Monday, September 30, 2013

A Story Of Smartphone Adaptation And The Almost-Blind Photographer

Disruptions:  Visually Impaired Turn To Smartphones To See Their World by Nick Bilton.  The New York Times.  September 29, 2013.


MacArthur Foundation "Genius Award" Goes To Primary Care Physician Who Created Comprehensive Health Care Delivery Model

MacArthur Fellows:  Jeffrey Brenner-Primary Care Physician.  MacArthur Foundation.  September 2t5, 2013.

The model that Dr. Brenner has created is now being applied in ten communities across the country.

Editing Wikipedia Pages For Med School Credit

Editing wikipedia Pages For Med School Credit by Noam Cohen.  The New York Times.  September 29, 2013.

(1)  Among the objectives of this first-of-a-kind course are improving the _________ of medical articles in the encyclopedia, helping distribute the articles _________________, and educating the __________________, and helping medical students to more effectively __________________.

(2)  The articles are submitted to a group from _________________ that produces medical articles for countries that often lack _________________.

(3)  The Wikimedia Foundation seeks to make deals with cellphone carriers to ________________________.

Multi-State Health Insurance Option Unveiled For Obamacare Exchanges; U.S. And Blue Cross Collaboration

U.S. Plans To Unveil New Insurance Options by Robert Pear.  The New York Times.  September 29, 2013.

(1)  This plan was conceived as an alternative to a ___________________ when it was authorized in 2010.

(2)  The Blue Cross and Blue Shield Association will offer this plan in exchanges in _________ states.

(3)  In many of the products offered by Blue Cross, consumers will have access to a ____________
network of doctors and hospitals.

(4)  The availability this program will increase ____________ in states such as New Hampshire and West Virginia which would otherwise have just one carrier in their exchanges.

Sunday, September 29, 2013

War On Worldwide Poverty Being Won

A Way Of Life Is Ending.  Thank Goodness by Nicholas D. Kristof. Opinion piece.  The New York Times.

(1)  According to the World Bank, the share of the world's people living in extreme poverty has been reduced from ____________ in 1980 to ____________ today.

(2)  More people worldwide now have cellphones than ___________.

(3)  There is a well-known path from declining child deaths to _____________.

(4)  Some of the biggest gains resulted from ____________ in China and India.

(5)  According to a Pew poll the budget area that Americans most wanted to cut was "____________."

Children And Guns: Statistical Idiosyncrasies Hide True Toll

Children And Guns:  The Hidden Toll by Michael Luo and Mike McIntire.  The New York Times.  September 28, 2013.

(1)  The Times found that accidental shooting deaths of children occurred at roughly twice what official records indicate because of idiosyncrasies in how_______________________________.

(2)  The lower official numbers have been cited by the NRA opposing ____________________.

(3)  Firearms have been exempted from regulation by the ______________________ since its inception.

(4)  Even with a proper county of accidental deaths of children, intention shooting deaths of children far ___________________________.

(5)  According to the Times, a vast majority of cases of children shooting deaths revolved around children's _________________ with the shooting either _________________.

(6)  Boys often showed that they _____________ handling a gun disregarding _________________.
(7)  The undercount found by the Times stems from the peculiarities by which medical examiners and coroners make their "___________" rulings.  Most simply call any death in which one person shoots another a ____________.

(8)  To address the statistical undercount researchers have pushed for an expansion of the ___________________________ which at present is up and running in only _______ states.

(9)  Tracking ____________ might be a better way to track gun accidents than deaths.

(10)  The third most common age of gun deaths was ________.

(11)  About half of gun accidents took place ___________________ with a third occurring _______________.

(12)  ______________ were most often the shooters in gun accidental shootings.

(13)  Where criminals were involved they usually were not the ones___________________.

(14)  While the NRA claims that its educational efforts have created the steep decline in accidental gun deaths from the 80's, other explanations could be ________________.

(15)  What are some of the technological barriers to developing a "smart gun?"

Saturday, September 28, 2013

Shift Resources From Breast And Prostate Screening Toward Bowel , European Scientist Recommend

Scientists Urge Europe To Shift Focus To Bowel Cancer Screening by Kate Kelland.  Reuters.  September 28, 2013.

(1)  The scientists based their recommendation on "__________" evidence that bowel screening saves lives.

(2)  Studies in recent years have found that routine breast mammograms also leads to "_____________."

(3)  A new study showed men experience _________________ from routine prostate tests in terms of  _____________________________.

(4)  By contrast, the greater the proportion of men and women screened for bowel cancer the greater the ___________________________.

(5)  Screening for bowel cancer involves either ___________ or ___________.  


Friday, September 27, 2013

Red State And Obama Administration Work Innovate To Expand Health Insurance Availability

Why Arkansas' Newly Approved Alternative To Medicaid Expansion Is A Big Deal For Obamacare by Sy Mukherjee.  Thinkprogress.  September 27, 2013.

(1)  Why is the Arkansas alternative proposal to expand Medicaid under the Affordable Care Act significant?

(2)  The "private option" presented by Arkansas will allow the eligible citizens to shop on ____________ instead of being enrolled in the public _____________.

