Wednesday, July 31, 2013

Consolidation Trend Continues With Acquisition Impacting Georgia Hospitals

National Hospital Merger To Be Felt In Georgia by Andy Miller.  Georgia Health News.  July 30, 2013.

(1)  One factor accelerating the hospital consolidation process across the nation is ________________.

(2)  Community Health Systems, after the consolidation, will own or operate ________ hoospitals in ______ states.

Suicide Rate, Increasing 23% Over A Decade, Points To Larger Mental Health Issues

Virginia's Shockingly High Suicide Rate Points To a National Problem by Andrea-Gale Okoro.  Think Progress.  July 30, 2013.

(1)  There were ____________ emergency room visits for self-inflected injuries in 2010.

(2) The National Institute of Mental Health reports that ___________ of adults are clinically depressed at some point in their life.

(3)  Of Americans who suffer from severe mental illness only _________% receive any treatment.

(4)  More than __________ million Americans need some treatment for addiction but only _______ received any.

(5)  The Affordable Care Act seeks to expand access to mental health services for approximately ____________ Americans.

(6)  An important barrier to treatment is the pervasive __________ that remains attached to mental health care.




Health Care Providers Prepare For Climate Change

The Extraordinary Steps Health Care Providers Are Taking To Prepare For Climate Change by Katie Valentine.  Think Progress.  July 30, 2013.

(1)  The hospital evacuations during Hurricane Sandy showed how ___________ the health care industry is to the effects of climate change.

(2)  Evacuations along with warnings of intense ______________, increased incidences of ________ and __________ and expanding range of __________ have made health care professionals take notice of climate change.

(3)  What are some of the ways that Spaulding Rehabilitation Hospital in Boston is being "future-proofed?"

(4)  True or False:  Preparing hospitals for climate change is proving overwhelmingly expensive.

(5)  Hospitals use ____________ energy per square foot as regular office buildings.

(6)  About 200 hospitals across the country use ______________ to save up to 35 percent of its energy costs.

(7)  The health care industry accounts for ________ of U.S. emissions, making it as large a contributor to climate change as _______________.

(8)  True or False:  The American Hospitals Associations does not have a position on climate change.

(9)  The ________________ has 675 hospitals enrolled in an effort to make hospitals more environmentally-friendly.

(10)  Under the Affordable Care Act, hospitals are, for the first time, mandated to do ____________ and align their care to ____________




Tuesday, July 30, 2013

Breast-Feeding Study, Eliminating Other Factors, Strengths Link With IQ

Links Tighten Between IQ, Breast-Feeding by Avery Johnson.  The Wall Street Journal.  July 29, 2013.

(1)  Researchers say this study is more conclusive because of __________ and how it ___________________.

(2)  A skeptic quoted in the article unconvinced of the relationship because ____________________.

(3)  There are nutrients in breast milk that ________________.

Beyond A Certain Point Exercise Has Dangers For Middle-Aged Men

Risk Of Heart Attack High For Fit Middle-Aged Men by Jamie Lampros.  Standard-Examiner.  July 30, 2013.

(1)  Sudden cardia arrest brought on my extreme physical stress affects men ______________ more often than women.

(2)  Long-distance bike races, marathons, and triathlons can cause ____________________________ and can permanently trigger __________________

(3)  A person is ____________ more likely to have a heart problem while exercising than at rest.

(4)  The authors of the study indicate that _____________ minutes of exercise are plenty.

(5)  Men in most danger are ______________________________________.


Naming Of Conditions Seen As Key To Appropriate Treatment Of Cancer

Scientists Seek To Rein In Diagnoses Of Cancer by Tara Parker-Pope.  The New York Times.  July 29, 2013.

(1)  IDLE stands for _________________________________ and refers to lesions detected during __________________________ screening.

(2)  True or False:  The proposed renaming of the conditions will go into effect immediately.

(3)  The concern motivating the proposed change is that many are undergoing ____________________ for premalignant and cancerous lesions that are _____________________.

(4) Define incidentalomas.

(5)  Ductal carcinoma in situ is a ___________ condition of the breast.

(6)  While D.C.I.S may look like a cancer it does not always ____________.

(7)  At presents often do not yet have a clear way to tell the difference between _______________________________.





Sunday, July 28, 2013

Control Over Your Fate: The Key Factor In Differentiating Reactions to Stress

Status and Stress by Moises Velasquez-Manoff.  The New York Times.  July 27, 2013.

Important article about the public health implications of stress resulting from poverty and the deteriorating ability many feel to control their condition.

Follow the above link, read the article, and test yourself with a brief quiz.

(1)  The more ____________ one feels when facing a given stressors, the more _________ that stressor's effects.

(2)  Those at the bottom of the socioeconomic ladders are more _____________likely to die premature as those at the top.

(3)  While people are not absolutely condemned by their upbringing, the effects of early-life stress ______________________________.

(4)  "Status syndrome"  refers to the direct relationship between ___________________________________.

(5)  By definition, the poor have _______________.

(6)  Lack of control leads to learned ___________.

(7)  Fight-or-flight response activated chronically wears the body _________.

(8)  Those who experience early-life stress have more markers of _____________ which activates such diseases as _________________.

(9)  Discuss research on the racial differences in longevity.

(10)  "Biological embedding" of social status refers to _______________

(11)  A harder, faster response to threats, perhaps brought on my early-life stress may contribute to the formation of ________________.

(12)  Poorer parents may _____________ less with their children.

(13)  Socioeconomic states correlates with the ability to _____________.

(14)  Neuroscience findings of less growth in brain regions associated with financial disadvantage reframes childhood poverty as a __________________ issue.

(15)  High ranking primate males ___________ faster than their lower-ranking counterparts.

(16)  ______________ children in the United States lives below the poverty line.

(17)  During the late 20th century gains in longevity were concentrated in _____________.

(18)  A National Research Council found that Americans were generally ________________ than in 16 other nations.

(19)  According to an Yale economist quoted in the article, the higher the spending on _______________ the greater the longevity dividends.


Saturday, July 27, 2013

Hospitals Evolving Role in Obesity

Hospitals As Health Nannies:  Prescriptions For Fruits And Other Unusual Ways To Keep The Doctor Away by Alexandra Sifferlin.  Time.  July 26, 2013.

Follow the above link, read the article, and test your retention with the following quiz.

