Friday, May 31, 2013

Mortality Rate Increases Among White Women Tracks Economics And Health Behaviors

UW Professor Co-Author Of Study Explaining Education Gap In Mortality Among U.S. White Women.  University of Wyoming News.  May 31, 2013.

(1)  In the _______ and _____  women began to ____________ which moved contrary to the increase in ______________ during the 20th century.

(2)  The major portion of the mortality gap was the result of ___________ status and _______ habits.

(3)  Marital situation or alcohol use _______ have much effect on mortality trends.

(4)  Employment and smoking patterns of less educated and more educated women were increasingly ______________ over time.  

Approximately 3.1 Million Young People Have Taken Advantage of Obamacare Provision Allowing Coverage Under Parents' Medical Insurance

Study:  Health Law Protected Young Adults From High Hospital Bills.  Capsules:  The KHN Blog.  Kaiser Health News.  May 29, 2013.

(1)  Under provisions of the new law allowing young adults to be covered under their parents' policies, __________ million in hospital bills were charged to private insurance in 2011.

(2)  Some of the costs would have been _______________.  Some of the costs would have been born by hospitals as _________________.

(3)  The costs of covering the young people was spread over all the similarly covered people by _____________ premiums.  Costs of the added premiums were likely ____________.

(4)  For hospitals more insured customers is ______________ especially since ___________
pays more than Medicare and Medicaid.


Thursday, May 30, 2013

Final Rules Upholds Increased Rewards, Penalties For Wellness Participation

Final rule Upholds Increased Rewards Penalties For Wellness Participation by Julie Appleby.  Kaiser Health News.  May 29, 2013.

Read the above article and test your retention with the following little quiz.

(1)  What concerns have been raised about the new final rules by advocates for people with chronic illnesses?

(2)  The new federal health law increased the amount that workers can be rewarded or penalized from ____ % of the cost of their health premiums to _____ % starting _____.

(3)  Participation in a tobacco cessation program carries a maximum award or penalty of ______% of the cost of an employee's health plan.

(4)  Results from studies about the effectiveness and cost saving of such programs have been _______.

(5)  Wellness programs must simply have a ___________ of improving health.

(6)  What are the two types of wellness programs outlined in the rules?

(7)  What alternatives are to be provided for activity-based and outcome-based programs

A Scientific Gut Feeling: Food Impacts Human Brain Function

Changing Gut Bacteria Through Diet Affects Brain Function.  Science Daily.  May 28, 2013.

(1)  The brain sends ________________ and the gut sends  _________________.

(2)  The discovery that changing the microbiota can affect the brain has implications for __________________________.

(3)  Stress can lead to gastrointestinal symptoms because ___________________.

(4)  Those women who ate probiotic yogurt had decreased activity in the __________ and the __________________.

(5)  There was also a decrease in the brain network that includes ___________________.

(6)   Brain effects could be seen in ________ and not merely in those associated with _________

(7)  Future research will examine whether people with gastrointestinal symptoms have improvement in their digestives symptoms which correlate with _______________.

(8)  Also open to question is the effects of repeated courses of ___________ on the brain.

(9)  _______________ of profiling a person's microbiota  will render such tests routine.

Health Care Jobs: Boost To The Economy AND Long-Term Problem

To Reduce Health Care's Costs, Destroy Its Jobs by Evan Soltas.  Opinion piece in The Ticker:  Bloomberg.  May 30, 2013.

(1)  Health care has provide _______ of all net job growth over the last decade with  ________ million new jobs.

(2)  If health care employment had not expanded the unemployment rate would be ______.

(3)  Health care accounts for _______ of the gross domestic product.

(4)  Health-care workers earn ________ more per hour than the average private-sector worker.

(5)  The reason the health care sector is so large is that it is so ______________ with expenditures ____________ that of the average developed country.

(6)  Health care costs are really _______________.

(7)  What are four methods to reduce health care costs mentioned in the article?

(8)  A healthier economy would be with __________________ and millions elsewhere.

Creating An Image Of Their Tormentor As An Computer-Generated Avatar, Schizophrenia Patients Gain Control of Voices

Avatar Therapy Helps Silence Schizophrenia's Voices by Andrea Gerlin.  Bloomberg.  May 29, 2013.

(1)  This avatar therapy worked with those who __________________ to medications.

(2)  Schizophrenia affects about one in __________ people.

(3)  Some patients stopped ___________.   Many of the patients did learn to ______________.

(4)  ___________ technology was used to create the avatars.

(5)  The patients used software to create ___________________.    The researcher then spoke ______________ until ___________________.

(6)  Avatar therapy was at least twice as effective as the other non-pharmaceutical therapy __________________.

(7)  After three moments, symptoms of _________ had significantly improved.

(8)  Those who heard ___________ voice had difficulty benefiting from avatar therapy.




Disinfecting All ICU Patients More Effective Than Testing/Targeting Only Carriers

Intensive-Care Patients Need Treatment To Stop Deadly Bug by Michelle Fay Cortez.  Bloomberg.  May 30, 2013.

Read the above article and test and improve your retention by taking the following quiz.  You might want to read the quiz before reading the article to focus your attention.  Motivated reading is the best reading.

(1)  According to the research recounted here, testing and targeting for a superbug is __________
as _______________ all intensive-care patients.

(2)  Bathing every patient with ______________ and using a _______________ for five days to kill reservoirs in _________ reduced infection rates ________ percent.

(3)  This research answers one long-debated question which is _________________________.

(4)  What action by the U.S. government has increased the importance of infection control?

(5)  Each MRSA infection can boost costs by $_________________.

(6)  This study was carried out at _______ hospitals which account for about ______ percent of all inpatient care in the U.S.

(7)  One expert cited in the article said the findings should result in repeal of ________________.

(8)  The practice advocated here would curb the practice of patient ________ which is viewed as "unfriendly."

(9)  A possible danger of using universal use of mipirocin is _____________________.





Wednesday, May 29, 2013

Living Longer But In Poorer Health; Crisis Looms

Senior Health Care Crisis Looms;  Report Ranks States by Michelle Healy, USA TODAY.  May 28, 2013.

2013 Senior Report.  America's Health Rankings.  United Health Foundation.  May 2013.

(1)  Those turning 65 today "are more likely to __________________________________ and much more likely _______________________________.

(2)  By 2050 those 65 or older will make up _________________.  Those 85 and older are projected to increase from __________________ to _____________ by 2030.

(3)  adults 65 or older spend ____________ more than all adults younger than 65.

(4)  The top five states for senior health are ________________________.  The bottom five are ___________________________.

Exposome Center Established; Designed To Study The Lifetime Exposure To Environmental Pollutants

Emory, Georgia Tech Receive First Human Exposome Center Grant In U.S.  by Melva Robertson.  Emory News Center.  May 24, 2013.

(1)  The exposome is a relatively new concept that incorporates _______________________.

(2)  Understanding the expose may uncover the causes of disorders such as _________________.

(3)  The new fields will look at pollutants in food, ___________________________________________.

Sexual Desire Pill For Women May Be On The Shelf Soon; Implications Are Many

Unexcited?  There May Be a Pill For That  by Daniel Bergner.  The New York Times Magazine.  May 22, 2013.    Non-subscribers to the New York times can have access to 10 articles a month.  I would recommend a subscription to this vital publication.

Tuesday, May 28, 2013

Microbial Communities In A Newly Built Hospital

Patients Leave A Microbial Mark On Hospitals by Beth Mole.  Nature.  May 23, 2013.

What Is The Research Question and Why Is It Important?  The Hospital Microbiome Project

Microbial Populations In A Hospital Under Construction.  The Hospital Microbiome Project.  October 17, 2012.

Mapping the Great Indoors by Peter Andrey Smith.  The

The article and the two excerpts from The Hospital Microbiome Project recount an effort to "monitor the microbial ecosystem of a new University of Chicago hospital to see how microbes pathogens travel through its halls."

The New York Times article contains a significant section about The Hospital Microbiome Project and is well worth a read.

Read the following questions before or after reading the article to (1) give your reading sharper focus and (2)  increase recall and improve and retention.

Nature article:

(1)  By the end of the year when sampling for the Project ends scientists expect to collect more than ____________ samples.

(2)  The researchers found that around ____________ types of microbe moved in during hospital construction. 

(3)  During construction microbes moved in, transported by ______________________________>

(4)  Microbes from long-term patients lingered _______________ and after their rooms __________.

(5)  The research team found _________ lingering pathogens.

(6)  A rationale for this study is that roughly _________ million hospital-associated infections are reported each year.

Section of The Hospital Microbiome:  What is the research question and why is it important?

(1)  Hospital Acquired Infections (HAIs) are the _________ leading cause of death ahead of diabetes, influenza/pneumonia, and Alzheimer's

New York Times article.

