower paid workers could have allowed Medicaid to fund health insurance for their workers through the state or federal insurance exchanges. With some states at present declining to participate in the expansion, these employers are bracing for the funding cost of insurance for their employees or payment of non-tax deductible penalty. Employer funding insurance would be deductible for tax purposes.
When the Supreme Court ruled that states could opt-out of Medicaid expansion under the Affordable Care Act, a problem were created. In those states that opt-out, employers are bracing for increased costs. Under the ACA as originally conceived, employers with lower paid workers could have allowed Medicaid to fund health insurance for their workers through the state or federal insurance exchanges. With some states at present declining to participate in the expansion, these employers are bracing for the funding cost of insurance for their employees or payment of non-tax deductible penalty. Employer funding insurance would be deductible for tax purposes.
Sunday, February 10, 2013
Thought-Controlled Robotic Arm Gives 'High Five' to Researchers, Hope to Paralyzed Man
Paralyzed Man Uses Thoughts Alone To Control Robot Arm, Touch Friend's Hand, After Seven Years. Science Daily. February 8, 2013.
Brain-computer interface technology was employed on a man who had suffered a spinal cord injury allowing him, first, to move a computer cursor and, later, a robotic arm.
Brain-computer interface technology was employed on a man who had suffered a spinal cord injury allowing him, first, to move a computer cursor and, later, a robotic arm.
Genetically Appropriate Stress Strategies for Performance Excellence
Why Can Some Kids Handle Pressure While Others Fall Apart by Po Bronson and Ashley Merryman. The New York Times Magazine. February 6, 2013.
Reaction to stress is, to a certain extent, governed by the enzyme that clears dopamine from the prefrontal cortex, an enzyme which is assembled according to instructions found in the COMT gene.
While the tendency to be a "worrier" (slow-clearing enzyme) or a "warrior" (fast-clearing enzyme) is influenced importantly by the COMT gene, the effect is not absolutely determinative of performance. Training can make worriers sometimes even more effective than warriors in extremely stressful situations. The key is to provide competitive performance opportunities to both warriors, to provide them with the intensity they are suited for, and the worriers, to provide them with the productive stress inoculation they need.
Reaction to stress is, to a certain extent, governed by the enzyme that clears dopamine from the prefrontal cortex, an enzyme which is assembled according to instructions found in the COMT gene.
While the tendency to be a "worrier" (slow-clearing enzyme) or a "warrior" (fast-clearing enzyme) is influenced importantly by the COMT gene, the effect is not absolutely determinative of performance. Training can make worriers sometimes even more effective than warriors in extremely stressful situations. The key is to provide competitive performance opportunities to both warriors, to provide them with the intensity they are suited for, and the worriers, to provide them with the productive stress inoculation they need.
Relax And Rest Your Way To Performance Excellence
Relax! You'll Be More Productive by Tony Schwartz. The New York Times. February 9, 2013.
This article presents the paradoxical notion that the best way to do more is to spend more time doing less. Among the many interesting observations of this article are that humans function best when the pulses of spending and recovering energy are respected and managed intelligently. Key is the notion that we move throughout the day from alertness to fatigue in 90 minute cycles.
This article presents the paradoxical notion that the best way to do more is to spend more time doing less. Among the many interesting observations of this article are that humans function best when the pulses of spending and recovering energy are respected and managed intelligently. Key is the notion that we move throughout the day from alertness to fatigue in 90 minute cycles.
Saturday, February 9, 2013
A New Way To Address The U.S. Doctor Shortage
Simple Policy Change Could Solve US Physician Shortages in 25 States, Study Finds by Brevy Cannon. Medical Xpress. January 22, 2013.
The University of Virginia study indicates that 25 states could solve their physician shortages by equalizing the licensure requirements for foreign-educated physicians and U.S.-educated physicians. With the need for physicians posed to grow with the implementation of the Affordable Care Act, the United States needs to tap new sources. The authors address the quality objection to this course of action as well as the cost benefits.
