Economic Changes Hurt The Bottom Line For Rural Ga. Hospitals by Andy Miller. Kaiser Health News. March 27, 2013.
In many ways the state of rural Georgia hospitals reflects the economic conditions of rural people. With high unemployment and no or high-deductible insurance, they often cannot pay for services. Medicaid helps some but hospitals find the reimbursement rate is inadequate. The article tells a tale of service cuts and closures and places Georgia's plight into the grim context of rural healthcare nationwide.
Sunday, March 31, 2013
Nurses Accompanied On House Calls By Security Guards
In Tough Parts Of Chicago, Nurses Bring Protection by Lolly Bowean. Chicago Tribune. March 30, 2013.
With rising crime in Chicago, many nursing agencies feel compelled to hire security to a accompany nurses on house calls. This article is a story of the dangers that some health professional face in order to serve.
With rising crime in Chicago, many nursing agencies feel compelled to hire security to a accompany nurses on house calls. This article is a story of the dangers that some health professional face in order to serve.
Talking And Timing Key To Giving Alcohol Advice To College Students
Study Reports College Students Listen To Advice About Alcohol by Cheri Cheng. Counsel & Heal. March 31, 2013.
The most favorable effects were obtained when parents talked with children before they entered college. The Penn State study looked at several different drinking levels and diverse styles of presentation.
The most favorable effects were obtained when parents talked with children before they entered college. The Penn State study looked at several different drinking levels and diverse styles of presentation.
What Can Stress To Horse and Rider In Equestrian Performance Tell Us About Performance
Horses Don't Get Stage Fright--But Their Riders Do. Science Daily. February 19, 2013.
The study indicates that highly-trained horses and riders differ in how they react to stress in practice and performance situations. Riders show signs of "stage fright" in front of crowds, while horses seem to have similar stress markers in performance and practice situations. In other words, the presence of a crowd does not seem to add any additional stress to the horse beyond that caused by the course itself. And interestingly, the heightened level of stress of the rider does not seem to be communicated to the horse in performance forums. Could this type of comparative stress studies offer a way to understand the uniqueness of human stress?
The study indicates that highly-trained horses and riders differ in how they react to stress in practice and performance situations. Riders show signs of "stage fright" in front of crowds, while horses seem to have similar stress markers in performance and practice situations. In other words, the presence of a crowd does not seem to add any additional stress to the horse beyond that caused by the course itself. And interestingly, the heightened level of stress of the rider does not seem to be communicated to the horse in performance forums. Could this type of comparative stress studies offer a way to understand the uniqueness of human stress?
Dealing With Unintended Consequences And Measurement Issues In Effort To Reduce Hospital Readmissions
Hospitals Question Medicare rules On Readmissions by Reed Abelson. The New York Times. March 29, 2013.
Many hospitals are questioning the penalties for high patient readmission rates that are part of the Affordable Care Act. While there is evidence that they are beginning to have the desired effect, some hospitals are questioning if they penalize institutions which treat very sick patients and cause a shift in costs away from medical to more personal service expenditures. The story illustrates many aspects of the important broader issue of how to deal with unintended and second- and third-order consequences of policy. A case study of ripple effects.
Many hospitals are questioning the penalties for high patient readmission rates that are part of the Affordable Care Act. While there is evidence that they are beginning to have the desired effect, some hospitals are questioning if they penalize institutions which treat very sick patients and cause a shift in costs away from medical to more personal service expenditures. The story illustrates many aspects of the important broader issue of how to deal with unintended and second- and third-order consequences of policy. A case study of ripple effects.
Saturday, March 30, 2013
Molding Behavior To Co-Create Health
Rx: Human Nature by Nava Ashraf. The Harvard Business Review. April, 2013. Available by subscription or on newsstand.
Presents an approach to health that begins with end-users, with all their cognitive limitations, biases, and motivations in order to help those end-users easily make good health decisions and easily avoid poor ones.
Presents an approach to health that begins with end-users, with all their cognitive limitations, biases, and motivations in order to help those end-users easily make good health decisions and easily avoid poor ones.
Georgia Governor Weighs Elimination of Abortion Coverage From State Employee Benefit Package Without Legislative Approval
New Abortion Restrictions May Not Need Legislative Approval by Greg Bluestein and Kristina Torres. The Atlanta Journal-Constitution. March 29, 2013.
If unilateral action by the governor is judged not possible now further action by the legislature may be likely next year.
If unilateral action by the governor is judged not possible now further action by the legislature may be likely next year.
Georgia Legislature 2013 Healthcare Results
Legislating Health: The 2013 Results by Andy Miller. Georgia Health News. March 28, 2013.
A great summary of Georgia legislative action, probably the highlight of which was the shift of power to levy the provider fee from the legislature to the Department of Community Health, thus ensuring a key component of Georgia Medicaid funding. Two scope of practice measures failed; one allowing pharmacists to administer vaccinations other than flu shots and another for allowing advanced practice nurses to order imaging tests.
A great summary of Georgia legislative action, probably the highlight of which was the shift of power to levy the provider fee from the legislature to the Department of Community Health, thus ensuring a key component of Georgia Medicaid funding. Two scope of practice measures failed; one allowing pharmacists to administer vaccinations other than flu shots and another for allowing advanced practice nurses to order imaging tests.
When Simplicity Is The Solution
When Simplicity Is The Solution by Alan Siegel and Irene Etzkorn. The Wall Street Journal. March 29, 2013.
For those interested in medicine, the simplicity strategy of the Cleveland Clinic will make fascinating reading. At the Clinic empathy with the patient is the key to simplifying procedures, patient relations (the 10-4 rule), and even odors. Bringing simplicity to drug labels is a key to patient safety and drug effectiveness. Examples from business provide numerous examples of how creative organizations are simplifying the lives of those they serve.
For those interested in medicine, the simplicity strategy of the Cleveland Clinic will make fascinating reading. At the Clinic empathy with the patient is the key to simplifying procedures, patient relations (the 10-4 rule), and even odors. Bringing simplicity to drug labels is a key to patient safety and drug effectiveness. Examples from business provide numerous examples of how creative organizations are simplifying the lives of those they serve.
Friday, March 29, 2013
Unneeded Emergency Department Visits?
Comparison Of Presenting Complaint VS Discharge Diagnosis For Identifying "Nonemergency" Emergency Department Visits. JAMA. March 20, 2013.
The Cost Of Emergency Room Cost Cutting by Pauline W. Chen, M.D. Well Blog. The New York Times. March 28, 2013.
Emergency room cost cutting based upon the assumption that patients abuse the facility to obtain non-emergency service may be misplaced, according to this article and study. Non-emergency and emergency medical conditions may present in a similar manner. It is often beyond the patient's ability to distinguish between the two.
The Cost Of Emergency Room Cost Cutting by Pauline W. Chen, M.D. Well Blog. The New York Times. March 28, 2013.
Emergency room cost cutting based upon the assumption that patients abuse the facility to obtain non-emergency service may be misplaced, according to this article and study. Non-emergency and emergency medical conditions may present in a similar manner. It is often beyond the patient's ability to distinguish between the two.
Sequester Threatens Medical Education And Patient Care
Sequester Threatens Medical Education and Patient Care by S. Wright Caughman, M.D.. The Atlanta Business Chronicle. March 28, 2013.
The executive Vice president of health affairs at Emory University/CEO of the Robert W. Woodruff Health Sciences Center addresses what he sees as major impacts of the sequester. Emory will face approximately $9 million per year in cutsfor Emory hospitals. He is particularly alarmed about Graduate Medical Education funding cuts since it costs $100,000+ a year to train a medical resident. He delineates the many ripple effects of the cuts for Georgia, Atlanta, and the nation.
The executive Vice president of health affairs at Emory University/CEO of the Robert W. Woodruff Health Sciences Center addresses what he sees as major impacts of the sequester. Emory will face approximately $9 million per year in cutsfor Emory hospitals. He is particularly alarmed about Graduate Medical Education funding cuts since it costs $100,000+ a year to train a medical resident. He delineates the many ripple effects of the cuts for Georgia, Atlanta, and the nation.
Individual Insurance, Obamacare, and Costs
Health Care Law Will Raise Some Premiums, Study Says by Robert Pear. The New York Times. March 28, 2013.
FAQ On The Latest Study: Obamacare's Impact On Insurance Claim Costs by Jay Hancock. Kaiser Health News. March 28, 2013.
Cost Of The Newly Insured Under The Affordable Care Act. Society of Actuaries. March 28, 2013.
The Kaiser Health News article was particularly helpful in understanding the Obamacare cost issue. Headlines have tended to give the impression of run-away price hikes for insurance premiums.
A key point is that the report, the source of many of these headlines, refers to the individual insurance market, not to insurance obtained through employers or government programs. Significantly, the 32% figure reported often in the media refers to medical expenses paid by insurers, not what insurers will charge in premiums or what consumers will pay. The first two articles are excellent summaries. The third listed item is the complete report, if you are a serious wonk.
FAQ On The Latest Study: Obamacare's Impact On Insurance Claim Costs by Jay Hancock. Kaiser Health News. March 28, 2013.
Cost Of The Newly Insured Under The Affordable Care Act. Society of Actuaries. March 28, 2013.
The Kaiser Health News article was particularly helpful in understanding the Obamacare cost issue. Headlines have tended to give the impression of run-away price hikes for insurance premiums.
A key point is that the report, the source of many of these headlines, refers to the individual insurance market, not to insurance obtained through employers or government programs. Significantly, the 32% figure reported often in the media refers to medical expenses paid by insurers, not what insurers will charge in premiums or what consumers will pay. The first two articles are excellent summaries. The third listed item is the complete report, if you are a serious wonk.
Thursday, March 28, 2013
Stunning Comparative Charts Of U.S. Healthcare Costs.
21 Graphs That Show America's Health-care Prices Are Ludicrous. Ezra Klein. The Washington Post. March 26, 2013.
Must be seen to be believed.
Must be seen to be believed.
Study Shows MRSA Transmission From Animals To Humans
Study Shows MRSA Transmission From Animals To Humans. The Poultry Site. March 28, 2013.
The political context of this study is significant with pressure building to reduce the use of antibiotics in livestock. The study is also significant for the use of whole genome sequencing in source tracking of bacterial infections.
The political context of this study is significant with pressure building to reduce the use of antibiotics in livestock. The study is also significant for the use of whole genome sequencing in source tracking of bacterial infections.
Dating Websites For Those With STD's
STD Dating Websites Are On The Rise by Natalie DiBiasio, USA TODAY. March 28, 2013.
Sites catering to individuals infected with STD's are increasingly popular. They eliminate awkward moments and reflect the prevalence of sexually transmitted infections in the U.S. For example, the article cites a statistic that one in four women is infected with herpes.
Sites catering to individuals infected with STD's are increasingly popular. They eliminate awkward moments and reflect the prevalence of sexually transmitted infections in the U.S. For example, the article cites a statistic that one in four women is infected with herpes.
Consumer Reports Study Finds Dramatic Retail Price Differences For Drugs
Shopping Around Brings Steep Prescription Drug Savings, Report Finds. Health. March 28, 2013.
Consumer Reports looked at five medicines that have recently gone generic. For a one-month supply there was a $749 difference between the highest and lowest stores. Among the recommendations from Consumer Reports: "A consumer can't assume that the price of their prescription medication si s set in stone." "...ask for the best price and see if your pharmacist will work with you."
Consumer Reports looked at five medicines that have recently gone generic. For a one-month supply there was a $749 difference between the highest and lowest stores. Among the recommendations from Consumer Reports: "A consumer can't assume that the price of their prescription medication si s set in stone." "...ask for the best price and see if your pharmacist will work with you."
Massive Study Identifies DNA Regions Associated With Three Cancers
Scientists Discover New DNA Regions Associated With Three Cancers by Eryn Brown. Los Angeles Times. March 27, 2013.
250,000 people with and without cancer were studied. As a result of this scale the study could identify more associations and may lead to more effective screening, study, and treatments. The cancers were breast, ovarian, and prostate.
250,000 people with and without cancer were studied. As a result of this scale the study could identify more associations and may lead to more effective screening, study, and treatments. The cancers were breast, ovarian, and prostate.
Gut Microbes May Be Key To New Approaches To Obesity
Bacteria In The Intestines May Help Tip The Bathroom Scale, Studies Show by Denise Grady. The New York Times. March 27, 2013.
Results of the Massachusetts General Hospital study indicated a possible important role of microbe levels in the success of gastric bypass surgeries which in turns points to potential obesity therapies without surgery, using microbes only. A fascinating section discusses an evolutionary lag between the external environment and the human internal environment as a cause of obesity.
Results of the Massachusetts General Hospital study indicated a possible important role of microbe levels in the success of gastric bypass surgeries which in turns points to potential obesity therapies without surgery, using microbes only. A fascinating section discusses an evolutionary lag between the external environment and the human internal environment as a cause of obesity.
Music Found To Be More Effective Than Prescription Drugs In Reducing Preoperative Stress
Music Amps Immunity And Cuts Stress by Katherine Gombay. Futurity. March 28, 2013.
The research of the McGill University team uncovered in an extensive literature review the neurochemical mechanisms by which music impacted mood management, stress, immunity, and social bonding.
The research of the McGill University team uncovered in an extensive literature review the neurochemical mechanisms by which music impacted mood management, stress, immunity, and social bonding.
New Approach To Antibiotic Resistance: Use Bacterial Byproducts To Make Them More Vulnerable
Antibiotics Work Better When Germs Self-Destruct by John Sullivan. Futurity. March 25, 2013.