(3)  Safety net hospitals are going to be hurt by a state's failure to ____________.

(4)  It is important to get  Red states to cover the uninsured because _____________________.

Abuse And Lack Of Parental Affection Impact Body's Entire Regulatory System As Adults

Abuse, Lack of Parental Warmth In Childhood Linked to Multiple Health Risks In Adulthood.  Science Daily.  September 26, 2013.

(1)  The study explained here is the first to _______________________.

(2)  Individuals reporting low levels of lover and affection and high levels of abuse had the highest ____________________________

(3)  Lingering effects of childhood abused can be linked to age-related diseases such as _______________________.

(4)  A researchers stated that "if we intervene early in risky families and places that provide care for children by educating ________________________________________.

Thursday, September 26, 2013

Mind-Controlled Bionic Leg Now Reality; Highlights Innovation In Prosthetics

The First Mind-Controlled Bionic Leg Steps Into Reality by Alexandra Sifferlin.  Time.  September 26, 2013.

(1)  The prosthetic limb uses reinnervated nerves that are _____________ to control the limb.

(2)  The Director of Biomechatronics at MIT has perfected the robotics  to replicate the ____________________ which provide ____________ that propels a normalizes the gait.

Google Takes On Death With New Venture

Google vs. Death by Harry McCracken.  Time.  September 30, 2013.  This  article is available by subscription or in the physical copy of the magazine.

(1)  The new company Google is starting is called ________ and will focus on ________ and _______ in particular.

(2)  According to the article, medicine is well on its way to becoming an ________________ science.

(3)  According to the article Larry Page may not find curing cancer may not be a big enough task since if you solve cancer you'd add only about _______________________ to people's average life expectancy.

(4)  Many "expect (Google) to use its core ___________ skills to shed new light on ____________."

Wednesday, September 25, 2013

Prices Revealed For Insurance Purchased On Federal Health-Care Exchanges

Prices Set For New Health-Care Exchanges by Louise Radnofsky.  The Wall Street Journal.  September 25, 2013.

(1)  The Affordable Care Act marks a fundamental shift in the way health insurance is priced because companies will not be able to ___________________________.

(2)  Since the insurance products offered in the exchanges will be required to contain more generous benefit packages, consumer who now used skimpier plans could find themselves ____________________________.

(3)  A key concern with the exchange is whether enough healthy people will sign-up to balance ______________________.

(4)  Administration officials point to the ____________ which will help offset premiums.  Republicans point to a train __________.

AJC Continues Its Coverage Of Health Care Reform: Employers

Voices On Health Care.  The Atlanta Journal-Constitution.  September 25, 2013.  This article is available online as part of the AJC's subscription service and in the physical newspaper.

The ACA impact on four contrasting businesses is presented.  One is small enough to avoid the employer mandate to offer affordable insurance to employees;  Another is covered by the mandate but trying to assess costs.  The third, a tech start-up, offers insurance because of the nature of his business.  The final company profiled is Southwire which feels that, as a family-oriented company, health coverage is vital.

Report On The American Diet: Not Great News

The Changing American Diet:  A Report Card by Bonnie Liebman.  Center for Science In The Public Interest.

(1)  Red meat consumption per person is ___________ per year.

(2)  Poultry plus seafood totals __________ pounds per person per year.

(3)  Cheese consumption has grown from ___________ pounds per person per year to ________.

(4)  ____________ is booming up to 9 pounds per person.

(5)  Americans eat _________ pounds of flour per year.  There is a need to switch to __________ and cut back on ________.

(6)  Americans eat _________ more calories per day than they did in 1970.

(7)  Americans in 2010 78 pounds of mostly _________________ in 2010.

(8)  Consumption of fruit is still pretty much where it was in _________.


Tuesday, September 24, 2013

Care And Insurance Seem To Align in End-Of-Life Dementia Care

Insurance Type To Dying Dementia Patients' Care by Andrew M. Seaman.  Reuters Health.  September 24, 2013.

(1)  Fee-for-service insurance payment, for every test and treatment, seemed to result in more moves to the _____________ for end-of-life dementia patient than when payment was on a _________ basis.

(2)  People with advanced dementia won't usually benefit from ______________ during the last months of life for ______________.

(3)  Nursing homes may have an incentive to send very sick people to the hospital because ________________________.

(4)  Managed care organizations receive a __________ for each person they cover.

(5)  The researcher indicated that "it turns out that (the patient) may not _________ even if you sent them to the hospital."

AJC Series On The Affordable Care Act: The Uninsured

The Uninsured.  The Atlanta Journal-Constitution.  September 23, 2013.  This article is available by online subscription or in the physical newspaper.

Combining personal accounts with data, this article shows how a nanny, a free-lancer, a cancer survivor, and a veteran would be affected by the Affordable Care Act.

AJC Series On The Impact Of The Affordable Care Act Continues: The 20-Somethings

The 20-Somethings.  The Atlanta Journal-Constitution.  September 24, 2013. This article is available with an online subscription or in the physical newspaper.

Four young people are profiled.  Each has differing health, employment, and personal circumstances that shape their attitude to the Affordable Care Act the the exchanges (marketplaces) slated to open October 1, 2013.