The University of Virginia study indicates that 25 states could solve their physician shortages by equalizing the licensure requirements for foreign-educated physicians and U.S.-educated physicians. With the need for physicians posed to grow with the implementation of the Affordable Care Act, the United States needs to tap new sources. The authors address the quality objection to this course of action as well as the cost benefits.
Study Objective: Specific Biomarkers For PTSD
Study Seeks Biomarkers For Invisible War Scars by James Dao. The New York Times. February 6, 2013.
Aiming to elevate mental health to standard physical health, the research team is hoping to recruit 1,500 subjects. The subjects will undergo a variety of tests for hormone levels, blood chemistry, genetic makeup, brain structure, and voice. Some will receive an MRI while others will test a theory involving the thalamus. The lead researcher wants to be able to test biologically for mental health phenomena.
Aiming to elevate mental health to standard physical health, the research team is hoping to recruit 1,500 subjects. The subjects will undergo a variety of tests for hormone levels, blood chemistry, genetic makeup, brain structure, and voice. Some will receive an MRI while others will test a theory involving the thalamus. The lead researcher wants to be able to test biologically for mental health phenomena.
Should Mentally Ill Patients Be Allowed To Smoke? by Maia Szalavitz. Time. February 8, 2013.
The more disabling the mental illness, the higher the smoking rate with 88% of those suffering from schizophrenia being regular smokers. Some research has shown that nicotine can have an antidepressant and antipsychotic effect. With these benefits in mind mental health professionals weigh the harms and benefits of smoking to the mentally ill. Also complicating matters is the common practice of reward patients with cigarettes. Cessation strategies, including e-cigarettes, are addressed in the article.
The more disabling the mental illness, the higher the smoking rate with 88% of those suffering from schizophrenia being regular smokers. Some research has shown that nicotine can have an antidepressant and antipsychotic effect. With these benefits in mind mental health professionals weigh the harms and benefits of smoking to the mentally ill. Also complicating matters is the common practice of reward patients with cigarettes. Cessation strategies, including e-cigarettes, are addressed in the article.
Setback For Global Effort To Eradicate Polio: Immunization Workers Killed In Nigeria
Gunmen Kill Nigerian Polio Vaccine Workers In Echo of Pakistan Attacks by Donald G. McNeil. Jr. The New York Times. February 8, 2013.
While it is not certain who killed the polio immunization workers, suspicion fell upon a militant Islamist group with a history of attacks on government offices. The immunization effort in Nigeria is in many ways a case study of how rumors, political suspicion, and religion have impacted public health efforts and, in some cases, endangered public health workers.
While it is not certain who killed the polio immunization workers, suspicion fell upon a militant Islamist group with a history of attacks on government offices. The immunization effort in Nigeria is in many ways a case study of how rumors, political suspicion, and religion have impacted public health efforts and, in some cases, endangered public health workers.
Friday, February 8, 2013
Bishops Reject Obama Administration Contraception Rule Compromise
Bishops Reject Contraception Rule Change by Jennifer Hakerkorn and Kathryn Smith. Politico. February 7, 2013.
The bishops, emphasizing a religious liberty claim for religious affiliated organizations, rejected a "narrow" definition of a religious organization in favor of a definition that includes religiously affiliated hospitals, educational institutions, under the place-of-worship" exemption allowed by the law. Planned Parenthood leaders stated that it was now clear that the bishops would not rest until women are denied access to birth control.
The bishops, emphasizing a religious liberty claim for religious affiliated organizations, rejected a "narrow" definition of a religious organization in favor of a definition that includes religiously affiliated hospitals, educational institutions, under the place-of-worship" exemption allowed by the law. Planned Parenthood leaders stated that it was now clear that the bishops would not rest until women are denied access to birth control.
Thursday, February 7, 2013
Medical School Students Begin Clerkships In Athens Hospitals
Med Students Make History In Corridors Of Athens Hospitals by Jason Azurmendi. Georgia Health News. January 31, 2013.