(1)  The Director of the University of Oregon's Biology and Built Environment Center  said that she expects buildings to eventually ________________________________________

Monday, May 27, 2013

Want To Watch Live Surgery? Twitter Used To Tweet Brain Pacemaker Implant Video

UCLA Surgeons Using Vine, Instagram To Video Tweet Brain Surgery by Paresh Dave.  The Los Angeles. Times.  May 23, 2013.

The link has video of a brain pacemaker implant.

(1)  A brain pacemaker counteracts _________________.

(2)  ________ and _________ have been used to chronicle the implant of the pacemaker.

(3)  The patient was to be awake during the surgery and play his _________.

Extra Pounds Affect the Genes And The Size of Jeans Of Offsprings

Mom's Obesity Surgery May Help Her Children.  CBC News/Associated Press.  May 27, 2013.

Read the article and test your recall with the following quiz.

(1)  Youngsters born after their mothers had obesity surgery were ____________ and apparently had __________ that impacted risk factors for diabetes or heart disease.

(2)  _____________  after mom's surgery may have played a role in the results, cautions a researchers from Duke University.

(3)  The __________ can alter how our ______ work according to much recent evidence.

(4)  Tackling obesity before or during pregnancy is important because ___________________

(5)  Why is "eating for two" a bad idea?

(6)  The National Institutes of Health are funding seven studies that are testing ________________

(7)  Determining how much mom has to lose for a healthier baby is _______________.

(8)  Fetuses are __________ differently depending on _________________.

(9)  Extra pounds can lead to a variety of immediate complications including ____________________

Sunday, May 26, 2013

Our 10,000 Year Journey To Low Nutrient Food

Breeding The Nutrition Out Of Our Food by Jo Robinson.  The New York Times.  May 25, 2013.

Read this important article and test your retention with the following questions.

(1)  Studies within the past 15 years have shown that our produce is relatively low in ______________ which has the potential to reduce risk for __________________________________.

(2)  Wild dandelions have __________ times more ____________ than spinach.

(3)  The people who foraged for wild foods, the data suggest, were much less likely to ____________________________________.

(4) Fruit and vegetable nutrient loss stems from farming ancestors choice to avoid _____________
taste and select foods low in _______ and high in _______.

(5)  The ancestor of the corn we eat today has _____ times more protein than the corn we eat today.

(6)  Explain how our sweet corn is a direct descendent to the spoils of a war.

(7)  How was supersweet corn born in a cloud of radiation.

(8)  What are  the steps the author suggests to regain lost nutritional value in our food?

7 Insurers Plan to Participate In Georgia Exchange

7 Insurers Plan To Participate In Georgia Exchange by Andy Miller.  Georgia Health News.  May 24, 2013.

(1)  Which two of the following insurers have NOT signed up to offer health benefits on online insurance exchanges:  Cigna, Blue Cross and Blue Shield of Georgia, UnitedHealthcare, Human, and Peach State.

(2)  According to a Georgia State University health insurance expert "fears about premium shock are ____________________________________________.

(3)  Reports of competitive rates have also appeared in _________________________.

(4)  The three levels of plans in the exchanges are called ______________________, based upon their level of benefits.

(5)  Why are premiums in the Atlanta area lower than in other parts of the state?

(6)  While young adults can be expected to pay ____________ they will also often be eligible for _____________________.

(7)  More than _____________Georgians will be eligible to coverage in the insurance exchange.

(8)  Most Georgians eligible for credits are _____________________ and have incomes of between -____________________________.

(9)  UnitedHealthcare sees 2014 as __________________________.


The Girl Who turned To Bone

The Mystery Of The Second Skeleton by Carl Zimmer.  The Atlantic.  June 2013.

(1)  What is fibrodysplasia ossificans progressive (FOP)?  Describe by symptom.  Describe by genetics.  Describe by how it progresses.

(2)  A rare disease is defined as ___________________________________.
More than ___________ such diseases exist, affecting ______ million to ________ million.

(3)  Most people with FOP are born with a _______________.

(4)  A rare disease is a natural __________________.

(5)  How could study of FOP affect future treatments for osteoporosis?

(6)  What is Tangier disease and how could it lead to more effective treatment of heart disease?

(7)  The NIH program, Therapeutics for Rare and Neglected Disease, collaborates with scientists to ________________________________________________.

(8)  How has the FDA smoothed out the approval process for drugs for rare diseases?  

Saturday, May 25, 2013

State Decisions To Not Expand Medicaid Leaves Poorest Behind

States Policies On Health Care Exclude Some Of The Poorest by Robert Pear.  The New York Times. May 24, 2013.

(1)  ____________________ of all people without health insurance live in states that are not planning to expand Medicaid.

(2)  As a result of the states' decision, millions of poor people will be _________ for government-subsidized health insurance with others ___________ will receive federal subsidies.

(3)  Those eligible for federal tax credits to subsidize purchase of private health insurance have incomes between ____________ level up to ________ times that amount.

(4)  In states that do not expand Medicaid, many of the poor will see advertisements promoting new insurance options but will not learn _______________________ until they apply.

(5)  What was the role of the Supreme Court in the decision of the states to decline to expand Medicaid.

(6)  The cited reason for the states' decision to expand Medicaid is concern about _____________.

(7)  How will states explain the denial of benefits to the poor not eligible for subsidies?

(8)  When a person signs up for home of the healthcare provisions, they will be checked for three programs, including ______________________________.

Calories: Counting And Context

What's In That Big Mac?  More Than You Think by Alexandra Sifferlin.  Time:  Health And Family.  May 24, 2013.

Read the article and answer the questions to improve retention.

(1)  Participants in the study recounted here consistently __________ how calorie dense their meals were.

(2)  Rank the accuracy of personal calorie consumption estimates  in these three groups (a)  kids, (b) adolescents, and (c) adults.

(3)  The more calories consumed the more the participants _______________ their consumption.

(4)  What was a proposed reason that Subway diners underestimated their calories consumed?

(5)  What is one reason that 2014 a significant year for restaurant menus?

(6)  What results does a 2011study of New York City consumers show about calorie information?

(7)  Fill in the blanks from a quotation:  If customers don't understand what 250 calories mean or how it ____________________________, posting that information on a menu ________________.

(8)  The New York study showed that those who read labels ___________________________.

(9)  Labels may compel food makers to _____________________________.

(10)  Emphasis on calorie numbers alone may backfire if calories are reduced by eliminating ________________.

(11)  True or False:  Healthy foods may sometimes contain more calories than unhealthy options.

(12)  When people ordered off menus that listed ______________________________
they ordered and consumed fewer calories.

(13)  Giving consumers a more _________ idea of what heir food choices mean may help ____________________________________.

Friday, May 24, 2013

Roaches Change Body Chemistry To Survive; How They Do It May Hold Key To Malaria Spread

Wily Cockroaches Find Another Survival Trick:  Laying Off The Sweets by James Gorman.  The New York Times.  May 23, 2013.

(1)  Some populations of cockroaches have _________________ so that substance used to attract them to poisons,  the sweet -tasting ______________, tastes bitter.

(2)  This avoidance of glucose was __________, not _________.

(3)  What are two theories of the genetic mutation that occurred?

(4)  What significance could this research have for the spread of malaria?

Robots Come To The Hospital: The New Physician Extenders

Paging R2-D2 To the Hospital ICU by Scott Martin, USA TODAY.  May 23, 2013.

Read the article above and test your recall and comprehension with a few questions.

(1)  The latest hospital come from iRobot which makes the __________ vacuum cleaner.

(2)  Robots could address  ______________ and _______________ especially for remote hospitals.

(3)  In the hospital discussed in the article, how have robots improved stroke treatment and "door-to-needle" time.

(4)  What are the two reasons, cited by a doctor in the article, that make hospitals difficult places to innovate?

(5)  Aethon is a company that focuses on robotic _____________ in hospitals.  Aethon's CEO estimates there is a $_______ market for such robots.

(6)  GE sees opportunities in _________ and tracking of ____________.

(7)  The difficult task will be baking ______________________ together to create task-oriented workers.


Thursday, May 23, 2013

Reporting Lag On Cornoavirus Outbreak, Diagnostic Kit Development Delay Cited As Problems

WHO Warns Countries Not To Hoard Secrets of Coronavirus by Tom Miles and Stephanie Nebehay.  Reuters.  May 23, 2013.

(1)  Saudi Arabia has said that diagnostic test development was delay by _______________________.

(2)  The Deputy Health Minister of Saudi Arabia said the virus _______________ without permission to the __________________ in the Netherlands.

(3)  The lab in the Netherlands ___________________ meaning that anyone else who wanted to use their method to study it would _________________.

(4)  There is a legal requirements for countries to ___________________.

(5)  The only test for cornoavirus is ____________ which, however, is useful only while the patient ______________________.

Gastric Reflux And Cancers Of Throat And Larynx Linked

Frequent Heartburn Raises Throat Cancer Risk 80 Percent Study Finds by Ryan Jaslow.  CBS News.  May 23, 2013.

(1)  Gastric reflux is an independent risk factor for cancers of the ________ and _________.