The serious situation arising from bacterial resistance to antibiotics has prompted new approaches. This article focuses on the work of a Princeton University professor who has seen an opportunity to exploit a class of molecules normally produced during growth. Increasing the amount of this substance may kill the bacteria on its own or may make it more vulnerable to antibiotics
The serious situation arising from bacterial resistance to antibiotics has prompted new approaches. This article focuses on the work of a Princeton University professor who has seen an opportunity to exploit a class of molecules normally produced during growth. Increasing the amount of this substance may kill the bacteria on its own or may make it more vulnerable to antibiotics
Wednesday, March 27, 2013
DOMA Ruling Will Have Healthcare Implications For Same-Sex Couples
It's Not Just A Marriage Issue; It's The Insurance by Kyle Cheney. Politico. March 27, 2013.
Today's argument before the Supreme Court about the Defense of Marriage Act could have significant impact on healthcare for same-sex couples. Under DOMA states can ignore gay marriages from outside their borders, leading same-sex couples to have more limited access to insurance and steeper costs. Several issues including the impact of the Affordable Care Act on gay couples are addressed.
The Science Of Swarms Can Help Us Fight Cancer And Predict The future
How The Science Of Swarms Can Help Us Fight Cancer And Predict The Future by Ed Yong. Wired. March 19, 2013.
The focus of this article is not healthcare or cancer. However the underlying principles of swarms may be used to describe dynamics involved in the spread of cancer cells. Here are a couple of key sentences: "Tumors spawn populations of rogue, mobile cells that align with and migrate into surrounding tissues, following a subset of trailblazing leader cells. That looks like a migrating swarm; figure out its algorithm and maybe you could divert it from vital organs or stop its progress."
The focus of this article is not healthcare or cancer. However the underlying principles of swarms may be used to describe dynamics involved in the spread of cancer cells. Here are a couple of key sentences: "Tumors spawn populations of rogue, mobile cells that align with and migrate into surrounding tissues, following a subset of trailblazing leader cells. That looks like a migrating swarm; figure out its algorithm and maybe you could divert it from vital organs or stop its progress."
New Prostate Tests Seek Reduce To Patient Anxiety, Unnecessary Treatments, and False Alarms
New Prostate Cancer Tests Could Reduce False Alarms by Andrew Pollack. The New York Times. March 26, 2013.
The P.S.A test for prostate cancer has many limitations, so many that the United States Preventive Services Task Force recommended against screening. The Task Force found that the likelihood of unnecessary treatments outweighed the possibility of saving lives from cancer. The article presents new tests that aim to improve upon the P.S.A during screening, after a positive biopsy, after a negative biopsy, and after surgery.
The P.S.A test for prostate cancer has many limitations, so many that the United States Preventive Services Task Force recommended against screening. The Task Force found that the likelihood of unnecessary treatments outweighed the possibility of saving lives from cancer. The article presents new tests that aim to improve upon the P.S.A during screening, after a positive biopsy, after a negative biopsy, and after surgery.
The Talmudic Path To Satiety And Away From Obesity
The Talmud And Other Diet Books by Jonathan K. Crane. The New York Times. March 26, 2013.
A fascinating perspective from a professor of bioethics and Jewish thought at Emory University. He presents an approach based upon individual perceptions of satiety and not imposed from above. "Am I full?" should be replaced by "Am I satisfied?"
I was particularly impressed by this sentence: "A body stuffed with food and drink is full only of biology; it leaves no room for biography, for what makes us human."
A fascinating perspective from a professor of bioethics and Jewish thought at Emory University. He presents an approach based upon individual perceptions of satiety and not imposed from above. "Am I full?" should be replaced by "Am I satisfied?"
I was particularly impressed by this sentence: "A body stuffed with food and drink is full only of biology; it leaves no room for biography, for what makes us human."
Tuesday, March 26, 2013
93% Of Mothers In Survey Introduced Solid Food To Infants Before Six Months, Too Soon Says Pediatrician Group
A "Worrisome" Risk: Most Babies Are Fed Solid Food Too Soon, Study Finds by Linda Carroll. NBC News. March 25, 2013.
Dangers of this practice include risk to develop diabetes, obesity, eczema, and celiac disease. What does this practice perhaps show about the knowledge of many health-care providers? This disturbing answer is in the article.
Dangers of this practice include risk to develop diabetes, obesity, eczema, and celiac disease. What does this practice perhaps show about the knowledge of many health-care providers? This disturbing answer is in the article.
Self-Reported Data Shows Unintended Consequences For Short Resident Work Hours: More Errors Reported
Fewer Hours For Doctors-In-Training Leading To More Mistakes by Alexandra Sifferlin. Time. March 26, 2013.
Perils of patient handoffs were cited as were continuing problems with sleep deprivation and work compression. Importantly, the authors acknowledge the preliminary nature of their findings and the possibility that the phase-in of reduced hours could have magnified any problems. The bottom line seems to be that the struggle to achieve a balance of learning, patient care, and resident health will continue.
Perils of patient handoffs were cited as were continuing problems with sleep deprivation and work compression. Importantly, the authors acknowledge the preliminary nature of their findings and the possibility that the phase-in of reduced hours could have magnified any problems. The bottom line seems to be that the struggle to achieve a balance of learning, patient care, and resident health will continue.
Monday, March 25, 2013
Push To Increase To 30 The Number of States Allowing Nurses To Practice Without Physician Supervision
Nurses Can Practice Without Physician Supervision In Many States by N.C. Alzenman. Washington Post. March, 24, 2013.
The need for more primary care in light of the Affordable Care Act is inspiring nurses and their supporters to lobby for broad authority to work outside the supervision of a doctor. At present there are 6,000 nurse-operated independent care practices. Allowing nurses more authority could go a long way to meet the increasing demand with the implementation of Obamacare. Physicians, emphasizing the differences in training, oppose the lobbying efforts in state capitals.
The need for more primary care in light of the Affordable Care Act is inspiring nurses and their supporters to lobby for broad authority to work outside the supervision of a doctor. At present there are 6,000 nurse-operated independent care practices. Allowing nurses more authority could go a long way to meet the increasing demand with the implementation of Obamacare. Physicians, emphasizing the differences in training, oppose the lobbying efforts in state capitals.
Cures With Little Cutting: A New Era In Heart Repair
More Hearts Can Be Fixed Without Surgery; New Treatments For Valves, Rhythm. Associated Press/Washington Post.
Cutting is almost becoming passé with the advent of new heart techniques, several of which are explained here. The one that struck me was a cure for high blood pressure which uses a catheter and radio waves to zap nerves, located near the kidney which fuels high blood pressure. Already approved for Europe, the device is being tested in the United States.
Cutting is almost becoming passé with the advent of new heart techniques, several of which are explained here. The one that struck me was a cure for high blood pressure which uses a catheter and radio waves to zap nerves, located near the kidney which fuels high blood pressure. Already approved for Europe, the device is being tested in the United States.
Georgia Ends Medicaid Payments For Early Elective C-Sections And Induced Deliveries
Ga. To End Medicaid Payments For Some Early Births. The Associated Press/The Atlanta Journal-Constitution. March 25, 2013.
This action reflects financial and medical considerations, saving Georgia Medicaid about $7 million while bringing delivery practice in line with effectiveness research.
This action reflects financial and medical considerations, saving Georgia Medicaid about $7 million while bringing delivery practice in line with effectiveness research.
The Transformational Search For A Cancer Cure
The Conspiracy To End Cancer by Bill Saporito. Time Magazine. April 1, 2013. Available to subscribers and in newsstand copy. Online abbreviated version.
Emphasizes teamwork, the bewildering diversity of cancers, how cancer brings together science and medicine, and how cancer has redefined the drug development process.
Emphasizes teamwork, the bewildering diversity of cancers, how cancer brings together science and medicine, and how cancer has redefined the drug development process.
Sunday, March 24, 2013
Health Care Reform: Have There Been Any Results?
Report Card On Health Care Reform by the Editorial Board. The New York Times. March, 23, 2013.
Among the accomplishments: The 6.6 million young people ages 19-25 who have been able to stay on their parent's insurance plan with more than 3 million previously uninsured young adults receiving insurance. Another accomplishment: 17 million children now covered by the requirement that insurance companies must cover pre-existing conditions. There are more.
Among the accomplishments: The 6.6 million young people ages 19-25 who have been able to stay on their parent's insurance plan with more than 3 million previously uninsured young adults receiving insurance. Another accomplishment: 17 million children now covered by the requirement that insurance companies must cover pre-existing conditions. There are more.
Gates Foundation Seeks Ground Breaking Ideas
Ground Breaking Ideas Sought To Improve The Lives of Millions. Press Release. Bill & Melinda Gates Foundation. March 4, 2013.
The press release announcing the quest for an innovative condom (see previous article) also links to solicitations for proposals for increasing interoperability of social good data; "One Health" bringing together human and animal health for new solutions; Labor saving strategies and innovations for women smallholder farmers; and New approaches for detection, treatment, and control of selected neglected tropical diseases.
The proposals for each area make for interesting reading, providing an insight into what the Gates Foundation sees as areas of need.
The press release announcing the quest for an innovative condom (see previous article) also links to solicitations for proposals for increasing interoperability of social good data; "One Health" bringing together human and animal health for new solutions; Labor saving strategies and innovations for women smallholder farmers; and New approaches for detection, treatment, and control of selected neglected tropical diseases.
The proposals for each area make for interesting reading, providing an insight into what the Gates Foundation sees as areas of need.
Gates Offers Prize For New Condom Design: (Will Not Have To Run Windows 8 LOL)
Bill & Melinda Gates Foundation: $100k For "Next Generation Of Condom" by David Murphy. PC Magazine. March 23, 2013.
The article seems to indicate that Wi-Fi or Windows 8 will not have to be incorporated in "Next Generation of Condoms." The implication is also that no dramatic TV series by that name will be forthcoming, so to speak.
The substantial public health benefits of a new condom design could perhaps include "reducing the incidence of unplanned pregnancies and in prevention of infection with HIV or other STIs."
The article seems to indicate that Wi-Fi or Windows 8 will not have to be incorporated in "Next Generation of Condoms." The implication is also that no dramatic TV series by that name will be forthcoming, so to speak.
The substantial public health benefits of a new condom design could perhaps include "reducing the incidence of unplanned pregnancies and in prevention of infection with HIV or other STIs."
Doctors Often Targeted, Killed, Or Forced To Flee in Syrian Civil War
In Syria's Civil War, Doctors Find Themselves In Cross Hairs by Neil MacFarquahar and Hala Droubi. The New York Times. March 23, 2013.
The extent of the tragedy is hinted at in this sentence summarizing the findings of The Violations Documentation Center: "(Victims) include 120 doctors, 65 medical aid workers and 50 nurses killed, and 469 doctors jailed." The article presents the sacrifices that medical professional make to bring healthcare to those in need.
The extent of the tragedy is hinted at in this sentence summarizing the findings of The Violations Documentation Center: "(Victims) include 120 doctors, 65 medical aid workers and 50 nurses killed, and 469 doctors jailed." The article presents the sacrifices that medical professional make to bring healthcare to those in need.
A View Of Domestic Violence
A View Of Violence: Survivors Share How They Overcame Abuse Relationships by Joe Johnson. Onlineathens.com. March 23, 2013.
Local Authorities Work To Protect Victims Of Domestic Violence by Joe Johnson. Onlineathens.com. March 24, 2013.
A Safe Harbor For Victims Of Domestic Abuse by Joe Johnson. Onlineathens.com. March 24, 2013.
These articles focus on domestic violence from a local, Athens, GA perspective. The first article provides a primarily personal view from two survivors of domestic violence. The second gives an overview of the work of local agencies and law enforcement to confront domestic violence. The final article profiles Project Safe.
Statistics that struck me: Georgia is ranked 10th in the nation for its rate of men killing women; On average women leave an abusive relationship seven to 10 times.
Local Authorities Work To Protect Victims Of Domestic Violence by Joe Johnson. Onlineathens.com. March 24, 2013.
A Safe Harbor For Victims Of Domestic Abuse by Joe Johnson. Onlineathens.com. March 24, 2013.
These articles focus on domestic violence from a local, Athens, GA perspective. The first article provides a primarily personal view from two survivors of domestic violence. The second gives an overview of the work of local agencies and law enforcement to confront domestic violence. The final article profiles Project Safe.
Statistics that struck me: Georgia is ranked 10th in the nation for its rate of men killing women; On average women leave an abusive relationship seven to 10 times.
Saturday, March 23, 2013
Only 16 Percent Of A Million Georgia Schoolchildren Pass Five Physical Fitness Tests
Georgia's Children Are Out Of Shape by Bo Emerson. The Atlanta Journal-Constitution. March 22, 2013.
20 percent were unable to pass any of the five tests. Key quote from the Associate Dean of the University of Georgia School of Public Health: “What we’re seeing from a disease perspective [among children] are diseases normally seen in adults, including hypertension, high cholesterol levels and type 2 diabetes.”
UN Report: Six Billion Out Of Seven Billion People Have Mobile Phones But Only 4.5 Billion Have A toilet
Six Of The World's Seven Billion People Have Mobile Phones...But Only 4.5 Billion Have A Toilet Says UN Report by Steve Robson. MailOnline. March 22, 2013.
According to the UN report, open defecation is practiced by 1.1 billion people, one of the main causes of death by diarrhea which claims 750 children under the age of five every year.
According to the UN report, open defecation is practiced by 1.1 billion people, one of the main causes of death by diarrhea which claims 750 children under the age of five every year.