This article tells the story of medical students at the Georgia Health Sciences University/University of Georgia Medical Partnership who are beginning their third year of medical school and with it, their clerkships in local hospitals.
This article tells the story of medical students at the Georgia Health Sciences University/University of Georgia Medical Partnership who are beginning their third year of medical school and with it, their clerkships in local hospitals.
Setting The Table For Stroke, The Southern Fried Way
Southern Diet Sends Stroke Risk Soaring by Nick Wasson, M.D. ABC News. February 7, 2013.
The study by University of Alabama researchers indicated, among other things, that people who regularly eat a traditional southern diet (fried foods, organ meat, sweet tea, etc) had a 41 increase in the risk of stroke. For Africa-Americans the risk increased by 63%. Some foods in the southern diet are good, such as collar greens. Adding a few more healthy options could result in a substantial reduction in risk.
The study by University of Alabama researchers indicated, among other things, that people who regularly eat a traditional southern diet (fried foods, organ meat, sweet tea, etc) had a 41 increase in the risk of stroke. For Africa-Americans the risk increased by 63%. Some foods in the southern diet are good, such as collar greens. Adding a few more healthy options could result in a substantial reduction in risk.
Lower-Calorie Menu Items Driving Restaurant Growth
Lighter Menus Appeal To Owners And Diners by Stephanie Strom. The New York Times. February 6, 2013.
While the Affordable Care Act of 2010 requires restaurants and food establishments with 20 or more locations to post the calorie counts of standard items on their menus, restaurants are finding that compliance can be profitable and responsive to market demand. Small portions may lower costs while not be cheaper. The move to smaller portions reverses a three-decade trend of piling on the food.
While the Affordable Care Act of 2010 requires restaurants and food establishments with 20 or more locations to post the calorie counts of standard items on their menus, restaurants are finding that compliance can be profitable and responsive to market demand. Small portions may lower costs while not be cheaper. The move to smaller portions reverses a three-decade trend of piling on the food.
Alzheimer's Could Triple By 2050 to 13.8 Million--More Than Current Population of Illinois
An Alzheimer's 'Epidemic' Could Hit The USA By 2050 by Janice Lloyd. USA TODAY. February 6, 2013.
This study uses Census data, adding to the credibility of the projections. An upcoming study will examine the healthcare costs which are expected to exceed $2 trillion dollars. Alzheimer's is only disease among the top six killers for which there is no prevention, cure, or treatment. The article contains calls for heavy investment in research.
This study uses Census data, adding to the credibility of the projections. An upcoming study will examine the healthcare costs which are expected to exceed $2 trillion dollars. Alzheimer's is only disease among the top six killers for which there is no prevention, cure, or treatment. The article contains calls for heavy investment in research.
Stress Levels Among The Young Higher Than Other Groups--Survey
Who's Feeling Stressed? Young Adults, New Survey Shows by Sharon Jayson. USA TODAY. February 7, 2013.
While this new survey indicates that the Millennial generation feels more stress than other groups, we do not know comparison statistics from other generations since very few surveys of this nature were done previously. A high levels of stress however is a risk factor for depression and anxiety. The depression levels for Millennials is higher than other generations. A disturbing finding of the report: 36% of the Millennials reported eating as a way to deal with stress. 46% cited spending time with friends as a stress-relief method.
While this new survey indicates that the Millennial generation feels more stress than other groups, we do not know comparison statistics from other generations since very few surveys of this nature were done previously. A high levels of stress however is a risk factor for depression and anxiety. The depression levels for Millennials is higher than other generations. A disturbing finding of the report: 36% of the Millennials reported eating as a way to deal with stress. 46% cited spending time with friends as a stress-relief method.
Wednesday, February 6, 2013
Tai Chi May Reduce Falls In Stroke Survivors
Tai Chi Exercise May Reduce Falls In Adult Stroke Survivors. Medical Xpress. February 6, 2013
Stroke survivors experience seven times as many falls as healthy adults. In this study conducted by the University of Arizona College of Nursing, it was found in a limited study group that Tai Chi reduced falls more than the national program under the registered trademark name SilverSneakers.