(2)  Those with heartburn, or gastric reflux, more than twice a week are often diagnosed with __________.

(3)  People with frequent heartburn were found to have a ______ percent increased risk for developing ______________.

(4)  Those who had frequent heartburn but took antacids were found to have a _____ percent reduced risk for the cancers.

(5)  True or False:  It is unclear why antacids were linked to cancer risk reductions.

(6)  Further research is need to determine ___________ and whether antacids make a difference in ______________.

(7)  According to the Mayo Clinic,  risk factors for throat cancer include _______________________
___________________________>

Visual Test Reveals Focus As Key To IQ.

Visual Test Linked To High IQ by Dan Vergano.  USA TODAY.  May 23, 2013.

(1)  A neuroscientist quoted in the article raises the possibility that IQ is not about ____________ at all but how _______________ some people are.

(2)  The research subjects with higher IQ focus on the _______ and dispense with ____________.

(3)  The research subjects seemed ____________ at noticing _____________.

(4)  Efficient focus on details is a ________________.

Wednesday, May 22, 2013

Actuarial Firm Puts The Costs Of Medical Care In Perspective

Milliman Research Report:  2013 Milliman Medical Index.  Milliman.  May 22, 2013.

(1)  The employee share of medical costs for a family of four is more than the average costs for ________ for this family.

(2)  Total costs for an American family of four now are about equal to ___________

(3)  Out of pocket health care costs is now more than the average _______________.

(4)  Families may not realize the total cost of health because _______________.

(5)  In four out of the last five years the cost of care for the employer has risen (slower or faster) than for the family.

Many more enlightening statistics are found in this enlightening report.  

Human Skin Fungal Diversity Revealed In First Genomic Survey

First Genomic Survey Of Human Skin Fungal Diversity.  Science Digest.  May 22, 2013.

Read the article and answer the questions to improve retention.

(1)  Two key purposes of the survey is to define ________ populations across the skin and establish a ________ for investigating fungal skin conditions.

(2)  Hands have a great diversity of ______ but relatively few types of _______.

(3)  True or False:  Feet contain little diversity of fungi.

(4)  Understanding the fungal and bacterial ecosystems can help physicians address skin conditions related to _______ treatments.

(5)  In the study, those with heel site infections have _________ fungal communities on the heel.

(6)  Toenail infections compared from individual to individual showed _____________ fungal communities.

(7)  The most common fungus found on the human skin was ______________.

(8)  Diversity of fungi is highly dependent on _________ rather than _____________.

(9)  The _______ is the most complex site, home to about ______ genus-levels types of fungi.

(10)  The feet have high measures of __________ and lower levels of _______________.

(11)  True or False:  Fungal communities change drastically over time.

(12)

Potential Legal Liability From Federal Quality Improvement Metrics Addressed in Law

Ga. Law:  Federal Metrics No Basis For Medical Liability by David Pittman.  MedPage Today.  May 7, 2013.

(1)  The law passed and signed by Georgia Governor  prevents  federal-quality-of-care metrics from being ____________, used as the ___________, or used as a presumption of _____________ in malpractice suits.

(2)  According to the article the State Physician Shield does not take away _______________.

(3)  The Georgia Trail Lawyers Association _______________________________.

German IT Firm Seeks Autistic Workers

German IT Firm Seeks Autistic Workers by Kate Connolly.  The Guardian.  May 22, 2013.

(1)  The German software giant SAP aims to train ________ workers with autism by 2020.

(2)  Among the positions for which autistic person will be recruited include ___________________.

(3)  The highly useful and marketable skills people who are autistic could bring to the computer industry are obsession _________ and an ability to analyze ______________.

First-Of-Its-Kind Collaboration Aims To Address Two Major Problems

U.S. Government Taps GlaxoSmithKline For New Antibiotics by Ben Hirschler.  Reuters.  May 22, 2013.

(1)  This first of a kind collaboration is designed to address the rise of ___________ and the potential threat that terrorists could _____________________________.

(2)  This arrangement will allow funding to ___________________ rather than _____________.

(3)  While antibiotic resistance has been rising for years drug companies have been reluctant to invest in new medicine because of __________________.

(4)  GlaxoSmithKline will cooperate with the _____________________________(BARDA) in the ________________________________.

(5)  The collaboration will follow a "portfolio approach" allowing work to move __________________  if a particular drug__________________.

Tuesday, May 21, 2013

Behavior Changes As Signals Of Mental-Health Issues

When Social Skills Are A Warning by Shirley S. Wang.  The Wall Street Journal.  May 20, 2013.

Read the article and test your recall with the questions below.

(1)  Why are changes in social behavior potentially significant for neurological health?

(2)  True or False:  During the early stages of mental disorders, planning and organizing abilities may remain sound even while social abilities deteriorate.

(3)  Social problems are the primary characteristic of disorders such as _________________.

(4)  Social problems can be secondary symptoms of disorders such as _________________________
___________________.

(5)  True or False:  Social peculiarities have to be drastic for there to be any reason for concern.

(6)  Inability to focus on what other people are noticing could be _____________________.

(7)  True or False:  It is likely that people will notice social behavior changes in themselves.

(8)  For people over the age of 40 or 50, it is recommended that they see a ______________ if there are changes in emotional or social functioning.

(9)  The ventral-salience network _____________________________

(10)  The ventral-salence network along with the __________ network help us

(11)  Preliminary evidence tends to indicate that  in the salience network can be a marker for ______ is kids.

(12)  People with autism and schizophrenia tend to have difficulty with __________.

(13)  In anxiety  ____________ environmental stimuli registers as important.

(14)  Explain how the ability to detect insincerity and sarcasm is sometimes important in the detection of social deficit.

(15)  One researcher indicated that there may be a relationship between size of certain parts of the brain and __________________

RAND Corporation Study Charts Trends In ER Usage

E.R.'s Account For Half Of Hospital Admissions, Study Says by Reed Abelson.  The New York Times.  May 20, 2013.

(1)  According to the study emergency rooms account for about _________ of hospital admissions.

(2)  They account for ________ of the rise in admissions between 2003 and 2009.

(3)  Physicians are increasingly relying on E.R.'s to ________________.

(4)  Emergency departments haven't been just an ___________ and haven't been for _______ years.

(5)  Between 2003-2009 there was a _________ in admissions from doctors' offices and similar settings.

(6)  Patients frequently go to the E.R. because they feel that_________________.

(7)  They are a ________ for patients without health insurance.

(8)  True or False:  From the report it is clear how emergency rooms contribute to the nation's healthcare bill.

(9)  What is the key question for policy makers about emergency room usage?

(10)  True or False:  E.R.'s may be already preventing preventable hospital admissions.

Health Sites Cloud Message With Complex Language

Health Sites Too Complex, Full Of Cliches:  Study  by Ivan Oransky.  Reuters Health.  May 21, 2013.

(1)  The American Medical Association and some U.S. government agencies recommend that health education materials be aimed at a reading level of the ___________ grade level.

(2)  Reaching people where they are may require using _____________.

(3)  Materials for professional sites in obstetrics and gynecology used nearly ________  for every 50 pages.

(4)  The authors of the study upon which this article is based suggested these sites use _______ and _______.

Suicide Contagion Among Students: Long-Lasting And Strong

Schoolmates Of Suicide Victims At Higher Risk by Kathryn Doyle.  Reuters.  May 21, 2013.

(1)  This study of suicide contagion is unique in that it looked at ____________________.

(2)  Based upon the results the school "post-vention" should _________________ not just __________________.

(3)  True or False:  Those who knew the deceased and those who didn't seemed to have no difference in risk.

(4)  Effects may persist for __________________ or longer.


Mediterranean Diets Trumps Low-Fat For Dementia Prevention: Study

Mediterranean Diet Trumps Low-Fat Diet In Fighting Off Dementia by Christine Hsu.  Counsel & Heal.  May 21, 2013.

(1)  The study indicated that people significantly lowered their risk of developing dementia after just __________ of being on the diet.

(2)  In the Mediterranean diet the main culinary fat is __________.

(3)  The findings suggest that ________ and ________  help with mental function.

(4)  According to the authors the protective effects of MedDiet on cognitive status include __________________________________________.

Monday, May 20, 2013

No IRS Access To Health Records: Healthcare Officials And Outside Experts

GOP Fears About IRS Access To Medical Records Disputed by Mary Agnes Carey.  Kaiser Health News.  The KHN Blog.  May 20, 2013.

(1)  The role of the IRS in implementing the 2010 health law include enforcing ________
_______________________ and helping determine whether ___________________________.

(2)  According to an expert quoted in the  article the IRS should not ________________
_______ but will have access to an individual's ______________

Chemical Makeup of Breath: Clue To Conditions Including Obesity

Obese Kids Have Different Breath Than Skinny Ones, Study Says by Ryan Jaslow.  CBS News.  May 20, 2013.

Read the article and test your recall with the quiz.