(1)  The Fruit and Vegetable Prescription program described in the article allows patients with prescriptions to get _______________________________________________.

(2)  Over ______% of Georgia's children were clinically obese.

(3)  Children's Healthcare of Atlanta found that _________ % of parents whose children were obese did not think their child had a problem.

(4)  Describe and contrast Health4Life and Strong 4Life.

(5)  Explain the evolving role described in this article of prevention and treatment in the function of the hospital.

Companies Charged With Policing The Safety Of Food They Import

F.D.A. Says Importers Must Audit Food Safety by Sabrina Tavernise.  The New York Times.  July 26, 2013.

(1)  What are some of the concerns expressed about the new rules and adequacy of inspections?

(2)  About ______% of foods that Americans eat comes from abroad.

(3)  One in ________ Americans get sick from eating contaminated food each year.

(4)  About _________ die from contaminated food each year.

(5)  Only __________ percent of all imports are inspected by the F.D.A. at the borders or ports.

(6)  The F.D.A. is responsible for the safety of about _______% of the food that Americans consume with the remaining ________ % the responsibility of the Agriculture Department.

(7)  Inspection has adopted the paradigm of _________ with industry being responsible for  documenting what they have done.

Slowdown In HPV Vaccinations Represents A Challenge To Public Health

Use Of HPV Anti-Cancer Vaccine Stalled in 2012 by Elizabeth Weise And Nanci Hellmich.  USA TODAY.  July 25, 2013.

(1)  A study released in June showed that the vaccine decreased the incidence of the virus by __________%.

(2) A survey of families with teen girls who were not going to receive vaccinations  found that  ________% said that their daughters did not need the vaccination;  ________% had not been told of the vaccination by a healthcare provider;  and _______ % said their daughters were not sexually active.

(3)  The vaccine protects against _____ % of cervical cancers and ______ % of genital warts.

(4)  True or False:  Numerous studies have found that the HPV vaccine is a license for sexual activity.
(5)  In _________ the CDC began to recommend that boys over 11 get the vaccine.  

Friday, July 26, 2013

Sexuality Pioneer Dies

The Woman Who Explained The Female Orgasm by Thomas Maier.  CNN.  July 26, 2013.



(1)  Masters and Johnson created the modern ________________ industry.

(2) Their book, "Human Sexual Response,"  documented the fact that women were capable of  ____________________.

(3)  Virginia Johnson largely developed "_______" therapy, an approach that attracted many to their clinic.

(4)  Where did Virginia Johnson receive her psychology degree and training?

Possible New Tool In Dementia Fight: ACE Inhibitors

ACE Inhibitors May Slow Loss Of Brain Power by  Chris Kaiser.  MedPage Today.  July 26, 2013.

Dementia is, to say the least, a serious and growing problem.  Even possibilities for marginal improvement have significance.

Follow the above link, read the article, and test your recall with a brief quiz.

(1)  ACE (angiotensin-converting enzyme) inhibitors are prescribed for _________________.

(2)  The difference in brain power between those on an ACE inhibitor and those not onthe drug was ______________.

(3)  The study combined those who suffered from three different types of cognitive decline:  ______________________________.

(4)  While the differences were _________________, if sustained over years, the effects may well have significant clinical benefits.

(5)  The researchers cited the need for larger _______________ to ____________________

Thursday, July 25, 2013

Georgia Medicaid Expansion Would Lead To Reduction of State Expenditures, Studies Suggest

Studies Point To Savings Under Medicaid Expansion by Andy Miller.  Georgia Health News.  July 25, 2013.

(1)  The potential savings to Georgia could from the federal government paying for at least 90% of _____________________, _______________ for many low-income adults, and a Medicaid program for people with _______________.

(2)  An earlier Georgia State University study found that the state could gain an estimate ____________ new jobs and an economic impact of ___________ per year.

(3)  Governor Deal's spokesman indicated that expansion would "___________________"

(4)  True or False:  The Georgia Department of Corrections and the Department of Behavioral Health And Developmental Disability have performed extensive studies on potential cost savings under Medicaid expansions.

The Stigma Of Overweight: A Cause And Effect Of Obesity

Stigma Overweight People Face Could Spur More Weight Gain by Steven Reinberg.  US News.  July 24, 2013.

(1)  People who experience "weightism" are _________ times more likely to become or stay obese.

(2)  Weightism  adversely _______________, and undermines _____________.

(3)  True or False:  The study cited here proves a cause-and-effect relationship between weight discrimination and obesity.

Cancer And Height Show An Association: Proclivity Toward Growth Could Be The Common Element

A Tall Tale?  Women's Height Linked With Cancer by Fatimah Waseem.  USA TODAY.  July 25, 2013.

Follow the above link, read the article, and use the following quiz to test and improve your retention.

(1)  Height might be a __________ of factors that boost cancer risk rather than a _____________.

(2)  Tall people have more _________ and larger ______ increasing the chances of mutations.

(3)  Every 4-inch increase in height was linked with a _______ higher risk of developin any of 19 cancers.


False Memories: The How And, Perhaps, TheWhy

How To Make Memories Of Things That Never Were by James Gorman.  The New York Times.  July 25, 2013.

(1)  In the research recounted here, a ____________ of a psecific memory can be identified in _______________ as it forms, and __________ later by stimulating those same cells.

(2)  ____________ was used to chemically label neurons as well as make them susceptible to activation by blue light.  _____________ enabled researchers to _________________ neurons were involved in forming the initial memory.

(3)  Memory is unreliable particularly in ____________ where so much is at stake.

(4)  Relate false memories and creativity.

Wednesday, July 24, 2013

Accountable Care Organizations: Case Study From Florida

Florida Providers Jump On ACO Bandwagon by Daniel Chang.  Miami Herald/Kaiser Health News.  July 24, 2013.

An excellent overview and case study of Accountable Care Organizations.  Follow the above link, read the article, and test and improve your knowledge and retention with the quiz.

(1)  Accountable Care Organizations (ACOs) are a creation of the ___________________.

(2)  ACOs are designed to address the problem of failure of providers to _________________ because they are paid not based upon _______________________.

(3)  HMOs make their money in two ways:   ____________________________________.

(4)  ACOs will make money by _______________________________.

(5)  Under the ACO concept, the more the providers keep their patients _________________ the bigger the bonus the provider is likely to receive.