Stroke survivors experience seven times as many falls as healthy adults. In this study conducted by the University of Arizona College of Nursing, it was found in a limited study group that Tai Chi reduced falls more than the national program under the registered trademark name SilverSneakers.
Women May Experience Heart Attack Differently From Men
Heart Disease: Women Can Miss The Warning Signs by Jennifer Ashton, M.D. ABC News. February 6, 2013.
While there is no clear understanding of why men and women seem to experience heart attacks slightly differently, theories do exists. These revolve around hormonal factors or size of the blood vessels. Women may describe heart attack as dull or uncomfortable pain while men may describe extreme pressure on the chest. Women may also cite fatigue, and shortness of breath.
While there is no clear understanding of why men and women seem to experience heart attacks slightly differently, theories do exists. These revolve around hormonal factors or size of the blood vessels. Women may describe heart attack as dull or uncomfortable pain while men may describe extreme pressure on the chest. Women may also cite fatigue, and shortness of breath.
Baby Boomers: Sicker But Living Longer With Medicine
Baby Boomers Sicker Than Parents' Generation, Study Finds by Nicole Ostrow. Bloomberg. February 5, 2013.
The 78 million Americans born from 1946 through 1964 are more overweight and have higher rates of hypertension than their parent's generation. There are indications that cholesterol is higher though during Boomer's parent's generation cholesterol checks were not part of routine medical checks. 40 percent are obese as compared with 29 percent a generation ago. An AARP official viewed the study as a "wake-up call" for more physical activity in the Boomer generation.
The 78 million Americans born from 1946 through 1964 are more overweight and have higher rates of hypertension than their parent's generation. There are indications that cholesterol is higher though during Boomer's parent's generation cholesterol checks were not part of routine medical checks. 40 percent are obese as compared with 29 percent a generation ago. An AARP official viewed the study as a "wake-up call" for more physical activity in the Boomer generation.
Hospice Use Increases But Not Integrated Into End-Of-Life Plan
Hospice Care Used More, But Often Too Late by Janice Lloyd. USA TODAY. February 5, 2013.
According to this study of Medicare records twice as many people died in hospice care as in a nursing home or hospital compared with a decade ago. However, records of patient transitions indicate that the essential purpose of hospice, to address the holistic needs of dying patients, is not being fulfilled. Hospice is often viewed as a the end point after intensive medical procedures have proved futile instead of part of a plan to fulfill the patients wishes. What is needed is more communications with patients and an end to aggressive care at the end of life.
According to this study of Medicare records twice as many people died in hospice care as in a nursing home or hospital compared with a decade ago. However, records of patient transitions indicate that the essential purpose of hospice, to address the holistic needs of dying patients, is not being fulfilled. Hospice is often viewed as a the end point after intensive medical procedures have proved futile instead of part of a plan to fulfill the patients wishes. What is needed is more communications with patients and an end to aggressive care at the end of life.
Follow A Color Map To Good Nutrition
Seeing Red For Good Health by Carolyn O'Neil, Registered Dietitian. The Atlanta Journal-Constitution. February 5, 2013.
The registered dietitian author of this article presents the idea that selecting a variety of colors of fruits and vegetables will help you obtain the antioxidants, vitamins, minerals, and other compounds that you need. For example, red in fruits and vegetables indicates that these foods contain lycopene and anthocyanin, antioxidants associated with promoting heart health.
The registered dietitian author of this article presents the idea that selecting a variety of colors of fruits and vegetables will help you obtain the antioxidants, vitamins, minerals, and other compounds that you need. For example, red in fruits and vegetables indicates that these foods contain lycopene and anthocyanin, antioxidants associated with promoting heart health.
Tuesday, February 5, 2013
Hospitals Use House Calls To Cut Costs, Admissions
Hospitals Try House Calls To Cut Costs, Admissions by Laura Landro. The Wall Street Journal. February 4, 2013.