(1)  Researchers in this preliminary study found differences in concentrations of more than _____ compounds comparing breathprints from lean and overweight children.

(2)  With such a test doctors may be able to tell parents the disease ________ that the child may face if their physical condition is not improved.

(3)  The concentrations measured in the breath are _______ ______ __________, which are byproducts of the metabolic breakdowns that occur in the body.

Robots: Helpers, Caregivers, Friends For The Elderly?


Helper Robots Are Steered, Tentatively, To Care For Aging by Nick Bilton.  Disruptions.  The New York Times.  May 20, 2013.  

(1)  By 2030, there will be __________ million Americans over the age of 65.  

(2)  By 2020 there will be a need for ______% more home aide jobs.  Because of low salaries, these jobs are difficult to fill.  In many states, the average in-home aid makes $ ___________.

(3)  The gap between demand and supply of in-home aides may spark an interest in _________ to provide care.  

(4)  At Georgia Institute of Technology, a robot has been developed that is gentle enough to __________________.  

(5)  What are some of the tasks that robots being developed now can do to care for the elderly?

(6)  According to MIT professor Sherry Turkle  what are ethical implications of using robots to communicate with the elderly?  

(7)  According to a Georgia Tech study older people attached importance to ____________ in determining the task they trusted the robot to do.  Give examples.  

(8)  How does the perspective of Wendy A. Rogers at Georgia Tech differ from that of Sherry Turkle at MIT regarding the ethical implications of the relationship of robots with the elder?

Sunday, May 19, 2013

Healthy States Likely To Become More Healthy, Sicker States Likely To Become Sicker With Medicaid Expansion Decision

Medicaid Opposition Underscores States' Healthcare Disparities by Noam N. Levey.  The Los Angeles Times.  May 18, 2013.

Read this significant article and test your recall on the following questions;  Or read the questions and then read the article and look for the answers

(1)  Colon cancer deaths in states opposing Medicaid expansion and _____% higher than in pro-expansion states;  Breast cancer  ______% higher;  

(2)  Conservative critics of expansion  would discourage people from __________________ and would ________ state budgets.

(3)  True or False:  Most state leaders fighting Medicaid expansion have advanced many alternatives to tackle their state's health problems.

(4)  Compare and contrast health coverage and outcomes in Texas and Massachusetts.  Potentially preventable deaths are _______% higher in Texas than in Massachusetts according to CDC data.

(5)  Republican legislatures in ______, _____, and ______ have blocked Republican their governors' efforts to expand Medicaid.

(6)  What has been the record of Maine, New York, and Arizona, as compared with neighboring states, for a previous Medicaid expansion a decade ago?

(7)  What did a recent study of Medicaid expansion in Oregon show?




Immigrants Move To American; Health Moves Down

The Health Toll of Immigration by Sabrina Tavernise.  The New York Times.  May 18, 2013.

Read the fascinating article above and test your recall with the following questions.

(1)  True or False:  Worries about the health of the 11 million illegal immigrants are well-founded.

(2)  Foreign-born immigrants live about _____________ than their American -born counterparts.

(3)  American behaviors such as ______________________________ contribute to immigrant health changes.

(4)  Long work hours contribute to _______________ of family diets.

(5)  Discuss the health variation among American-born hispanics.

(6)  Among the factors offering an explanation for the decline of immigrant health are __________________________________________________

(7)  How does cancer mortality for immigrants compare with the American-born?  Heart disease?
Kidney disease?  Liver cirrhosis?

(8)  Up to _______% of the diet of rural Mexicans now comes from _________.

(9)  A _________ component may explain part of the high diagnosis rate for diabetes among Hispanics.

(10)  What is the "time bomb" referred to in the article?

Saturday, May 18, 2013

Burden Of Disease On Men Not Adequately Addressed---Public Health Study

Global Health Policy Fails To Address Burden Of Disease On Men.  Science Daily.  May 16, 2013.

(1)  True or False:  The top ten causes of premature death and disability and the top ten behavioral risk factors affect men more than women.

(2)  The smallest decline in global mortality over the past 40 years has been experienced by men between _____ and ____ years.

(3)  The authors argue that global health institutions should address the __________ and _________ that push men to __________________.

(4)  _______ norms drive risk taking resulting _____ times the behavioral risk as compared with women.

(5)  According to the article concerns about "unsafe sex" must be complemented by concerns about unsafe ___________.


Work Stress Linked to Dyslipidemia

Work-Related Stress Linked To Increased Blood Fat Levels, Cardiovascular Health Risks.  Science Daily.  May 16, 2013.

(1)  Dyslipidemia is a _________ __________ disorder manifesting increases in ______  and ________ ____________ and ________ levels, in addition to drops in __________________.

(2)  The relationship of stress to cardiovascular ski could explained at least in part by _____________________.

Malaria Parasite Boosts Mosquitoes' Sensitivity For Human Odors

Malaria Parasite Lures Mosquito To Human Odour by Rebecca Morelle.  BBC News:  Science and Environment.  May 16, 2013.

(1)  In 2010 there were _______ million cases of malaria with __________ deaths.

(2)  ______ is the most affected continent with _____% of malaria deaths occurring there.

(3)  Understanding how mosquitoes respond to human orders could help with efforts to ____________ and improve _________ techniques.

(4)  Smelly _______ were used in the research study.

(5)  Infected insects, according to the study, were ________ times more likely to be lured toward a human scent.


Friday, May 17, 2013

CDC Comprehensive Report On the Mental Health Of American Youth

Mental Illness In Youth:  A Common Struggle by Melissa Healy.  The Lost Angeles Times.  May 15, 2013.

(1)  According to the CDC report ________% of adolescents between 12 and 17 acknowledged spending 14 or more days of the last month as "mentally unhealthy."

(2)  Those teens were more likely to be (boys or girls);  (white non-Latino or Mexican American)

(3)  True or False:  Those from relative affluence were much less likely to have persistent mental distress.

(4)  The prevalence of mental disorder in children has been on the rise since _________.

(5)  The most common childhood disturbance is ___________.

(6)  Rising rates may reflect more ___________.

(7)  What are some of the environmental factors that some researchers believe impact childhood mental illness?

Society of Actuaries Study Tracks The Impact of Aging On Health Costs

Press Release:  New Study Tracks Impact Of Aging On Health Costs.  Health Care Cost Institute.  May 15, 2013.

A wealth of information on forces impacting the future of health care in the US.

Among the key findings:



*America’s aging population is not an overwhelming driver of increased health care spending;

*The cost of children’s health care is rising;

*Delaying childbirth has shifted the high point of young women’s health care spending from the late 20s to the early 30s;

*Health costs are twice as high for people with cancer, circulatory, or musculoskeletal conditions than for people without; and

*Medical costs for older men are higher than for older women.

Target Marketing Doctors By Prescribing Patterns, Social Networks, Patient Actions, And Insurance

Pills Tracked From Doctor To Patient To Aid Drug Marketing by Katie Thomas.  The New York Times.  May 18, 2013

Read the article and test your recall.

(1)  From the point of view of the drug makers the data analysis they utilize helps doctors by
___________________________________

(2)  Under federal law any __________________ must be removed.

(3)  Over the past decade, the list of available information has expanded to include ___________.

(4)  One company mentioned in the article promises to connect ________________________.

(5)  A medical ethics writer cited in the article says that drug company use of data has become ___________ and comes out of _____________.

(6) True or False:  People in anonymous databases can sometimes be re-identified.

(7) Doctors can opt out of use of their prescribing data through a program set up by ____________________________.

(8)  Drug makers say that by providing information to doctors customized ____________.

(9)  Insurers are interested in this information because __________________________

(10) Use of data is increasingly important to companies because doctors are ____________.

(11)  What is "influence mapping?"

GA Flesh-Eating Bacteria Victim Gets Bionic Hands

GA. Flesh-Eating Bacteria Victim Gets Bionic Hands by DeMarco Morgan.  WXIA-TV/USA TODAY.  May 17, 2013.

Read the article above and test your recall.

(1)  The condition that cost Copeland her arms and legs was _______________ which led to _________ failure and ___________.

(2)  The hands can be controlled by her muscles and by ______________.

(3)  Copeland states that the prosthetic arms feel like ________________.


Thursday, May 16, 2013

Security Risks found In Sensors For Heart Devices, Consumer Electronics

Security Risks Found In Sensors For Heart Devices, Consumer Electronics.  Science Daily.  May 16, 2013.

(1)  The researchers demonstrated that they could forge ___________ with ____________________.

(2)  The researchers know of _____ cases where a hacker has corrupted an implanted cardiac device.

(3)  The findings revealed new risks for analog sensors which rely on _________________
_____________.

(4)  The human body acts as a ______________________.

(5)  A problem is that emerging medical sensors ___________ rather than implanted, could be more susceptible to interference.

(6)  What is one security solution to potential interference?