Sunday, September 22, 2013

Georgians Hazy About Health Law; The Less They Know About The Law The More They Oppose It

Georgians Wary Of Health Law by Misty Williams and Carrie Teagardin.  The Atlanta Journal-Constitution.  Available in the physical newspaper or online subscription at myajc.com.  Brief summary is available here.

(1)  _________ in ten Georgians said that they supported expansion of Medicaid, even though Gov.  Nathan Deal has __________________.

(2)  ________________ of Georgia embrace major provisions of the law such as protections for those with pre-existing conditions and allowing parents to keep young adults on their parent's insurance plans up to age 26.

(3)  _________% said that they wanted to repeal either all or part of the law even though _________ % indicated that had a not very clear understanding of the law.

(4)  ________ million Georgians or about ________ % are uninsured in Georgia.

(5)  ________% of uninsured Georgians were not clear how the law would affect them with ______% of those indicating that they had an unfavorable view of the law.

(6)  Georgians oppose prohibiting health insurance companies from charing women higher premiums than men by ________% to ________%.

(7)  With the opening of the insurance exchanges on _________ Georgians will get to choose from _______ insurers who have filed plans to sell insurance on the exchanges in one or more regions in Georgia.

(8)  Most people who get their insurance at work will ___________________  though they can shop on the exchanges.  However they will not be able to qualify for __________.

Saturday, September 21, 2013

Why Humans Live So Long

Why Humans Live So Long by Heather Pringle.  Scientific American. September 23, 2013.  (The website provides only a preview.  Subscription required or buy the physical copy.  Well worth the effort and expense!

(1)  The trend toward slower aging and longer lives began with the evolution of an increasingly powerful ____________________ to fight off the many ________________ in the ancient environment.

(2)  Hunter-gatherer groups provide a hint that modern health practices might not____________________.

(3)  Studies reveal that living to ______________ became common only recently in our prehistoric past.  

(4)  Meat eating helped to fuel ____________ but also increased exposure to ____________.

(5)  The adaptive immune system responds to particular pathogens and in so doing creates a _____________  that confers lifelong protection agains the invader.  

(6)  The gene E (APOE) influences ______________________________________.

(7)  APOE e4 vigorously ramps up the ___________________ thus providing the children of ancient families with a better chance of _______________________.

(8)  Early humans who carried APOE e4 had a means to facilitate the absorption of _______ and the efficient storage of _______________.

(9)  Even today APOE e4 carriers s shown in a study of Brazilian children scored higher on __________ tests.

(10)  APOE e4 carriers tend to _________ childhood infections.  However, in old age they are more vulnerable to diseases such as __________________.

(11)  Antagonistic pleiotropy refers to ____________________.

(12)  APOE e3 carriers produce a _____________ inflammatory response and are better adapted to ________ and _____-rich diets.

(13)  APOE e3 carriers tend to live as much as __________ longer than APOE e4 carriers

Friday, September 20, 2013

Voices Heard By Those With Schizophrenia Speak With A Cultural Accent

The Violence In Our Heads by T. M. Luhrmann.  The New York Times.  September 19, 2013.

(1)  People with schizophrenia are far more likely to be _____________ than ____________.

(2)  The voices heard by patients in United States and India heard _____________ and sometimes ________________.

(3)  Those voices patients in India heard were considerably _______________ than those heard in the United States.

(4)  The research suggests that local culture may shape the way that ___________________.

(5)  The Hearing Voices movement encourages people who hear voices ____________________________________________.

(6)  How did London-based study use an avatar to treat people with schizophrenia?

(7)  The author offers the opinion that "the same cultural patterns that make it difficult to get gun violence under control may be responsible for _____________________________________."

Thursday, September 19, 2013

New Blood Test Distinguishes Between Viral and Bacteria Infections With No Advance Knowledge Of the Pathogen Required

Scientists Create Blood Test That Distinguishes Between Viral And Bacterial Infection by Jonathan Marker.  September 19, 2013.

(1)  The blood test looks for a specific ________ signature that an infected person's ______________ expresses in response to the virus.

(2)  The new test could be used when a new, unknown _____________ emerges.

(3)  Knowing whether the infection is viral or bacteria is important for the decision to treat or not with ___________.




Beyond The Flat Line: Toward A New Frontier In Animal And Human Brain Functioning

Coma:  Researchers Observe Never-Before-Detected Brain Activity.  Science Daily.  September 18, 2013.

(1)  Previously researchers and doctors had established that beyond _____________________ there was no brain activity, no possibility of life.

(2)  The Nu-complexes observed in deep coma are oscillations _______________________ which were transmitted to the ___________.

(3)  Neuroprotection refers to the ___________ potential of the extreme deep coma.

(4)  Another implication of this research is that the brain is able to survive an extremely deep coma if ______________________

Method To Trace Changes In Alzheimer's Developed; May Be Key To Early Detection

New Scan May Diagnose Alzheimer's As Brain Changes Occur by Ryan Jaslow.  CBS News.  September 19, 2013.

(1)  One of the physical changes associated with Alzheimer's is build-up of proteins called _________________ that form brain plaques.

