Saturday, June 29, 2013

Organizational, Policy, And Cultural Differences Widens Gap Between Physicians and Nurse Practitioners; Work Force Policy Is Likely To Suffer

The Gulf Between Doctors And Nurse Practitioners by Pauline Chen,  M.D.  Well Blog.  The New York Times.  June 27, 2013.

A key quote from this insightful article  touches on the arguments between nurse practitioners and physicians:    "These arguments touch on the whole nature of these professions, their core values and how they define themselves."

Final Rule On Contraceptives Under Obamacare Finalized, Stage For Lawsuits Set

Contraceptives Stay Covered In Health Law by Robert Pear.  The New York Times.  June 28, 2013.

(1)  The final rule seeks balance the interests _____________ with the concerns of ______________________________.

(2)  An exemption for the requirement to provide free insurance coverage of contraceptives for women is provided for _____________.

(3)  Other religious institutions not churches will be required to _______________.

(4)  With the rule in place organizations such as Hobby Lobby can pursue  ________________

(5) The rule under Obamacare allows women to have access to contraceptives without _______________________________.

(6)  "Essential health benefits" under Obamacare must include ____________ services including the full range of contraceptives approved by __________________.

(7)  The religious organizations exempt from the requirement to provide contraceptive services are primarily _________________

(8)  Describe the accommodation available to other nonprofit religious and church-affiliated organizations who object to coverage of contraception.


Friday, June 28, 2013

Solo Family Practice Survey: Autonomy Worth The Financial Struggle Say Many

Independence Comes At Price Many Doctors Still Willing to  Pay by Pamela Lewis Dolan. Amednews.com.  June 24, 2013.

(1)  In the survey of more than 5,000 physicians, the results showed that _______ % predicted a negative profitability trend;  ________% predicted a positive profitability trend and _______% predicting no change.

(2)  What were the three government mandated changes that were causing concern?

(3)  More than _______% of physicians who owned their practice would not consider selling.

(4)  Independent cardiologists earn on average ______% less than those in integrated practices.

(5)  An expert quoted in the article states that private practice physicians must have an __________________ spirit with strong ______________________.

Cycle Of Overeating Created By High Glycemic Load Carbohydrates

High-Carb Meals Pique Cravings For More, Study Says by Melissa Healy.  The Los Angeles Times.  June 27, 2013.

(1) High glycemic load meals activates regions of the brain associated with ___________________ more so than a meal with lower glycemic load.

(2)  What happens to the sensitivity of the brain to the neurotransmitter dopamine with repeated  high  glycemic load meals?  Why is this significant?

(3)  Repeated high glycemic meals increases _______________ and disrupts _____________.

(4)  High glycemic meals result in, after an initial rise, a ______________ in blood sugar levels, a greater _______________ and a _________ of the meal.

Genetic Material From Three People Combined In Novel Procedure to Prevent Mitochondrial Disease

UK Takes Step Toward "Three-Parent Babies" by Laura Smith-Spark.  CNN.  June 28, 2013.

(1)  Why, strictly speaking, is the procedure explained in the article does not result in a "three-parent baby?"

(2)  Mitochondrial disorder can lead to serious health issues such as ____________________________.

(3)  The procedure would involve transferring _______________ from a mother's _____________
into a ______________ that has had it ____________________removed.

(4)  What are two ethical arguments against this procedure?  Designer babies?  Slippery slope "risk to society at large" argument

Thursday, June 27, 2013

Oxford University Study Finds Links Between Cutlery Use And Taste Perception

Cutlery " Can Influence Food Taste" by Helen Briggs.  BBC News.  June 26, 2013.

(1)  According to one of the researchers "how we experience food is a _____________ involving ___________________________________.

(2)  The study suggests that the brain makes judgements on food ____________________.

(3)  When the weight of the cutlery conformed to expectations, this _______________________.

(4)  What illustrated the finding that color contrast is important in taste perception?

(5)  One of the lead researchers predicted that there will be more  _________________ around mealtimes.

CVS Report: Billions Could Be Saved With Generics and Patient Adherence To Prescriptions

America Could Save Billions If People Took Their Medicine by Matthew Herper.  Forbes.  June 27, 2013.

Read the article and answer some questions to improve recall.

(1)  According to the report, almost _______ billion  could be saved by using generics and improving adherence.

(2)  CVS Caremark is both a _________________ and a retail __________, which management believes gives it an advantage in coordinating prescription data with customer contact.

(3)  CVS plans to roll out analytics software to allow it to target _________________________.

(4)  For certain Medicare patients with several indicators of illness medication adherence could produce returns of up to $_____________.

Wednesday, June 26, 2013

Incentives For Primary Care Quality In Plan By Georgia's Largest Health Insurer

Blue Cross Incentive Plan Focuses On Primary Care by Andy Miller.  Georgia Health News.  June 25, 2013.

(1)  How is this incentive plan similar to a "patient-centered medical home"?

(2)  Under the plan primary care offices would have __________ and a ___________.

(3)  Such arrangements represent a fundamental shift in reimbursements where medical providers are paid for _______________ instead of ____________.

(4)  Who are some of the other insurers involved in medical homes in Georgia?

"Secure Base Effect" Between Dog And Owner Similar To That Between Baby and Parent

Study:  Dog Bond With Owners Similar To Babies With Parents by Michelle Castillo.  CBS News.  June 25, 2013.

(1)  What is the "secure base effect?"

(2)  This effect has a great effect on how children score on ________________.

(3)  According to research by the American Heart Association owning a dog is associated with improved _____________ and lower _______________.

Innovation In New Phychoactive Substances Represents Challenge for Drug control

UN:  "Legal Highs" Swamp Global Drug Market by Selah Hennessy.  Voice Of America.  June 26, 2013.

(1)  The regulation of the designer drug market is difficult to manage because ___________________.

(2)  The number of new phycoactive substances reported to the U.N.  Office on Drugs and Crime rose from _________________ for a ______ percent rise.

(3)  The market for cannabis and cocaine is _____________ while heroin use seems to be __________ in Europe.

Tuesday, June 25, 2013

Dramatic Increase In Hospitalization Of US Children With Inflammatory Bowel Disease

Dramatic Increase In Hospitalization Of US Children With Inflammatory Bowel Disease.  Science Daily.  June 25, 2013.