Marijuana Decreases Insulin Resistance, Improves Blood Sugar Control

Marijuana Decreases Insulin Resistance, Improves Blood Sugar Control by Sandy Calhoun Rice.  Healthline News.  May 16, 2013.

(1)  Previous epidemiological studies have found ____________________________ in marijuana users.

(2)  Participants in the study who had used marijuana in the last month had ______% lower fasting insulin levels, _____% lower levels of insulin resistance, and _______of HDL-C.

(3)  Marijuana users consumed (more or less) calories than non-users and we (leaner or fatter) than non-users.

(4)  True or False.  Researchers have a firm grasp of the reasons that marijuana impacts weight the way it does.


Nurses, Doctors Disagree On Expanded Nurse Role

Docs Nurses disagree Over Expanded Nurse Role by Alvin Tran.  Kaiser Health News.  KHN Blog.  May 15, 2013.

Read the article and  test your retention with the following questions.

(1)  Nurses and doctors agree that nurse practitioners should be able to _________________.

(2)  Nurses and doctors disagree over whether advanced practice nurses should lead ___________
_______________.

(3)  More than ______% of nurse practitioners agreed with the idea of equal pay for providing the same health services while less than ________% of doctors did so.

(4)  The debate over the role of nurse practitioners has intensified as a result of ________________
_____________.

(5)  Illustrating a huge difference  ____% of doctors thought that care provided in exams and consultations was higher than that provided by nurse practitioners.  _____% of  nurse practitioners disagreed.

(6)  Nurses who said that they were not practicing to the full extent of their training blamed _______
_________________.

(7) Describe the differing perspective of doctors and nurses as to timeliness and effectiveness of care with increased involvement of nurse practitioners

Wednesday, May 15, 2013

Creating Stem Cells From Skin Cells Via An Unfertilized Egg

Scientists Convert Human Skin Cells Into Embryonic Stem Cells by Jason Koebler.  US News.  May 15, 2013.

(1)  The method used by researchers at Oregon Health & Science University used _____ instead of ______, a move that could help quiet the ethical debate surrounding stem cell research.

(2)  With the future development of stem cell therapies, health scientists believe specific cell types derived from stem cells could be ____________________________.

(3)  Rejection could be avoided using this method because _______________________________
_______________________.

(4)  Embryonic stem cells are likely the best cells to use for therapies because they are ________
than adult stem cells.


7 Questions--Plus A Few--On Cancer Gene Testing

7 Questions On Cancer Gene Testing by Dr. Susan Domchek.  CNN.  May 15, 2013.

Among the questions addressed by the article are the following:  What is BRCA Testing?  What does a positive result mean?  Does everyone need to be tested?  How much is BRCA testing and does insurance cover it?

Here are some more from the article:

(1)  The BRCA can be performed with blood or ________.

(2) BRCA2 is also associated with cancers of ________________________________.

(3)  Testing for children is or is not recommended.

(4)  Since there is not a reliable screening for ovarian cancers it is recommended that BRCA1 and BRCA2 carriers ________________________________________________

Tuesday, May 14, 2013

Angelina Jolie's Medical Choice

My Medical Choice by Angelina Jolie.  The New York Times.  May 14, 2013.

Jolie's Double Mastectomy Not Always A Lifesaver by Liz Neporent.  ABC News. May 15, 2013.

(1)  Jolie's doctors estimated that she had a ______% chance of breast cancer and a ______ % chance of ovarian cancer.

(2)  Jolie's medical procedures extend over ________ months.

(3)  The procedure to increase the chance of saving the nipple is called ______________.

(4)  Jolie says that her chance of developing breast cancer has dropped from ______% to  ________%.

(5)  Breast cancer alone kills ____________ people each year.

(6)  The cost for testing  for BRCA1 and BRCA2 is more than $_________.



ABC News Article

(1)  Some medical experts are concerned that many women are ________________
___________

(2)  According to a University of Michigan study 70 percent of women who had both breast removed following a breast cancer diagnosis ______________________________.

(3)  Breast cancer survival is affected most by ____________________________.


Some Breathing Space For Hospitals In States Slow To Expand Medicaid

CMS Won't Penalize Hospitals In States Slow To Expand Medicaid by Phil Galewitz.  Kaiser Health News.  The KHN Blog.  May 14, 2013.

(1)  According to a proposed rule, the Obama administration does not plan to penalize states with reduced Medicaid funding for the _______________.

(2)  That money goes to hospitals who treat __________________.

(3)  What is DSH and how is it related to funding of the Affordable Care Act?

(4)  Why did the hospital industry agree to the cuts during negotiations over the law?

(5)  What role did the Supreme Court play in disrupting the funding plans for the Affordable Care Act?

(6)  The new proposed rule encourages states to target Medicaid DSH payments to ____________________________________________________________.

Health Outcomes and Spending Levels: How Do They Relate? They Don't

Want To Improve Health Care?  Spend Less On It by Charles Kenny.  Bloomberg Business Week.  May 13, 2013.

(1)  According to a new study of Medicaid recipients in Oregon, increased health-care spending has ________________ impact on improving people's health.

(2)  What were some of the benefits of Medicaid expansion in Oregon?

(3)  What was not achieved by Medicaid expansion in Oregon?

(4)  How does health care expenditures and average lifespan compare in the United States, Chile, and Spain?

(5)  Measures that are most effective in raising a population's life expectancy ________________
___________________________.

(6)  What are some cheap interventions that produce dramatic results?

(7)  Obesity takes away ______________ years away from the world's population every year.

(8)  Using Cuba as an example explain how having less money to spend can result in better health outcomes?

(9)  What have been some of the positive impacts of the recession on U.S. health?

(10)  With lower __________ and ________, the U.S. might even surpass Spanish levels of life expectancy.

(11)  The U.S. needs to get more serious about ___________________________________.

Monday, May 13, 2013

Spontaneous, Not Inherited, Gene Variants Tied to 10% Of Child Heart Defects

Spontaneous Gene Variants Tied to 10% of Child Heart Defects.  Business Week.  May 13, 2013.

Read the article and test your retention.

(1)  In the research involving newborns with serious heart defects where neither the parents or the sibling had cardiac illness, researchers found ______________ only in the affected children.

(2)  Study of these  variants may one day aid doctors in ________________________.

(3)  Differences in treatment outcomes might be due to differences in the ____________________.

(4)  The sick children were more likely to carry damaging mutations at two sites within a cellular pathway known to _______________>


One Third of Lakes In Minnesota Contain Cocaine And Other Drugs and Chemicals

MPCA Study Shows Cocaine in 1/3 of Minnesota Lakes.  NNCNOW.com.  May 13, 2013.

(1)  The cocaine was detected in lakes generally without __________, which means it is being introduced via _______.

(2)  Officials indicated that the cocaine was probably transported long distances by __________.

Two Studies: Teen Risk Taking While Drive Comes In Clusters

Study:  Teens Who Text And Drive Take Even More Risks by Michelle Healy. USA TODAY.  May 13, 2013.

Read the article and test your recall.

(1)  ____% of all students 16 or older reported texting or emailing while driving during the last 30 days.

(2)  Teens who texted while driving were _______ times more likely to drive when they use alcohol.

(3)  Teens who texted while driving were _______% more likely to use their seat belts.

(4)  The biggest single risk to teens is ___________________________.

(5)  Teens who text while driving are more likely to ____________________.

(6)  According to AT&T data ______ or adults admitted to texting while driving compared with ______% for teens.

Sunday, May 12, 2013

Inspiring Story Of Patient Care In The Physician Assistant Profession

Physician Assistant Student's Care Wins Beard Award At Georgia Regents University.  The Augusta Chronical.  May 12, 2013.

Story of Elizabeth Prince-Coleman who won the $25,000 Beard Award For Compassionate Care At Georgia Regents University.

One Source Of Potential Miscommunication And Medical Errors Identified: Surgical Suite Noise

Background Noise In the Operating Room Can Impair Surgical Team Communication.  Science Daily. May 10, 2013.

(1)  This is first study to demonstrate that a surgeon's ability to understand spoken words in the OR is ________________________.

(2)  A significant decrease in speech comprehension with the presence of background noise occurred when the words were _______________.

(3)  Particularly in the presence of music, OR noise  can result in ___________________

(4)  This study is important because miscommunication is _________________________.

(5)  Since discussions in the OR involve discussions of details of medication and dosing, many of these details may sound __________, making clear communications crucial.

Tumor Supressor Gene Also Fends Off Stress From Starvation;

Link Between Tumor Suppressors And Starvation Survival Suggested.  Science Daily.  May 10, 2013.

(1)  The common tumor suppressor gene examined was __________________.

(2)  The gene could off clues to why many cancer cells are ____________________________.

(3)  The gene, the research suggests, help the organism survive longer by _____________________________.

(4)  Under starved conditions the tumor suppressor gene represses some responses by physical stressors like pathogens and toxins.