(6)  With integrated medical records and coordinated care, primary care physician may be able to reclaim _____________________.

(7)  Consolidations of providers  to achieve economics of scale may run afoul of ____________ laws.

(8)  What has been the results of the Pioneer ACO model?

(9)  The largest healthcare insurer, UnitedHealth Group, found that its ACO contracts produced results including __________________________________________________.

Marketing Healthcare Reform

Legacy On Line In Fierce Drive On Health Law by Michael D. Shear.  The New York Times.  July 23, 2013.

(1)  A key objective of the Obama Administration implementation effort is to find and enroll  _____________ uninsured people between 18 and 35.

(2)  Microtargeting, Hollywood, social media and public service announcements are among the methods being used to _________________.

(3)  $150 million has been allocated for workers at ____________ to help with the rollout.

(4)  Getting computer systems to _______________ is a tremendous challenge.

(5)  CrossRoads GPS is running an anti-Affordable Care Act Law video entitled ______________.

Tuesday, July 23, 2013

The Quest For Common, Unadulterated Measures Of The Aging Process

Searching For Meaningful Markers by David Stipp.  The New York Times.  July 22, 2013.

(1)  Why are wrinkles and age-related rises in blood pressure problematic for a common measure of aging?

(2)  What are some of the possible applications of a common measure of aging?

(3)  Biomarkers of aging should foretell the remaining life span of a middle-aged person better than _______________________,

(4)  According to one study the eye's ability to ______________________ was among the most predictive of lifespan.

(5)  Epigenetic markers predictably _____________________ and could perhaps therefore could be a measure of aging.

(6)  Men appear to age on average ____________ faster than women.

(7)  Tumor cells age ___________________ more than normal cells.

(8)  Aging-rate tests may someday be ____________________.
Nightmares After The I.C.U.  by Jan Hoffman.  The New York Times.  July 22, 2013.

(1)  Studies show that about _______ %of I.C.U patients have PTSD symptoms as long as two years after their experience.

(2)  PTSD symptoms are particularly likely after __________________________

(3)  __________ behaviors are an example of the symptoms of P.T.S.D.

(4)  ___________, rather than the patient, sometimes develop symptoms of being traumatized.

(5)  I.C.U P.T.S.D suffers sometimes have horrors that cannot be __________.

(6)  Length of I.C.U stay increases the risk of _________________.

(7)  True or False:  Men are more at risk for P.T.S.D obtained in intensive care than are women.

(8)  ____________ patients may be more likely to develop symptoms of PTSD than elderly patients.

(9)  The most harrowing fashbacks in the I.C.U come from ____________.

(10)  The Society of Critical Care Medicine recommends treating _________ first then use sedatives such as benzodiazepines later if need for __________.

(11)  PTSD from the I.C.U may take up to a __________ for recovery.

(12)  Giving family members things to do will _____________________.

(13)  An I.C.U. diary serves as a __________________

(14)  What are two hospitals mentioned in the article that focus on the challenges of the post-IC.U. patient?

Income Mobility Varies Greatly From City To City

In Climbing Income Ladder, Location Matters by David Leonhardt.  The New York Times.  July 22, 2013.

While this article does not focus specifically on health or healthcare, it does focus on a factor that many believe is crucial to health:  Income mobility that is provided by the availability of good jobs, jobs that necessarily include health insurance coverage.

Pay attention to the charts.  They are great.


Sunday, July 21, 2013

Disease That Infects 800,000 A Year Gets New Treatment Options

Treatments Emerge For Drug-Resistant Gonorrhea by Betsy McKay.  The Wall Street Journal.  July 15, 2013.

Follow the above link, read the article, and test your retention.

(1)  Some of the consequences of gonorrhea are _________________.

(2)  As a result of increasing resistance,  ___________ antibiotic now may safely be used on a regular basis.  Unfortunately, the drugs must be _________ not taken as a ________.

(3)   Why do researchers call gonorrhea a "very smart organism?"

Saturday, July 20, 2013

Pitting AIDS Against Leukemia: An Amazing Video

Fire With Fire--Ross Kauffman.  GE FOCUS FORWARD.

Amazing story about how University of Pennsylvania physicians pitted AIDS against leukemia to save a young girls life.

Poison To Potion; Toxin To Therapy---Nature As A Source For Medicine

From Poison To Potion:  Toxins Turned Into Life-Saving Drugs by Claire Groden.  CNN.  July 18, 2013.

Five examples of possible drugs and their sources in natural toxins.

(1)  About half of existing medications are derived from the _____________ that surround us,

(2)  A toxin from the pufferfish is _____________ times more potent than morphine.

(3)  Shark skin is constructed in such as way as to ___________________ a inhospitable environment for ______________.   The principle of shark skin construction is being used to ward off ______________________________ in medical devices.

(4)  Within a year, a chronic pain drug derived from ___________ is set to be tested in patients.

(5)  The active element in tick spit may be used to ________________.

(6)  A toxin from the sea anemone may have some applications for ____________ diseases.

(7)  Wound healing may be promoted with a toxin from ___________________.


Immigrant Inclusion Into Primary Health System: The Public Health, Economic, And Moral Case

The Immigrant Healthcare Imperative by Danielle Ofri.  The Atlantic.  July 16, 2013.

Combining a compelling case study with policy analysis, this opinion piece makes a public health case for immigration reform.

(1)  What is one main reason that some immigrants do not seek out primary care?

(2)  Immigrants's ________________________________ are a boon to the medical system with immigrants contributing _____________billion more to the Medicare trust fund than they withdrew (2002-2009).


Nurse Practitioners Gain From Changes In Scope Of Practice Laws

Nurse Practitioners Slowly Gain Autonomy by Christne Vestal.  Stateline.  July 19, 2013.

Follow the above link, read, and take a brief quiz to improve your retention.  

(1)  At least ________ states allow nurse practitioners to work without a supervising physician.

(2)  Physician groups oppose changes to NP's scope of practice arguing that nurse practitioners lack the ____________________________________.

(3)  The most recent state to allow NP's to practice independently was _________.

(4)   The five states slated to consider NP independence this year are ___________________

(5)  Two states, _____________________, failed to pass legislation this year due to determined opposition from physician groups.

(6)  At least _________ million Americans live in areas with inadequate supply of primary care doctors.