(1)  The study recounted here showed a _______ percent increase in IBD hospital discharges from 2000 to 2009.

(2)  IBD refers to inflammatory conditions of __________________.

(3)  The major types of IBD are ___________________.

(4)  The increasing trend is evident in each _______________ and across all ________________.

(5)  True or False:  The study shows without a doubt that IBD has increased in the US.


FDA-Approved Labeling Provides Shield For Generic Drug Makers Even When Side Effects Discovered

Supreme Court:  Generic-Drug Makers Can't Be Sued Under State Law For Design Defects by Lawrence Hurley and Bill Berkrot.  Washington Post.  June 24, 2013.

(1)  About _________% of U.S. prescriptions are filled with generics.

(2)  According to the majority opinion, _______________ could not run against federals laws on labeling prescription medicines whose design has been approved by the FDA.

(3)  A 2011 Court ruling found that branded drugs are ____________ while makers of generics ________.

(4)  The Court agreed that federal law requires generic drugs to the same_______________________.

(5)  What happens under the ruling if a dangerous side effect of the medicine does not come to light until long after it was approved by the FDA and perhaps there is no branded label on the market?

Monday, June 24, 2013

Better Food For More Patient Satisfaction For More Money

Hospitals Offer Better Food As Patient Satisfaction Become More Important Under Federal Health Law by Phil Galewitz.  Kaiser Health News.  June 24, 2013.

(1)  How is hospital food becoming more "hotel style?"

(2)  How has Obamacare contributed to the new hospital focus on food?

(3)  Hospitals can save thousands of dollars a year just _______________ by letting patients order meals room-service style.

(4)  Food waste is minimized because items items __________________ re sent to hospital cafeterias to avoid waste.

(5)  What is meant by "sous-vide cooking?"


Ingestible Computers In Pill Form: A Step Beyond Wearable Monitoring Devices

Disruptions:  Medicines That Monitor You by Nick Bilton.  Bits Blog.  The New York Times.  June 23, 2013.

(1)  The _______ is the power source for one of the pills creatd by Proteus Digital Health.

(2)  This pill can monitor ____________________

(3)  The Food and Drug Administration approved the pill _________.

(4)  A device created by CorTemp has been used by ________________

(5)  What are the wonderful and terrible possibilities of this technology?


Sunday, June 23, 2013

Georgia Leads Nation In Maternal Death Rate

Maternal Death Rates Highest In Georgia, Augusta by Tom Corwin.  June 21, 2013.  The Augusta Chronicle.  June 21, 2013.

(1) Maternal death rate is defined as death during _________________________.

(2)  In 2011, there were ________ maternal deaths per 100,000 births compared with a national rate of ______ per 100,000 in 2008.

(3)  There is a high rate of ____________  and ___________ maternal deaths in Georgia.


Study: Only 5% Wash Their Hands Enough To Kill Germs

One-Third Of People Don't Use Soap When Washing their Hands, Researchers Say  by Rina Shah.  National Monitor.  June 23, 2013.

(1)  Only _______% of people wash their hands well enough to kill germs tht cause infections and illnesses.

(2)  Older or "non-college-age" individuals wash their hands _________________.

(3)  True or False:  Men had better hand washing habits than women.

(4)  What was the misconception that men had regarding hand washing?

(5)  What are the Mayo Clinic guidelines for hand washing?

(6)  It is particularly important to wash hands after _____________________________.


Challenges In The Next 100 Days Before Obamacare Insurance Exchange Rollout

Obamacare Starts In 100 Days by Sarah Kliff.  Wonkblog.  The Washington Post.  June 23, 2013.

(1)  Public outreach and education for Obamacare was delayed upon right before open enrollment because _____________________________.

(2)  What are the  major technical challenges facing Obamacare?

(3)  What needs to be done by October 1?  See flow chart

(4)  The non-profit organization, __________, is spearheading the education and enrollment campaign.

(5)  An April poll found that ______% of Americans did not that Obamacare was law.




The Worst Time To Have Surgery

The Worst Time To Have Surgery by James Hamblin.  The Atlantic.  June 19, 2013.

This article includes scholarly articles of studies for further reference.

Read the article and test yourself.

(1)  Admissions on public holidays are, compared to patients admitted on non-holidays are ________% more likely to be dead one week later.

(2)  With each passing hour, the average gastroenterologist is ________ % less likely to detect a colon polyp.

(3)  What is the "rush hour effect" for C-sections?

Friday, June 21, 2013

Robots Zap Hospital Germs With Ultraviolet Rays

Fighting Infectious Disease The Modern Way.  Science Daily.  June 21, 2013.

(1)  According to studies the robots eliminate (C. diff) Clostridium difficile in ________________ and Methicillin-resistant Staphylococcus Aureus (MRSA) in ________________.

(2)  Hospital infections are linked to approximately __________ deaths each year and add as much as ______________ in medical costs.

9/11 Terrorist Attack Appears To Have Cause One Million to Smoke Again

Stress From 9/11 Linked to Nationwide Resurgence In Smoking Among Americans Who Had Quit.  Science Daily.  June 20, 2013.

(1)  This study is the first to look at the ___________________________.

(2)  The rate of smoking increased ______ percent and continued through the end of ________.

(3)  Stress was found to especially increase in community with __________________, and among _______________.

(4)  The researcher used data from the ___________________________, which tracks annual rates of risky personal behavior.

(5)  The researcher estimated the cost to the government of 9/11-induced smoking at _________________________ or more.

(6)  A strategy to deal with future tension producing events could be to ________________________

Microscopic Precision In 3D Map Of The Human Brain

Whole Human Brain Mapped In 3D by Helen Shen.  Nature.  June 20 2013.

(1)  The maps created by the researchers could allow the merging of different types of data including
__________________________________________  more precisely onto specific regions of the brain.

(2)  The BigBrain reveals variation in ___________________________ differences thought related to _______________________.

(3)  The resolution of the atlas is ________ times higher than typical whole-brain scans.

(4)  The Allen Institute For Brain Science also has an atlas which includes ________________________.

(5)  Data management and processing will require more resources as neuroscience shifts to _____________.

Thursday, June 20, 2013

WHO Report: 35% Of Women Worldwide Have Been Raped Or Physically Abused

WHO Report Highlights Violence Against Women As A "Global Health Problem Of Epidemic Proportions."  News Release.  World Health Organization.

