In this landmark study, researchers examined NPD restaurant servings and traffic data, and Nation’s Restaurant News sales trends, to analyze whether or not growing sales of lower-calorie menu items in 21 national restaurant chains, accounting for half of the top 100 chain sales, resulted in superior business performance.
The study concluded that quick-service and sit-down restaurant chains that grew their lower-calorie servings delivered better business results. In short, sound strategic planning with a commitment to growing lower-calorie items is just good business.
The findings of this study clearly demonstrate that between 2006 and 2011 lower-calorie foods and beverages were the key growth engine for the restaurants studied. Restaurant chains growing their servings of lower-calorie foods and beverages demonstrated superior:
• Same-store sales (SSS) growth
• Increases in restaurant customer traffic • Gains in overall restaurant servings
Increasing lower-calorie menu portfolios can help quick-service and sit-down restaurant chains improve the key performance metrics demanded by their shareholders and Wall Street, while at the same time providing lower-calorie foods and beverages for families and children.
- Study: Change menu calorie counts (wwlp.com)
- Join the conversation: Calorie counts in restaurants (globalnews.ca)
- Did They Lie? Consumer Reports on Restaurant Calorie Counts (friendseat.com)
- Restaurant Chains Still Not Meeting Nutritional Expectations (medicaldaily.com)
- Nevada Assembly Oks Restaurant Menu Calorie Bill (tomdarby.me)
- 97% of Restaurant Kids’ Meals Are Unhealthy, Consumer Group Says (livescience.com)
- Most kids’ meals at chain restaurants offer poor nutrition, as fried chicken fingers, burgers, fries, and soda reign (boomersurvive-thriveguide.typepad.com)
- Measuring meals by exercise, not calories helps consumers eat healthy: study (globalnews.ca)
- Exercise Time and not Calorie Count may Reduce Your Calorie Intake: New Study (medindia.net)
- Toronto would consider enacting bylaw requiring restaurants to post calories on menus if province fails to act (news.nationalpost.com)
Free Library Puts Resources About Minority Health Within Arm’s Reach – National Partnership for Action to End Health Disparities
From the 9 April 2013 article at the National Partnership for Action to End Health Disparities
The Office of Minority Health Knowledge Center supports National Minority Health Month by highlighting many information resources available to the public. The Knowledge Center focuses its collection on consumer health and many other health equity issues, and builds on this year’s theme ofAdvance Health Equity Now: Uniting Our Communities to Bring Health Care Coverage to All.
Created in 1987, the Knowledge Center indexed and tracked the concept of health disparities in the available literature long before it appeared in the forefront of public health concerns. Today, the library offers both a historical and present day picture of the health status of minority populations and holds a collection of 10,000 reports, books, journals and media, and over 35,000 articles, which makes it the largest repository of minority health information in the nation.
Equal access to health care has long been a factor in health equity, and the Knowledge Center library catalog reflects those concerns. By searching our catalog, you will find many reports, books and fact sheets which explain disparities in access to health insurance and health care.
And the Knowledge Center is more than a library. We also contribute to the outreach and educational activities of the Office of Minority Health and reach out to other libraries to support their consumer health education initiatives. For example, a recent presentation and exhibit at the Joint Conference of Librarians of Color highlighted our services and resources for public and academic libraries.
Other libraries have found ways to advance health equity, in keeping with objectives set by our National Partnership for Action (NPA). As an NPA partner, the University of Maryland Health Sciences and Human Services Library developed a health advocates program for local high school students (read more about the program.)
With 35 languages represented in our collection, the Knowledge Center is open to the public for research about a variety of diseases and health topics and you can search the database right from your desktop.
We invite you to take a look at our online catalog and conduct a search. Enter the search terms “Affordable Care Act” and discover what OMHRC has to offer you.
For questions or search assistance, please contact us at KnowledgeCenter@minorityhealth.hhs.gov.
I would love to get your feedback on a project I just came across on Wikipedia, the WikiProject Medicine/Evidence based content for medical articles on Wikipedia. The organizer of the project is the same as in Cochrane Students' Journal Club. Please sign up if you are interested in helping us out.