(7)  Last year, only _________ U.S. medical school graduates went into primary care residency programs.

(8) A 2010 report from the _______________  points to 50 years of evidence to support the conclusion that NP care is as safe and effective  as that provided by physicians.

(9)  What role has the Federal Trade Commission had in state battles over scope of practice?

(10)  How has the practice of family medicine evolved?  How has this evolution impacted the debate about scope of practice?

(11)  Physicians are increasingly employed by large practices and hospitals.  How will this fact impact the scope of practice debate?

Friday, July 19, 2013

Healthy Life Expectancy At Age 65: CDC Report Provides State-By-State Data

State-Specific Healthy Life Expectancy At Age 65 Years---United States 2007-2009.  Morbidity and Mortality Weekly Report.  Centers For disease Control And Prevention.  July 19, 2013.

This is a valuable report since it provides and estimate expected years of life in good health at age 65.  "Healthy life expectancy" contrasts with "life expectancy" which includes years alive while unhealthy.  

Report From Public Citizen: Healthcare Workers Suffer More Musculoskeletal Injuries Than Any Other Field

Workplace May Be Unsafe For Healthcare Professionals by Cole Petrochko.  Medpagetoday.com  July 19, 2013.

(1)  The report estimates that the cost of injuries to healthcare workers is about _________________.

(2)  The Occupational Health And Safety Administration inspects healthcare facilities ______________ than the construction sector.

(3)  The discrepancy in levels of inspection between healthcare and construction could be explained by the ____________ of the injuries and the ____________ resources available to OSHA.

(4)  The OSHA Bloodborne Pathogens Standard deals with ______________________.

(5)  The three main recommendations of the report are ____________________________________
__________________________________.

Thursday, July 18, 2013

Individuals May Be The Best Judge of Cognitive Decline At Early Stages Of Alzheimer's

Patients Self-reported Memory Slips May Be Early Signs Of Alzheimer's by Ryan Jaslow.  CBS News.  July 18, 2013.

Follow the above link, read, and test yourself with a quiz.

(1)  Subjective cognitive decline refers to _____________________

(2)  Why is early detection so important to Alzheimer's therapy trials?

(3)  In one of the studies referred to in the article, higher levels of beta-amyloid were associated with__________________.

(4)  Risk factors for Alzheimer's include ___________________.

(5)  The strongest genetic risk factor associated with Alzheimer's is ______________

Surgical Knife Doubles As Cancer Detection Tool

New Surgical Knife Can Instantly Detect Cancer by Maria Cheng.  Boston.com.  July 17, 2013.

Follow the link above to the article, read, and take a brief quiz.

(1)  A major problem this device could address is that many cancer surgeries require ________________.

(2)  It is unclear now that they new technology will actually help patients ______________.

Wait-And-See Approach to Prostate Cancer Treatment Receives Support In Study

More Evidence Not All Prostate Cancers Need Treatment by Kathryn Doyle.  Reuters.  July 18, 2013.

Follow the above link to the article, read, and then test yourself with a quiz.

(1)  In the study of older men who died from causes other than prostate, approximate _____________ were found to have prostate tumors, half of which would have qualified ____________.

(2)  The study calls into question current definitions of _______________________.

(3)  The lifetime risk of a man in the United States being diagnosed with prostate  in the United States is  ________% while the risk of dying with prostate cancer is _________%.  This discrepancy suggests that those cancers ____________________________________.

(4)  The Prostate Health Index is a test designed to _________________________.


Hospitals Begin To Plan To Confront The Possibility and Reality Of Gun Violence In the Hospital

California Hospital Workers Get Training In Surviving Shootings by Tina Susman.  The Los Angeles times.  July 16, 2013.

(1)  ________________ departments were the mot common site of hospital shootings between 2000-2011.  There were ____________ shootings inside U.S. hospitals with -________ on hospital grounds during that time period.

(2)  A Johns Hopkins study said that healthcare workers are  vulnerable with a rate of assault on them of _________ in 10,000 versus ______ in 10,000 for private sector workers.

(3)  Most of these shootings  tend ____________________ before law enforcement arrives.

(4)  Some of the factors cited in the rise of hospital shooting include __________________________,

(5)  What are the three options cited by an emergency preparedness expert that are open to hospital workers in the case of a shooter in a hospital?

(6)  If  a shooter enters a surgical suite, an expert cited in the article suggests that staff ________________.


Wednesday, July 17, 2013

Information Technology: Critical Link In Accountable Care

How 3 ACOs Use Technology To Survive by Alex Kane Rudansky.  Information Week/Healthcare.  July 17, 2013.

(1)  Accountable Care Organizations (ACO) pay providers to ______________ rather than by the ______________________.

(2)  Electronic Health Records in a ACO allow multiple docotors to Mange Patient care from ___________________________.

(3)  How does "decision support" for physicians contribute to cost savings?

(4)  Why is "patient engagement"  important to ACOs.

(5)  Since some physicians feel that EHRs slows them down, there is a continuous effort to ___________________________.

(6)  Patient care rosters are used to _____________________.

(7)  Quality metrics are important because they determine ________________.

(8)  Information management tools used  for fee-for-service are inadequate for the continuous management of ______________.

(9)  The Center for Medicare and Medicaid Services stated in a report that ACOs had not delivered on ______________________.

(10)  Patient engagement systems see to insure that the patients ___________.

Stroke Results In Inability To See Letters and Numbers And Creative "Mind Trick" To Enable Reading

JHU Cognitive Scientists Devise Alphabets That Allow Subjects To Read Again by Greg Rienzi.  Johns Hopkins University Gazette.  June 1, 2013.

Two fascinating case studies focused on reading and numerical processing in the brain as well as the creativity required to developed neurological work-arounds.

(1)  What was the surprising implication of the relationship between the damage to the basal ganglia and the reading impairment resulting from the stroke?

(2)  These case studies suggest that the brain ____________ numbers and letters from other images.
(3)  The researchers  used behavioral, electrophysiological, functional neuroimaging methods to address address questions concerning the cognitive and neural representations underlying ______________________.

Tuesday, July 16, 2013

Doctors and Hospitals Pitted Against Each Other In Speciality Clinic Certification Dispute

Georgia Hospitals Might Follow South Carolina On Certificate Of Need Change.  Morris News Service.  July 10, 2013.

(1)  How could this certification of need dispute impact medical services for uninsured and Medicaid patients?