Among the most important reasons that the house calls is making a comeback is that Medicare last October began to withholding payments to hospitals with higher-than-predicted readmissions rates. Johns Hopkins has established the Hospital At Home program to move many hospital services to the home where possible.
Among the most important reasons that the house calls is making a comeback is that Medicare last October began to withholding payments to hospitals with higher-than-predicted readmissions rates. Johns Hopkins has established the Hospital At Home program to move many hospital services to the home where possible.
Cherry-Picking Of Healthy Seniors by Medicare Advantage Impacts Resources and Expenditures of Traditional Medicare
Research Finds Link Between Poor Health And Seniors Switching Out Of Private Medicare Plans by Jordan Rau. Kaiser Health News. February 4, 2013.
A new research report finds that seniors who leave HMO-style Medicare Advantage for traditional Medicare incurred higher costs than a control group from traditional Medicare. This has lead to the suspicion that Medicare Advantages skims the most healthy seniors who leave for traditional Medicare when they get sicker. Any such "cherry-picking" impacts the financial health of traditional Medicare.
A new research report finds that seniors who leave HMO-style Medicare Advantage for traditional Medicare incurred higher costs than a control group from traditional Medicare. This has lead to the suspicion that Medicare Advantages skims the most healthy seniors who leave for traditional Medicare when they get sicker. Any such "cherry-picking" impacts the financial health of traditional Medicare.
Labor And Delivery Services Closing In Rural Georgia Hospitals
Born Far From Home: Fewer Rural Hospitals Delivering Babies by Andy Miller. Georgia Health News. January 28, 2013.
With 60 percent of births in Georgia every year covered by Medicaid it is important that the reimbursement rate for births cover hospital and physician costs. Georgia OB/GYNs have not had a Medicaid pay increase in more than a decade. In addition it is difficult to recruit OB/GYNs, in general, and for rural areas in particular. There are only five obstetric residency program in Georgia. There are 40 counties in Georgia with no OB/GYN. This is a significant overview of a significant healthcare problem in Georgia.
With 60 percent of births in Georgia every year covered by Medicaid it is important that the reimbursement rate for births cover hospital and physician costs. Georgia OB/GYNs have not had a Medicaid pay increase in more than a decade. In addition it is difficult to recruit OB/GYNs, in general, and for rural areas in particular. There are only five obstetric residency program in Georgia. There are 40 counties in Georgia with no OB/GYN. This is a significant overview of a significant healthcare problem in Georgia.
Rural Georgia Hospital Closes; More to Follow?
Small Rural Hospital Closes Doors; More May Follow by Andy Miller. Georgia Health News. February 4, 2013.
The hospital is Calhoun Memorial Hospital in southwest Georgia. The rise in charity cases from $834,000 in 2008 to $1.8 in 2012. The original intention of the Affordable Care Act those received free charity care would have received coverage under Medicaid. However the Supreme Court ruled that Medicaid expansion was optional. Georgia Governor Nathan Deal says that Medicaid will not be expanded because it is too costly. Calhoun county has high rates of uninsured, obesity, premature deaths, and low birth-rate babies.
The hospital is Calhoun Memorial Hospital in southwest Georgia. The rise in charity cases from $834,000 in 2008 to $1.8 in 2012. The original intention of the Affordable Care Act those received free charity care would have received coverage under Medicaid. However the Supreme Court ruled that Medicaid expansion was optional. Georgia Governor Nathan Deal says that Medicaid will not be expanded because it is too costly. Calhoun county has high rates of uninsured, obesity, premature deaths, and low birth-rate babies.
Monday, February 4, 2013
In Reversal, Ohio Governor Agrees To Expansion of Medicaid
Kasich's Obamacare Flip Burns Conservatives by Davi Nather. Politico. February 4, 2013.
Aligning himself with the health community which will benefit from a potential huge inflow of dollars, Ohio governor John Kasich has risked the wrath of the Tea Party and other conservatives in agreeing to expand Medicaid. According to the Urban Institute up to an additional 578,000 Ohioans will now have access to health coverage.