Neurological Deaths Increasing For People Under 55; USA Leads The Way In Deaths; Environmental and Social Causes Cited

Brain Diseases Affecting More People And Starting Earlier Than Ever Before.  Science Daily.  May 10, 2013.

Read the article and test your recall with the questions.

(1)  True or False:  The rise of dementia and other neurological deaths can be explained by the fact that we are living longer.

(2)  In the United States between 1979-2010, neurological deaths increased by ______% for men and __________% for women.

(3)  How does working- age dementia challenge assumptions about dementia-related services?

(4)  Women's neurological deaths rose (faster or slower) than men's in most of the countries surveyed.

(5)  True or False:  The increase is probably related to genetics.

(6)  Discuss how life-style and environmental influences could  perhaps have influenced the rise in neurological deaths.

The Soil: Source For Biodiversity and Health

The Hidden World Under Our Feet by Jim Robbins.  The New York Times.  May 11, 2013.

(1)  About _______% of soil micro-organisms have been identified.

(2)  Without robust soil ecosystems, the ___________________ would be in trouble.  

(3)  A teaspoon of may have up to _____________ types of microbes.

(4)  True or False:  Soil is largely the same across the globe.

(5)  Biodiversity of nearly ______% of the nation's soil was in danger due to agriculture and urbanization.

(6)  Moder tillage agriculture deprives soil ___________________ it needs for food.

(7)  __________ is a disease cause by a fungus that becomes airborne when soil dries out.

(8)  Soil plays a role in the spread of __________________

(9)  Most antibiotics came from _____________.

(10)  How will global waring affect soil biodiversity?

(11)  _________ agriculture is one method to protect soils.

Saturday, May 11, 2013

Women Altering Menstruation Cycles In Large Numbers, Study Shows

Women Altering Menstruation Cycles In Large Numbers, Study Shows.  Medical Xpress.  May 9, 2013.

Read the article above and test your knowledge.

(1)  Women alter their cycles by ___________________________________.

(2)  Most women alter their cycles for _______________.

(3)  What the implications of these findings for health care providers?

(4)  True or False:  Reducing the occurrence of menstruation is safe and can even be beneficial.

(5)  Women are increasingly using _____________ to alter their cycles.

(6)  What reasons were given by women for altering their cycles?

(7)  True or False:  Most women learn of this practice from medical professionals




Cause For Cognitive Difficulty Associated With Statins Possibly Identified

Research Reveals Possible Reason For Cholesterol-Drug Side Effects.  Medical Xpress.  May 10, 2013.

(1)  What is the "beads-on-a-string" effect?

(2)  Removal of statins results in ______________________.

(3)  Future research will involve how ________ may be involved in bead formation.

(4)  Researchers hope to develop a _______ to determine sensitivity to statins.

(5)  The researchers suspect that _______ ________ alter how people respond to statins.

(6)  What are the implications of this research for prescribing statins to children?

(7)  __________________ may give most of the benefits and prevent someofthe side effecs.


Alzheimer's Care On the Musical Stage

Caregiver and Patient, Bound By Blood And Whining.  Theatre Review by Ben Brantley.   The New York Times.  May 10, 2013.  Review of "The Memory Show"

This review is of a musical "reflecting the tensions of caring for someone with Alzheimer's disease--and being someone with Alzheimer's disease--'The Memory Show' dares to be ugly.

It is interesting to look for reflections of health, medicine, and illness in the arts.

Contagion: Risks, Worries, And Preparation

The Next Contagion:  Closer Than You Think by Michael T. Osterholm.  The New York Times.  May 9, 2013.

Read the article and test your recall with the following questions.

(1)  What are the two infectious agents that are causing concern now?

(2)  What is "contagion exhaustion" and why is it a cause for concern?

(3)  There are _______ kinds of disease-causing microbes capable of causing disease ;  ______ can cause epidemics.

(4)  H7N9 and the coronavirus are different because they can __________________________.

(5)  The only thing keeping viruses from becoming pandemic killers is their _______.

(6)  True or False  We will be saved by vaccines if a pandemic emerges from these two new threats.

(7)  Discuss the economic implications of pandemic.

(8)  The world must invest in ______________________________.

Friday, May 10, 2013

FDA Approves COPD Treatment

Glaxo, Theravance Wine Approval For Lung Disease Treatment by Anna Edney.  Bloomberg.  May 10, 2013.

(1) COPD is the _______-leading cause of death.

(2)  COPD is an umbrella term for __________ and ______ ________.

(3)  Breo is unlike its main competitors in that it is taken ________ a day.

(4)  Breo works by decreasing _________ and helping airways stay _________.

(5)  The therapy was produced by a partnership of ________ and ___________>

Georgia Employers Use A Range Of Incentives To Spur Wellness

Ignoring "Wellness" May Cost Workers by David Markiewicz.  The Atlanta Journal-Constitution.  May 9, 2013.  Free limited-timepreview or subscription or news stand copy.

Read the article and test your retention with a little test.

(1)  The average cost of health insurance for active employees is now above ________?

(2)  More employers are moving from the ________ to the _______ to make workers more _________
for their health.

(3)  What are some of the possible negative reactions to this new approach?

(4)  How have two specific Georgia firms approached this new method to control health costs?

(5)  According to a 800-employer survey ____% offered health-related incentives.  ______% offered a mix of _________ and consequences.

Thursday, May 9, 2013

Fitness Benefits Of Endurance Training In 7 Minutes

The Scientific 7-Minute Workout by Gretchen Reynolds.  The New York Times.  May 9, 2013.

(1)  Based upon several research efforts, it has been found that even a few minutes of training approaching your maximum capacity produces __________________ comparable to _________________________.

(2)  What the exercises in this 7-minute workout?

Emphasis On Symptoms Rather Than Causes, Lack of Grounding In Science, Produces Criticism of Latest DSM

Psychiatry's Guide Is Out Of Touch With Science, Experts Say by Pam Belluck and Benedict Carey.  May 6, 2013.

(1)  The director of the National Institute of Mental Health said that his goal is to reshape psychiatric research to focus on ________, _______ and ________.

(2)  This reshape is to be done to reorient psychiatry toward ________ and away from _________.

(3)  In urging a shift away from the DSM as a guide to research, the director said the following: "______ never read that book."

(4)  Decades of neuroscience research have taught scientists mostly _____________________.

(5)  Those who want to change the science of psychiatry hope that it will more closely follow the direction of _________ research.

(6)  Research Domain Criteria is a project that is aimed at encouraging researchers to ________ the criteria in DSM.

(7)  An expert said the following: The DSM is what _________ use.  Patients will always come into offices with _________.

Are Some Face Powder Anti-Aging Claims So Much Dust?

Promises From The Powder Room by Alix Strauss.  The New York Times.  May 6, 2013.

(1)  Some face powders are now loaded with ______, ________, and _________.

(2)  The director of cosmetic and clinical research in the dermatology department at Mount Sinai Hospital said that the long-term benefits ___________________

Patient Service Satisfaction As Total Organizational Commitment

Health Care's Service Fanatics by James I. Merino and Ananth Raman.  The Harvard Business Review.  May 2013.  For the complete article register for free/Purchase a single copy PDF/Subscribe.

(1)  At the Clinic, administration sought to instill the idea that every person in the organization was a _______

(2)  Improving the patient experience became a _______ priority.

(3)  In the Cleveland Clinic experience as presented here superior medical outcomes do not conflict with _______________.

(4)  In 2007, the Clinic abandoned the traditional hospital structure in favor of ______________ which used ____________ teams for conditions affecting  a particular __________ system.

(5) The patient experience at the Cleveland Clinic was defined as:

(6)  In the Cleveland Clinic model the doctor-centric relationship was replaced by a ___________-centric one.

(7)  At the Cleveland Clinic the Office of Patient Experience is responsible for _______________
____________________________________________________________________________.

(8)  The OPE employs _______ people in jobs such as ________________________________________________________________________

(9)  In ratings of their experiences patients often used ________ such as doctors' and nurses'_________________.

(10)  Teambuilding at the Clinic sought to eliminate the divide between ________ and the ________.

(11)  __________ on patients hourly is an established best practice that improves safety, quality, and patient satisfaction.

(12)  Letting patients know _________ before they arrive can alleviate problems.

Wednesday, May 8, 2013

Misdiagnosis: Widespread And Dangerous

Doctors' Diagnostic Errors Are Often Not Mentioned But Can Take A Serious Toll by Sandra G. Boodman.  Kaiser Health News.  May 6, 2013.

(1)  Diagnoses that are missed, incorrect or delayed are believe to affect ___________ of cases.

(2)  True or False:  Misdiagnoses exceeds drug errors or surgery on the wrong patient or body part.

(3)  According to a study cited in the article diagnostic errors in the ICU resulting in death numbered __________ .

(4)  True or False:  Misdiagnoses are more common in primary care.

(5)  True or False:  Rare or exotic diseases play the major role in misdiagnosis.

(6)  Three reasons contributing to misdiagnosis include difficulty in ____________;  the lack of ________; and generalized ___________.