(2)  A central purpose of the certification of need program is to prevent _____________________
_________.

(3)  South Carolina governor Nikki Haley argues against certificate of need saying that "we should _____________________________."

Fat Cells Response To Cold Offers Potential New Approach To Weight Loss

When Some Fat Cells Feel The Cold, They Burn Calories To Produce Heat by Elizabeth Norton.  The Washington Post.  July 15, 2013.

(1)  What is the significance of the difference between indirect and direct response of fat cells to cold?

(2)  The chief chemical messenger of the sympathetic nervous system, ______________, stimulates receptors in brown fat to release energy and generate heat.

(3)  Contrast brown fat and white fat in terms of diabetes resistance.

(4)  The protein UCP1 is thought to be central in _____________.

(5)  Explain what happens to UCP1 in white fat cells when they are exposed to cold?

(6)  The results of the study indicates that the response of the white fat cells is independent of the _________________.

(7)  True or False:  The research here indicates that a "fat pill" is imminent.

Sunday, July 14, 2013

Four Question Test For Depression Screening Developed

Four-Question Test ID's Women With Depression by Bruce Bower.  Science News.  July 11, 2013.

(1)  The most question to be used as an identifier was _____________________

(2)   This test may not be sensitive to ___________.

More Job Offers Coming; Physicians Needed For Health Care And Demographic Changes

Physicians Get Many Job Overtures And Should Brace for More by Sue Ter Maat.  Amednews.com.
July 8, 2013.

(1)  In a study released in June it was found that more than half of practicing physicians get at least ________________ employment solicitations per week.

(2)  The Association of  American Medical Colleges estimates a shortage of _________ primary care physicians and ____________ in other specialities.

(3)  The fact that more doctors are working for ________________ increases turnover.

(4)  It is estimated that by the end of 2013 ______ % of practicing physicians will hold ownership stakes compared with __________ % in 2000.

(5)  Hospital  recruitment increased ________ % in 2012.

(6)  True or False:  Recruiters tend to avoid residents for employment solicitation.

(7)  Mergers and acquisitions have _____________ many recruitment operations.

(8)  The departure rate at large practices in 2012 was ________% partly due to the improving _____________.



Telehealth Used In Post-Surgical Evaluations

Telehealth Safe For Some Postoperative Evaluations by James Brice.  July 10, 2013.

(1)  The post-operative telehealth follow-up was conducted by a ________________ who used a  ________ to interview and evaluate the patient.  

(2)  The advantages from the patient's point of view were _____________________.

(3)  The study discussed in this article could have relevance in light of impending _________________________


Saturday, July 13, 2013

What Can Happen When Doctors Badmouth Other Doctors

Doctors Badmouthing Other Doctors by Pauline W. Chen, M.D.  The New York times.  July 11, 2013.

(1)  Doctors are taught that shifting blame to other doctors ___________________________.  (3 answers)

(2)  Sometimes criticizing another physician to a patient might be a way to fortify ________________ (2 answers).

(3)  ___________ can often lead physicians and others to fail to regulate themselves.

Key Role Of Nerves In Tumor Growth Offers New Therapeutic Target

Nerve Growth Stimulates Prostate Cancer by Heidi Ledford.  Nature.  July 11, 2013.

(1)  While this article deals with the role of nerves in prostate cancer growth, there could be implications for all _____________.

(2)  Beta-blocker drugs are use to treat ______________________.  What could be a possible reason that epidemiological studies show that people taking beta blockers tend fare better in cancer treatment?

(3)  Growth of _______________ in and around prostate cancer spurs tumor cells to grow and invade other issues.

(4)  While this study was performed in __________ an analysis of 43 patients with prostate cancer found that nerve _____________________.

(5)  Previous research has shown that cancer cells sometimes ________________.

(6)  There is a theory that the body perceives cancer and its attendant tissue damage and inflammation as a ___________________.   Since nerve growth plays a role in wound repair, nerve growth may also play ___________________.


Friday, July 12, 2013

More Than 2 Million Dead From Air Pollution Each Year

Air Pollution Responsible For More Than 2 Million Deaths Worldwide Each Year, Experts Estimate.  Science Daily.  July 12, 2013.

(1)  ______________ people die each year because of human-caused increases in ozone.

(2)  Fine particulate matter, it is estimated, causes _______________ deaths.

(3)  Many of the deaths from pollution are occurring in ______________ and _________ where population is high and air pollution is severe.

(4)  The number of deaths attributable to climate change is ____________.

(5)  Higher temperatures from climate change can increase the emissions from ________________


More Exercise And Yet The Weight Remains

Americans Exercise More, But Are Still Not Losing Much  Weight by Noam N. Levey.  The Lost Angeles Times.  July 10, 2013.

(1)  In more than ___________ of the nation's counties, men and women became more physically active over the last decade.

(2)  True or False:  The percentage of women who got sufficient weekly exercise increased faster than the percentage of men who got sufficient exercise.

(3)  Between 2001 and 2009  obesity rates for men or women fell in just _______
counties.

(4)  ________ % of children are obese in the United States.

(5)  Some of the biggest gains in physical activities occurred in ___________________,      

Babies Cries As Windows Into The Brain: Cry Analyzer Developed

New Cry Analyzer Could Detect Babies' Health Problems by Marie Ellis.  Medical News Today.  July 12, 2013.

Follow the above link to the article, read and test your retention with a brief quiz.

(1)  The device presented here could perhaps be used to determine ______________ or _____________ problems.

(2)  Babies cries are categorized as either __________ or _________ and then grouped according to __________ and analyzed for such variables as ___________.

(3)  The tests in the research paper show an accuracy rate of between ________  and ________.

(4)  The recently developed Smart Diaper can communicate _____________________.

Thursday, July 11, 2013

Mental Decline At Age 90 Less Than A Decade Ago

Mental Decline At Age 90 Is Less Than A Decade Ago by Michelle Healy.  USA TODAY.  July 10, 2013.

(1)  The better performance in cognitive measures held even when adjust for increases in ___________.

(2)  Among the factors that apparently play a role in better performance are nutrition,  infectious disease burden, work environment, ___________________ and _______________.

(3)  According to an editorial accompanying the study "cognitive decline in very elderly people is ______________.

(4)  The study "might suggest the possibility of lowering the _______________ and delaying________________.