Aligning himself with the health community which will benefit from a potential huge inflow of dollars, Ohio governor John Kasich has risked the wrath of the Tea Party and other conservatives in agreeing to expand Medicaid. According to the Urban Institute up to an additional 578,000 Ohioans will now have access to health coverage.
Study: Confident, Knowledgeable Patients Have Substantially Lower Health Costs
Study Highlights Important Role That Patients Play In Determining Outcomes. Medical Xpress. February 4, 2013.
Patients with high "activation" had lower costs than patients with low "activation." "Activation here means confidence, skills, and knowledge. The study here supplements an earlier study linking high activation to better healthcare outcomes. The authors of the study call for a systematic approach to encourage patients to take an active role in their care. The article emphasizes that encouraging patient activation is consistent with new health care reform efforts.
Patients with high "activation" had lower costs than patients with low "activation." "Activation here means confidence, skills, and knowledge. The study here supplements an earlier study linking high activation to better healthcare outcomes. The authors of the study call for a systematic approach to encourage patients to take an active role in their care. The article emphasizes that encouraging patient activation is consistent with new health care reform efforts.
New Tool For Interpretation of Genomic Information
Genomic Analysis, The Office Edition by Anne Eisenberg. The New York Times. February 2, 2013.
With the cost of sequencing a person's genome is falling, the problem of analysis of genomic data becomes more acute. A new product by Knome, co-founded by genetic pioneer Dr. George Upchurch, has developed a product the size of a file cabinet for $125,000. While the expertise required to read the results of even this device may exceed that of "your neighborhood doctor," progress is being made toward that goal.
With the cost of sequencing a person's genome is falling, the problem of analysis of genomic data becomes more acute. A new product by Knome, co-founded by genetic pioneer Dr. George Upchurch, has developed a product the size of a file cabinet for $125,000. While the expertise required to read the results of even this device may exceed that of "your neighborhood doctor," progress is being made toward that goal.
Book Review--Contagion: How Commerce Has Spread Disease
When Commerce and Illness Intersect by Bryan Burrough. Review of Contagion: How Commerce Has Spread Disease by Mark Harrison. The New York Times. February 2, 2013.
This book looks at almost every significant outbreak of cross-border disease since the black death focusing on the interplay between disease and commerce, politics and international diplomacy. He devotes much attention to quarantine along with its use in diplomacy. He views the most likely source of pandemics as huge factory farms that breed animal-to-human microbes.
This book looks at almost every significant outbreak of cross-border disease since the black death focusing on the interplay between disease and commerce, politics and international diplomacy. He devotes much attention to quarantine along with its use in diplomacy. He views the most likely source of pandemics as huge factory farms that breed animal-to-human microbes.
The Narrative Of PTSD
Warrior Voices: Veterans Learn To Write The Words They Could Not Speak by Cecilia Capuzi Simon.
Those veterans with PTSD are discovering that, while some traditional therapies do not always work, writing sometimes offers help. This insight is built upon the psychological knowledge that writing is therapeutic. Writing forces the veteran to structure the traumatic experience and thereby obtain some control over it.
Those veterans with PTSD are discovering that, while some traditional therapies do not always work, writing sometimes offers help. This insight is built upon the psychological knowledge that writing is therapeutic. Writing forces the veteran to structure the traumatic experience and thereby obtain some control over it.
Sunday, February 3, 2013
Extensive Expansion of Telemedicine in Georgia Planned
Georgia Public Health Telemedicine Project Aims to Remove Barriers by Erin McCann. Government Health IT. January 28, 2013.
All of Georgia's public health departments were wired for teleconferencing by the end of 2012 with 45 using the capability every day. The next step is to include exam cameras, sensors, stethoscopes, and endoscopes. 13 will be online by the end of January 2013. Grants are being pursued to expand telemedicine capability.
All of Georgia's public health departments were wired for teleconferencing by the end of 2012 with 45 using the capability every day. The next step is to include exam cameras, sensors, stethoscopes, and endoscopes. 13 will be online by the end of January 2013. Grants are being pursued to expand telemedicine capability.