Science Fiction Comes Alive As Researchers Grow Organs In the Lab
Science Fiction Comes Alive AS Researchers Grow Organs In the Lab by Gautam Naik. The Wall Street Journal. March 22, 2013.
The article contains an interesting chart of six steps to growing a new heart.
The article contains an interesting chart of six steps to growing a new heart.
Obamacare's Five Biggest Challenges
Obamacare's Five Biggest Challenges by Sarah Kliff. Wonkblog. The Washington Post. March 23, 2013.
For me, a point of interest in the article is the flowchart of exchange operations. This will be a complex task to say the least. The computer system interfaces will be daunting.
For me, a point of interest in the article is the flowchart of exchange operations. This will be a complex task to say the least. The computer system interfaces will be daunting.
Study: Love Letters Found More Effective Than Cognitive Behavioral Therapy
Love Letters And Kindness May Improve Mental Health by Lorna Stewart. Health Check, BBC World Service. March 22, 2013.
The study compared Cognitive Behavioral Therapy with performing random acts of kindness involving going outside one's comfort level. There is a profile of a depressed young woman who successfully dealt with her depression by leaving love letters in public places for whoever found them.
The study compared Cognitive Behavioral Therapy with performing random acts of kindness involving going outside one's comfort level. There is a profile of a depressed young woman who successfully dealt with her depression by leaving love letters in public places for whoever found them.
Robert Wood Johnson Study: Large Numbers of Young People Will Not Be Pushed Out Of Insurance Market by Obamacare
Implications of Limited Age Ratings Bands Under the Affordable Care Act. The Robert Wood Johnson Foundation. March 2013.
RWJF addresses concerns about cost for young people under the ACA.
Key conclusion: "Analysis shows that large majorities of young adults purchasing nongroup insurance today—as well as those expected to purchase such coverage when the ACA is fully implemented in 2014—will be shielded from the increases brought about by the tighter age rating rules. Expanded Medicaid eligibility and federal subsidies for purchasing coverage through state exchanges should help prevent large numbers being pushed out of the market, as some claim will happen."
Not mentioned in this analysis is the feature of ACA allowing covering of young people under their parent's policies.
RWJF addresses concerns about cost for young people under the ACA.
Key conclusion: "Analysis shows that large majorities of young adults purchasing nongroup insurance today—as well as those expected to purchase such coverage when the ACA is fully implemented in 2014—will be shielded from the increases brought about by the tighter age rating rules. Expanded Medicaid eligibility and federal subsidies for purchasing coverage through state exchanges should help prevent large numbers being pushed out of the market, as some claim will happen."
Not mentioned in this analysis is the feature of ACA allowing covering of young people under their parent's policies.
Friday, March 22, 2013
A Data Visualization of Gun Deaths Since Sandy Hook
Mapping the Dead: Gun Deaths Since Sandy Hook. Huffingtonpost.com March 23, 2013.
A striking data visualization of deaths by guns since the tragedy at Sandy Hook. See it to believe it.
A striking data visualization of deaths by guns since the tragedy at Sandy Hook. See it to believe it.
Hospitals Opposed By Doctors, Insurers, And FTC In Albany GA Hospital Merger
Revised Bill Would Intervene In Albany Hospital Fight by Andy Miller. Georgia Health News. March 22, 2013.
The Federal Trade Commission has ruled that the merger of two Albany Georgia hospitals is anti-competitive. This ruling has set up a variety of consequences, including legislative action in the Georgia General Assembly to buttress antitrust immunity for Georgia hospital authorities. This action has sparked opposition from doctors and insurers. A present the billed is tabled by the Senate Health and Human Services Committee.
The Federal Trade Commission has ruled that the merger of two Albany Georgia hospitals is anti-competitive. This ruling has set up a variety of consequences, including legislative action in the Georgia General Assembly to buttress antitrust immunity for Georgia hospital authorities. This action has sparked opposition from doctors and insurers. A present the billed is tabled by the Senate Health and Human Services Committee.
Premium Cost Increase Under Obamacare? It Seems To Depend On............
Health Insurers Warn On Premiums by Anne Wilde Mathews and Louise Radnofsky. The Wall Street Journal. March 22, 2013.
Whether premiums for health insurance under Obamacare will rise is a complex question. The effects will likely be very different for some consumers buying their own plans and for older individuals. Judging from this article, it is clear that the cost effects of the law will be complicated. The insurance industry, perhaps to prepare customers for any potential price shocks, is emphasizing the potential for big increases. The administration, supported by a Congressional Budget Office study, points to the probability that average premiums on similar products would be lower.
Whether premiums for health insurance under Obamacare will rise is a complex question. The effects will likely be very different for some consumers buying their own plans and for older individuals. Judging from this article, it is clear that the cost effects of the law will be complicated. The insurance industry, perhaps to prepare customers for any potential price shocks, is emphasizing the potential for big increases. The administration, supported by a Congressional Budget Office study, points to the probability that average premiums on similar products would be lower.
Georgia Compounding Pharmacy Products Recalled Due To Concerns About Sterility Assurance
Compounding Pharmacy Recalls Drugs Over Safety Concerns by Liz Szabo. USA TODAY. March 21, 2013.
Clinical Specialities Compounding Pharmacy of Augusta, GA first recall Avastin and later all of its sterile products. Avastin is used, off-label, for the treatment of macular degeneration. Five patients have reported serious eye infections linked to Avastin obtained from the pharmacy.
Clinical Specialities Compounding Pharmacy of Augusta, GA first recall Avastin and later all of its sterile products. Avastin is used, off-label, for the treatment of macular degeneration. Five patients have reported serious eye infections linked to Avastin obtained from the pharmacy.
First Guidelines For Incidental Findings In Genetic Tests
New Guidelines: Labs Should Report Incidental Genetic Risk by Melissa Healy. The Los Angles Times. March 21, 2013.
Laboratories ordered by physicians to perform genomic sequencing for cancer or cardiac disease now have guidelines for reporting what they may incidentally discover. The guidelines assert that "when a known genetic variation is clearly linked to heightened disease risk, when symptoms may not become evident for years, and when knowledge of that risk could prompt potentially life-saving steps, a genetic lab has a duty to report them to a physician."
Laboratories ordered by physicians to perform genomic sequencing for cancer or cardiac disease now have guidelines for reporting what they may incidentally discover. The guidelines assert that "when a known genetic variation is clearly linked to heightened disease risk, when symptoms may not become evident for years, and when knowledge of that risk could prompt potentially life-saving steps, a genetic lab has a duty to report them to a physician."
Thursday, March 21, 2013
The Face Of Future Health Care
The Face of Future Health Care by Reed Abelson. The New York Times. March 20, 2013.
A profile of Kaiser Permanente as a model for the future of medicine. Among the features highlighted include (1) how it combines an insurance plan with its own hospitals in an integrated service model, (2) better coordinated care through electronic and computer systems, (3) emphasis on prevention, (4) moving care away from the hospital and doctors' offices to home via the Internet, (5) physicians paid salaries. Problems faced by the system are also discussed
A profile of Kaiser Permanente as a model for the future of medicine. Among the features highlighted include (1) how it combines an insurance plan with its own hospitals in an integrated service model, (2) better coordinated care through electronic and computer systems, (3) emphasis on prevention, (4) moving care away from the hospital and doctors' offices to home via the Internet, (5) physicians paid salaries. Problems faced by the system are also discussed
Men In Downward Economic Spiral, Reflecting And Reinforcing Trends In The Family
Study Of Men's Falling Income Cites Single Parents by Binyamin Appelbaum. The New York Times. March 20, 2013.
Wayward Sons: The Emerging Gender Gap In Labor Markets and Education by David Autor and Melanie Wasserman The Third Way.
The MIT study upon which this article is based does not focus directly on health issues. However, we can be assured that the phenomena described here is having and will continue to have tremendous health impact on men for a wide range of diseases and mental health. The circular nature of the problem was made clear by a quotation from Christopher Jencks, professor of social policy at Harvard: "Single-parent families tend to emerge in places where the men already are a mess. You have to ask yourself, 'Suppose the available men were getting married to the available women? Would that be an improvement?"
Wayward Sons: The Emerging Gender Gap In Labor Markets and Education by David Autor and Melanie Wasserman The Third Way.
The MIT study upon which this article is based does not focus directly on health issues. However, we can be assured that the phenomena described here is having and will continue to have tremendous health impact on men for a wide range of diseases and mental health. The circular nature of the problem was made clear by a quotation from Christopher Jencks, professor of social policy at Harvard: "Single-parent families tend to emerge in places where the men already are a mess. You have to ask yourself, 'Suppose the available men were getting married to the available women? Would that be an improvement?"
An Social Media Manifesto For Physicians
Doctors And Their Online Reputation by Pauline W. Chen, M.D. Well Blog. The New York Times. March 21, 2013.
Discussed the work of Dr. Kevin Pho, a primary care doctor who has a blog and written a book that says that doctors need social media because that is where the patients will be. Key quote: "The biggest risk of social media in health care is not using it at all."
Discussed the work of Dr. Kevin Pho, a primary care doctor who has a blog and written a book that says that doctors need social media because that is where the patients will be. Key quote: "The biggest risk of social media in health care is not using it at all."
Study: Women Abused As Children More Likely To Have Child With Autism
Women Abused In Childhood At Higher Odds Of Having Child With Autism: Study by Steven Reinberg. March 20, 2013.
Researchers at the Harvard School Of Public Health claim discovery of a "completely new risk factor for autism." Interestingly the researchers speculated that the transgenerational effects may be related to effects on the immune and stress-response systems. The authors conceded the findings only showed an association not cause-and-effect.
Researchers at the Harvard School Of Public Health claim discovery of a "completely new risk factor for autism." Interestingly the researchers speculated that the transgenerational effects may be related to effects on the immune and stress-response systems. The authors conceded the findings only showed an association not cause-and-effect.
Wednesday, March 20, 2013
Including Undocumented Immigrants In Obamacare May Have Benefits: They Are Healthier and Use Medical Services Less
Could Immigration Reform Improve Our Health by Matthew O'Brien. Philly.com. March 19, 2013.
This analysis contains some surprises. First of all, it notes that along two different dimensions, obesity and diabetes, undocumented immigrants are healthier that Latino U.S. citizens. In addition, they visited physicians less than U.S. citizens. Including 11.1 individuals who are healthier than most U.S. citizens could serve to lower insurance premiums on the insurance exchanges. Undocumented immigrants are now specifically excluded from Obamacare.
This analysis contains some surprises. First of all, it notes that along two different dimensions, obesity and diabetes, undocumented immigrants are healthier that Latino U.S. citizens. In addition, they visited physicians less than U.S. citizens. Including 11.1 individuals who are healthier than most U.S. citizens could serve to lower insurance premiums on the insurance exchanges. Undocumented immigrants are now specifically excluded from Obamacare.
Questions Patients Should Ask To Build An Effective Care Team
Questions To Ask Your Doctor. Dr. Clancy's Corner: Health Care Advice For Consumers. Agency For Healthcare Research And Quality. US Department of Health And Human Services.
Among the topics covered are: The 10 questions you should know; Questions to ask before, during, and after your appoint; and building your own list of questions
Among the topics covered are: The 10 questions you should know; Questions to ask before, during, and after your appoint; and building your own list of questions
Keys to Good Heart Health Are Also Good Cancer Prevention Tips
Key To Cancer Prevention May Be Keeping Your Heart Healthy by Ryan Jaslow. CBS News. March 19, 2013.
The study discussed in the article contradicts studies that there was one way to eat to avoid diabetes, another to avoid heart disease, and another to avoid cancer. In essence the study endorses The American Heart Associations "Life's Simple 7."
The study discussed in the article contradicts studies that there was one way to eat to avoid diabetes, another to avoid heart disease, and another to avoid cancer. In essence the study endorses The American Heart Associations "Life's Simple 7."
Tuesday, March 19, 2013
Alzheimer's Increasing Toll: Cost by 2050--$1.2 Trillion
One In Three Elderly Have Dementia When they Die by Janice Lloyd. USA TODAY. March 19, 2013.
A report from the Alzheimer's Association shows that Alzheimer's and other forms of dementia have increased by 68% between 2000 and 2010. Among the many disturbing statistics is an often overlooked cost: Stress on caregivers results in $9 billion more in healthcare costs.
A report from the Alzheimer's Association shows that Alzheimer's and other forms of dementia have increased by 68% between 2000 and 2010. Among the many disturbing statistics is an often overlooked cost: Stress on caregivers results in $9 billion more in healthcare costs.
Data Warehousing Strategy At University Of Pittsburgh Medical Center
Pittsburgh Healthcare System Invests 100M In Big Data by Nicole Lewis. Information Week. October 15, 2012.
Key quote from the VP of enterprise systems and data management at UPMC: It's a lot of information. The typical clinician has more information coming at him than he has the cognitive capacity to really comprehend and react to and that's where the intelligence layer between the computer and the digital data and the human being has to be."
Key quote from the VP of enterprise systems and data management at UPMC: It's a lot of information. The typical clinician has more information coming at him than he has the cognitive capacity to really comprehend and react to and that's where the intelligence layer between the computer and the digital data and the human being has to be."
Accountable Care Organizations Will Require Data Warehousing and Late Binding Of Information
New Healthcare Data Warehousing Model Gains Favor by Ken Terry. Information Week. March 19, 2013.
The rise of accountable care organizations will require new approaches to health care data management. Flexibility and rapid analysis will be priorities. New demands will be made of clinicians as they will work with analytic experts to facilitate a decentralized approach to report generation. With "late binding" the clinicians will avoid handoffs to IT and be able to produce reports to address critical and novel questions.