Cancer and Alzheimer's Seem To Protective Effect Against Each Other

Cancer Patients Less Likely To Get Alzheimer's Study Find by Alan Mozes.  HealthDay.  US News.  July 10, 2013.

(1)  Some genes that act in cancer growth might also be involved __________________.

(2)  The observed linkage between cancer and Alzheimer's may not ____________________.

(3)  Not enough research has been done to determine if some cancer drugs could also__________________________.

Benefits Of Diet Soda Questioned In Study Prompting Beverage Industry Response

Study:  Diet Soda Doesn't Help You Lose Weight by Shari Rudavsky.  USA TODAY/The Indianapolis Star.  July 10, 2013.

(1)  The study is a review of __________ not new research.

(2)  According to the Purdue University study, diet sodas may be linked to problems such as ___________________________________ just like their sugary counterparts.

(3)  According to the researcher the basic question is "What ________________________"

(4)  The beverage industry characterized the study as an _____________ not a ________________.

(5)  How may "cognitive distortion" play a role in weight gain and consumption of diet soda?

(6)  When a person consumes something sweet the body expects ______________.

(7)  When calories do not follow the sweet taste ______________________________.


Wednesday, July 10, 2013

Shorter Shifts For Interns: A Solution, Source Of New Problems, Or Merely An Organizational Challenge

Some Doctors Questioning Whether Shorter Shifts For Interns Are Endangering Patients by  Sandra G. Boodman.  Kaiser Health News.  July 9, 2013.

(1)  According to the Accreditation Council for Graduate Medical Education the maximum allowable shift is now ______ hours, lowered from the previous limit of _________ hours.

(2) The average workweek for all residents is ________ hours.

(3)  ___________ percent of residency program directs opposed  shorter shifts for interns.

(4)  What was the results of a Johns Hopkins study of shift length for interns?

(5)  How could views about "coddling" of interns affect the implementation of the new rules?

(6)  How has Vanderbilt University Hospital adapted to the changed shift length?


Key To Dramatically Lower LDL Cholesterol Found In Genetic Mutation; Race For Drug Set Off

Rare Mutation Ignites Race For Cholesterol Drug by Gina Kolata.  The New York times.  July 9, 2013.

(1)  The three drug companies involved in the drug chase are _______________________.

(2)  Each of the three companies drug is a ________________, made in _____________.

(3)  In injectable form the drug may have a market of _______________;  In pill form, as many as _____________Americans may be candidates.

(4)  Heart diseases causes nearly ____________ death a year among Americans.

(5)  While the initial studies are promising, large scale studies are ______________.

(6)  The drugs tested thus far are injected __________________ once or twice a month.

(7)  The gene __________ leads to high LDL levels.

(8)  The disabled gene inherited from both parents resulted in____________________

(9)  Those with the mutated gene seemed almost immune to heart disease even with many risk factors including __________________________.

(10)

Monday, July 8, 2013

Collection of Health Information--Good Progress; Use Of Health Information--Not So Good

U.S. Hospitals Triple Use Of Electronic Health Records:  Report by Dennis Thompson, HealthDay Reporter.  U.S. News.  July 8, 2013.

(1)  The study reported in the article found that ________ percent of hospitals now meet federal standards for collecting electronic health data but only ______ percent meet standards for information exchange for physician access.

(2)  What are three factors driving adoption of electronic health records?

(3)  _____________ for failure to act on electronic health records have served as a important incentive.

(4)  Sharing data between  _______________ is the key to realizing the true potential of EHRs.

(5)

Search Terms On Certain Health Web Sites May Be Shared With Advertisers, Facilitating Target Marketing

Some Health Websites Share User Search Terms:  Study by Genevra Pittman.  Reuters.  July 8, 2013.

Follow the above link, read the article, and test your retention with a quiz.

(1)  The study found that _______ out of _______ populr health sites passed search information to third parties.

(2)  There is the possibility that patients could be subjected to __________ based upon their searches.

(3)  Select the correct option:  U.S. government sites including the National Institutes of Health do/do not share search information.

(4)  True or False:  People searching for medical information can assume that they are anonymous.

Sunday, July 7, 2013

Stool Donation: A Personal Story

Why I Donated My Stool by Marie Myung-0k Lee.  The New York Times.  July 6, 2013.

(1)  F.M.T. is explored in this article as an alternative to treatments such as ______________ durgs and total ____________.

(2)  F.M.T is _____________________.

(3)  Bacteria in the gut can serve many functions including ____________________________.

(4)  Bacteria in a healthy human bowel are involved in ____________________

(5)  True or False:  Many adverse reactions to F.M.T have been recorded worldwide.

(6)  How has an FDA regulation impacted the use of F.M.T?

(7)  True or False:  F.M.T. must be performed in a hospital.

(8)  In an ideal future, a screening procedure may allow healthy people to donate their _________-

(9)

Coal's Slipping Grip: Death Of A Georgia Coal Plant

Coal's Slipping Grip:  Death Of A Georgia Coal Plant by Brett Israel.  Environmental Health News.  July 2, 2013.

(1)  New pollution rules from the U.S. Environmental Protection Agency have been cited by Georgia Power for their decision to __________________________.  Updating the facilities, according to Georgia Power, is ___________________.

(2)  In total, about ________ such plants must close or be updated to meet 2011 EPA rules.

(3)  Changes to limit carbon pollution from new and existing plants will likely__________________.

(4)  The Southeast is one of the most _______________________ in the nation.

(5)  For communities near the plants health benefits are _________________ as the economic losses.

(6)  The Yates plant cited in the article released __________ pounds of toxic chemicals into the air in 2011.

(7)  The required upgrades nationwide will cost ________________________ with health benefits to  be between ___________________.

(8)  While plants have brought jobs and tax revenue, little other_______________ has come to nearby neighborhoods.

(9)  The closing of the three Georgia plants will result in the loss of __________ megawatts of energy (Georgia Power), a loss that it plants make up  with _______________________.

(10)

Researchers Find That Insulin Dysregulation Undermines Milk Supply For Lactating Women

Insulin's Role In Making Breast Milk.  Medical News Today.  July 7, 2013.

Follow the above link, read the article, and test your retention with the following quiz.

(1)  The reason that women have difficulty in producing enough milk for their newborn is that a large portion of them are _________________.