Wikipedia has been accepted world wide as a source of information by both lay people and experts.
- Evidence based content for medical articles on Wikipedia? (scienceroll.com)
- What's best care - now available to all (bangordailynews.com)
- Data driven Personalized Medicine Metamed when you cannot afford misdiagnosis (nextbigfuture.com)
- Anecdotes are never evidence...unless they're your own. (skeptoid.com)
- Searching for Evidence Based Information (hslnews.wordpress.com)
- Costs of implementation of evidence-based therapies for stroke in Ireland (handtutorblog.wordpress.com)
New Database Reveals Thousands of Hospital Violation Reports New Database Reveals Thousands of Hospital Violation Reports
Hospitals make mistakes, sometimes deadly mistakes. A patient may get the wrong medication or even undergo surgery intended for another person. When errors like these are reported, state and federal officials inspect the hospital in question and file a detailed report.
Now, for the first time, this vital information on the quality and safety of the nation’s hospitals has been made available to the public online.
A new website, www.hospitalinspections.org, includes detailed reports of hospital violations dating back to January 2011, searchable by city, state, name of the hospital and key word. Previously, these reports were filed with the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid (CMS), and released only through a Freedom of Information Act request, an arduous, time-consuming process. Even then, the reports were provided in paper format only, making them cumbersome to analyze.
Release of this critical electronic information by CMS is the result of years of advocacy by the Association of Health Care Journalists, with funding from the Ethics and Excellence in Journalism Foundation. The new database makes full inspection reports for acute care hospitals and rural critical access hospitals instantly available to journalists and consumers interested in the quality of their local hospitals.
The database also reveals national trends in hospital errors. For example, key word searches yield the incidence of certain violations across all hospitals. A search on the word “abuse,” for example, yields 862 violations at 204 hospitals since 2011. …
- Series on N.C. hospitals wins national award (charlotteobserver.com)
- Medical execs dispute hospital study (krqe.com)
- Govt. To Publish Data On What Drug & Device Makers Pay To Individual Doctors & Hospitals (consumerist.com)
- Time Magazine Study Reveals Hospitals Hiking up Medical Bills (counselheal.com)
Trust for America’s Health (TFAH) has released A Healthier America 2013: Strategies to Move from Sick Care to Health Care in Four Years – which provides high-impact recommendations to prioritize prevention and improve the health of Americans.
The Healthier America report outlines top policy approaches to respond to studies that show 1) more than half of Americans are living with one or more serious, chronic diseases, a majority of which could have been prevented, and 2) that today’s children could be on track to be the first in U.S. history to live shorter, less healthy lives than their parents.
“America’s health faces two possible futures,” said Gail Christopher, DN, President of the Board of TFAH and Vice President – Program Strategy of the W.K. Kellogg Foundation. “We can continue on the current path, resigning millions of Americans to health problems that could have been avoided or we invest in giving all Americans the opportunity to be healthier while saving billions in health care costs. We owe it to our children to take the smarter way.”
The Healthier America report stresses the importance of taking innovative approaches and building partnerships with a wide range of sectors in order to be effective. Some recommendations include:
- Advance the nation’s public health system by adopting a set of foundational capabilities, restructuring federal public health programs and ensuring sufficient, sustained funding to meet these defined foundational capabilities;
- Ensure insurance providers reimburse for effective prevention approaches both inside and outside the doctor’s office;
- Integrate community-based strategies into new health care models, such as by expanding Accountable Care Organizations into Accountable Care Communities;
- Work with nonprofit hospitals to identify the most effective ways they can expand support for prevention through community benefit programs;
- Maintain the Prevention and Public Health Fund and expand the Community Transformation Grant program so all Americans can benefit;
- Implement all of the recommendations for each of the 17 federal agency partners in the National Prevention Strategy; and
- Encourage all employers, including federal, state and local governments, to provide effective, evidence-based workplace wellness programs…..