The rise of accountable care organizations will require new approaches to health care data management. Flexibility and rapid analysis will be priorities. New demands will be made of clinicians as they will work with analytic experts to facilitate a decentralized approach to report generation. With "late binding" the clinicians will avoid handoffs to IT and be able to produce reports to address critical and novel questions.
Hospital Ratings Are In The Eye Of the Beholder
Hospital Ratings Are In The Eye Of The Beholder by Jordan Rau. Kaiser Health News. March 18, 2013.
The world of hospital ratings is a world differing standards and differing results. So much so that, according to the article, the hospital raters are now rated by the Informed Patient Institute. While the ratings offer unprecedented transparency, the wildly diverging methodologies also can be confusing. These methodologies offer many hospitals to be rated well in some aspect of patient care, hence the marketing popularity of the ratings.
The world of hospital ratings is a world differing standards and differing results. So much so that, according to the article, the hospital raters are now rated by the Informed Patient Institute. While the ratings offer unprecedented transparency, the wildly diverging methodologies also can be confusing. These methodologies offer many hospitals to be rated well in some aspect of patient care, hence the marketing popularity of the ratings.
Group Doctor's Appointments: Meeting The Doctor Shortage And Improving Results?
Group Appointments With Doctors: When Three Isn't A Crowd by Michelle Andrews. Kaiser Health News. March 19, 2013.
A study published in December indicated that the nation will need 52,000 new physicians by 2025. Many new strategies are being employed to meeting this demand. Group appointments is one of those strategies. Often used for patients with the same chronic conditions the session may last up to 2 hours. Issues such as insurance, relative effectiveness, as well as patient and physician reaction are addressed.
A study published in December indicated that the nation will need 52,000 new physicians by 2025. Many new strategies are being employed to meeting this demand. Group appointments is one of those strategies. Often used for patients with the same chronic conditions the session may last up to 2 hours. Issues such as insurance, relative effectiveness, as well as patient and physician reaction are addressed.
Monday, March 18, 2013
Robotic Nurse Designed To Help With Hospital Readmission Rates
Computerized Nurses Might Improve Health Care, Researchers Say. Public Health Newswire. March 18, 2013.
Researchers at Boston University have designed a program, Project RED, or re-engineered discharge to automate guidance in areas including diagnostics, medication reminders and upcoming tests. Patients are reacting well saying that the computer "cares a lot about them and that they understand each other."
Researchers at Boston University have designed a program, Project RED, or re-engineered discharge to automate guidance in areas including diagnostics, medication reminders and upcoming tests. Patients are reacting well saying that the computer "cares a lot about them and that they understand each other."
Confirmed: Rabies Cause of Death In Organ Transplant Case
Rabies Death In Organ Transplant Recipient Confirmed by Staff infoZine. Kansas City infoZine. March 18, 2013.
At the time of the donor's death, rabies was not suspected and therefore no rabies tests were performed. Only after the current investigation was rabies established as the cause of death of the organ donor and recipient. The three other patients who have received organs from the infected donor are now receiving anti-rabies shots.
At the time of the donor's death, rabies was not suspected and therefore no rabies tests were performed. Only after the current investigation was rabies established as the cause of death of the organ donor and recipient. The three other patients who have received organs from the infected donor are now receiving anti-rabies shots.
Protective Orders Do Not Always Protect Because..........
In Some States, Gun Rights Trump Orders Of Protection by Michael Luo. The New York Times. March 17, 2013.
Key statistics are these: Nearly half of all women killed every year are killed by intimate partners; More than half of that number are killed with a firearm; Of those a significant percentage have obtained legal protective orders against their eventual killer. In most states, there is no requirement that those subject to protective orders relinquish their firearms. Along with dramatic personal stories, this article explores the dynamics behind state decisions not to institute this requirement and the role of the NRA in those decisions.
Key statistics are these: Nearly half of all women killed every year are killed by intimate partners; More than half of that number are killed with a firearm; Of those a significant percentage have obtained legal protective orders against their eventual killer. In most states, there is no requirement that those subject to protective orders relinquish their firearms. Along with dramatic personal stories, this article explores the dynamics behind state decisions not to institute this requirement and the role of the NRA in those decisions.
Sunday, March 17, 2013
Fulton County Government Control Dispute Could Impact Grady Hospital Funding
Fight For Control Of Fulton County Likely To Escalate Over Grady by Jim Galloway. March 16, 2013.
The Fulton County government provides substantial support for Grady Memorial Hospital. H.B. 541 making its way through the Georgia legislature could impact the amount of funding Fulton County could provide by lowering property tax revenue available to the county. This measure comes on top of the decision by Governor Nathan Deal to refuse to expand the Medicaid program under the Affordable Care Act. Funding available under the Act would have replaced a federal cut in Grady funding when it was assumed that all states would be compelled to participate in the Medicaid expansion. Under the assumption that the state would have to participate these federal cuts would have been compensated for. That assumption was destroyed when the Supreme Court ruled that Medicaid expansion was at the option of the states.
The Fulton County government provides substantial support for Grady Memorial Hospital. H.B. 541 making its way through the Georgia legislature could impact the amount of funding Fulton County could provide by lowering property tax revenue available to the county. This measure comes on top of the decision by Governor Nathan Deal to refuse to expand the Medicaid program under the Affordable Care Act. Funding available under the Act would have replaced a federal cut in Grady funding when it was assumed that all states would be compelled to participate in the Medicaid expansion. Under the assumption that the state would have to participate these federal cuts would have been compensated for. That assumption was destroyed when the Supreme Court ruled that Medicaid expansion was at the option of the states.
Electronic Tattoo Developed to Monitor Medical Conditions During Daily Activities
Electronic Sensors Printed Directly On The Skin by Mike Orcutt. Technology Review. March 11, 2013.
The ability to monitor conditions such as healing near surgical wounds could be one use of this technology. This example of "epidermal electronics" consists of electrodes, electronics, sensors as well as wireless power and communications systems.
The ability to monitor conditions such as healing near surgical wounds could be one use of this technology. This example of "epidermal electronics" consists of electrodes, electronics, sensors as well as wireless power and communications systems.
Nurses and Doctors And The Hospital Hierarchy
Healing The Hospital Hierarchy by Theresa Brown. Opinionator. The New York Times. March 16, 2013.
A couple of key sentences from this oncology nurse: "Modern health care is complex, highly technical and dangerous and the lack of flexible, dynamic protocols to facilitate communication along the medical hierarchy can be deadly." "Doctors and nurses are trained differently and our sense of priorities can conflict." How communications and conflicting perspectives can be harnessed effectively in modern healthcare is the focus of this article.
A couple of key sentences from this oncology nurse: "Modern health care is complex, highly technical and dangerous and the lack of flexible, dynamic protocols to facilitate communication along the medical hierarchy can be deadly." "Doctors and nurses are trained differently and our sense of priorities can conflict." How communications and conflicting perspectives can be harnessed effectively in modern healthcare is the focus of this article.
Pre-Existing Condition Program Limits Enrollments
Insurance Program For Pre-Existing Conditions Runs Dry by Misty Williams. The Atlanta Journal-Constitution. March 15, 2013.
The Pre-Existing Conditions Insurance Plan (PCIP) was designed to be a bridge program for high-risk individuals with preexisting conditions until January when people will be able to obtain insurance on online insurance exchanges. To qualify for the program applicants had to be without insurance for six months before they could apply. For this and other reasons, costs exceeded estimates and new applications are not being accepted as of February 16.
The Pre-Existing Conditions Insurance Plan (PCIP) was designed to be a bridge program for high-risk individuals with preexisting conditions until January when people will be able to obtain insurance on online insurance exchanges. To qualify for the program applicants had to be without insurance for six months before they could apply. For this and other reasons, costs exceeded estimates and new applications are not being accepted as of February 16.
Statistical Sources On Overweight And Obesity: CDC
Obesity and Overweight (Data Are For The U.S. Centers for Disease Control.
A listing of sources for CDC reports on obesity and overview. Among the more interesting statistics: 12.1% of children 2-5 years old are obese (2009-2010).
A listing of sources for CDC reports on obesity and overview. Among the more interesting statistics: 12.1% of children 2-5 years old are obese (2009-2010).
Doctoring Is An Act Of Love--Or Maybe Less So Now
Doctoring Is an Act of Love by Jordan Grumet. In My Humble Opinion: A Primary Caree Physicians Thoughts On Medicine and Life. March 16, 2013.
Doctoring as an act of love in light of the current turbulent environment.
Doctoring as an act of love in light of the current turbulent environment.
50% Of Americans Could Have Prediabetes/Diabetes by 2020: Cost $3.5 Trillion Over a Decade
The United States Of Diabetes: New Report Shows Half The Country Could Have Diabetes Or Prediabetes At A Cost of $3.5 Trillion by 2020. UnitedHealth Group.
The report that is the basis of this article can be found here. Among the statistics found in the article one particularly struck me: In 2009 the annual health care costs for a person with diabetes was approximately $11,700. For the remainder of the population the cost was $4,400.
The report that is the basis of this article can be found here. Among the statistics found in the article one particularly struck me: In 2009 the annual health care costs for a person with diabetes was approximately $11,700. For the remainder of the population the cost was $4,400.
Saturday, March 16, 2013
Olive Oil Found To Be Most Filling With Aroma That Inhibits Glucose Absorption
Olive Oil Makes You Feel Full. Science News. March 14, 2013.
A key factor in weight loss the feeling of fullness. If low calorie foods are consumed but there is little feeling of fullness, there will be a temptation to eat more, counteracting the effect of the low calories. The study detailed here showed that olive oil consumption was associated with higher serotonin levels, producing satiety. It also inhibited the absorption of glucose, delaying the onset of hunger.
A key factor in weight loss the feeling of fullness. If low calorie foods are consumed but there is little feeling of fullness, there will be a temptation to eat more, counteracting the effect of the low calories. The study detailed here showed that olive oil consumption was associated with higher serotonin levels, producing satiety. It also inhibited the absorption of glucose, delaying the onset of hunger.
Small Business Self Insurance Poses Possible Challenge To Health Care Law
Small Businesses Pursue Health Law 'Loophole' by Jay Hancock. Kaiser Health News. March 15, 2013.
Self-insurance coupled with stop-loss policies is an option being explored by small business. Some are worried that if too many small businesses select this option there could be "cherry-picking" with firms with healthy employees could self-insure leaving sicker employees to be covered by insurance plans that will, by necessity, have to rise in cost.
Self-insurance coupled with stop-loss policies is an option being explored by small business. Some are worried that if too many small businesses select this option there could be "cherry-picking" with firms with healthy employees could self-insure leaving sicker employees to be covered by insurance plans that will, by necessity, have to rise in cost.
Distracted Eaters Consume More Calories
Distracted Eaters Likely To Take In More Calories by Kathleen Raven. Reuters. March 15, 2013.
This study combined and interpreted the results of 24 individual studies. The results discussed in the article indicated that distracted eating could increase the amount of food eaten by up to 50%.
This study combined and interpreted the results of 24 individual studies. The results discussed in the article indicated that distracted eating could increase the amount of food eaten by up to 50%.
Phage Therapy Explored As Possible Alternative To Antibiotics
Phages May Be Key In Bacteria Battle by Damien McGuinness and Deborah Cohen. BBC News--Health. March 15, 2013.
As resistance to antibiotics grows, medical researchers are exploring alternatives. Phages are viruses that eat bacteria and may be just such an alternative. This article explores how doctors in the former Soviet Union have used phages for over 90 years.
As resistance to antibiotics grows, medical researchers are exploring alternatives. Phages are viruses that eat bacteria and may be just such an alternative. This article explores how doctors in the former Soviet Union have used phages for over 90 years.
Moody''s Investors Service: Hospitals In States That Refuse Medicaid Expansion Will Be Strained
Moody's Warns Of Trouble For Hospitals Without Medicaid Expansion by Elise Viebeck. The Hill. March 15, 2013.
By 2019, DSH (disproportionate share) fund payments to hospitals will decline by $17 billion. These funds are aimed at helping hospitals to fund charity care. Under Obamacare these funds are slated to decline because, under the law as originally written, the DSH funds lost would be replaced by payments from the newly insured under Medicaid. With the ruling of the Supreme Court that Medicaid is optional for the states, this financing arrangement will not apply in states that do not accept Medicaid expansion, thus straining hospital and state financing.
By 2019, DSH (disproportionate share) fund payments to hospitals will decline by $17 billion. These funds are aimed at helping hospitals to fund charity care. Under Obamacare these funds are slated to decline because, under the law as originally written, the DSH funds lost would be replaced by payments from the newly insured under Medicaid. With the ruling of the Supreme Court that Medicaid is optional for the states, this financing arrangement will not apply in states that do not accept Medicaid expansion, thus straining hospital and state financing.
Friday, March 15, 2013
Night Shift Work and Working Against Preferred Sleep Cycle Carries Cancer Risk
Night Shifts May Raise Risk Of Ovarian Cancer by Zosia Chustecka. Medscape Medical News. March 15, 2013.
Studies linking night shift work with cancer continue to accumulate. Previous work focused on breast cancer. This study noted a 24% increased in advanced ovarian cancer and a 49% risk of early stage cancer. The study also noted the risk of working against the body's normal preferred pattern of sleep and activity.