(2)  During lactation the mammary gland becomes extremely sensitive to _________.

(3)  The study estimates that perhaps up to _______ percent of new mothers are at risk for low milk supply due to insulin dysregulation.

(4)  The ________ gene may serve as a biomarker for insufficient milk production.

(5)  The best approach to this problem, the researchers assert, is _____________ including modification of ____________ and ___________.

Saturday, July 6, 2013

Key To Effective Public Health Campaigns Perhaps Located In Brain Region

How The Brain Creates The "Buzz" That Helps Ideas Spread.  Science Daily.  July 5, 2013.

Follow the link to the article, read, and then test your retention with a quiz.

(1)  According to the study's author we are wired to _____________________.

(2)  This fact illustrates the social nature of _______________.

(3)  The study mapped brain regions associated with _______________ and are associated with being a ________________.

(4)  There is a possibility that the map could be used to forecast both _____________ and also who _____________________.

(5)  The study found that the ______________ region of the brain was associated with greater ability to sell ideas.

(6)  What is the "mentalizing network" and how does it relate to "buzz?"

(7)  Applications for public health campaigns could include ______________________.


Productivity Loss Estimates Need More Rigorous Methodology

Here's All The Stuff That Supposedly Costs Us Billions In "Lost Productivity" by Brad Plumer.  The Washington Post.  July 6, 2013.

(1)  The basic point of the article is that measures of lost productivity are an ____________________________________.

Electronic Cigarettes Pose Health Questions

Electronic Cigarettes:  No Smoking, But Lots Of Fuming by Amber Dance.  The Lost Angeles Times.  July 6, 2013.

(1)  Personal vaporizers, and the liquid used with them that are laced with nicotine are so different that the ______________________________.

(2)  A 2009 study of two kinds of e-cigarettes found _____________ in one type.

(3)  So far there are no studies indicating ____________________.

(4)  A professor of public health stated that even without the chemicals in traditional cigarettes, nicotine is __________________________.

Friday, July 5, 2013

Gut Microorganisms Seems To Be A Constant; Early Gut Colonizers May Produce Lifelong Effects

Those Gut Germs May Shape Your Life From Birth by Maggie Fox.  NBC News Health.  July 4, 2013.

(1)  The study recounted here found little change in the bacteria living within with the exception of ______________________.

(2)  The microorganisms within fulfill several tasks including ___________________________.

(3)  Some studies that the microorganisms affect our weight by ________________________.

(4)  Closely related people often ___________________.

(5)  The changes the gut bacteria brought on my loss of weight seems to be related to the __________________ not the _________________________.

Aspirin Therapy Effectiveness For Heart Attack And Stroke Depends On The Gene

Aspirin Therapy Effectiveness For Heart Attack And Stroke Depends On The Gene by Julie S.  Headlines & Global News.  July 5, 2013.

(1)  The Aspirin Response Signature is a collection of ___________________.

(2)  The researchers found that in a group that had cardiac catheterization fully ________ percent were still at risk for another episode of heart attack or stroke because they lacked _________________.

(3)  This research points to the possibility of developing a diagnostic test to identify those who _____________________________________.

Obesity Prevention Covered Under Obamacare Insurance Requirement; Employer Approaches Will Vary

Obamacare Requires Most Insurers To Tackle Obesity by Nanci Hellmich.  USA TODAY.  July 4, 2013.

(1)  Preventive services under the Affordable Care Act covers both __________________ for obesity.

(2)  True or False:  Some insurance companies have covered obesity-related services for years.

(3)  True or False:  Screening and counseling for obesity will require some patient cost-sharing.

(4)  What are some approaches being used by insurers to help patients with obesity?

(5)  About ___________ of adults in the US are obese.

(6)  It costs about ___________ more a year to treat an obese patient compared with a healthy weight individual.

(7)  Insurance coverage decisions for preventative services under the ACA to treat obesity are based on recommendations from the _______________________________.

(8)  There is concern that some health plans may just cover ____________ and neglect comprehensive __________________ as well as prescription _____________ and _____________________.

Thursday, July 4, 2013

GBI Raid Raises Questions About Oversight

Missing Drugs, Poor Patient Oversight Among Problems Found In Georgia Personal Care Homes by Craig Schneider and Nancy Bardertscher.  MedCity News/The Atlanta Journal-Constitution.  July 4, 2013.

(1)  How did the Department of Community Health inspection of Alzheimer's Care Of Commerce differ in findings with what the Georgia Bureau of Investigation found to justify a raid on the facility?

(2)  A personal care home is a facility that falls somewhere between ___________ and a __________.

(3)  What did The Atlanta Journal-Constitution find in a 2012 investigation?

(4)  True or False:  State regulators often shut down personal care facilities with a record of violations.

(5)  The Department of Community Health employs _______ inspectors to monitor Georgia's _______________ personal care homes.

Evolutionary Response To Cholera And Arsenic Shapes Human Genome

Gene Sleuths Find How Some Naturally Resist Cholera by Nicholas Wade.  The New York Times.  July 3, 2013.

Read the article and test your recall with a quiz.

(1)  Identifying the genes that provide natural resistance to cholera will help the ______________________________.

(2)  The immunity  of people living in the Ganges Delta to cholera is provided by variations in _____________ genes.

(3)  Why can researchers draw the conclusion that evolution has continued to mold human populations in the recent past?

(4)  How does diarrhea benefit cholera?

(5)  How can the selected genes provide a road map to the body's defense against cholera?

(6)  From the evolutionary point of view how is immunity to cholera related to immunity against arsenic?

(7)  The case of immunity to cholera and arsenic may provide support for the impression that the human genome has been shaped by _____________________.

Providing Foil To Drug Uses Encourages Treatment Dialogue Discourages Injections

Drug Addicts To Be Given Foil To Encourage Treatment.  BBC.  July 4, 2013.

(1)  Drugs such as ____________________________ can be smoked from foil.

(2)  By providing addicts with foil ____________ will be encouraged while injection will be ___________.

(3)  Evidence in England indicates that providing ____________________ increases the number of individuals who _______________________.

(4)  Encouraging addicts to smoke rather than inject drugs will provide a way to lessen transmission of dangerous _______________ viruses.

Cognitive Decline Is Not Necessarily Inevitable: Mental Activity Across The Lifespan Is Key

Brain Stimulation At Any Age May Slow Memory Decline by Cathy Payne.  USA TODAY.  July 3, 2013.