(2)  Another change is dying nerve cells full of tangled strands of proteins called ________.

(3)  Tau proteins are often linked to the ___________.

(4)  Tau lesions are more intimately associated with ___________ loss than senile plaques.

(5)  Tau tangles can be signs of degenerative diseases in additions to Alzheimer's including ______________________.


Wednesday, September 18, 2013

Commonwealth Fund Datagraphic: Explores Regional Health Performance

Health System Data Center:  Explore Regional Performance.  The Commonwealth Fund.

A tremendous graphic resource exploring health performance along many dimensions.

2008 Financial Crisis Linked To Suicide Rates In U.S. And Europe

Report:  2008 Financial Crisis Increased Suicide Rates In U.S., Europe by Michelle Castillo.  CBS News.  September 18, 2013.

(1)  The overall male suicide rate in 2009 increased by ___________ percent above the estimate rate if the rates had been consistent with historical trends.

(2)  There was ____________ in female european suicide rates and ____________ was observed among women living in the Americas

(3)  For every suicide, approximately _______________ more people attempted to kill themselves.  For every attempted suicide there were ___________ who had suicidal thoughts.

(4)  Recession babies are more likely to be ______________.

(5)  Physician visits, drug fills and in patient stays _____________ from 2007-to 2009.

Tuesday, September 17, 2013

Cancer Will Surpass Heart Disease As Number One Killer Without More Cures

AACR:  Research, $$ Needed Or Cancer Will Be Top Killer by David Pittman.  MedPage Today.  September 17, 2013.

(1)  As baby boomers age, cancer diagnoses will increase since _______% of cancer diagnoses occur in those 55 and over.

(2)  The rise in cancer prevalence is tied to factors other than demographics such as ___________________________.

(3)  Modifying _______________ to adopt a _____________ could have a remarkable impact on the cancer burden.

(4)  The economic burden of cancer is even now _________ % higher than any other major disease.

(5)  Under sequestration and no budget increases the National Institutes of Health's spending power has decline ___________ since 2003.

(6)  Approximately _________ million Americans will receive a cancer diagnosis this year.

Child Food Allergies Cost US $25 Billion A Year; Over $4 Thousand A child

Food Allergies Cost U.S. $25 Billion A Year by Ryan Jaslow.  CBS News.  September 17, 2013.
(1)  About ______ percent of U.S. kids have food allergies, rates that have been ________ in recent years.

(2)  Nearly __________ percent of food allergic children have a history of severe reactions.

(3)  Anaphylaxis is a _____________________ requiring --___________.

(4)  The most common and severe food allergies is to ___________, an allergy to which children are less likely to _____________.

Black Widow Spider Bite: A Personal And Scientific Trial

Dancing With Black Widow Spiders by Jackson Landers.  September 16, 2013.

(1)  The traditional treatment for black widow spider bites, antivenin, for some patients who have an _____________________.

(2)  The new form of antivenin was made in ___________________.

(3)  If the new drug, Analatro, is approved patients will not have to _______________________.

Monday, September 16, 2013

Scope Of Problem Given First Rigorous Definition: Drug-Resistant Deaths And Infections Tallied

Drug-Resistant Superbugs Multiplying:  CDC Report IDs "Urgent Threats"  by Eryn Brown.  Lost Angeles Times.  September 16, 2013.

(1)  More than ______________ people get antibiotic-resistant infections every year with ___________ dying from their illness.

(2)  When microbes susceptible to drugs die during treatment It can create opportunities for _______________________________.

(3)  According to a study from Tufts University, drug resistance could create ____________ in direct costs and ______________ in lost productivity.

(4)  Among the four core actions recommended by the reports was development of _________________________.

(5)  According to an expert cited in the article most inappropriate prescriptions were dispensed in _____________________.

(6)  The CDC reports highlights the use of antibiotics in livestock to ______________.  The NRDC estimates that _________% of antibiotics sold in the U.S. are used for animals.

Sunday, September 15, 2013

Kids With Higher IQ--More Likely To Use Drugs; Kids With Lower IQ---More Likely To Become Addicted: Study

Smarter Kids Are Smart Enough To Avoid Alcohol And Drugs, Right?  by Maia Szalavitz.  Time.  September 13, 2013.

(1)  Scientists have documented that those with lower IQ and Less Education were more likely to become addicted because of an association with damaging __________________ and because ______________________.

(2)  Higher intelligence, according to much research, is a ______________ against alcoholism and addictions, even though smarter people are more likely ________________.

(3)  Intelligence can spur _________________ to new experiences.

(4)  Experimentation doesn't always lead to addiction  because this type of exposure only involves a few experiences before _____________________.


Saturday, September 14, 2013

U.N. Reports Syria Uses Hospital Attacks As A 'Weapon Of War'

U.N. Reports Syria Uses Hospital Attacks As A 'Weapon Of War' by Nick Cumming-Bruce.  The New York Times.  September 13, 2013.

(1)  According to the report "____________________ as a weapon of war is a distinct and chilling reality of the war in Syria."

(2)  The United Nations Commission of Inquiry documented attacks on medical care by both the _____________ and the ____________.