Read the article and see how many questions you can answer.

(1)  Intimate partner violence affects ______% of women worldwide.

(2)  According to this report violence against women is a ________________________
.

(3)  _____% of all women who were murdered were murdered by their intimate partners.

(4)  What are six health impacts of violence by an intimate partner?

(5)   _______________ prevents many women from reporting non-partner sexual violence.

(6)  The review brings to light _____________ on sexual violence by perpetrators other than partners.

(7)   The report stress the importance of incorporating ____________________ into the medical and nursing curricula.

Big Data: The Numerical Imagination Applied Everywhere, Including Medicine

Sizing Up Big Data, Broadening Beyond The Internet by Steve Lohr.  The New York Times.  June 19, 2013.

The entire "Bits" section of today's Times is wonderfully helpful in providing a good feel for the possibilities and challenges of the world of big data.

(1)  The young data scientist profiled in the article has had an interesting career path progressing from ____________ to ___________ to his own firm __________ and finally to _____________.

(2)  His goal at Mount Sinai is "to turn medicine into the land of the _______."

(3)  Big Data as a term embraces ______, ____________ and ___________.

(4)  The McKinsey Global Institute needs _____________________ workers "deep analytical"
skills along with ___________ million more data-literate managers.

(5)  Big Data represents a potential revolution in ________________.

(6)  Essential is clever software to ____________________.

(7)  In the era of Big Data decisions will be based on ____________ rather than _____________.

(8)  How will the use of data impact "anchoring bias?"

(9)  What is the threat posed by incorrect correlation?

(10)  What are the components of the models of biology and health outcomes being developed at Mt Sinai?


Wednesday, June 19, 2013

May Figures Show The First Drop In Health-care Costs In Four Decades

Medical Costs Register First Decline Since 1970s by Eric Morath.  The Wall Street Journal.  June 18, 2013.

(1)  The decline is cited by the article that _______________ and _______________ drugs are holding back prices.

(2)  The leading driver of the decline was ____________________________.

(3)  The last time medical costs posted a month decline was in the year ________.

(4)  Medical cost could rises again in 2014 due to ________________________.

(5)  A provision of the 2010 health-care law is cited by a PricewaterhouseCoopers report that  penalizes hospitals for __________________________ could help __________>

(6)  How have expiring drug patents influenced costs?

(7)  U.S. health care inflation started easing _____________.

AMA Decision To Classify Obesity As Disease May Have Treatment and Financial Implications

A.M.A. Recognizes Obesity As a Disease by Andrew Pollack.  The New York Times.  June 18 2013.

I include a quiz about the article linked to above in order to test and improve attention and recall.

(1)  The move could spur insurers to ______________>

(2)  It is hoped that the new definition of obesity as a disease will help in the fight against_______
_________________________.

(3)  True or False:  The A.M.A decision to define obesity as a disease is legally binding on the medical profession.

(4)  How will this decision impact marketing of obesity drugs?

(5)  How does Medicare Part D consider weight loss drugs?

(6)  What are three arguments against defining obesity as a disease?

(7)  One argument in favor of obesity as a disease is that it will reduce _____________.

Tuesday, June 18, 2013

Hospitals Talk Cost Control; Reward Volume And Profit With Bonuses

Hospital CEO Bonuses Reward Volume and Growth by Jay Hancock.  Kaiser Health News.  June 18, 2013.

(1)  How does hospital CEOs employment contracts and bonus packages under measures in the the 2010 health law that aim to cut unnecessary treatment and control costs?

(2)  Some studies have estimated that _________ percent of what is spent on U.S. health care is unnecessary.

(3)  How do hospital CEOs dispute the notion that profit is the CEO's sole focus?

(4)  As health care takes up larger portions of the economy, it consumes ________________________________________________.


Virtual Reality Tools In Healthcare Delivery and Patient Education

The Avatar Will See You Now by Jessica Leber.  Technology Review.  June 10, 2013.

(1)  Molly, an avatar used at San Mateo Medical Center, is sometimes used to coach patients who ____________________.

(2)  More than ________ companies use ______________ and ___________ from Nuance.

(3)  One expert cited in the article stated that though electronic systems often reduce errors, any errors that occur can ___________________________.

(4)  Over time the hope is to improve care for patients in their ___________ environment.

Monday, June 17, 2013

Book Review: What Do Women Want? Adventures In The Science Of Female Desire

I'll Have What She's Having--"What Do Women Want?" by Daniel Bergner.  Reviewed by Elain Blair.  June 13, 2013.

A fascinating  story of current scientific research in female sexuality that will disturb current notions, in particular the shibboleth:  "the notion that women are naturally less libidinous than men, 'hardwired' to want babies and emotional connection but not necessarily sex itself."

A Great Collection of Pro's And Con's On A Variety Of Healthcare Issues

Big Issues: Health Care.  The Wall Street Journal.  June 17, 2013.

A great collection of both sides of healthcare issues including:  Should Physician Pay Be Tied To Performance?  Should We Eat A Mostly Organic Diet?  Will Employers Stop Offering Health Insurance?  Should Hospital Residency Programs Expand to Produce More Doctors?  Should Nurse Practitioners Be Able To Treat Patients Without Physician Supervision?  and more

Sunday, June 16, 2013

What Can Top Golfers Teach Everyone, Including Medical Professionals, About Performance

Human Hard Drives by Jere Longman.  The New York Times.  June 16, 2013.

In essence, medicine is a service that is "performed."  As such, healthcare professionals can learn from any performer.

(1)  Golfers perhaps have better memories of the specifics of their performance because shot in golf is ________.

(2)  ___________ rounds and __________ techniques also aid memory.

(3)  According to one sports psychologist quoted in the article, golfers tend to get into trouble when they rely on the ___________, where occurs, and not enough on the __________ where  __________ memory is stored.

(4)  Memory can be a _________ as well as a blessing when memory impairs performance in the present moment.

Maybe The Daily Planet Staff Is Afflicted With Prosopagnosia

Why Can't Anyone Recognize Superman?  Medical Examiner:  Health And Medicine Explained.  Slate.  June 14, 2013.