(1)  Mental activity explains about ______  % of memory and think decline, controlling for signs of brain disease.

(2)  Define the concept of cognitive reserve.

(3)  According to the article intellectual stimulation involves both _________ and ___________ information.

(4)  Doing a ______________ of cognitive activities may be more protective of cognitive reserve than _________________________.

(5)  It is important to force yourself to _________________________.

Wednesday, July 3, 2013

A Liver From Skin And Blood Stem Cells: A First For Science

Scientists Create Human Liver From Stem Cells by Kate Kelland.  Reuters.  July 3, 2013.

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

(1)  It may take ___________ years before lab-grown livers could treat patients.

(2)  There are two main forms of stem cells, _____________________________.

(3)  iPS stands for ____________________.

(4)  Researchers used iPS cells to produce these three different types of cells that combine in embryo to produce the human liver: ____________________________________________.

(5)  The greatest impact iPS cell-liver buds may be _________________________.

Women Painkiller Epidemic: Deaths Up 400 Percent Over Last Decade

CDC:  Women's Painkiller Overdose Deaths Up 400 Percent Over Last  Decade by Michelle Castillo.  July 2, 2013.

(1)  About _________ women have died from painkiller overdoses between 1999 and 2010.

(2)  Since 2007, more women have died from drug overdoses than _________________.

(3)  ______ percent of female suicides are committed with prescription painkillers.

(4)  For every woman who died of a prescription painkiller overdose, _______ more went to the emergency room for misuse or abuse.

(4) _________ percent of drug overdose deaths involved prescription painkillers.

(5)  Increased _________ rates may be behind the rising death rate.

(6) Women may be more vulnerable is that they are more likely to be ___________.

(7)  Opioid prescriptions are in the same family as ____________.

(8)  What is NAS?

(9)  The ______________ Act will provide improved access to _____________________.

(10)  What is a PDMP?

(11)  The CDC is encouraging health providers to _________________.

(12)  What are some of the actions that patients should take to curb abuse?


Employer Health Coverage Requirement Postponed With Relatively Limited Impact On Coverage

Delay In Major Health Law Provision Raises Doubts At Critical Stage Of Rollout by Jay Hancock and Julie Appleby.  Kaiser Health News.  July 2, 2013.

(1)  Under the decision, the requirement that employers with ____________ offer health coverage is delayed.

(2)  This delay could have a relatively small effect on insurance coverage because far more will be covered by ____________________________.

(3)  The Congressional Budget Office estimated that the health law ___________________________  the first year because most employers _______________.

(4)  Still some employers may ________________ some employeesonto the exchanges with no penalty, some analysts say.

(5)  Employees whose employers may not now offer coverage the first year may still be eligble to __________________.

(6)  Questions about which employers are subject to the employer mandate revolve around definitions of what constitutes a _____________ firm who qualifies as a ____________ staffer.

(7)  While firms with under 50 employees are not required offer coverage under the health care law, if they do the coverage must offer _________________.

(8)  Another problem that will arise from the delay decision is determining eligibility for ___________.


Tuesday, July 2, 2013

Artificial Reality Simulations Through Avatars Might Help Weight Loss

New Skinny On Weight Loss:  Avatars Might Help by Fatimah Waseem.  USA TODAY.  July 1, 2013.

(1)  The research here, according to an expert quoted in the article, can show "how using virtual world technologies can be ______________________________________."

(2)  The participants in the study were able to ______________________ so as to better identify with the weight loss behaviors illustrated.

(3)  What were some limitations of the study?

(4)  What are some of the other uses for virtual reality systems for health promotion and behavior modification?

(5)  The study recounted here supports the idea that a computer avatar could be useful in influencing a person's ___________________.

Monday, July 1, 2013

Why Does Birth In American Cost More Than Anywhere InThe World?

American Way Of Birth, Costliest In The World by Elisabeth Rosenthal.  The New York Times.  June 30, 2013.

Read this wonderful article and test your retention with the quiz below.

(1)  _____________ and _______ care constitutes the biggest category of hospital payouts for most commercial insurers and state Medicaid programs.

(2)  For ______________ million annual births the cost is well over ________ billion.

(3)  Explain how paying for individual versus bundled services has contributed to high costs for birth.

(4)  In 2011, of the women covered by private insurance plans not obtained through an employer, ______% lacked maternity coverage.

(5)  From 2004 to 2010, prices paid by insurers for vaginal births rose ________%

(6)  In most developed countries, comprehensive maternity care is _________________.

(7)  In France new mothers remain in the hospital ________________ in order to __________________.

(8)  What is one social factor that has contributed to rising birth costs?

(9)  With costs spiraling, some hospitals are offering _________________.

(10)  True or False:  Most of the rise in birth costs is the result of reimbursements to obstetricians.

(11)  What has been the role of midwifes in cost reduction in other countries?

(12)  Why will out-of-control costs for births pose a threat for state finances?


Study: Prostate Cancer Aggressiveness Can Be Lowered Through Lifestyle Guidelines

Right Diet And Exercise Lower The Risk Of Aggressive Tumors In Prostate Cancer Patients by Benita Maltilda.  Science World Report.  July 1, 2013.

(1)  What are the World Cancer Research Fund's eight lifestyle recommendations?

(2)  The Fund recommends consumption of food low caloric density meaning below ____________  per ____________________.

(3)  The study leader states that men can moderate the aggressiveness of prostate cancer through _________________.

(4)  According to the National Cancer Institute, nearly ____________ men will be diagnosed with prostate cancer this year and ____________ will die.

Vision-Related Diseases Are A Hefty Financial Burden

Vision-Related Diseases Are A Hefty Financial Burden by Lindsay Friedman.  USA TODAY.  June 30, 2013.

(1)  The nations annual cost of eye and vision disorders is about ____________ billion with an ________ billion increase since 2007.

(2)  Vision disorders are more costly than chronic illnesses including _______________________.

(3)  The increase in vision-related costs stem from care of ______________ with diseases such as _____________.

(4)  True or False:  The federal government and insurance companies cover most of the spending on vision care.

(5)  The best way to deflect further increases in costs is ________________.

(6)  The National Eye Institute recently received a ______ million cut from its $703 million budget.

(7)  How will the Affordable Care Act aid pediatric vision care?