(3)  "By rejecting the irrefutable and universally accepted _______________________ the parties to the conflict in Syria are setting a dangerous precedent.


Progress Toward Discovery Of Biological Bases Of Psychiatric Disorders; Emerging Unified Science Of Mind Has Profound Treatment Implications

The New Science Of Mind by Eric R. Kandel.  The New York Times.  September 6, 2013.

(1)  A problem confronting psychiatry is that we cannot point to the underlying __________________.  However that is starting to __________.

(2)  A study of depression at Emory University found a person's response to cognitive behavioral therapy or an antidepressant could be predicted from the _____________ thereby showing a link between the biological and psychological.

(3)  Psychotherapy can produce lasting, detectable _________________.

(4)  What is the apparent relationship between chromosome 7 and autism and Williams syndrome?

(5)  One reason that older fathers are more likely to have children with autism and schizophrenia is that ____________________________.



Friday, September 13, 2013

Contrasting Approaches To The Affordable Care Act: Georgia and Kentucky

2 States, 2 Takes On Health Care Law by Misty Williams.  The Atlanta Journal-Constitution.  September 13, 2013.   (Available in hard copy or subscription only)

(1)  In Kentucky _____________ of the states uninsured will have a shot a medical coverage.  In Georgia __________ the state's 1.9 million uninsured will continue to go without coverage.

(2)  Georgia Governor Deal believes that the law is a ________________________ that would _________ the state.  The Kentucky Governor views will provide an opportunity to _____________________.

(3)  The Georgia governor believes that the state cannot ___________________.  The Kentucky governor believes that expansion of Medicaid and the Affordable Care Act will give Kentucky _____________________.

(4)  Both states share what the article called the Southern curse of bad health, including _________________________.

(5)  The Kentucky governor argues that a healthier workforce that's more productive will ____________________.

(6)  The Georgia governors spokesman argued that the state of Georgia doesn't ____________________________.

(7)  A Georgia State University economist estimates that expansion of Medicaid would bring in _____________ and create _______________ jobs.

(8)  About ____________Georgians is uninsured.

(9)  Since the state of Georgia isn't actively trying to inform people about the exchanges, the burden falls to _____________________ that don't have the same resources as the state.


Information Collection Practices And Lack of Coordinated Research Effort Obscures Trends in Child Abuse

IOM:  More Research Needed On Abused Kids by Todd Neale.  MedPage Today.  September 13, 2013.

(1)  According to the latest report physical and sexual abuse has become ___________ while rates of ________________ abuse have increased.

(2)  Some uncertainty remains about those trends because of _____________________________
__________________________.

(3)  About _______ million children are involve in cases of abuse and neglect reported to protective services each year.

(4)  ____________ of abusers are parents and slightly more than half are _______________.

(5)  One of the four recommendations was to create a national___________________.

U.S. Measles Rate increases; Beliefs About Vaccine Effects Cited As A Contributing Cause In CDC Report

CDC:  Vaccine "Philosophical Differences" Driving Up U.S. Measles Rates by Ryan Jaslow.  CBS News.  September 12, 2013.

(1)  Measles is a ___________ disease caused by a _______, that spread through breathing.

(2)  Among the serious complications of measles include ____________________________________.

(3)  "Clusters of people with _______________ can leave them susceptible to outbreaks when measles is __________________.

(4)  Outbreaks in ________________________ accounted for most of the cases this year.

(7)  __________________ percent of those unvaccinated cited philosophical  differeces with the MMR shot.

(8)  In recent years some pediatricians have _____________ patients if parents won't ge their kids vaccinated.

(9)  U.S. Vaccine rates remain high outside _________________.

(10)  Texas is currently battling a ______________ epidemic.

(11)  Half of imported measles cases came from __________.


Thursday, September 12, 2013

Estrogen And Its Relationship With Testosterone Plays Key Role In Fat Accumulation And Sexual Function

Men Need "Female" Hormone For Sex Drive, Fat Control:  Study by Brian Alexander.  NBC News.  September 11, 2013.

(1)  It is a lack of __________ that is most responsible for accumulation of ______________ plaguing men with low testosterone levels.

(2)  What is the role of aromatase in producing estrogen?

(3) "Low T" is properly called ______________.

(4)  The study revealed that a healthy range of testosterone in the body depends upon _________________.

(5)  This study could change the way ___________________________.

(6)  What is the "billion dollar question" referred to in the article?

American Heart Association Creates A New Class Of Risk For The 5 Percent of Children And Teens Who Are Severely Obese

Five Percent Of US Children, Teens Classified As "Severely Obese."  Science Daily.  September 9, 2013.

(1)  Severe obesity is a much more serious childhood illness than ____________.

(2)  Severe obesity has ___________ while childhood obesity has __________.

(3)  Treatment options for severely obese children are ___________ and standard approaches to weight loss are ________________.

(4)  Severely obesity is defined as a BMI that is at least ______________ than the _______ percentile for their gender and age.

(5)  The step-wise approach for treating severely obese children moves from ___________ change, to __________, and potentially ___________.