Georgia Health Education Center Network Boosted By Federal Grant
Grant Will Help Fight Georgia's Physician Shortage by Georgia Health Sciences University. February 1, 2013.
The $2.5 million grant will boost six Area Health Education Centers across Georgia. The U.S. Health Resources and Services Administration provides the funds to further Georgia Regents University's efforts to diversify the states health care workforce. The purpose of AHEC is diversify Georgia's health care workforce and distribute them to rural and underserved areas.
The $2.5 million grant will boost six Area Health Education Centers across Georgia. The U.S. Health Resources and Services Administration provides the funds to further Georgia Regents University's efforts to diversify the states health care workforce. The purpose of AHEC is diversify Georgia's health care workforce and distribute them to rural and underserved areas.
Affordability Calculation Hits Family Healthcare Coverage
A Cruel Blow To American Families. Editorial. The New York Times. February 2, 2013.
A ruling by the I.R.S. that only the cost of individual coverage be used to measure the affordability of health insurance will have serious implications for families, according to the editorial. If the cost of family coverage were to be used more families would be eligible for subsidies and. unable to afford family coverage from employer-offered plans. With affordability computed on an individual basis, some families would not be eligible for subsides to buy coverage elsewhere or be able to afford employer-offered coverage.
A ruling by the I.R.S. that only the cost of individual coverage be used to measure the affordability of health insurance will have serious implications for families, according to the editorial. If the cost of family coverage were to be used more families would be eligible for subsidies and. unable to afford family coverage from employer-offered plans. With affordability computed on an individual basis, some families would not be eligible for subsides to buy coverage elsewhere or be able to afford employer-offered coverage.
Losing Focus By Seeking It: Tragic Story of Addiction
Drowned In A Stream of Prescriptions by Alan Schwarz. The New York Times. February 2, 2013.
The tragic story of Richard Fee, college class president and aspiring medical student, is told in the context of the national problem of abuse of Adderall, an amphetamine-based medication for attention deficit hyperactivity disorder. The article points out that nearly 14 million monthly prescriptions for ADHD were written in 2011, two and a half times what was prescripted in 2007.
The tragic story of Richard Fee, college class president and aspiring medical student, is told in the context of the national problem of abuse of Adderall, an amphetamine-based medication for attention deficit hyperactivity disorder. The article points out that nearly 14 million monthly prescriptions for ADHD were written in 2011, two and a half times what was prescripted in 2007.
Saturday, February 2, 2013
Prevention Saves Money? Sometimes Yes; Sometimes No
Think Preventive Medicine Will Save Money? Think Again By Sharon Begley. Reuters. January 29, 2013.
Among the preventative measures that do save money are childhood immunizations and counseling adults to use baby aspirin to prevent cardiovascular disease. Benefit greatly outweighs costs and therefore the measures save money. On the other hand, the annual physical does not lower risk of serious illness or premature death according to a 2012 study. Often the cost of prevention, say a preventative screening, outweighs any potential benefit, for example, lives saved. The article explores strategies to make prevention work including use of sites outside clinical settings and targeting those most likely to suffer a condition for screening.
Among the preventative measures that do save money are childhood immunizations and counseling adults to use baby aspirin to prevent cardiovascular disease. Benefit greatly outweighs costs and therefore the measures save money. On the other hand, the annual physical does not lower risk of serious illness or premature death according to a 2012 study. Often the cost of prevention, say a preventative screening, outweighs any potential benefit, for example, lives saved. The article explores strategies to make prevention work including use of sites outside clinical settings and targeting those most likely to suffer a condition for screening.
New Federal Rules For School Nutrition Address the Vending Machine
Granola Bars Replace Candy As U.S. Limits School Snacks by Stephanie Armour. Bloomberg. February 1, 2103.
New rules from the U.S. Department of Agriculture in support of the Health, Hunger-Free Kids Act address unhealthy school fare sold separately from federal school meals. These rules supplement written to address school lunches and breakfasts. For example, under the proposed rules food sold in vending machines must meet nutrition standards of school meals.