(1)  Prosopagnosia is a brain disorder that _________________________

(2)  True or False:  People with prosopagnosia cannot read or drive.

(3)  The first recorded case was in _______ and recorded by _____________.

(4)  If the staff members at the Daily Planet were prosopagnosics, they would focus on only his ________________________ to identify him.

(5)  Approximately _______ percent of the population is affected by prosopagnosia.

(6)  Prosopagnosia is often discovered __________________ in life.

(7)  The most common way to induce face blindness is  a _________ that damages the ________.


2013 Healthcare Informations 100 Top Firms In Health IT By Revenue

2013 HCI 100.  Healthcare Informatics Magazine.

An interesting list of the top players in industry, with four firms located in the Alpharetta, GA area.


Georgia Firms Take Prominent Role In Digitizing Medical Records

Business Of Digitizing Medical Records Growing In Georgia by Andy Miller, Georgia Health News.  Onlineathens.com.  June 15, 2013.

(1)  Carrollton-based ____________________ has recently added ________ jobs.

(2)  The boom in the medical technology business is partly sparked by ____________________.

(3)  According to Healthcare Informatics Magazine there are __________ Georgia firms in the Top 100 IT firms in the nation.

(4)  An Alpharetta-based firm, _________________, is listed as _______________ in the industry nationally.

(5)  According to the Technology Association of Georgia there are more than _______ health IT companies in Georgia.

(6)  What are the factors that have favored creation of a health IT industry in Georgia?


Saturday, June 15, 2013

Discoveries Still Being Made In Anatomy

New Human Body Part Discovered.  Popular Science.  June 12, 2013.

(1)  The new body part is a layer in the ______________.

(2)  Knowledge of the new layer could perhaps dramatically ____________________________.


A Statistical And Behavioral Profile Of The Class of 2013

What Do We Know About The High School Class Of 2013.  Child Trends.  June 11, 2013.

This is research derived from a variety of statistical resources.

(1)  ______% have experienced physical assault;

(2)  ______% have been victimized sexually victimized.

(3)  _______% have had sexual intercourse.

(4)  While _______% are sexually active, only ______% used a condom.

(5)  ______% felt "sad and hopeless" continuously for at least two weeks during the past year.

A great collection of many more statistics.  Check them out

Friday, June 14, 2013

Fueled By Rapid Growth In Africa, World Population Estimated To Reach 9.6 Billion By 2050

World Population Projected To Reach 9.6 Billion By 2050--UN Report.  UN News Centre.  June 13, 2013.

(1)  The population of the developed regions will remain _______________ at around __________ billion from now until 2050.

(2)  The new projected total of population is higher due largely to the upward adjustment of _______________________________ in 15 high-fertility countries of _________________.

(3)  Countries where there has been a rapid fall in average number of children per woman include ________________________________________________________________________________.

(4)  High levels of fertility is found in countries such as ___________________________________.

(5)  India will become the world's largest country, passing China around _____________.

(6)

FDA Warns About Cyberattack Vulnerability Against Medical Devices And Hospital Networks

FDA Warns About Risk Of Cyberattacks On Medical Equipment, Hospital Networks by Rachel Landen.  Modern Healthcare.com.  June 14, 2013.

(1)  The Food and Drug Administration asked device manufacturers and healthcare facilities to introduce ______________ to guard against cyberattacks.

(2)  One reason that devices are at risk of infection is that many of them connect ______________.

(3)  A representative of the Advanced Medical Technology Association said that _______________
had resulted from cybersecurity breaches.

(4)  Among the steps the FDA is recommending are _____________________________________
______________________________________________________________________________.

(5)  The FDA's security reporting program is ____________________.

Thursday, June 13, 2013

Supreme Court Decision On Patented Genes Sets Stage For Growth In The Genetic Diagnostic Industry.

The Myriad Decision Is Huge Because Genetic Medicine Is About To Explode by Brian Resnick.  National Journal.  June 13, 2013.

(1)  Since the BRCA gene is product of ___________ it cannot be patented, the Court ruled.

(2)  The ______________ for the gene could be patented.

(3)  According to a study from Battelle, the genetic-testing industry is a $________ billion industry.

(4)  United Health Care projects that by 2021 spending on genetic testing will be ___________.

(5)  A senior director at Battelle was quoted in the article as saying that a very large component of drugs going through the FDA approval process had __________________________________

Demography Is Destiny In Healthcare Too

Census:  More Deaths Than Births Among Whites by Greg Toppo and Paul Overberg.  USA TODAY.  June 13, 2013.

While this article is not about healthcare specifically, the analysis presented will shape healthcare careers, policy, organization and delivery.  The statistics are significant.

(1)  For the first time ever, whites who are not Hispanic, _______________________.

(2)  The number of whites increased slightly because ____________________.

(3)  If current trends continue by 2050 whites might become a ________________.

(4)  The fastest growing ethic group was ___________ with a rise of _______% last year.

(5)  A demographer quoted in the article attributed the precipitous drop in births among whites to the ___________________.

(6)  A Brookings Institution demographer predicts that white retirees will be on the receiving end of an economy which ____________________________________.

(7)  At present whites account for ________% of all deaths in the US.

Wednesday, June 12, 2013

Overwhelmed by Information, Physicians Need Good Information, Treatment Guidelines, and Guides

Healing The Overwhelmed Physician by Jerry Avron.  The New York Times.  Opinion Piece.  June 11, 2013.

(1)  How can treatment guidelines from medical groups go astray?

(2)  Explain the role of conflicts of interest in devising treatment guidelines?

(3)  What is meant by a "curation" role?  How does that role contrast with that of a pharmaceutical company sales rep?


FromFrom Hospital Consolidation To Lack Of Competition To Higher Costs

Health Care's Overlooked Cost Factor by Eduardo Porter.  The New York Times.  June 11, 2013.  Opinion piece

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

(1)  According to the piece, an overlooked factor in controlling health care costs is the lack of ____________________ in America's biggest business---accounting for almost _____% of the nation's GDP.

(2)  The search for ways to slow spending has so far focused mostly on _______________.

(3)  One of the best-know causes of high costs is excessive ___________________.

(4)  There have been more than __________ hospital system mergers since the mid-1990s.

(5)  In 2002 doctors owned about ______________ physician practices.  By 2008 more than _________ were owned by hospitals.