(6)  Among the ways the AHA statement suggests to close the gap between lifestyle change and surgery is recognizing severe obesity as a ____________ requiring _______________.


Modified-Virus Vaccine Spurs Immune System In Action Against HIV-Like Virus In Monkeys; Success In Clearing Virus Seen In Half Of Monkeys Tested

Vaccine "Clears HIV-Like Virus" In Monkeys by Rebecca Morelle.  BBC World Service.  September 11, 2013.

(1)  The form of Simian Immunodeficiency Virus tested is up to __________ more deadly than HIV.

(2)  A virus belonging to the herpes family, CMV, was modified to ______________________>


Wednesday, September 11, 2013

In JAMA Study, Not Factoring Speciality, Wage Gap Between Male And Female Physicians Stays The Same And Perhaps Growing

Female Physicians Earn $56k Less Per Year Than Males, Study Says by Alison Ritchie.  Medical Economics.  September 6, 2013.

(1)  The gap between pay for male and female physicians has essentially ________________ over the periods examined with an increase to a _______% gap between 2006-2010.

(2)  While the study adjusted for age, sex, race, state and hours worked it did not account for __________________.

(3)  The study raises the question whether the concentration of women and men is certain specialties it is a matter of ___________ or a matter of unequal _____________.

(4)  About ______% of U.S. medical school graduates are now women.


Integrating Behavioral Health Services In Primary Care Practices Proves worthwhile For Provider And Patient

Three Reasons Why Integrating Behavioral Health Services May Benefit Your Primary Care Practice by Alison Ritchie.  Medical Economics.  September 11, 2013.

(1)  More than ______ % of primary care visits are related to psychosocial issues including ____________________.

(2)  The reason many primary care physicians  don't screen for mental health disorders is because they are not ________________.

(3)  By addressing mental health issues with primary care physicians, patients will likely see_________________.

(4)  By working with behavioral health professionals as a team, primary care physicians can perhaps reduce_______________.

(5)  Behavioral conditions, such as depression, often ___________ the costs of other physical conditions such as diabetes.

(6)  New payment systems through _____________________ may produce opportunities to commit resources where cost savings can be realized.

Reversion Of Tissue To Embryonic State Achieved For The First Time In An Animal

Stem Cells:  Living Adult Tissue Transformed Back Into Embryo State by James Gallagher.  BBC News.  September 11, 2013.

(1)  This new technique could led to ways to _______________.

(2)  However the technique lead to ___________ in mice pointing to issues of _______ in the process.  

(3)  A possible use in ophthalmology could be ____________________


Tuesday, September 10, 2013

A Novel Approach To The Physician Shortage: Retrain Retiring Specialists

Could Retiring Physicians Solve The Primary Care Shortage by Chelsea Rice.  HealthLeaders Media.  September 9, 2013.

Institute Of Medicine Declares Cancer Care Crisis, Outlines Problems, Proposes Approaches

IOM Declares Cancer Care Crisis by David Pittman. MedPage Today.  September 10, 2013.

(1)  Among the problems in cancer care is a shrinking _______________.

(2)  Roughly _________ million Americans have had cancer and is expected to grow to __________ million by 2030.

(3)  Cost of cancer care is rising ___________ than other fields of medicine nearly _________ between 2004 and 2010.

(4)  According to the IOM committee decisions about care are not _______________.

(5)  Older adults with cancer present special needs such as ________________________.

(6)  Among the recommendations was a strategy to enusre that all individuals caring for cancer patients have appropriate ________________.

(7)  Another recommendation was the development of a common set of data elements that would _______________________________________.

(8)  Among the six components with formed the basis of the recommendations was translating _____________________.


Nurse Practitioners Try Obamacare Workaround For Insurance Primary Care Roadblock

Nurse Practitioners Try New Tack To Expand Foothold In Primary Care by Julie Appleby.  September 8, 2013.

(1)  To insure expanded authority to deliver primary care, nurse practitioners are asking the Obama administration _____________________________.

(2)  Some insurers do not accept nurse practitioners into their ______________, while others restrict them to ______________.

(3)  Being credentialed in insurers' networks will allow nurse practitioners to _______________.

(4)  Insurers say that a _________________ complicates nurses' ability to practice primary care and bill directly.

(5)  Providing primary care without the supervision of physicians has been endorsed by the ______________.

(6)  Physicians groups say that, absent a team approach with physicians in the lead, patients will be ______________.

(7)  Since nurse practitioners undergo a shorter training time, their numbers ____________________.

(8)  About _____________ nurse practitioners run their own offices.

(9)  About ________ percent of 258 larger HMOs nationwide credential nurse practitioners as primary care providers.

Monday, September 9, 2013

National Happiness Ratings Released: Northern European Countries Lead The Way; US Trails Mexico at #17

World's Happiest Nations Are............ by Georgia McCafferty.  CNN.  September 9, 2013.

(1)  _______________ upheavals have resulted in dramatically lower rankings for ___________________________________.

(2)  Reduced happiness in some countries was linked to the people's perceived "freedom to _________________.

(3)  The largest gains in life evaluations have been in ________________________.

(4)  The single biggest "determinant of misery" has been  _______________.