Studies linking night shift work with cancer continue to accumulate. Previous work focused on breast cancer. This study noted a 24% increased in advanced ovarian cancer and a 49% risk of early stage cancer. The study also noted the risk of working against the body's normal preferred pattern of sleep and activity.
Telling The Truth To Patients
When Is The Right Time To Tell The Patient The Truth? by Val Jones, MD. The Doctor Blog. March 14, 2013.
The physician/author presents several reasons why patients are not immediately provided a full explanation of their condition. The Dr. Jones argues that the physician should immediately tell the patient about test results and convey the physician's thought processes at every step so that a plan of action can be developed ASAP.
The physician/author presents several reasons why patients are not immediately provided a full explanation of their condition. The Dr. Jones argues that the physician should immediately tell the patient about test results and convey the physician's thought processes at every step so that a plan of action can be developed ASAP.
More Residencies Sought In Primary Care
Match Day: Speciality Slot Contests Good For Primary Care by Kristina Flore. MedPage Today. March 15, 2013.
Primary Care residency requests on match day are up this year perhaps resulting from competition for speciality slots and projected new demand for primary care physicians under the Affordable Care Act.
Primary Care residency requests on match day are up this year perhaps resulting from competition for speciality slots and projected new demand for primary care physicians under the Affordable Care Act.
Match Day Matches 40,000 Medical Students With Residencies
Matchmaker, Er, Match Week Make Me A Doctor by Ankita Rao. NPR/Kaiser Health News. March 15, 2013.
Today is the day that medical students find out where they will be doing their residency. Without doubt this is a milestone in their medical careers. More medical schools, more foreign-born applicants, and more osteopathic medical students combined to make today's match bigger than any previous year. An interesting fact brought out by the article is that the matching algorithm was developed by 1952 Nobel Prize economist Alvin Roth. The system is designed to prevent gaming the system by, say, only indicating one choice. A student who does that risks not being selected by any program. Students who are not matched on the first day enter the Supplemental Offer and Acceptance Program. Those not accepted after SOAP usually wait a year and apply again.
Today is the day that medical students find out where they will be doing their residency. Without doubt this is a milestone in their medical careers. More medical schools, more foreign-born applicants, and more osteopathic medical students combined to make today's match bigger than any previous year. An interesting fact brought out by the article is that the matching algorithm was developed by 1952 Nobel Prize economist Alvin Roth. The system is designed to prevent gaming the system by, say, only indicating one choice. A student who does that risks not being selected by any program. Students who are not matched on the first day enter the Supplemental Offer and Acceptance Program. Those not accepted after SOAP usually wait a year and apply again.
Study: Lower-Income, Less Healthy People Will Subsidize Higher-Income, Healthy People With Raise In Retirement Age
Research Ties Economic Inequality To Gap In Life Expectancy by Michael A. Fletcher. The Washington Post. March 10, 2013
Your Money, York Life. The Economist. March 14, 2013.
Life expectancy increases have been growing at the upper end of the income ladder. The implications of raising the retirement age are put forth by Maya Rockeymoore, president and chief executive of Global Policy Solutions: "People who are shorter-lived tend to make less, which means that if you raise the retirement age, low-income populations would be subsidizing the lives of higher-income people."
Your Money, York Life. The Economist. March 14, 2013.
Life expectancy increases have been growing at the upper end of the income ladder. The implications of raising the retirement age are put forth by Maya Rockeymoore, president and chief executive of Global Policy Solutions: "People who are shorter-lived tend to make less, which means that if you raise the retirement age, low-income populations would be subsidizing the lives of higher-income people."
Thursday, March 14, 2013
Study Reveals Lack of Testing, HIV Infection Among Poor Heterosexual Population of 21 Cities
Many Poor Heterosexuals In U.S. Cities At Risk For HIV Infection. Reuters. March 14, 2013.
The CDC study underscores the link between poverty and HIV infection in the U.S. Other key links found were the relative lack of HIV testing, use of crack cocaine, and exchange of sex for drugs or money.
The CDC study underscores the link between poverty and HIV infection in the U.S. Other key links found were the relative lack of HIV testing, use of crack cocaine, and exchange of sex for drugs or money.
Effectiveness Or Surgery Procedures Unclear Because Of Lack Of Clear Clinical Trial Objectives
Surgery Clinical Trial Results Selectively Reported by Kathryn Doyle. Reuters. March 14, 2013.
Selective reporting of positive surgical procedure results is worse than such reporting of clinical drug trials. Clinical aims for trials are generally placed into a registry before recruiting participants. However this study found that up to half of the surgical trials were not registered properly.
Selective reporting of positive surgical procedure results is worse than such reporting of clinical drug trials. Clinical aims for trials are generally placed into a registry before recruiting participants. However this study found that up to half of the surgical trials were not registered properly.
The Pope Has Only One Lung. Here Are Some Other Organs You Can Live Without
Pope Francis Has One Lung: What Organs Can You Live Without? by Rachael Rettner. My Health News Daily. March 14, 2013.
Due to an infection as a teenager Pope Francis had one of his lungs removed. While average everyday exertion should not pose a problem, he could conceivably face increased risk with another infection or pneumonia. People can live without a variety of organs including the spleen, colon, appendix and others.
Due to an infection as a teenager Pope Francis had one of his lungs removed. While average everyday exertion should not pose a problem, he could conceivably face increased risk with another infection or pneumonia. People can live without a variety of organs including the spleen, colon, appendix and others.
Deaths Now Exceed Births in 1,135 Of The Nation's 3,143 Counties
Census: Record 1 In 3 Counties Now Dying Off, Hit By Aging Population, Weakened Local Economies by Hope Yen. Huffington Post. March 14, 2013.
While not focused on medical and health issues per se, this article has obvious implications for nation's health. Immigrants are increasingly important to population growth in some large cities. With a somewhat improving economy more young people are seeking employment in the south and west while leaving behind older populations. Rural, exurbs, and the industrial Rust Belt saw big declines Farming, mining, or industrials areas are subject to decline. Mortality of the baby boom generation also contributed to natural decrease. Downsizing government could have a big impact on such counties as Chattahoochee County, Ga which had a 10.1 percent increase in 2012
While not focused on medical and health issues per se, this article has obvious implications for nation's health. Immigrants are increasingly important to population growth in some large cities. With a somewhat improving economy more young people are seeking employment in the south and west while leaving behind older populations. Rural, exurbs, and the industrial Rust Belt saw big declines Farming, mining, or industrials areas are subject to decline. Mortality of the baby boom generation also contributed to natural decrease. Downsizing government could have a big impact on such counties as Chattahoochee County, Ga which had a 10.1 percent increase in 2012
Wednesday, March 13, 2013
Family Watching Attempts At Cardiopulmonary Resuscitation Leads To Less PTSD Later
Should Family Members Watch As Their Dying Loved Ones Get CPR? by Karen Kaplan. The Lost Angeles Times. March 13, 2013.
The study published in the New England Journal Of Medicine found that family members who observed the last attempts to revive a loved one were 70% less likely to suffer PTSD three months later.
The study published in the New England Journal Of Medicine found that family members who observed the last attempts to revive a loved one were 70% less likely to suffer PTSD three months later.
"Neuroenhancement Drugs" For Study Improvement Is Subject Of Neurologists Warning
Neurologists Warn Against Prescribing ADHD Drugs To Kids As "Study Drugs" by Ryan Jaslow. CBS News. March 13, 2013.
Increasingly students are using drugs appropriate for ADHD for purposes of attaining focus before test. Parents are requesting the drugs to assist their students achieve better results on tests. The American Academy of Neurology has created a primer for the ethical, social, legal, and developmental issues surrounding prescribing ADHD drugs to children.
Increasingly students are using drugs appropriate for ADHD for purposes of attaining focus before test. Parents are requesting the drugs to assist their students achieve better results on tests. The American Academy of Neurology has created a primer for the ethical, social, legal, and developmental issues surrounding prescribing ADHD drugs to children.
Osteopathic Physicians May Plug Gap In Primary-Care Providers
Osteopathic Physicians: An Answer To rural Health Care Needs? by Ankita Rao. Kaiser Health News. March, 11, 2013.
The shortage of generalist physicians is expected to reach 52,000 by 2025. In addition only 9 percent of physicians practice in rural areas where 20 percent of the population lives. DO training is ramping up with 34 osteopathic medical schools, up from 19 in 2000. The number of DO's has increased from 29,500 in 1990 to about 74,500 in 2011. Increasingly hospitals and doctor groups no longer view DOs differently in primary care. Many DOs wish to serve the rural areas from which they come.
The shortage of generalist physicians is expected to reach 52,000 by 2025. In addition only 9 percent of physicians practice in rural areas where 20 percent of the population lives. DO training is ramping up with 34 osteopathic medical schools, up from 19 in 2000. The number of DO's has increased from 29,500 in 1990 to about 74,500 in 2011. Increasingly hospitals and doctor groups no longer view DOs differently in primary care. Many DOs wish to serve the rural areas from which they come.
Touch Can Be Louder Than Words
Louder Than Words by Rick Chillot. Psychology Today. March 11, 2013.
Touch is a sense capable of great nuance and is dependent on the emotional, social, and physical context. Touch is a language whose meaning is only vaguely understood. Touch begins before birth inside the womb, continues in childhood where the level of comfort with touch is often established. In childhood the massage can bring important benefits. Touch is influenced by the entire cultural context including religion, climate, and clothing styles. Touch influences bonding and team success, perhaps by lowering stress hormones. Touch brings mutual benefits, with the person touching received benefits as well as the person touched. With mutual benefits of touching, it is not surprising that touching plays an important role in relationships, a role that varies according to the stage of that relationship. In social relationships, touch often conveys dominance or lack of dominance. In social situations, it is important to consider context and expectations. Consolation is probably the most appropriate time for touch.
Touch is a sense capable of great nuance and is dependent on the emotional, social, and physical context. Touch is a language whose meaning is only vaguely understood. Touch begins before birth inside the womb, continues in childhood where the level of comfort with touch is often established. In childhood the massage can bring important benefits. Touch is influenced by the entire cultural context including religion, climate, and clothing styles. Touch influences bonding and team success, perhaps by lowering stress hormones. Touch brings mutual benefits, with the person touching received benefits as well as the person touched. With mutual benefits of touching, it is not surprising that touching plays an important role in relationships, a role that varies according to the stage of that relationship. In social relationships, touch often conveys dominance or lack of dominance. In social situations, it is important to consider context and expectations. Consolation is probably the most appropriate time for touch.
Ovarian Cancer Treatment Guidelines Often Not Implemented
Nearly Two-Thirds Of Women With Ovarian Cancer Do Not Receive Guideline-Adherent Care. News Medical. March 12, 2013.
The National Comprehensive Cancer Network Clinical Guidelines, the study of over 13,000 patients found, were more likely to be followed in high-volume hospitals by high-volume surgeons. The findings point to the importance of selecting experienced, expert surgeons supported by an experienced hospital, surgical staff. According to the study, patients who received guideline-adherent treatment were 30% less likely to die of ovarian cancer.
The National Comprehensive Cancer Network Clinical Guidelines, the study of over 13,000 patients found, were more likely to be followed in high-volume hospitals by high-volume surgeons. The findings point to the importance of selecting experienced, expert surgeons supported by an experienced hospital, surgical staff. According to the study, patients who received guideline-adherent treatment were 30% less likely to die of ovarian cancer.
Tuesday, March 12, 2013
Fighting Cholera IN Haiti By Recycling Poop
Haiti Recycles Human Waste In Fight Against Cholera Epidemic by Isabeau Doucet. The Guardian. March 10, 2013.
57% of the world's cholera cases last year were concentrated in Haiti. Soil (Sustainable Organic Integrated Livelihoods) is attempting to transform human waste into a compost source to use growing food.
57% of the world's cholera cases last year were concentrated in Haiti. Soil (Sustainable Organic Integrated Livelihoods) is attempting to transform human waste into a compost source to use growing food.
Public Health Return On Investment Is The Emphasis Of National Public Health Week
In Tight Fiscal times, National Public Health Week Highlights The Return On Public Health Investment. by Kim Krisberg. Science Blogs. March 8, 2013.
Measuring the return on investment on public health is often difficult, but increasingly crucial in this time when every dollar of expenditure must be justified. This article provides an overview of the conceptual problems and rewards for grappling with public health ROI. National Public Health Week is April 1-7.
Measuring the return on investment on public health is often difficult, but increasingly crucial in this time when every dollar of expenditure must be justified. This article provides an overview of the conceptual problems and rewards for grappling with public health ROI. National Public Health Week is April 1-7.
Home Health Aides, The Fastest Growing Occupation, Make An Average of 9.70 An Hour.
America's Fastest Growing Job Pays Poorly by Annalyn Kurtz. CNN Money. March 11, 2013.
Taking daily care of the demographic tide of elderly baby boomers is not proving lucrative for those directly involved in care. About 40% of home health aides are on Medicaid. A provision of the Fair Labor Standards Act of 1974 places the aides in the same category as babysitters exempting them from the minimum wage required and overtime regulations. The industry is under pressure to keep costs low and has resisted efforts to apply FLSA standards to home health aids.
Taking daily care of the demographic tide of elderly baby boomers is not proving lucrative for those directly involved in care. About 40% of home health aides are on Medicaid. A provision of the Fair Labor Standards Act of 1974 places the aides in the same category as babysitters exempting them from the minimum wage required and overtime regulations. The industry is under pressure to keep costs low and has resisted efforts to apply FLSA standards to home health aids.