(6)  Market concentration drives __________ and ______________ down.

(7)  Some studies have found that hospital mergers increase the number of__________.

(8)  Recent evidence suggests that costs are not being drive by ________________ as much as by _______________________.

(9)  While the rate of increase in health care spending has slowed, the rate still outpaces __________ by a significant margin.

(10)  According to the Health Care Cost Institute, health care spending has been entirely driven by ______________ not by more use.

(11)  The ______________ is the government agency worried about hospital competition.

(12)  How could accountable care organizations prove anticompetitive.

Sudden Cardiac Arrest A Danger For Individuals With Sleep Apnea

Sleep Apnea Sufferers Have Higher Risk Of Death From Sudden Cardiac Arrest, Study Finds by Amanda Cochran.  CBS News.  June 12, 2013.

(1)  Up to _______million Americans suffer from sleep apneas with ________ percent of them not obese.

(2)  When a person stops breathing during a bout of sleep apnea, the brain will realize that ________________ sending __________ which pumps up _________________________.  Blood vessels can _____________, and over time, you're at risk for ________________.

(3)  Symptoms of sleep apnea can include ___________ but also ___________ and neck __________.

Monday, June 10, 2013

Survey Reveals Preferences Of Patients For Physician Assistants/Nurse Practitioners

The Doctor Will See You Now. Or The Nurse.  Or The Physician Assistant by Sarah Kliff.  June 10, 2013.

(1)  According to the survey featured in this article, patients would prefer to see a nurse practitioner or physician assistant if ___________________.

(2)  Young people were shown to be more open to ____________________.

(3)  Older Americans overwhelming prefer to see ____________.

(4)  Uninsured and Medicaid patients tended to show less preferences for __________________ than those with private insurance.

Sequester Cuts Slow Alzheimer's Disease Research For A Cure Or Treatment

Research Forgotten By Budget Cuts by Albert R. Hunt/Bloomberg View.  The New York Times.  June 9, 2013.

(1)  Alzheimer's is the ________ leading cause of death in the U.S. with _________ afflicted by the disease.

(2)  Alzheimer's costs about __________ billion a year.

(3)  Compare and contrast deaths from strokes, heart disease, and cancer with death's with Alzheimer's.

(4)  The Alzheimer's Association says that with current trends the costs will exceed ____________ by 2050.

(5)  The N.I.H, the source of much critical health research in the United States, was cut ________ across the board with ______ fewer research grants.


Collaboration Between Mental And Physical Health Receiving More Emphasis

Treatments Of Physical And Mental Health Are Coming Together by Anna Gorman.  Los Angeles Times.  June 9, 2013.

(1)  About ___________ patients a year receiving care at community health centers must also be treated for _______________________________.

(2)  According to a study published in the American Journal of Psychiatry, some ________________ may require mental health services through Medicaid.

(3)  According to mental health official quoted in the article, people who have mental problems are less likely to __________________________________________.

(4)  The federal healthcare overall is forcing primary care doctors and mental health practitioners to confront _________________________________________.

(5)  County health departments are training physicians to better_______________________________.

(6)  The Affordable Care Act expands ______________ and requires new health insurance plants to require __________________.

(7)  Doctors and nurse practitioners typically spend ______________ with patients.

Sunday, June 9, 2013

Third Year Of Medical School: Step Into Clinical Medicine And Often Into Disillusionment

The Darkest Year Of Medical School by Danielle Ofri.  Slate.  June 4, 2013. Opinion piece.

Ofri is the author of the new book:  What Doctors Feel:  How Emotions Affect the Practice of Medicine.

(1)  What contributes to the disorientation often experience by medical students with the beginning of clinical training.

(2) Students are not just learning medicine during the third year of medical school;  they are ____________________.

(3)  Explain the role of the "hidden curriculum" in forming new doctors.

(4)  Studies document the decline of ________ and __________ in medical trainees.

(5)  __________ profoundly affect what kind of doctors these students become.

(6)  How does lack of empathy impact patient outcomes in (a) diabetes, cancer, medication compliance

(7)  What changes are being instituted to combat the third year slump?

Brain "Social Gateway" Perhaps Key To Autism, Language Processing, and Cognitive Development

Brain Wave Study Sheds Light On Autism Among Toddlers by Geoffrey Mohan.  The Los Angeles Times.  May 31, 2013.

(1)  How and where the brain becomes active while processing words strong correlates with ____________________________.

(2)  These studies lend support to theories cannot master the fundamentals of learning ____________________.

(3)  Autistic brains fired up differently in that activity was ________________ as was typical by age 2.

(4)  Firing in the __________________ lobe was a strong predictor of how the children fared intellectually at ages 4 and 6.

Unclean Colonoscopy Instruments: 3 in 20 Examined In Study Have "Dirt" From Colons

Unclean Colonoscopy Instruments:  3 in 20 Have "Dirt" from Colons  by Georffrey Mohan.  The Lost Angeles Times.  June 7, 2013.

(1)  The study was conducted by _______________________.

(2)  The study comes after improper cleaning practices at hospital resulted in patients having to undergo
___________ tests.

(3)  In May an Atlanta outpatient surgery center warned nearly 456 clients that they may have been exposed to ____________________.

(4)  About ______________ million American undergo colonoscopies each year.

Cow Ability to Produce Unique Antibodies May Be A Key To Fight Human Infectious Disease

Unusual Antibodies In Cows Suggest New Ways To Make Medicines For People.  Science Daily.  June 6, 2013.

(1)  Researchers have finding hints that an ___________________________ can sometimes be the key to a successful defense against a dangerous infection.

(2)  Long __________ are rare in humans but cows make even longer ones all the time.

(3)  What is a recent example of research on long CDR H3's and HIV?


In A Surgical First, Off-The-Shelf Bioengineered Vein Implanted In Kidney Patient

Surgeons Implant Bioengineered Vein:  Kidney Dialysis Patient First In U.S. To Receive Lab-Grown Blood Vessel.  Science Daily.  June 6, 2013.

(1)  The new vein is an ___________, __________ with no___________ that would cause organ rejection.

(2)  The vein is engineered by cultivating ______________ on a tubular scaffold.  The vessel is then cleansed of ________________________.

(3)  Translational technology is developing _______________________.