- New Report from HSC and Trust for America’s Health Calls for Federal Action to Close Achievement Gap by Addressing School Health (healthyschoolscampaign.typepad.com)
- Prevention urged to avoid a national health catastrophe (bizbeatblog.dallasnews.com)
- Comment: Take prevention seriously, make it a priority (timescolonist.com)
- Today’s children to live shorter lives (upi.com)
The first set of national prevalence data on intimate partner violence (IPV), sexual violence (SV), and stalking victimization by sexual orientation was released today by the Centers for Disease Control and Prevention (CDC). The study found that lesbians and gay men reported IPV and SV over their lifetimes at levels equal to or higher than those of heterosexuals; with sexual orientation based on respondents’ identification at the time of the survey.
The survey also found that bisexual women (61.1 percent) report a higher prevalence of rape, physical violence, and/or stalking by an intimate partner compared to both lesbian (43.8 percent) and heterosexual women (35 percent). Of the bisexual women who experienced IPV, approximately 90 percent reported having only male perpetrators, while two -thirds of lesbians reported having only female perpetrators of IPV.
The data presented in this report do not indicate whether violence occurs more often in same-sex or opposite sex couples. Rather, the data show the prevalence of lifetime victimization of intimate partner violence, sexual violence and stalking of respondents who self-identified as lesbian, gay or bisexual at the time of the survey and describe violence experienced with both same-sex and opposite-sex partners. …
Other key findings include:
- The majority of women who reported experiencing sexual violence, regardless of their sexual orientation, reported that they were victimized by male perpetrators.
- Nearly half of female bisexual victims (48.2 percent) and more than one-quarter of female heterosexual victims (28.3 percent) experienced their first rape between the ages of 11 and 17 years.
CDC will work to create resources to bring attention to these issues within lesbian, gay, bisexual, and transgender communities.
For more information about NISVS, including study details, please visit http://www.cdc.gov/violenceprevention/nisvs/index.html.
To watch webinars that discuss the NISVS 2010 Summary findings, please visit PreventConnect, a national online project dedicated to the primary prevention of sexual assault and domestic violence.
- CDC Releases First National Study On Rape And Domestic Violence Based On Sexual Orientation (queerty.com)
- Bisexual Women at Especially High Risk of Sexual Violence, CDC Says (nlm.nih.gov)
- LGB People Experience Domestic Violence at Same Rate as Heterosexuals (advocate.com)
- Domestic violence, rape an issue for gays (vitals.nbcnews.com)
- Bisexual Women Twice As Likely To Be Abused And/Or Raped, Study Says (thoughtcatalog.com)
My questions when considering a new technology
To begin with, here are the questions that I think about when considering a new technology:
Does it help me do something I’m already trying to do for clinical reasons? Examples include tracking the kind of practical data I describe here (sleep, pain, falls, etc), helping patient keep track of — and take — medications, helping caregivers monitor symptoms, coordinating with other providers…my list goes on and on, although I’ll admit that I prioritize management of medical conditions, with issues like social optimization being secondary. (Social optimization is crucial, it’s just not what physicians are best at, although I certainly weigh in on how an elder’s dementia or arthritis might affect their social options.)
What evidence is there that using it will improve the health and wellbeing of an older adult (or of a caregiver)? Granted, the vast majority of interesting new tech tools will not have been rigorously tested in of themselves. Still, there is often related and relevant published evidence that can be considered. For instance, studies have generally found that there’s no clear clinical benefit in having non-insulin dependent Type 2 diabetics regularly self-monitor blood glucose. (And it is certainly burdensome for older people with lots of medical problems.) Hence I would be a bit skeptical of a new technology whose purpose is to make it easier for older adults to track their blood sugar daily, unless it were targeted towards elders on insulin or otherwise at high risk for hypoglycemia.
How does the data gathering compare to the gold standard? Many new tech tools gather data about a person. If we are to use this information for clinical purposes, then we clinicians need to know how this data gathering compares to the gold standard, or at least to a commonly used standard. For instance, if it’s a consumer wrist device to measure sleep, how does it compare in accuracy to observation in a sleep lab? Or to the actigraphy used in peer-reviewed sleep research? If it’s a sensor system to monitor gait, how does it compare to the gait evaluation of a physical therapist? If it’s the Scanadu Scout Tricorder, which measures pulse transit time as a proxy for systolic blood pressure, where is data validating that pulse transit time as measured by this device accurately reflects blood pressure? (BTW I can’t take such a tricorder seriously if it doesn’t provide a blood pressure estimate that I can have confidence in; blood pressure is essential in internal medicine.)