Silicon Fingers Used To Thwart Hospital Biometric Attendance Check: Physician Arrested
Doctor 'Used Silicone Fingers' to Sign In For Colleagues. BBC News Latin America & Caribbean. March 12, 2013. '
The Brazilian doctor used the six silicone fingers with the fingerprints of six colleagues to defeat the hospital's biometric attendance sign-in device.
The Brazilian doctor used the six silicone fingers with the fingerprints of six colleagues to defeat the hospital's biometric attendance sign-in device.
Outdoor Heat Associated With Elderly Hospital Admissions for Respiratory Ailments
Temperature Peaks Trigger Elderly Respiratory Admissions by Kirsty Oswald. medwireNews. March 12, 2013.
The study of 213 U.S. counties found that for every 10 degree F. increase in daily temperature there was a 4.3% increase in hospitalizations of those over 65. The obvious implications for global warming and respiratory hospitalizations were emphasized by a Johns Hopkins public health researcher.
The study of 213 U.S. counties found that for every 10 degree F. increase in daily temperature there was a 4.3% increase in hospitalizations of those over 65. The obvious implications for global warming and respiratory hospitalizations were emphasized by a Johns Hopkins public health researcher.
Lack of Transportation Options Adversely Impacts Health in Rural Areas
Rural Transportation: A Link To Improved Health And Quality Of Life by Nicholas Shaffer. American Pubic Health Association Transportation and Public Health E-Newsletter. March 2013.
This newsletter contains several startling statistics including: 3.5 million rural residents lost access to scheduled intercity transportation between 2005 and 2010; 38 percent of the nation's rural residents live in areas without any public transportation
This newsletter contains several startling statistics including: 3.5 million rural residents lost access to scheduled intercity transportation between 2005 and 2010; 38 percent of the nation's rural residents live in areas without any public transportation
Monday, March 11, 2013
Less Sleep Linked To Higher Calorie Consumption and Less Varied Diet
Sleep Well with Michael Breus. WebMD. March 5, 2013.
The relationship between sleep and weight control is support by much research. Sleep deprivation disrupts hormones increasing feelings of hunger. Sleep deprivation lessens impulse control leading to poor selection of foods.
The relationship between sleep and weight control is support by much research. Sleep deprivation disrupts hormones increasing feelings of hunger. Sleep deprivation lessens impulse control leading to poor selection of foods.
Sleep Loss May Presage Alzheimer's Symptoms
Sleep Loss Precedes Alzheimer's Symptoms. Medical Xpress. March 11, 2013.
The paper reviewed here is among the first to connect early Alzheimer's disease and sleep disruptions. The early evidence indicates Alzheimer's brain plaques disrupt sleep, and lack of sleep promotes Alzheimer's plaques.
The paper reviewed here is among the first to connect early Alzheimer's disease and sleep disruptions. The early evidence indicates Alzheimer's brain plaques disrupt sleep, and lack of sleep promotes Alzheimer's plaques.
Emotions, PTSD Connected With Cardiovascular Risk Markers
Stress, PTSD Seen As Risk Factors For Heart Disease. Associated Press. March 11, 2013.
Higher rates of cardiac problems were found in veterans with PTSD, Katrina victims, and Greeks suffering from the financial turmoil gripping their country. The trend is clear more stress, the more heart risk.
Higher rates of cardiac problems were found in veterans with PTSD, Katrina victims, and Greeks suffering from the financial turmoil gripping their country. The trend is clear more stress, the more heart risk.
Medical Real Estate Under Obamacare Moves Toward Increased Capacity, Lower Cost
Why'd Your Doctor Move Offices? It Could Be Obamacare. by Sarah Kliff. The Washington Post. March 11, 2013.
According to the real estate executive featured in this article, the physical space of medical practice is moving away from the "doc in the box" set-up. One practice, for example, one health care system bought and retrofitted grocery stores. Visibility is becoming more important as medical practice "brand" becomes key to differentiation.
According to the real estate executive featured in this article, the physical space of medical practice is moving away from the "doc in the box" set-up. One practice, for example, one health care system bought and retrofitted grocery stores. Visibility is becoming more important as medical practice "brand" becomes key to differentiation.
Sunday, March 10, 2013
Health Bills At The Crossover Day Of The Georgia Legislature
Making The Cut On Crossover Day by Andy Miller. Georgia Health News. March 7, 2013.
At the 30th day of the Georgia legislative session a bill has to pass at least one chamber or it dies for the session. Pharmacists won a scope-of-practice preliminary victory with the Senate passage of a bill to allow pharmacists and nurses to administer more vaccines with the supervision of a physician. Malpractice reform failed. The article gives a summary of the healthcare funding issues that will face the legislature as it passes "crossover."
At the 30th day of the Georgia legislative session a bill has to pass at least one chamber or it dies for the session. Pharmacists won a scope-of-practice preliminary victory with the Senate passage of a bill to allow pharmacists and nurses to administer more vaccines with the supervision of a physician. Malpractice reform failed. The article gives a summary of the healthcare funding issues that will face the legislature as it passes "crossover."
Birth Culture by Alice Proujansky, Photographer
Birth Culture by Alice Proujansky. Alice Proujansky Photography.
Alice Proujansky has visited the Dominican Republic, Nigeria, the Navajo Nation, Massachusetts, and Mexico over the last six years to photograph childbirth in various cultures.
Alice Proujansky has visited the Dominican Republic, Nigeria, the Navajo Nation, Massachusetts, and Mexico over the last six years to photograph childbirth in various cultures.
Does Being Lackadaisical Translate Into Longevity? Don't Bet On It!
Secrets Of Longevity: The Self-Healing Personality And The Longevity Project--What Does It Mean to Relax? And Should You? by Howard S. Friedman, Ph.d. Psychology Today. March 9, 2013.
A co-director of the Longevity Project presents his findings based upon 1500 people who were first examined as children in the 1920's. Staying busy, staying involved, and being persistent is the key to long life. An interest irony: The successful people giving other people advice to relax are extremely busy as scientists, gurus, or teachers.
A co-director of the Longevity Project presents his findings based upon 1500 people who were first examined as children in the 1920's. Staying busy, staying involved, and being persistent is the key to long life. An interest irony: The successful people giving other people advice to relax are extremely busy as scientists, gurus, or teachers.
75% Of Skull Replaced With 3-D Printed Implant
Man Has 75% Of Skull Replaced With 3-D Printed Implant by Salvador Rodriguez. The Los Angeles Times. March 8, 2013.
This was the first time a patient received an implant made specifically for him using 3-D printing technology. The Food and Drug Administration approved the technology only last month. The firm that makes the implant estimates that up to 500 people per month could use the implants.
This was the first time a patient received an implant made specifically for him using 3-D printing technology. The Food and Drug Administration approved the technology only last month. The firm that makes the implant estimates that up to 500 people per month could use the implants.
Gene Function May Be Key To Supplements Effectiveness Against Schizophrenia
B Vitamins Might Help Some With Schizophrenia by Andrew M. Seaman. Reuters. March 8, 2013.
The gene that controls the digestion of folate, a B vitamin, is apparently the key to the improvement of certain symptoms of schizophrenia when folic acid and B12 supplements are taken. If the FOH1 gene variant is responsive there will be improvements in symptoms such as apathy and withdrawal. This article illustrates the growing realization of the importance of matching treatment with genetic predispositions.
The gene that controls the digestion of folate, a B vitamin, is apparently the key to the improvement of certain symptoms of schizophrenia when folic acid and B12 supplements are taken. If the FOH1 gene variant is responsive there will be improvements in symptoms such as apathy and withdrawal. This article illustrates the growing realization of the importance of matching treatment with genetic predispositions.
Saturday, March 9, 2013
Whole Food's GMO Labeling Decision Reflects Struggle To Influence Food Consumption
Whole Foods To Require Labels On Genetically Modified Products by Tiffany Hsu. Lost Angeles Times.
Implicitly, this article places the decision by Whole Foods to begin labeling GMO products by 2018 in the context of a efforts for various constituencies to exercise influence over the food that is eaten and sold. These include customers, retailers, agricultural companies, restaurant chains, suppliers and interest groups. For example, animal rights activists are achieving some success in influencing firms to use suppliers who use humane conditions.
Implicitly, this article places the decision by Whole Foods to begin labeling GMO products by 2018 in the context of a efforts for various constituencies to exercise influence over the food that is eaten and sold. These include customers, retailers, agricultural companies, restaurant chains, suppliers and interest groups. For example, animal rights activists are achieving some success in influencing firms to use suppliers who use humane conditions.
No Crime Committed, No Suit Planned In Death of Senior Living Facility Resident
Refusing CPR To Dying Woman Not A Crime, Police Conclude. Lost Angeles Times. March 7, 2013.
The initial incident gained national attention with a nurse, acting under facility policy, refused to perform CPR on an elderly patient who later died. Officials of the senior facility issued statements that, on the surface, seemed contradictory. The family of the victim has decided not to sue.
The initial incident gained national attention with a nurse, acting under facility policy, refused to perform CPR on an elderly patient who later died. Officials of the senior facility issued statements that, on the surface, seemed contradictory. The family of the victim has decided not to sue.
Georgia Salmonella Risk Increases
State Sees Dramatic Rise In Salmonella by Craig Schneider. The Atlanta Journal-Constitution. March 8. 2013.
This article examines the 50% increase of reported salmonella infections from 2000 to 2011. This Georgia figure is out of line with national numbers which show little change. Possible reasons cited include better detection mechanisms and weak enforcement.
This article examines the 50% increase of reported salmonella infections from 2000 to 2011. This Georgia figure is out of line with national numbers which show little change. Possible reasons cited include better detection mechanisms and weak enforcement.
Friday, March 8, 2013
The Secret of Wine's Health Benefits Are Being Unlocked
Scientists Shed Light On How Resveratrol Work by Geoffrey Mohan. Los Angeles Times. March 7, 2013.
Red wine and dark chocolate contain resveratrol which has a chemical link with a group of enzymes, sirtuins, which are thought by some to trigger proteins that rejuvenate cells. Foods such as grapes, peanuts, cocoa, and berries contain resveratrol. These foods provoke effects similar to calorie restriction which stimulates cellular damage repair and prevents harmful cellular activity. Harvard geneticist David Sinclair, the focus of the article, has clarified through his research how resveratrol works.
Red wine and dark chocolate contain resveratrol which has a chemical link with a group of enzymes, sirtuins, which are thought by some to trigger proteins that rejuvenate cells. Foods such as grapes, peanuts, cocoa, and berries contain resveratrol. These foods provoke effects similar to calorie restriction which stimulates cellular damage repair and prevents harmful cellular activity. Harvard geneticist David Sinclair, the focus of the article, has clarified through his research how resveratrol works.
What Surgeons Leave Behind
What Surgeons Leave Behind Costs Some Patients Dearly by Peter Eisler. USA TODAY. March 8, 20
The article states that about a dozen times a day surgeons sew up patients with sponges and other surgical objects left inside. Sponges are the objects most often left behind. This problem has a readily available solution: sponges with electronic tracking devices. However, this solution is only used by approximately 15% of U.S. hospitals. At present, surgical teams count gauze to make certain that all have been removed. But this often does not work. 68% of counts failed to catch missing sponges, according to a study quoted in the article. Several case studies recount the success of the tracking devices.
The article states that about a dozen times a day surgeons sew up patients with sponges and other surgical objects left inside. Sponges are the objects most often left behind. This problem has a readily available solution: sponges with electronic tracking devices. However, this solution is only used by approximately 15% of U.S. hospitals. At present, surgical teams count gauze to make certain that all have been removed. But this often does not work. 68% of counts failed to catch missing sponges, according to a study quoted in the article. Several case studies recount the success of the tracking devices.
Thursday, March 7, 2013
Data Mining Of Internet Search Data Provides Clues To Unforeseen Side Effects
Search Engine Data Gives Early Warning Of Drug Side Effects by Sciencenow. Wired. March 7, 2013.
Unreported Side Effects Of Drugs Are Found Using Internet Search Data, Study Finds by John Markoff. The New York Times. March 6, 2013.
This "Big Data" tool, using millions of search engine results could be a new tool to spot drug side effects that may have escaped notice in clinical trials and FDA investigations. The FDA instituted a program in 2008 that plans to monitor drug use by as many as 100 million people in the United States.
Unreported Side Effects Of Drugs Are Found Using Internet Search Data, Study Finds by John Markoff. The New York Times. March 6, 2013.
This "Big Data" tool, using millions of search engine results could be a new tool to spot drug side effects that may have escaped notice in clinical trials and FDA investigations. The FDA instituted a program in 2008 that plans to monitor drug use by as many as 100 million people in the United States.
Ethnic Diversity Vital In Bone Marrow Donation
Transplant Advocate Understands The Need, Personally by Sheilia Poole. The Atlanta Journal-Constitution. March 6, 2013.
Personal case studies are used to illustrate the need for more diversity in bone marrow matching services. A close genetic match is necessary to prevent graft-versus-host-disease. Latinos, according to the article, come form a very diverse genetic pool which poses a problem in matching. The diversity of ways to donate and the need to overcome misperceptions are emphasized.
Personal case studies are used to illustrate the need for more diversity in bone marrow matching services. A close genetic match is necessary to prevent graft-versus-host-disease. Latinos, according to the article, come form a very diverse genetic pool which poses a problem in matching. The diversity of ways to donate and the need to overcome misperceptions are emphasized.
Emory Doctor Suggests Caution On "Cure" In Infant Exposed to HIV
Baby Cured Of HIV Needs More Study, Emory Doctors Say by Gracie Bonds Staples. The Atlanta Journal-Constitution. March 6, 2013.