(4)  More than ___________ people in the United States required hemodialysis, which often necessitates a graft to _________________.

(5)  If the current trial is successful researchers aim to develop a graft for _______________  which are performed on nearly ____________ people a year.

(6)  The vein is the first _______________ that have transitioned into clinical evaluation.

(7)  A pulsing force introduced during the growth process is used to _______________________
_______________________________________________________________.

(8)  How did the researchers develop a unique approach to avoid rejection?

(9)  When implanted in animals, the vein grafts adopt ____________________.


Two For One: Health Health Measures Point To Lower Stroke Risk


Better Heart Health Brings Lower Stroke Risk by Todd Neale.  MedPage Today.  June 6, 2013.  

(1)  Risk of stroke was significantly lower for those who scored well of the American Heart Association/American Stoke Associations _______________ score.

(2)  __________ changes in lifestyle can have a _______ impact on reducing stroke burden.  

(3)  Life's Simple 7 incorporates information on ____________________________ ________________________________________________________________.

(4)  Data for this research was obtained from the __________ study including ___________individuals.  

(5)  LS7 scores were _________among blacks as compared with whites.  

(6)  _________ was associated with the largest drop in stroke risks compared with other factors.  

(7)  What were some of the limitations of the study?  

Friday, June 7, 2013

Study: Sleep Appears To Contribute to Heart Disease Via Raised Inflammation Levels--At Least In Women

Poor Sleep May Worsen Heart Woes In Women, Study Finds. DoctorsLounge.  June 7, 2013.

(1)  ___________ is a well-known predictor of cardiovascular health.

(2)  The study here indicates that poor sleep may play a bigger role than previously thought in _______________________________________.

(3) Previous research has shown that sleeping fewer than ______ hours per night may raise the risk of chronic health problems.

(4)  What was a possible reason  for women having a stronger link between poor sleep and higher levels of inflammation?

(5)  What was a possible reason for men having a linker link between poor sleep and higher levels of inflammation?

(6)  While an association between self-reported poor sleep quality and increased signs of inflammation among older women with heart disease was reported the study did not prove a ______________ relationship.

Thursday, June 6, 2013

Genetic Basis For Some Cases Of Early Puberty Identified

Scientists Find Gene Mutation That Spurs Early Puberty by Liz Szabo.  USA TODAY.  June 5, 2013.

(1)  Early puberty is defined as the development of secondary sex characteristics before ______ in girls and before age ______ in boys.

(2)  About _____% of 7-year-old girls show the beginnings of breast development according to a 2010 study.

(3)  Early puberty increases a girl's later risk of _________________________________>

(4)  True of False:  The trend of early puberty is slowing.

(5)  Mutations in a gene called ____________ was found in cases in which early puberty runs in the family.

(6)  Normally the gene MIRN3 acts as a _____________________.

(7)  __________ or ___________ factors likely interact with genes to affect the age of puberty.

(8)  Being ____________ increases a girl's risk of early puberty.

(9)  Sometime __________ therapy can help slow the early puberty process.  

Coffee: Healer, Adversary Of Death

This Is Your Brain On Coffee by Gretchen Reynolds.  Well Blog.  The New York Times.  June 6, 2013.

(1)  In a major epidemiological study, men who reported drinking two or three cups of coffee a day were ______ percent to have died than those who did not drink coffee;  For women the comparable figure was ________.

(2)  Other recent studies have seen reduction in risk in developing ______________________.

(3)  Caffeine may reshape the ___________environment in the brains that could stave off ________

(4)  Explain the roles of caffeine and adenosine in the memory-recovery experiment recounted in the article.

(5)  In a study recounted in the article, those research participants with little or no caffeine circulating in their bloodstreams were more likely to have progressed -______________ than those whose blood indicated that they had three cups.

(6)  What are some of the unknowns about coffee and health?

Scaling Up Genetic Data Sharing For Treatment and Diagnosis

Accord Aims To Create Trove Of Genetic Data by Gina Kolata.  The New York Times.  June 5, 2013.

International Partners Describe Global Alliance To Enable Secure Sharing Of Genomic and Clinical Data.  Broad Institute.  June 4, 2013.

Read the above articles and take the following quiz to see how much you recall.

(1)  Often now databased on genetic variations and health are only open to ___________.

(2)  The fear motivating this agreement is that as millions of people get ________ that the data will be hopelessly _________ and impede ______________.

(3)  To deal with this fear the agreement seeks to _____________ the data.

(4)  True or False:  There are now clear and agreed-upon standards for representing and sharing genetic data.

(5)  How does lack of standards for sharing impact cancer research?

(6)  Since cancers are so _________________, a particular mutation will be ___________ requiring examination of data from hundreds of thousands of patients.

(7)  How was a study of whether HDL actually protected people against heart disease was hampered by lack of shared databases?


Nutrition: A Neglected and Direct Path To Global Health

Researchers Want Nutrition To Be A Global Priority by Cheri Cheng.  Counsel & Heal.  June 6, 2013.

Want to retain more of what you read?  Read the article and then take the following quiz and improve your recall.

(1)  According to the report in The Lancet, malnutrition could be blamed for _____ % of children's deaths that were under five years old.

(2)  This rate translates into _______ million deaths annually in the world.

(3)  The first ___________ of a child's life, from conception to two-years-old are the most vital days for health development.

(4)  The research team calculated that in 2011 over _________ million children suffered from stunting.

(5)  The estimate for wasting, weight being too low for height, afflicted _____________ million children.

(6)  Total costs of malnutrition for the global community, based upon a U.N estimate is ______________.

(7)  If effective nutritional interventions were scaled-up to 90 percent of the global, nearly ___________  lives could benefit.


Wednesday, June 5, 2013

Social Networks As Key To Disease Transmission In Chimpanzees And Humans

Social Networks could Help Prevent Disease Outbreaks In Endangered Chimpanzees.  Science Daily.  June 5, 2013.

(1)  Due to habitat loss, chimpanzees increasingly overlap with human populations, so ____________________________________.

(2)  Targeting central individuals for vaccination is ________________________________.

(3)  What were the most central  figures in the chimpanzee network and why?

(4)  _______________________ are really important for maintaining diseases in populations through ____________________.

(5)  High ranking male chimpanzees are often ______________ because of high levels of __________.  They also have high rates of __________________.