How exactly does it work? Especially when it comes to claims that the product will help with clinical care, or with healthcare, I want to know exactly how that might work. In particular, I want to know how the service loops in the clinician, or will facilitate the work the clinician and patient are collaborating on.
How easy is it to use? Tools and technologies need to be easy to use. Users of interest to me include older adults, caregivers, and the clinician that they’ll be interfacing with. BTW, all those med management apps that require users to laboriously enter in long drug names are NOT easy to use in my book.
How easy is it to try? Let’s assume a new technology is proposing a service to the patient (or to me) that offers plausible benefits, either because it’s a tech delivery of a clinically validated service, or because it passes my own internal common sense filters. How easy is it to actually set up and try? I’m certainly more inclined to explore a tool that doesn’t require a large financial investment, or training investment.
How cost-effective is using this technology? I’m interested both in cost-effectiveness for the patient & family, and also for the healthcare system. Sometimes we have simpler and cheaper ways to get the job done almost as well.
Can this technology provide multiple services to the patient? My patients are all medically complex, and have lots going on. Products that can provide multiple services (such as socializing with family off-site AND monitoring symptoms), or that can coordinate with another product — perhaps by allowing other services to import/export data — are a big plus.
Does this technology work well for someone who has lots of medical complexity? I always want to know if the product is robust enough to be usable by someone who has a dozen chronic conditions and at least 15 medications.
What I’d like to see on the websites
These days, a website is the generally the place to start when looking into a product or service.
It’s a great help to me when a product’s website addresses the questions I list above. Specifically, I find it very helpful when websites:
Have a section formatted for clinicians in particular. I’m afraid I don’t have much time for gauzy promises of fostering a happier old age. I just want to know how this will help me help my patients. Specific examples are very very helpful.
Have a “how it works” section with screenshots and concise text. Personally, I have limited tolerance for video (videos can’t be skimmed the way text and pictures can) and find it a little frustrating when most information is in videos. Note that it’s probably best to have separate “how it works” sections for clinicians and for patients/caregivers.
Provide a downloadable brochure for patients/families, and another for clinicians.Although it’s annoying when information is presented ONLY in a pdf brochure, I’ve discovered that I quite like having the option of a brochure. Brochures are much easier to read than websites, in that you don’t have mentally decide how to navigate them, or search through them in quite the way you do with websites. Also, brochures can be conveniently emailed to colleagues or patients, which is nice when you want to suggest that your patient try something new…..
- 4 ways to make IT clinician-friendly (healthitplus.wordpress.com)
- Readers Write: Healthcare’s Crystal Ball – Predictions for 2013 (histalk2.com)
- Physicians’ websites are more “electronic brochures,” than online health resources (medcitynews.com)
- Capturing clinical innovation to improve patient care (siliconrepublic.com)
- Health, Technology and the Forgotten Stepchild of Innovation (forbes.com)
The TRI National Analysis is an annual report that provides EPA’s analysis and interpretation of the most recent TRI data. It includes information about toxic chemical releases to the environment from facilities that report to the TRI Program. It also includes information about how toxic chemicals are managed through recycling, treatment and energy recovery, and how facilities are working to reduce the amount of toxic chemicals generated and released.
WASHINGTON – Total toxic air releases in 2011 declined 8 percent from 2010, mostly because of decreases in hazardous air pollutant (HAP) emissions, even while total releases of toxic chemicals increased for the second year in a row, according to the U.S. Environmental Protection Agency (EPA) annual Toxics Release Inventory (TRI) report published today.
The annual TRI provides citizens with vital information about their communities. The TRI program collects information on certain toxic chemical releases to the air, water and land, as well as information on waste management and pollution prevention activities by facilities across the country. TRI data are submitted annually to EPA, states and tribes by facilities in industry sectors such as manufacturing, metal mining, electric utilities, and commercial hazardous waste facilities.