Dr. Jeffrey Lennox expressed the view that it usually takes several years to determine that a cure had been realized. The infant has been tracked for only a few months. The director of the family and youth clinic at Grady thought that the case was probably an "outlier" and that more research was needed. The article contains a survey of the progress that has been made in preventing transmission of HIV from mother to child.
Dr. Jeffrey Lennox expressed the view that it usually takes several years to determine that a cure had been realized. The infant has been tracked for only a few months. The director of the family and youth clinic at Grady thought that the case was probably an "outlier" and that more research was needed. The article contains a survey of the progress that has been made in preventing transmission of HIV from mother to child.
Athens GA Weighs Medicaid Expansion
Can Georgia Afford To Expand Medicaid--Or Afford Not To? by Carolyn Crist. The Flagpole.
A mix of perspectives including a patient who would probably be covered under expansion, the Georgia governor's office, the Georgia Budget and Policy Institute, AARP Georgia, the Healthcare Foundation of Georgia, an Athens State Representative, the Medical Association of Georgia, and a local clinic that treats the uninsured. Also featured is a local initiative to provide primary care at a reduced price.
A mix of perspectives including a patient who would probably be covered under expansion, the Georgia governor's office, the Georgia Budget and Policy Institute, AARP Georgia, the Healthcare Foundation of Georgia, an Athens State Representative, the Medical Association of Georgia, and a local clinic that treats the uninsured. Also featured is a local initiative to provide primary care at a reduced price.
Wednesday, March 6, 2013
EHRs Information Overload Sometimes Leads to Missed Test Results: Survey
Some Docs Miss Test Results With Electronic Records by Andrew M. Seaman. Reuters. March 5, 2013.
This survey of over 2,500 doctors U.S. veterans hospitals found that they receive about 63 alerts a day through the electronic medical record system of the Department of Veterans Affairs. About 30 percent indicated that they missed lab results that resulted in delays in patient care. It was acknowledged that even though the electronic system is better than a paper system, there is still room for improvement in system design.
This survey of over 2,500 doctors U.S. veterans hospitals found that they receive about 63 alerts a day through the electronic medical record system of the Department of Veterans Affairs. About 30 percent indicated that they missed lab results that resulted in delays in patient care. It was acknowledged that even though the electronic system is better than a paper system, there is still room for improvement in system design.
90% of In-The-Ear Hearing Aids Are Made With 3-D Printing; More Innovations To Come
Rethinking Objects And Form Are Key to 3D Printing Revolution by Ben Deighton. Reuters. March 6, 2013.
This general discussion of 3D printing innovations contains a discussion of hearing aids the manufacture of which employs this technology. Medical devices will be a prime market for this technology. Already dentistry is using 3D printing to cut the time to create crowns from weeks to hours. The truly fascinating possibility is going beyond the design limitations of the traditional manufacturing process to realize designs that can only be conceived of on the computer.
American Are Eating Fewer Calories But Where Is The Weight Loss?
Despite Obesity Rise, U.S. Calories Trending Downward by Kathryn Doyle. Reuters. March 6, 2013.
According to A CDC survey Americans have been eating fewer calories for almost a decade. To explain the lack of decline in obesity, several explanations are offered: there could be methodology problems with the survey itself, or a increasingly serious lack-of-exercise problem, or it may take some time for the decline in calories to be reflected in weight loss. In any case, this article points to a potentially extremely significant trend and/or the need to develop more refined measurements.
According to A CDC survey Americans have been eating fewer calories for almost a decade. To explain the lack of decline in obesity, several explanations are offered: there could be methodology problems with the survey itself, or a increasingly serious lack-of-exercise problem, or it may take some time for the decline in calories to be reflected in weight loss. In any case, this article points to a potentially extremely significant trend and/or the need to develop more refined measurements.
In A Reversal, Allergist Organization Says Allergenic Food Can Be Introduced Early To Prevent Later Allergies
Food Allergy Advise For Kids: Don't Delay Peanuts, Eggs by Sumathi Reddy. The Wall Street Journal. March 4, 2013.
A real world illustration cited by the article: Israeli parents often give children snacks with peanuts early, often before they were 6 months old. Those children have far fewer food allergies than Jewish children in the United Kingdom, who received peanut snacks much later. The recommendation to not delay introduction of potential allergenic food represents a complete reversal from the 2000 position of the American Academy of Allergy, Asthma & Immunology when the organization advocated delay.
A real world illustration cited by the article: Israeli parents often give children snacks with peanuts early, often before they were 6 months old. Those children have far fewer food allergies than Jewish children in the United Kingdom, who received peanut snacks much later. The recommendation to not delay introduction of potential allergenic food represents a complete reversal from the 2000 position of the American Academy of Allergy, Asthma & Immunology when the organization advocated delay.
Diabetes Costs, Rising 41% Since 2007, Cost The Nation $245 Billion
Diabetes Costs Nation $245 Billion Annually, Study Says by Cathy Payne. USA TODAY. MARCH 6, 2013.
Experts from the American Diabetes Association attribute the costs to the increased number of individuals who have the disease, not to increases in costs per individual.
Experts from the American Diabetes Association attribute the costs to the increased number of individuals who have the disease, not to increases in costs per individual.
CRE's Present Triple Threat
CDC Sounds Alarm On Deadly, Untreatable Superbugs by Liz Szabo and Peter Eisler. USA TODAY. March 5, 2013.
The CRE's are presenting hospitals across the nation with three threats: (1) resistance to antibiotics, (2) high mortality rates, and (3) the ability to spread resistance to other bacteria such as E. coli.
The CRE's are presenting hospitals across the nation with three threats: (1) resistance to antibiotics, (2) high mortality rates, and (3) the ability to spread resistance to other bacteria such as E. coli.
Health Impact Assessments To Increasingly Shape Building Design and Construction
Construction That Focuses on Health Of Residents by Joe Gobe. The New York Times. March 5, 2013.
A new tool, the health impact assessment, is increasingly being used to alleviate the environmental conditions that lead to obesity and heart disease. Design is being enlisted as a tool to encourage physical activity and sustainability. For example, the article cites a housing project design to deal with a high rate of asthma. Another example: if the neighborhood lacked access to services, a room might be designed to accommodate visits from mobile clinics.
A new tool, the health impact assessment, is increasingly being used to alleviate the environmental conditions that lead to obesity and heart disease. Design is being enlisted as a tool to encourage physical activity and sustainability. For example, the article cites a housing project design to deal with a high rate of asthma. Another example: if the neighborhood lacked access to services, a room might be designed to accommodate visits from mobile clinics.
Tuesday, March 5, 2013
Doctor Tirades Ignored No Longer
Hospitals Crack Down On Tirades By Angry Doctors by Sandra G. Boodman. Kaiser Health News. March 5, 2013.
Estimates are that 3 to 5 percent of physicians engage in disruptive and angry behavior. Once tolerated, this behavior is now subject to regulations by the Joint Commission, the accreditation group for hospitals. A cottage industry of anger management counseling has sprung up. Nurses are often the objects of doctor tirades though patients are sometimes the victim. The transition to teamwork has frustrated older doctors acculturated in a hierarchical model of medicine.
Estimates are that 3 to 5 percent of physicians engage in disruptive and angry behavior. Once tolerated, this behavior is now subject to regulations by the Joint Commission, the accreditation group for hospitals. A cottage industry of anger management counseling has sprung up. Nurses are often the objects of doctor tirades though patients are sometimes the victim. The transition to teamwork has frustrated older doctors acculturated in a hierarchical model of medicine.
Chronic Workplace Stress Pervasive: APA Survey
APA Survey Finds US Employers Unresponsive To Employee Needs. The American Psychological Association. March 5, 2013.
Office Stress: His Vs. Hers by Lauren Weber and Sue Shellenbarger. The Wall Street Journal. March 4, 2013.
The APA Survey summary paints a very disturbing picture of the American workplace with only 51% percent of employees feeling that they are valued at work. Chronic stress at work is experienced by more than one-third. Only 36% of employees said that employers provided sufficient resources to manage stress. The impact of stress on women seems to be more severe than for men.
The Wall Street Journal article focuses particularly on stress and women in the workplace along with several case studies. It mentions a Accenture survey that found that 75% of respondents work frequently or occasionally during paid time off. It seems clear that for many the stress never quits.
Office Stress: His Vs. Hers by Lauren Weber and Sue Shellenbarger. The Wall Street Journal. March 4, 2013.
The APA Survey summary paints a very disturbing picture of the American workplace with only 51% percent of employees feeling that they are valued at work. Chronic stress at work is experienced by more than one-third. Only 36% of employees said that employers provided sufficient resources to manage stress. The impact of stress on women seems to be more severe than for men.
The Wall Street Journal article focuses particularly on stress and women in the workplace along with several case studies. It mentions a Accenture survey that found that 75% of respondents work frequently or occasionally during paid time off. It seems clear that for many the stress never quits.
Gun Researchers Shy Away From Advocacy
Despite Studies, Researchers Hold Off On Gun Control by Kelly Kennedy. USA TODAY. March 4, 2013.
The work of three gun violence researchers is profiled, highlighting their avoidance of advocacy positions. The role of unbiased research in this area is important and will probably become more so. For example, researchers at the CDC now have room to proceed in light of President Obama executive order revoking the prohibition of gun research at that institution.
One striking finding of one of the researchers: The life expectancy of Americans is lower than other Western nations because of shooting deaths of young people.
The work of three gun violence researchers is profiled, highlighting their avoidance of advocacy positions. The role of unbiased research in this area is important and will probably become more so. For example, researchers at the CDC now have room to proceed in light of President Obama executive order revoking the prohibition of gun research at that institution.
One striking finding of one of the researchers: The life expectancy of Americans is lower than other Western nations because of shooting deaths of young people.
Cost Curve For Health Care Bending Down
Health Care Spending Is Transferred Out Of ICU by Dennis Cauchon. USA TODAY. March 4, 2013.
Medicare has experienced its longest period of slow growth since the program was established in 1966. Health care as a whole has risen at one of its slowest rates in a half-century. The generally-recognized causes are cited in this article with a special emphasis on the Affordable Care Act. Specifically these cost-containment measure struck my eye: hospice instead of hospital for end of life care; home care over nursing homes; use of technology for in-home monitoring to prevent hospital readmission; and perhaps most importantly providers are getting paid less and have to be more efficient.
Medicare has experienced its longest period of slow growth since the program was established in 1966. Health care as a whole has risen at one of its slowest rates in a half-century. The generally-recognized causes are cited in this article with a special emphasis on the Affordable Care Act. Specifically these cost-containment measure struck my eye: hospice instead of hospital for end of life care; home care over nursing homes; use of technology for in-home monitoring to prevent hospital readmission; and perhaps most importantly providers are getting paid less and have to be more efficient.
Cost Of Gun Violence: At Least $12 Billion A Year
Gunshot Wounds Drive Up Government Health Care Costs by Kelly Kennedy. USA TODAY. March 5, 2013.
This article is chock full of statistical information about the costs of gun violence. For example: The total cost of gunshot wounds and deaths in 2010 was $153.3 billion. The total costs per firearm fatality was $5.1 million. The total costs to the government for each firearm fatality was $582,366.
Electronic Linking Of Rat Brains Allowing Sharing Of Motor and Sensory Information
Brain-To-Brain Interface Allows Transmission Of Tactile and Motor Information Between Rats. Science Daily. February 28, 2013.
In this fascinating experiment, one rat learned a motor activity for a reward. The brain activity activity that coded the behavior was transmitted via the brain-to-brain interface to another rat who performed the act for a reward. The brain-to-brain communication was two-way resulting in behavioral collaboration. The researchers suggest a future project of linking multiple brains to form what they called an "organic computer."
In this fascinating experiment, one rat learned a motor activity for a reward. The brain activity activity that coded the behavior was transmitted via the brain-to-brain interface to another rat who performed the act for a reward. The brain-to-brain communication was two-way resulting in behavioral collaboration. The researchers suggest a future project of linking multiple brains to form what they called an "organic computer."
Monday, March 4, 2013
Firms Form Alliance for National System Of EMR's
Five Health IT Firms Band Together To Create A National System For Identifying Patients And sharing Medical Records by Matthew Herper. Forbes. March 4, 2013.
The essence of this innovation is not that patient records can be moved from one system to another--that can be done in some cases now-- but that any doctor can pull up all relevant health records without regard to location, provided that they patient agrees. Pilot tests will begin in the next year. Among the five firms in this alliance is a firm from Carrollton, GA.
The essence of this innovation is not that patient records can be moved from one system to another--that can be done in some cases now-- but that any doctor can pull up all relevant health records without regard to location, provided that they patient agrees. Pilot tests will begin in the next year. Among the five firms in this alliance is a firm from Carrollton, GA.
Following Policy, Nurse Refuses To Perform CPR; Patient Dies
Calif. Woman Dies After Nurse Refuses To Do CPR by Gosia Wozniacka and Garance Burke, Associated Press. ABC News. March 4, 2013.
The nurse at an independent living facility refused to perform CPR on a resident, according to the policy of the facility. She refused repeated pleadings from emergency personnel yet to arrive on the scene. Interestingly one of the pleas was that the emergency medical system "takes the liability for this call."
The nurse at an independent living facility refused to perform CPR on a resident, according to the policy of the facility. She refused repeated pleadings from emergency personnel yet to arrive on the scene. Interestingly one of the pleas was that the emergency medical system "takes the liability for this call."