(6)  _____________________ are likely important to target for vaccination or treatment.

Statins Associated with Musculoskeletal Conditions In New Study

Statins Could Lead To Muscular Injuries, Scientists Warn by Rosa Silverman.  The Telegraph.  June 4, 2013.

(1)  A total of _________ patients from a military health care system were divided into those _____________________________.

(2)  The author stated that further studies are warranted, especially ____________.

(3)  The author said the findings are concerning since starting statin therapy at a young age for primary prevention of cardiovascular disease ________________________.

Already Passed The South Carolina House, Nullification Of Obamacare Awaits Senate Action

Obamacare Nullification Bill On S.C. Senate Agenda by Adam Beam.  The State.  June 4, 2013.

(1)  Under provisions of the bill, the state attorney general could take business, including health insurers, to court if he _________________ they are harming people by implementing the law.

(2)  What are some of the potential problems facing health insurers under the bill?

(3)  Under the bill what would happen in response to federal tax penalties for not complying with the law?

(4)  What are the prospects for passage this year?  Next year?  For obtaining the governor's signature?

Mississippi Law: Doctors and Midwives To Be Required To Take Umbilical Cord Blood Samples From Mothers Under 16 To Determine Father

Miss. To Require Cord Blood Testing On Babies Born To Some Teenage Moms by Jeffrey Hess, Mississippi Public Broadcasting/Kaiser Health News.  June 3, 2013.

(1)  The purpose of the novel campaign undertaken by Mississippi lawmakers is to discourage ________________________________.

(2)  Fathers would be identified through a ________________________.

(3)  The bills does not explain who would ________________ the men if they are located and believed to have broken the law.

(4)  Prosecutors would have to determine ____________________ before charges could be filed.

(5)  Who is going to pay for the testing?

(6)  The director of programs for the Women's Fund Of Mississippi said this issue is a way to avoid talking about adequate _____________,  access to __________, looking at _____________, and funding _________________, all of which have been shown to ________________________.

(7)  The state medical association reluctantly accepted the bill after __________________ was stripped from an early version of the bill.

(8)  What were some of the potential legal problems this bill could present for health care workers?

Tuesday, June 4, 2013

Testosterone Prescriptions Triple: Why?

Testosterone Prescriptions Nearly Triple In Last Decade by Rachael Rettner.  LiveScience.  June 3, 2013.

(1)  Testosterone therapy for men ages 40 and older increased _________________ from _____________________.

(2)  An expert quoted in the article attributed the increase largely to ______________ marketing campaigns.

(3)  Studies provide __________ results about benefits and possible harms.

(4)  Two positive results of tester one treatments are __________________

(5)  Negative results can possibly include _______________________________

(6)  "Low T" is popular name for ________________.

(7)  Men are typically treated for hypogonadism if ____________________________.

(8)  _____% of men who received treatment did not have their testosterone levels measured.

(9)  Testosterone levels can vary depending on ________________.

(10)  Some symptoms of low T can be caused by other conditions including _____________.

(11)  The fact that the sample was from a ____________ database may mean that the results are not representative of all U.S. men.

(12)  In an editorial accompanying the study the authors recommended  a ______________________________ to demonstrate that testosterone therapy does more harm than good.

Comprehensive Examination Of Costs Associated With Smoking Employees

Smoking Employees Cost $6,000 A Year More, Study Finds by Maggie Fox.  NBC News.

I, personally, always read better if I know that I will be quizzed on what I have read.  Use the following questions to improve your focus and retention.

(1)  Smoking cost their employers nearly $6,000 a year more than staff who don't smoke even taking into account savings that may result because ________________________________.

(2)  As employers ban smoking in the office, smoking breaks ___________ and lower __________.

(3)  When people are at work but not putting in full effort, this phenomena is known as ___________.

(4)  Taking an eight minute smoking break daily costs employers $_________ a year according to the study.

(5)  Another cost is associated with psychological and physical ___________ from nicotine.

(6)  Excess absences due to smoking cost employers $_______.

(7)  _____ states now have laws specifically barring companies from _________________smokers, though they may charge them __________________.

(8)  According to an official from the American Heart Association, may smokers take ____________ to be able to quit.

(9)  The CDC estimates that _____________ people die prematurely every year because of tobacco use


First Lengthy Study To Demonstrate That Sunscreen Fights Wrinkling

Regular Sunscreen Use Slows Skin Aging, Study Shows by Kim Painter.  USA TODAY.  June 3, 2013.

(1)  The study of adults under the age of _______ were tracked for ______ years.

(2)  Those who used sunscreen at least once a day saw ______% less skin aging.

(3)  What conclusion could one draw from the study about those over 55?

(4)  UV rays damage ________ and other _______ that keep the skin taut.

(5)  The lotion used in the study had a SPF of _________.

(6)  Supplements of beta carotene were ______ shown to slow skin aging, though the size of the study may have had an effect on this finding,

(7)  The results were convincing because the study was done an Australian city with the same distance from the equator as _____________________.

(8)  The study may have underestimated the effects of sunscreen because ______________

(9)  In 2012 the U.S. Food and Drug Administration allowed sunscreen makers to say __________________________________________________.

(10)  True or False:  In light of the results of this study such steps as limiting time in the sun, wearing long sleeves, pants, etc are no longer important.


Monday, June 3, 2013

Georgia Managed Medicaid Gets Mixed Grades: Good Paperwork; Not So Good Patient Care

Managed Medicaid Gets Mixed Grades by Misty Williams.   the Atlanta Journal Constitution.  June 2, 2013.  Available in hard copy on newsstands and by subscription.

A report commissioned by Georgia health officials provides a mixed picture of the performance of for-profit companies paid to coordinate the care of people on Medicaid.

Read the article and answer the questions to improve understanding and retention.

(1)  The recent found that the companies excelled _____________ but fell short on _____________.

(2)  Georgia is planning to expanded managed care to ____________ elderly, disabled and mentally ill Georgians.

(3)  What are the prospects for expansion according to the executive director of the Georgia Council on Developmental Disabilities?

(4)  What was the perspective of Georgia state health officials about the program?

(5)  Georgia has hired _______ care management organizations to oversee care of ________ million Medicaid members.

(6)  The CMO's met ___________ of health care performance targets.

(7)  The organization doing the review was the __________.