(7)  Two digital databases, __________ and ________, may contribute to better diagnosis.

(8)  Discuss how diagnosis and hospital performance measures impact each other.

(9)  True or False:  Doctors discover if they have made the wrong diagnosis.

(10)  The ________________ is "a petri dish" for diagnostic mistakes

(11)  At least ______________missed diagnostic opportunities occur at U.S. primary care visits.

(12)  Discuss overconfidence and professional self-image in diagnostic mistakes.

(13)  Why is the question "What else could it be?"  so important?

(14)  How can an original diagnostic error set off a "cascade of mistakes"?

New Gene Test Aims To Clarify Prostate Treatment Choice

Gene Test May Help Guide Prostate Cancer Treatment by Marilynn Marchione.  The Denver Post.  May 8, 2013.

(1) What is the treatment choice faced by many men with prostate cancer?

(2) What are some of the downsides of overtreatment?

(3)  Only ____% of candidates for monitoring choose it as opposed to treatment.

(4)  What role does risk perception play in prostate treatment vs. monitoring?

(5)  Genomic Health Inc. has sold a similar test for ___________ since 2004.

(6)  True or False.  This new test will require approval by the FDA.

(7)  A new grant for the University of California will be directed toward a study of how men ____________ for prostate cancer.

Hospital Billing Varies Wildly, But The Poor and Uninsured Seem To End Up Paying More

Hospital Billing Varies Wildly, Government Data Shows by Barry Meier, Jo Craven McGinty and Julie Creswell.  The New York Times.  May 8, 2013.

(1)  The report shows that hospital charge up to ____ times the rate Medicare typically reimburses.

(2)  True or False:  Hospital in same area or city do not show wide variations in charges.

(3)  What are some factors cited by government officials to explain some of the variation?  What are some of the factors cited by hospital officials?

(4)  What group of patients is affected by the amounts hospitals charge and why are they affected?

(5)  Hospitals are known to ___________ any difference between what it charged and what Medicare paid.

(6)  How does rate negotiations between hospitals and insurance companies impact hospital charge rates?

(7)  An leader of a large insurance association was quoted by the article that while insurance premiums are often the focus of public policy discussions   ____________________ are largely ignored.

(8) A hospital association executive cited a trend toward paying ________________.


Tuesday, May 7, 2013

Sex Differences In Autism

How Autism Is Different In Girls vs. Boys.  The Wall Street Journal.  In The Lab.  May 6, 2013.

(1) Autism affects more than _____% of the population.

(2)  Genetically speaking, there is growing evidence that girls are _______ from autism than boys even though there are substantially _______________ with girls than boys.

(3)  Kids with autism tend to look more at people's ________ than typically developing children who look at people's _______.

(4)  Boys who looked________  at the eyes were ______ socially disabled.  Girls who look ______ at the eyes were ______ socially disabled.

(5)  The notion that boys and girls with autism adjust to life in the same way is now (being confirmed, being questioned).

(6)  Girls are diagnosed with autism, on average, _______ than boys.

Old Age Secrets Of The Isolated And Mutated

On Beyond 100 by Stephen S. Hall.  National Geographic.  May 2013.

(1)  The _____________ have mutations that guard against high blood pressure and Alzheimers.

(2)  __________  with _____________  have mutations that inhibit diabetes and cancer but also causes _____________________.

(3)  A mutation that ________________ in the blood is characteristic of the _________________.

(4)  __________ Americans have a mutation that lessens the chance of ________ and _______.

Political Challenges In Implementing Health Care Law

New Worries For Democrats On Health Law by Jackie Calmes.  The New York Times.  May 6, 2013.

(1)  Democrats are worried that __________________________________________________.

(2)  This fall just as the 2014 election season heats the __________________________________ will be introduced.

(3)  Republicans hope to replicate 2010 when ________________________________________.

(4)  A recent Kaiser Family Foundation poll showed that four in 10 Americans are not aware that ______________________________________.

(5)  The Kaiser poll shows a rise in those ______________ about the health care law, causing concern for Democrats.

(6) Republicans have held the administration to about ______% of the money allowed the Bush administration for implementing the Medicare drug benefit program.

Two Antidepressants Linked To Infection Sometimes Found In Hospitals

Antidepressants Linked To Doubling Of C difficile Risk by Fran Lowry.  Medscape.  May 7, 2013.

The relationship of mirtzapine and fluoxetine to occurrence of CDI was unexpected.

(1)  Most type of antidepressants (did or did not) affect CDI risk.

(2)  The lead author of the study said:  "One of the possible underlying reasons for the link between depression and C difficult infection comes from studies of the ________________________.

(3)  An expert quoted in the article said:  "When patients are in the hospital and going to be placed on antibiotics, and they're also on one of these depressants, their doctors should _________________.

Maternal and Child Death Progress Report

3 Million Newborns Die Within First Month by Joe DeCapua.  Voice Of American News.  May 7, 2013.

(1)  What is the most dangerous day in a newborn's life?

(2)  What are some of the preventable things that puts infants at risk early?

(3)  What region of the world is riskiest for newborns?

(4)  65% or newborn deaths occur in what 10 countries?

(5)  What are the four simple and cheap interventions that could turn around this situation?

(6)  In Nigeria the custom is to use _______ on the umbilical cord.

(7)  The United States ranks #________.  _________ is ranked #1.

(8)  The United States leads industrialized countries in _______________________.


Behavioral Strategy To Encourage Healthy Eating: Electronic Pre-Orders

Pre-Ordering School Lunches Steer Kids To Healthier Meal Choices by Alexandra Sifferlin.  Time.  May 6, 2013.

(1)  Why do children, the researchers speculate, order more healthy selections when they pre-order instead of ordering in line?

(2)  What has been the response to the January 2012 guidelines from the Department of Agriculture required healthier lunches?

(3)  Why is it critical to have more healthy choices in school lunches?

(4)  The most successful programs for healthy eating at lunch involved ______________?

(5)  ______ tests and gradual _______ have helped implementation of effective healthy eating programs in schools?

(6)  Without unhealthy snacks, students are more likely to _____________ and __________ school revenue.


Monday, May 6, 2013

Two Studies Point to Possible Health-Care Saving Of Hundreds of Billions

Health Spending Slowdown May Last As Habits Show Change by Alex Wayne.  Bloomberg.  May 6, 2013.

(1)  An author of one of the studies cited the following changes as possible causes of the slowdown:  Great use of _________________;  Higher _________________ and more ________________ encouraged by the _______________.

(2) David Cutler, an author of one of the articles, stated that if the present trend is permanent, the U.S. may reap  $_____ in savings.

(3)  In the article there are several estimates of the savings that resulted from the recessions.   The estimates in the article include   ______% and _______%.

(4)  Growth in spend in 2003  _____%;  Growth from 2009 to 2011  ____%

(5)  What are the competing interpretations of the contribution of the Affordable Care Act in the decline in spending growth?


One Fifth Of Suicidal Teens With Access to Guns At Home

One Fifth Of Suicidal Teens Have Access To Guns At Home.  Medical News Today.  May 6, 2013.

(1)  _____% of those at risk of suicide know how to use the guns/ammunition and have access.

(2)  Between the ages of 10 and 24 suicide is the ( leading, second leading or third leading) cause of death.

(3)  About ______% of teen suicides are carried out using a firearm.

(4)  Suicide causes close to __________ deaths every year.

(5)  The purpose of the study discussed here was the development of a ________ for the emergency department.

(6)  According to an expert quoted in the article up to _____% of youths who killed themselves have no known mental illness.

(7)  According to the Journal of the American Medical Association--Psychiatry despite receiving treatment for mental health issues, a great many suicidal teens ___________________.

Concussion Clinics Increase With Added Attention And Uncertainty

A New Way To Care For Young Brains by Bill Pennington.  The New York Times.  May 5, 2013.

Specialized youth sports concussion clinics are rapidly increasing in number.

(1)  The are ( no, some, or clear) established formulas for treating concussions.

(2)  ____ states have passed laws requiring that school-age athletes who have sustained a consussion to _____________________________________________.

(3)  According to an expert quoted in the article   _____% of all concussions are resolved in a _______.

(4)  Concussion treatment has become a mix of practices derived from _________________________
____________________________________.

(5)  There are (no, several, many) tests to verify a concussion.

(6)  The best medicine given by concussion doctors may be ______________________________
____________________________

(7)  One of the main differences between a typical youth concussion and Junior Seau is ________
__________________________________.

(8)  According to an expert quoted in the article a concussion may be unique for young people in that ___________________________________________.

(9)  True or False.  Recovery from concussion is easy to predict with charts available to help medical professionals to judge.

(10)  What is one of the most widely accepted tenets of concussion recovery?

(11)  Define "cognitive rest"and the neurocognitive baseline test.  Discuss the pros and cons of these approaches.

(12)  Is a neurocognitive baseline a concussion test?  What is the purpose of that test?