(5)  There is a growing global movement calling on governments to reduce ____________ and focus on ________________________.

(6) "_________ economics" has gained traction in many countries across the world

Laboratory Testing Industry: Ripe For Innovative, Medically-Sound, Cost Saving Approaches?

Elizabeth Holmes:  The Breakthrough Of Instant Diagnosis by Joseph Rago.  The Wall Street Journal.  September 8, 2013.

Click on the above link, read the article and see test your recall with a brief test.

(1) Elizabeth Holmes' firm is refining devices that __________________ more than 1,000 laboratory tests, from ________________________.

(2)  The devices require ______________ blood volumes and are ________ accurate than conventional analyses.

(3)  Her company is launching a partnership with ____________ for _______________.

(4)  While diagnostic test account for between _____________ % of health spending, they drive between ___________ of every clinical decisions by physicians.

(5)  A major problem cited by Ms. Holmes is that physicians rarely have "_________________________________________."

(6)  Only about ________ % of tests ordered by physicians are carried out for reasons including not enough __________.

(7)  The reference ranges for lab instruments ______________ from manufacturer to manufacturer.   Often machines are not ___________ one to another.

(8)  The company's analytical tools might help promote ______________ medicine.

(9)  Ms. Holmes company is committing to producing tests at a ___________ discount on Medicare fees.

(10)  One of the patents obtained by the company is a wearable diagnostic device that attaches to the boy with _____________________.

Saturday, September 7, 2013

The Comeback Of The Housecall

Hi, It's Your Doctor by Ezekiel J. Emanuel.  Opinionator.  The New York Times.  September 5, 2013.

(1)  In 2010 about ___________ physicians conducted more than _______________ houseclls.

(2)  According to the article certain kinds of urgent-care problems can best be treated by a house call but account for about ________ percent of the nearly ________ million annuals visits to emergency rooms.

(3)  Companies such as Microsoft and Costco use doctors or nurses assisted by ____________ to identify which cases are best treated in an emergency room and which can best be treated at home.

(4)  A virtual house call allows ___________________.

(5) Older frail patients may suffer from _______________ making getting to the doctor's office difficult.

(6)  What has been the impact of the Affordable Care Act on house call effectiveness research?

(7)  What is the Hospital At Home concept?

(8)  What does research say about cost savings for house calls?  

Thinking They Are Ill With The Disease They Are Studying: Medical Students' Disease

When Med Students Get Medical Students by Barron H. Lerner.  The New York Times.  September 5, 2013.

(1)  "Medical students disease" refers to the phenomenon when medical students notice something innocuous and about their health and _____________________.

(2)  A study from the mid-1960's reported that _________ percent of medical students complained of symptoms of disease they had studied.

(3)  Another study from that same period that medical students disease could be a "signal of ________________________.

(4)  True or False:  According to an oxford University study medical students had similar "health anxiety scores to non-medical students and non-students.

(5)  True or False:  The author believes that it is probably wrong to speak of a distinctive entity known as medical students' disease.

In First Study Of The Impact Of High-Deductible Health Plans, Men Found More Likely To Delay Emergency Care

When Health Deductibles Rise Men Delay Emergency Care by Ann Carrns.  The New York Times.  September 5, 2013.

(1)  Men are more like to delay treatments for ____________ under high-deductible plans.  Women ten to cut back care for _______________ only.

(2)  High-deductible plans have ________ monthly premiums but ___________ out-of-pocket costs.

(3)  About a _________ of workers have high-deductible plans.

(4)  The number of workers under these plans is likely to __________ as a result of lower-costs plans on ___________________________.

(5)  "____________ beliefs" and worry that spending on their own care may ___________________________ are possible reasons presented to explain male reluctance.

(6)  Some high-deductible plans cover _______________ outside the deductible.

(7)  Online ___________ from health plans and nurse ___________ can offer guidance of when to seek treatment.


Friday, September 6, 2013

Combination Of Social Media, Behavioral, and Community Support Strategies Improve HIV Health Behaviors

Combination of Social Media, Behavior Psychology Leads To HIV Testing, Better Health Behaviors.  Science Daily.  September 6, 2013.

(1)  The approach, according to the lead investigator, might be used to change health behaviors across a variety of diseases because it combines __________________.

(2)  Social media could be useful in HIV and STD-prevention efforts by  increasing _________________.


Clearest Evidence To Date That Gut Bacteria Can Help Cause Obesity

Gut Bacteria From Thin Humans Can Slim Mice Down by Gina Kolata.  The New York Times.  September 5, 2013.

(1)  The most surprising part of the study was an experiment indicating that, with the right diet, it is possible _______________________________________.  In this experiment it was also found that bacteria from a fat mouse does not ________________________.

(2)  What happened in the "Battle of the Microbiota?"

(3)  What happened when the fat mice got food pellets that were rich in fruits and vegetables and low in fat?

(4)  Discuss the pro's and con's of fecal transplants for weight loss.

Thursday, September 5, 2013

Faster "Door To Balloon" Heart Attack Care Fails To Yield Lower Death Rate: Is "Symptom To Balloon" A More Appropriate Measure?