(8)  What were some of the specific criticisms offered by the report?

(9)  Georgia began using managed care for Medicaid in _________.



Adult Medication Prescriptions Statistically Linked With Poisoning Among Children

Older Parents Taking More Drugs Linked To More Child Poisoning.  UPI.com  June 3, 2013.

(1)  The prescriptions for ____________________________________________________
_____________________________ were statistically significantly associated with exposures and poisonings in children of all ages.

(2)  The strongest association observed were for __________, painkillers such as _______.

(3)  ________% of the youth treated in a hospital emergency room was due to diabetes drugs.


Visionary Or Insane? Often It Is Difficult To Tell

This Man Is Not A Cyborg.  Yet. by David Segal.  The New York Times.  June 1, 2013.

Science and medicine  often produce distinctive work when confronted with provocative questions or projects.  This project certainly fits that label, raising questions of consciousness, intelligence, and immortality.

The essence of the project, call the 2045 Initiative, for the year the Russian entrepreneur who funds it. hopes it is completed, "envisions the mass production of lifelike, low-cost avatar, that can be uploaded with the contents of a human brain, complete with all the particulars of consciousness and personality."

Insane?  Perhaps. But his second annual 2045 Global Future Congress in New York City will be attended by, among many others,  George M. Church,  professor at the Harvard Medical School and one of the great pioneers of genetics.  He says:  "I have a rule against saying something is impossible unless it violates laws of physics."

Visit the Congress website and listen to some of the prominent attendees who have prepared You Tube videos dealing with relevant issues.

Couture, Design, Medical Philanthropy----All Combined In One Person

Deeda Blair's Elegance Of Conviction by Andrew Solomon.  T Magazine.  The New York Times.  May 31, 2013.

A fascinating story of a woman who whose scientific and design are guided by a sense of style.  A truly unique story worth your time.

Sunday, June 2, 2013

Colonoscopies: A Cost Case Study

The $2.7 Trillion Medical Bill by Elisabeth Rosenthal.  The New York Times.  June 1, 2013.

With this article, The New York Times begins a series of article on cost issue in health care.  It, if the following article is any indication, will be vital reading for anyone interested in health care as a patient, taxpayer, provider, policymaker, or administrator.

Use the following questions to test and improve your recall.  Since this is an important article I have included many questions.

(1)  The average U.S. price for the cholesterol drug Lipitor is __________;  The price in New Zealand is ____________.

(2)  In a list of drug, scan and procedure prices compiled by the International Federation of Health Plans, the United States was ____________ in __________ categories.

(3)  The cost of a hospital stay in the U.S. is about _________ of that in other developed countries.

(4)  ________________ are the most expensive screening test that health American routinely undergo.

(5)  _______________ began as an ________________ and moved to ____________ making it more _____________ than an in-office procedure.

(6)  True or False:  There are other cheaper, less invasive, and equally effective  tests to screen for colon cancer.

(7)  The high costs for colonoscopies result from ________________________________________
________________________________________________________________________________

(8)  The U.S. spends about ________ % of its gross domestic product on health care, nearly _______ as much as most other developed countries.

(9)  Costs issues gain urgency with ________ baby boomers and ___________ of newly insured under the affordable Care Act.

(10)  Pushing costs higher are relatively high rates of obesity and limited access to routine care for the __________.

(11)  Unique among industralized nations, the U.S. does not ___________________.

(12)  In what ways is the health care market in the U.S. weird?

(13)  True or False:  Doctors generally know the costs of the tests or procedures they prescribe.

(14)  In the U.S. payments often depend on the relative ______________ of the parties involved.

(15)  True or False:  In medicine the more you pay the better results and services you get.

(16)  Trace how colonoscopy became the default screening for colon cancer.

(17)  Explain the role of "surgical centers" in health care costs.

(18)  What is a "facility fee?"

(19)  when gastroenterologists began to perform more procedures in surgery centers, the number of procedures ________________%.

(20)  How do those without insurance often face the highest bill?

(21)  Discuss the role of and need for anesthesiologists in surgical center colonoscopies.  How has lobbying played a role.

(22)  How do gastroenterologists in Austria view the payment rate for colonoscopies in the U.S.?

(23)  What groups have pushed back against colonoscopy costs?

(24)  People covered by Medicaid typically get _____________ than they need.

Saturday, June 1, 2013

Cost Versus Effectiveness: A Case Study

Proton Beam Therapy Heats Up Hospital Arms Race by Jenny Gold.  Kaiser Health News.    May 31, 2013.

(1)  The two proton treatments facilities in Washington D.C. will  cost  _________.

(2)  Hospitals are still racing to __________________ despite efforts to ________________.

(3)  There are ______ proton therapy centers in the U.S. with ______ more in development.

(4)  Briefly describe how proton therapy works

(5)  Studies suggest that proton therapy is ___________  with ________________ tumors but no better than _______________ for other cancers.

(6)  Proponents of the therapy say that studies showing disappointing results for prostate cancer ______________________.

(7)  An opponent of the therapy, Dr. Ezekiel Emanuel says that the facilities are being build simply to generate ____________.

New Cancer Drugs A Focus Of American Society of Clinical Oncology

Five Promising Cancer Drug Results by Matthew Herper.  Forbes.  June 1, 2013.

(1)  Pazopanib, a drug approved for __________ could play a key role in treating _____________
cancer.

(2)  Pazopanib works by __________________.

(3)  ________, or _______ combined with the Bristol-Myers Squibb drug Yervoy enhanced its effectiveness, boding well for the strategy of combining _________________.

(4)  Uveal melanoma, melanoma of the ______, is treated by _______________.

(5)  An effective treatment of uveal melanoma will be _____________ since it has been verydifficult to treat.

(6)

Non-Surgical Circumcision Device Approved By World Health Organization; May Help AIDS Infection By Up TO 60%

Circumcision Device Approved By World Health Organization by Donald G. McNeil.  The New York Times.  May 31, 2013.

(1)  The approved device call _______ is the only adult circumcision method, other than ____________ to gain W.H.O acceptance.

(2)  In the past few years the U.S. has paid for more than _______________ circumcisions in Africa .

(3)  Being circumcised can reduce the chance of being infected with AIDS by _________%.

(4)  How does the safety of this device compare with surgery.