(13)  Discuss family conflict in the diagnosis of concussion?

(14)  How do concussion clinics articulate the hospital business models?

(15)  An expert quoted in the article call this "the worst thing they can do."  What was he referring to

Sunday, May 5, 2013

The Treatment Of Health Anxiety

The Treatment Of Health Anxiety by Fredric Neuman, M.D.  Psychology Today.  Fighting Fear Blog. May 4, 2013.

(1)  Those who worry too much about their health may suffer from conditions such as _____________________________________.

(2)  They may manifest symptoms such as ____________________________?

(3)  What are two actions doctors often take to help these patients but in fact aggravate their distress?

(4)  What are the six principles of the White Plains Anxiety and Phobia Center?

Saturday, May 4, 2013

Freezing My Eggs: A Personal Account

Why I Froze My Eggs (And You Should, Too) by Sarah Elizabeth Richards.  The Wall Street Journal. May 3, 2013.

Since the American Society for Reproductive Medicine no longer considers egg freezing as an experimental practice due to improved success rates through a process known as vitrification, more women are considering this as an option.  This article is an informative, first-person account.

Primary Care/Speciality Pay Gap Lessening

Doc Pay:  More $$$ for Primary Care by David Pittman.  Medpage Today.  May 2, 2013.

(1)  First year guaranteed compensation for primary care physicians increased from _________ in 2011 to ________ in 2012.

(2)  Average salary for first-year specialists (declined, increased).

(3)  The increase is attributed to _____________ and __________.

(4)  Recruiting inducements include ________________________

(5)  According to the Association of American Medical Colleges there will be a shortage of _______ primary care physicians and _________ specialists by 2020.

Lying To The Doctor

Lying To Doctors Could Be Harmful For Patients by Shoshana Davis.  CBS News.  April 27, 2013.

(1)  According to the article people do not tell the whole truth in a doctor's office because they do not want _____________.

(2)  ____ percent of patients say they lie or omit facts when visiting health care providers.

(3)  What percentage of doctors feel that patients lie to them?

(4)  What are the most dangerous lies to tell your doctor?

Standing Without The Brain

Standing Promise by Nate Berg.  Discovery Magazine.  June 2013.  Available in hard copy on news stand or by subscription.

(1)  What assumptions about the spinal cord has been overturned by the research recounted in this article?

(2)  What assumptions about the differences between the brain and the spinal cord have been overturned by the research in this article?

(3)  Trace the origins of  the research through the early illness of Reggie Edgerton, research done at the University of Gothenurg, Edgerton's research upon returning to UCLA, the role of Christopher Reeve, and the research of Susan Harkema, human experiments with electrode devices.

(4)  Edgerton found that " a spinal cord could learn if you expose it to a ________ ________"

(5)  What is the next step in the research?

(6)  What are three other experimental methods being explored to provide a biological cure for paralysis?
         

Friday, May 3, 2013

American Urological Association Revises Guidelines For PSA Tests

Urology Group Stops Recommending Routine PSA Test by Liz Szabo.  USA TODAY.  May 3, 2013.

(1)  (1)  The authors of the new guidelines "learned very quickly that there really was (adequate, overwhelming, some, or no) high-level evidence supporting the use of screening with PSA."

(2)  For healthy men under 55 the Urological Association (does or does not) recommend routine annual screening.

(3)  What should men ages 55-69 do in regard to screening?  Men aged 70 and over?

(4)  What should men with prostate pain and those with high risk of prostate cancer do?

(5)  How does the idea of "shared decision making" fit into the decision to undergo PSA screening?

(6)  Why do some patients continue to insist on screening?

(7)  What are some of the possible harms associated with PSA screening?  

Food Safety Crisis In China: "How Many Rats Does It Take To Put Together A Sheep?"

Rat Meat Sold As Lamb Highlights Food Fears In China by Chris Buckley.  The New York Times.  May 3, 2013.

(1)  Shanghai recently experienced the sight of ________ floating down a nearby river.

(2)  Police recently arrested ______ people and broke up ______ factories involved in selling fake, diseases, toxic or adulterated meat.

(3)  A Chinese professor of public policy summarized the problem this way:  "_____ _____ and _______ _________ face the same problem that although regulatory capacity has expanded, there's been no fundamental change for the better."

New York Elementary School is One Of The First To Go Vegetarian

Elementary School Cafeteria Goes Vegetarian by Alyssa Newcomb.  ABC News.  May 1, 2013.

(1)  In this school how does this shift in cafeteria menu relate to what is being taught elsewhere in the curriculum?

(2)  How was "product testing" used before the shift?

(3)  How does the school make certain that the students get plenty of the right kinds of Nutrients?

Georgia Hospitals Receive Subpoenas For Massive Informational Reports

Phoebe Subpoenas Other Hospital In FTC Fight by Andy Miller.  Georgia Health News.  May 1, 2013.

Motivated-Reading questions:

(1)  What are possible motivations for the information requests from the Phoebe Putney Health System?

(2)  How do the information requests relate to Putney's dispute the Federal Trade Commission?

(3)  What were the differing rulings by the Supreme Court and lower courts?

3D Printed Bionic Ear Created At Princeton, Melds Biology And Electronics

Printable Functional "Bionic" Ear Melds Electronics And Biology.  Science Daily.  May 1, 2013.

If you are like me, you would like to remember more of what you read.  I find that I remember an article better if (1) I am looking for something specific or (2) I am surprised.  Read these, what I call, motivated-reading questions to help you remember more effectively.

(1)  What are the four components used by scientists to create the bionic ear?

(2)  What is the new approach to integrating electronic materials with biological materials?

(3)  How is a tooth "tattoo" related to bionic ear?

(4)  Define "cybernetics" and explain its potential.

(5)  What problem did 3D printing solve in creating a bionic ear?

(6)  This was the first time that researchers demonstrated that __________________.

(7)   What is one of the possible uses of sensors integrated into biological tissues?

(8)   Does the current bionic ear use acoustic sounds?

(9)  What are the two most surprising facts you learned from this article?




Thursday, May 2, 2013

Genetic Basis For Common Migraines With Auras Described In Research

Rare Sleep Disorder and Hereditary Migraines Genetically Linked by Nsikan Akpan.  Medical Daily  May 2, 2013.

Motivated reading questions:

(1)  What initially lead researchers to the genetic mutation that impacts sleep-wake cycles?

(2)  What was the name of the gene that controls the sleep-wak cycles?

(3)  How does this research stand out from other research on genetics and migraines?

Steep Rise In Suicides Among Middle-Aged Americans

Steep Rise In Suicides Among Middle-Aged Americans, CDC Says by Steven Reinberg.  U.S. News.  May 2, 2013.

1.  How does the number of auto fatalities compare with the number who commit suicide?

2.  What do the experts speculate is the reason for the increase?

3.  What age group has historically had the highest suicide rate?

4.  Suicide is now the _____(rank) leading cause of death among the middle aged.

5.  Suicide rates increased in _____ (all or few) of the states with significant increases in ____ (number) of states.

6.  The method of suicide that had an 81% increase was ________.

Patterns Of Healthcare Usage And Results Uncovered In Pioneering Study of Medicaid Usage

Medicaid Access Increases Use Of Care, Study Finds by Anne Lowrey.  The New York Times.  May 1, 2013.

1.  The basic questions posed by the article is this:  What will be the personal impact of Medicaid expansion under the Obama health care law?

2.  What was the surprising impact on access to Medicaid on health during the two-year period of the study?

3.  What the impact of access to Medicaid on healthcare usage?  Did usage spike?

4.  Contrast the present coverage of Medicaid with that anticipated under the health care law.

5.  What were the unique circumstances that lead to the research opportunity for the study described here?

6.  Contrast the results of access to Medicaid for physical and mental health.

7.  Healthcare spending increased by about ___?


Cancer Definition Continues To Shift From Organs To Genes

Cancers Share Gene Patterns, Studies Affirm by Gina Kolata.  The New York Times.  May 1, 2013.

Motivated reading is the best kind of reading.  With that in mind, I will frequently in the future pose some questions that you might want to consider as you read the significant articles I link to here on this blog.  Hopefully, this approach will increase your understanding and retention as well as my own.  It will also stimulate a more careful reading of the material.  Here are some questions that occur to me as I read this article:

1.  Why is the organ-based definition of cancer becoming increasingly irrelevant?

2.  What role does the National Institutes of Health play in the research recounted here?

3.  Give of some examples of the "differing" types of cancers that are in fact related?

4.  What impact will a genetic basis of cancer have on drug development?

5.  Why does endometrial cancer and acute myeloid leukemia have particular significance in terms of health impact?

6.  What is it likely that discovering the genetic basis of cancer will have lasting impact?

7.  Why is the newer genetic method of classifying and evaluating tumors likely to be more effective than the old method?

8.  Describe how a more precise genetic classification of leukemia results in more effective treatment.

9.  What are questions that will likely dominate the next step in research?