New rules from the U.S. Department of Agriculture in support of the Health, Hunger-Free Kids Act address unhealthy school fare sold separately from federal school meals. These rules supplement written to address school lunches and breakfasts. For example, under the proposed rules food sold in vending machines must meet nutrition standards of school meals.
Super Bowl Health Hazards
Super Bowl Health Hazards: More than Just Calories. CBS News Staff. February 1, 2013.
Among the interesting observations found here is that the risk of a heart attack jumps 10 times in the hour after eating a big meal. The reason is that as blood flows to the gut to aid digestion and away from the heart any problem with blood vessels or blood flow could precipitate a heart attack.
Among the interesting observations found here is that the risk of a heart attack jumps 10 times in the hour after eating a big meal. The reason is that as blood flows to the gut to aid digestion and away from the heart any problem with blood vessels or blood flow could precipitate a heart attack.
Demand For Protein Spurs Demand for Pfizer Spinoff Animal Health Unit
Zoetis Jumps 20% In Debut by Chris Dieterich and Peter Loftus. The Wall Street Journal. February 1, 2013.
Zoetis, the former animal health unit of Pfizer, is now a new, separate company worth $15 billion. Illustrating the interrelationship of human and animal health, the growth of the global middle class has spurred the global demand for animal protein sources. In that light and in the face of limited water and land, the animal drug products that promoted productivity in producing protein are attractive. However some countries have introduced bans on antibiotics in food-producing animals.
Zoetis, the former animal health unit of Pfizer, is now a new, separate company worth $15 billion. Illustrating the interrelationship of human and animal health, the growth of the global middle class has spurred the global demand for animal protein sources. In that light and in the face of limited water and land, the animal drug products that promoted productivity in producing protein are attractive. However some countries have introduced bans on antibiotics in food-producing animals.
Conservative Religious Organizations Blast New ACA Compromise Attempt
Religious Conservatives Blast New Obamacare Contraception Rules by Todd Beamon. Newsmax. February 1, 2013.
A major focus of criticism outlined in this article from a conservative publication centers on certain family-ownd businesses such as Hobby Lobby which would be required to provide insurance with access to contraceptives as a result of the new revised regulations.
A major focus of criticism outlined in this article from a conservative publication centers on certain family-ownd businesses such as Hobby Lobby which would be required to provide insurance with access to contraceptives as a result of the new revised regulations.
Friday, February 1, 2013
New Rules For Contraception Coverage Under the ACA: Religious Nonprofits Won't Pay
Six Questions and Answers About The Obama Administration's Birth Control Rule. Kaiser Health News. February 1, 2013.
Under the new rules, self-insured religious organizations--not including houses of worship which are exempt from providing contraceptive coverage--who object to providing contraceptive coverage on moral grounds would work with a health insurer who would provide separate individual coverage. Costs to the insurer would be offset by adjustments in federally-facilitated exchange user fees that the insurers pay, not by the religious organization. More information about the rules can be found here. More information from HHS Centers for Medicaid and Medicare Services can be found here.
Under the new rules, self-insured religious organizations--not including houses of worship which are exempt from providing contraceptive coverage--who object to providing contraceptive coverage on moral grounds would work with a health insurer who would provide separate individual coverage. Costs to the insurer would be offset by adjustments in federally-facilitated exchange user fees that the insurers pay, not by the religious organization. More information about the rules can be found here. More information from HHS Centers for Medicaid and Medicare Services can be found here.
Fortified Peanut Butter Plus Antibiotics: A Lifesaver For Malnutrition
Malnourished Gain Lifesaver in Antibiotics by Denise Grady. The New York Times. January 30, 2013.
It has been observed that fortified peanut butter was not always effective to save the lives of malnourished children. Since the children are prone to infection antibiotics were found to be an effective supplement to the fortified peanut butter. In a second study on kwashiorkor, a disease developed by some malnourished children. These children were found to have a less diverse microbiome than healthy children.
Subscribe to:
Posts (Atom)