Free School-Based Health Care Slated For Expansion in Fulton County
Fulton Considers Free, School-Based Health Care by Jeffrey Scott. The Atlanta Journal-Constitution. March 4, 2013. Print Edition and Online Subscription.
At present Healthcare of Georgia Foundation and Emory University are in the process of establishing 14 school-based health care centters. Fulton County School may become the latest if the proposal is approved by the school board. The article focuses on issues raised by such a clinic such as security.
At present Healthcare of Georgia Foundation and Emory University are in the process of establishing 14 school-based health care centters. Fulton County School may become the latest if the proposal is approved by the school board. The article focuses on issues raised by such a clinic such as security.
Never Say Never To Exercise Before Sleep, According To Poll
Exercising Close To Bedtime Is OK, Sleep Experts Say by Kim Painter. USA TODAY. March 4, 2013.
The belief that one should not exercise before sleep has never been validated. The poll reported in this article indicates that it is not true for everyone. The poll also indicates that people who exercise sleep better than those who do not, without regard to the time of exercise.
The belief that one should not exercise before sleep has never been validated. The poll reported in this article indicates that it is not true for everyone. The poll also indicates that people who exercise sleep better than those who do not, without regard to the time of exercise.
ADHD Often Lingers Into Adulthood Along With Risk Of Other Disorders
Childhood ADHD Often Can Linger Into Adulthood by Michelle Healy. USA TODAY. March 4, 2013.
According to the lead researcher the "risk for persistent ADHA is considerable, and the risk for at least one mental health condition including ADHD, is extraordinarily high." Among the most disturbing of the statistics found in this article was that the risk of suicide was nearly five times higher among those diagnosed with ADHD than in the comparison group. This was a large study drawing from 5,718 individuals born at the Mayo Clinic in Rochester, Minn. between 1976 and 1982.
According to the lead researcher the "risk for persistent ADHA is considerable, and the risk for at least one mental health condition including ADHD, is extraordinarily high." Among the most disturbing of the statistics found in this article was that the risk of suicide was nearly five times higher among those diagnosed with ADHD than in the comparison group. This was a large study drawing from 5,718 individuals born at the Mayo Clinic in Rochester, Minn. between 1976 and 1982.
Sunday, March 3, 2013
Second Case Of Cured AIDS Announced
Scientists Say Baby Born With HIV Apparently Cured by Lauran Neergaard. Associated Press. March 3, 2013.
As a newborn baby, the child, now 2 1/2 years old, was given faster and stronger treatment than usual. There was no waiting for test to indicate infection from her mother. The first person considered cured from AIDS was an adult who received a bone marrow transplant from an individual who was naturally resistant to HIV.
As a newborn baby, the child, now 2 1/2 years old, was given faster and stronger treatment than usual. There was no waiting for test to indicate infection from her mother. The first person considered cured from AIDS was an adult who received a bone marrow transplant from an individual who was naturally resistant to HIV.
Genetics Cases Before The Supreme Court
What is A Gene and How Does It Apply To The Law? The Supreme Court Still Doesn't Know by Brian Resnick. National Journal. March 1, 2013.
The article briefly summarizes three cases coming before the Supreme Court this session. The one most relevant for human health is Association for Molecular Pathology v. Myriad Genetics. Myriad claims that their efforts to isolate the BRCA gene from a strand of DNA was patentable. The Association claims that giving monopoly protection to Myriad is unfair and inhibits cancer research.
The article briefly summarizes three cases coming before the Supreme Court this session. The one most relevant for human health is Association for Molecular Pathology v. Myriad Genetics. Myriad claims that their efforts to isolate the BRCA gene from a strand of DNA was patentable. The Association claims that giving monopoly protection to Myriad is unfair and inhibits cancer research.
Georgia Ranks #4 For Syphillis
Georgia No. 4 For Syphilis by April Burkhart. Online Athens. March 2, 2013.
Georgia's No 4 ranking goes along with seventh for gonorrhea and eight for chlamydia. The article contains a discussion of symptoms, the impact on Northeast Georgia, and Georgia efforts to confront the issue. A public health official stated that there often is a lack of the basic information about how the diseases are transmitted. Patients sometimes "have no clue" of how they obtain the disease.
Pregnant In Medical School
Pregnant In Medical School by Anna Jesus. Sunday Review. The New York Times. March 2, 2013.
A female medical student with a diagnosis of hypothalamic amenorrhea recounts her decision to have a child while in medical school. She places her decision into a larger context in which infertility generally declines with age and the childbearing years are also prime working years.
A female medical student with a diagnosis of hypothalamic amenorrhea recounts her decision to have a child while in medical school. She places her decision into a larger context in which infertility generally declines with age and the childbearing years are also prime working years.
New Era In Nutrition Research: Are The Right Foods As Good As Drugs?
Experts Want More Studies Of Diet's Role For the Heart by Gina Kolata. The New York Times. March 2, 2013.
The recent study of the effectiveness of the Mediterranean diet, has set off new optimism in the field of nutrition research that diets recommended by cardiologists can now be subject to rigorous scrutiny, a nutritional clinical trial in essence. Interestingly, the article quotes an expert saying that the vegan diet may not every be subject to such a trial because maintaing participation for long periods necessary to assess effectiveness may not be possible.
The recent study of the effectiveness of the Mediterranean diet, has set off new optimism in the field of nutrition research that diets recommended by cardiologists can now be subject to rigorous scrutiny, a nutritional clinical trial in essence. Interestingly, the article quotes an expert saying that the vegan diet may not every be subject to such a trial because maintaing participation for long periods necessary to assess effectiveness may not be possible.
Smartphone Game For Cancer Cures
Mobile Game App Could Help Drive Cancer Research. Medical News Today. March 3, 2013.
Since much of the huge amount of genetic data requires analysis by humans, Cancer Research UK and the Citizen Science Alliance are seeking to create a game, tentatively called "GeneRun," which will harness the efforts of the general public. This is the second such collaboration, the first being "Cell Slider" which analyzed archived cancer tissue samples.
Since much of the huge amount of genetic data requires analysis by humans, Cancer Research UK and the Citizen Science Alliance are seeking to create a game, tentatively called "GeneRun," which will harness the efforts of the general public. This is the second such collaboration, the first being "Cell Slider" which analyzed archived cancer tissue samples.
Requirement To Report Unlikely To Make A Dent In Gun Violence
Identifying Mentally Ill Only Small Part In Gun Debate by Liz Szabo. USA TODAY. March 3, 2013.
The article focuses on the questions of confidentiality, the failures of current mental health reporting laws, the fact that most mentally ill people are not violent, the difficulty of identifying someone who is dangerous, and the drop of $4 billion in mental health funding over the last four years. Also the article discusses laws in some states that allow police to seize weapons of someone who gives indications that they could commit violent acts.
The article focuses on the questions of confidentiality, the failures of current mental health reporting laws, the fact that most mentally ill people are not violent, the difficulty of identifying someone who is dangerous, and the drop of $4 billion in mental health funding over the last four years. Also the article discusses laws in some states that allow police to seize weapons of someone who gives indications that they could commit violent acts.
Saturday, March 2, 2013
Physicians In Newtown CT Come Together To Address The Public Health Issue Of Violence
United Physicians Of Newtown. Physicians from the town of Newtown CT, the site of one of the worst mass murders in American history.
The physicians of Newtown state that they "believe this is a major public health issue and can be successfully addressed as with other previous United States epidemics including tobacco, alcohol, and motor vehicle safety.
The physicians of Newtown state that they "believe this is a major public health issue and can be successfully addressed as with other previous United States epidemics including tobacco, alcohol, and motor vehicle safety.
Costs Are a Question Mark In New Healthcare Law
Health Insurance Brokers And Small Employers Fear Higher Prices by Jim Doyle. Saint Louis Post-Dispatch. March 2, 2013.
An excellent overview of many of the cost issues in the Affordable Care Act including coverage, benefits, impact on small business, the exchanges and the importance of participation rates, subsidies, impact on the young, and the unknown factor of prices on the exchanges.
An excellent overview of many of the cost issues in the Affordable Care Act including coverage, benefits, impact on small business, the exchanges and the importance of participation rates, subsidies, impact on the young, and the unknown factor of prices on the exchanges.
Another Health IT Company Joins More Than 200 in Atlanta
Health IT Firm Athenahealth To Bring More Than 700 Jobs To Midtown by Urvaksh Karkaria. The Atlanta Business Chronicle. February 28, 2013.
The article provides context to this addition to Atlanta's extensive medical IT community. In addition to location and real estate considerations, it outlines the services and products of Athenahealth which includes medical records and practice management software.
The article provides context to this addition to Atlanta's extensive medical IT community. In addition to location and real estate considerations, it outlines the services and products of Athenahealth which includes medical records and practice management software.
Georgia Doctors And Hospitals Square Off Over Outpatient Surgical Centers
Surgery Center Battle Brews by Misty Williams and Aaron Gould Sheinin. The Atlanta Journal-Constitution. March 2, 2013. Print and online subscription
Legislation has been introduced in the Georgia legislature to allow multispecialty physician practices to establish centers offer diverse surgical services. Hospitals oppose the legislation because, they say, it would constitute an unfair competitive advantage with hospital surgical facilities since the doctor owned facilities would not be faced with the requirement to serve poor patients to the extent that hospitals are. The article has background on the Certificate Of Need process and the potential impact on rural areas
Legislation has been introduced in the Georgia legislature to allow multispecialty physician practices to establish centers offer diverse surgical services. Hospitals oppose the legislation because, they say, it would constitute an unfair competitive advantage with hospital surgical facilities since the doctor owned facilities would not be faced with the requirement to serve poor patients to the extent that hospitals are. The article has background on the Certificate Of Need process and the potential impact on rural areas
Friday, March 1, 2013
Sequester Not Likely To Slow Rollout Of Obamacare
Friends And Foes Expect Obamacare Rollout Amid Sequestration by Brett Norman. Politico. March 1, 2013.
While sequestration will impact set-up funds, other parts of the program, such as Medicaid expansion, are not impacted by the sequester. The unexpected expenses involve in setting up 25 exchanges is significant but will probably not be an insurmountable obstacle. The major thrust here: Where there is a will there will be a way.
While sequestration will impact set-up funds, other parts of the program, such as Medicaid expansion, are not impacted by the sequester. The unexpected expenses involve in setting up 25 exchanges is significant but will probably not be an insurmountable obstacle. The major thrust here: Where there is a will there will be a way.
Facebook "Likes"--A Measure Of Hospital Quality?
Facebook 'Likes' A Good Indicator Of Quality Hospital Care. Science Daily. February 28, 2013.
A study of 40 hospitals published in the American Journal Of Medical Quality found a positive association between patient recommendations and "likes" on the hospital Facebook page. The Science Daily summary raises the possibility of Facebook "likes" can be a proxy for quality and satisfaction. There are some interesting observations about teaching hospitals in the summary.
A study of 40 hospitals published in the American Journal Of Medical Quality found a positive association between patient recommendations and "likes" on the hospital Facebook page. The Science Daily summary raises the possibility of Facebook "likes" can be a proxy for quality and satisfaction. There are some interesting observations about teaching hospitals in the summary.
Premium Costs Versus Provider Options Shapes Insurer/Hospital Exchange Negotiations
Another Big Step In Reshaping Health Care by Anna Wilde and Jon Kamp. The Wall Street Journal. February 28, 2013.
Insurers are under pressure to bring down premiums for health insurance policies to be sold on the Obamacare (Affordable Care Act) exchanges. In exchange, they are creating smaller networks of providers to help the hospitals obtain more patients to offset the lower rates they will receive. The article mentions the high stakes for insurers and providers: possibly 11 to 13 million enrollees and $50 to $60 billion in premiums.
Insurers are under pressure to bring down premiums for health insurance policies to be sold on the Obamacare (Affordable Care Act) exchanges. In exchange, they are creating smaller networks of providers to help the hospitals obtain more patients to offset the lower rates they will receive. The article mentions the high stakes for insurers and providers: possibly 11 to 13 million enrollees and $50 to $60 billion in premiums.
Drugstores Attempt Transition To Health Care Provider
Pharmacy Chains Push Into Health Care by Timothy W. Martin. The Wall Street Journal. February 28, 2013.
Key players (Rite Aid, CVS Caremark, Walgreen) are using a variety of means (walk-in clinics, virtual doctor visits, accountable care organizations, assisting in hospital readmission prevention) to recast themselves as health care providers in order to confront a variety of trends (Obamacare, slower drug sales, trend toward low-cost generics).
Key players (Rite Aid, CVS Caremark, Walgreen) are using a variety of means (walk-in clinics, virtual doctor visits, accountable care organizations, assisting in hospital readmission prevention) to recast themselves as health care providers in order to confront a variety of trends (Obamacare, slower drug sales, trend toward low-cost generics).
Healthcare, Medical Research Hit By Sequester
Sequester Cuts To Hit Healthcare Hard by Noam N.Levey. The Los Angeles Times. February 27, 2013.
The 2% reduction in Medicare payment to doctors is smaller than cuts faced by public health and research programs. Layoffs at university research laboratories are already taking place in anticipation of the cuts. Nationally as many as 46,000 public health jobs have been eliminated in the last five years with more cuts due in the sequester. The National Institutes of Health is looking to lose $l.6 billion by the end of the year.
The 2% reduction in Medicare payment to doctors is smaller than cuts faced by public health and research programs. Layoffs at university research laboratories are already taking place in anticipation of the cuts. Nationally as many as 46,000 public health jobs have been eliminated in the last five years with more cuts due in the sequester. The National Institutes of Health is looking to lose $l.6 billion by the end of the year.
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