Shorter Waits For Angioplasty Do Not Lower Death Rates, Study Says by Eryn Brown.  Los Angeles Times.  September 4, 2013.

(1)  Between 2005 and 2009 the average time people waited before getting arteries opened was cut by _________%.  In 2005 the proportion of patients who died before leaving the hospital was ________% and ________ % in 2009.

(2)  One expert offered the opinion that patients might do better if they were taught to_____________________________________________________.

(3)  The American College of Cardiology stands by its treatment guidelines pointing out that _________________________________________.


Cognitive Control In Older Adults Improve By Videogame In Study

Scientists Use Videogames To Improve Older Brains by Evelyn M. Rusll.  The Wall Street Journal.  September 4, 2013.

(1)  Playing a specially-designed video game lead to improved cognitive controls such as ____________________________.

(2)  There is growing evidence that video games could eventually become therapies that __________________________.

(3)  Brain scans of the older subjects showed that activity in the prefrontal cortex began to resemble _____________________.

(4)  It is hoped that videogame therapy can ________________ the use of prescription medications.

(5)  While this study shows some promise, their seems to be widespread opinion among researchers that there is need for _____________.

Wednesday, September 4, 2013

Gut Bug Diversity Points To Metabolic Health

Greater Array Of Gut Bugs Points To Metabolic Health by Kristina Fiore.  MedPage Today.  August 29, 2013.

(1)  Researchers without a robust portfolio of gut bacteria were more likely to __________________

(2)  The researchers speculated that the microbial gut metagenome may define _________________ explaining why some obese patients can still be metabolically healthy.

(3)  Anti-inflammatory microbial communities such s Lactobacillus were associated with high____________.

(4)  Among the possible reasons for less diverse intestinal bacteria are ___________________.

(5)  A question raised by this research is whether microbial gene complexity is "merely a reflection of ________________ or actually ___________________.

Deaths From Heart Disease And Strokes: About One In Four Are Preventable According To First-Of-Its-Kind CC Report

One In Four U.S. Heart Disease Deaths Could Be Prevented, CDC Says by Julie Steenhuysen .  Reuters.  September 3, 2013.

(1)  Among the preventable causes of heart disease in the report were _______________________
________________________.

(2)  Heart disease accounts for nearly ____________ deaths a year, about ____ percent of all U.S. deaths.

(3)  The states with the highest avoidable death rates were located primarily in the ___________.

(4)  The launch in 2014 of the health care law could help reduce avoidable deaths by providing coverage for routine access to __________________.

(5)  The preventable death decline in age group 65 to 74 may be because _________________________________.

(6)  Blacks were more than ___________ as whites to die from preventable heart disease and strokes.

Tuesday, September 3, 2013

Moving From Electronics To Ionics Offers Potential Revolution in Medical Devices

Transparent Artificial Muscle Plays Music by Caroline Perry.  Harvard Gazette.  August 29, 2013.
The article linked above contains a video demonstration of the ionic speaker.

(1)  The innovation highlighted in the article is first demonstration that _____________________ can be put to meaningful use in fast-moving,high-voltage devices.

(2)  The gels used as electrolytes are ______________ making it relatively easy to _____________.

(3)  Ions are the __________ of the human body, which for examples allows the heart to _________.

(4)  The audio speakers represents conceptual proof that ionic conductors can used with both high __________ and ________________.

Life Expectancy For Older Women Is Improving; Gap Between Rich And Poor Countries Widening; Treatment of NCD's The Reason

Life Expectancy Gap Growing Between Rich/Poor World Women---WHO by Stephanie Nebehay.  September 2, 2013.

(1)  Women in wealthier countries benefited from a dramatic fall in ____________________ especially from cancers of the ______________________.

(2)  Cited for the success of the wealthier world was better __________, particularly ___________ around control of ____________ and screening of __________ cancer, as well as better ___________.

(3)  In many developing countries there is limited access to ________________medication to treat __________, a major risk factor in death.

Monday, September 2, 2013

Study Of TB Genetic Origin Shows Human Beginnings, Importance Of How Humans And TB Co-Developed

TB Has Human, Not Animal, Origins--Says Study by Julie Gould.  BBC News.  September 2, 2013.

(1)  An importance of this study for human health is that if scientists can understand how TB and humans co-developed then that knowledge would help ________________________.

(2)  The researchers combined geographic and genetic data from _______ strains of TB to reconstruct its evolutionary history and compare it to the origins of humans in Africa.

(3)  The ability of TB to ___________ reactivate itself may explain how it survived in people for so long.

(4)  The hypothesis presented by this study is that TB developed in __________ and was transmitted to animals during the NDT or __________________.


European Men Height Increased Four Inches Between 1870 and 1980--Probable Cause: Decline In Fertility

Average Man 11cm Taller Than A Century Ago by Christine Hsu.  Counsel & Heal.  September 2, 2013.

(1)  The average height of European men increased by _________ between 1870 and 1980.

(2)  The period spanning the two World Wars and the Great Depression actually _____________ especially__________________ countries.

(3)  The decline in _________ mortality was another factor in addition to declines in fertility.

(4)  Rising ___________, improved__________, as well as better ___________________ also contributed.