What’s new in the National Analysis this year?
- An investigation into declining air releases;
- More information about pollution prevention activities conducted at TRI facilities;
- Updated risk information;
- Enhanced Indian Country and Alaska Native Villages (ANVs) analysis.
What tools are available to help me conduct my own analysis?
A variety of online tools are available to help you access and analyze TRI data. When using TRI data, you may also want to explore the other data sources and information listed on the TRI Data and Tools webpage.
Where can I get downloadable files containing the data used in the 2011 National Analysis?
- Basic Data Files : Each file contains the most commonly requested data fields submitted by facilities on the TRI Reporting Form R or the Form A Certification Statement.
- Basic Plus Data Files : These files collectively contain all the data fields submitted by facilities on the TRI Reporting Form R or the Form A Certification Statement.
- Dioxin, Dioxin-Like Compounds and TEQ Data Files : These files include the individually reported mass quantity data for dioxin and dioxin-like compounds reported on the TRI Reporting Form R Schedule 1, along with the associated TEQ data.
- EPA’s 2011 Toxics Release Inventory: Total toxic chemicals increase as result of mining (yubanet.com)
- EPA Toxic Release Inventory: Due to metal mining Alaska had the highest TRI releases in the nation (yubanet.com)
- EPA Issues Annual Report on Chemicals Released Into (suzirow.wordpress.com)
- EPA Annual Report Shows Increase of Toxic Chemicals to the Environment (ecowatch.org)
- Airborne Toxins Down, But Overall Pollutant Levels Rising: EPA (nlm.nih.gov)
(And no, I am not advertising these books, or endorsing the contents of these books, only pointing to a trend!)
Today, more and more books are being written by patients — well-educated, informed patients who manage their illness successfully and have experience, practical knowledge and insights to share with other patients.
As the new year incites a rush to become a “new, better and healthier you,” we often do so learning from our peers. When it comes to illness-warranted behavior changes, as like seeks like, it’s often easier to make changes learned from fellow patients with whom you share the experience of a disease. Like support groups and mentor programs, this is fertile soil for positive behavior change. So, I applaud the rise of patient-authors.
Patient-authors also narrate the experience of illness. That is why I hope health care professionals (HCPs) are also reading books written by patients. A book like No-Sugar Added Poetry, for example, can give HCPs immediate access to some of the emotional landscape of living with diabetes.
There is, in my mind, no easier or quicker way to tap into the experience of illness — what patients grapple with, how they feel, and the practical things that must be managed every day — than by reading a patient-written book.
When clinicians do, I believe they will become more mindful and compassionate and the relationship with their patients more trusting. And that can lead to better outcomes for both….
Read the entire article here
Found this while “surfing” the Institute of Medicine Web page (the primary source for an article in one of my RSS feeds).
I think I share a concern with gun violence with many of you dear readers.There has to be a better way to prevent gun violence than simply arming more folks. For example, a school system to the west of my hometown of Toledo, OH believes arming its janitors will curb violence. (Montpelier schools OKs armed janitors***). My gut reaction? If I had children in the school I would pull them out. Homeschool them if there were no other ways to educate them. And if the teachers were armed? Same reaction.
Meanwhile I’m going to be participating in a [local] Community Committee Against Gun Violence (MoveOn.org). For the past several years I’ve been very concerned about gun violence. Time to start to do something…hopefully not too late.
Yes, this webcast might be viewed as just another talking heads exercise. I am hoping some good will come out of it. If nothing else, keep a conversation alive on how to address prevention of violence through nonviolence.
Evidence for Violence Prevention Across the Lifespan and Around the World-A Workshop
- When: January 23, 2013 – January 24, 2013 (8:00 AM Eastern)
- Where: Keck Center (Keck 100) • 500 Fifth St. NW, Washington, DC 20001 Map
- Topics: Global Health, Children, Youth and Families, Substance Abuse and Mental Health, Public Health
- Activity: Forum on Global Violence Prevention
- Boards: Board on Global Health, Board on Children, Youth, and Families
[My note...registration is now closed for in-person attendance, they've reached seating capacity]
Evidence shows that violence is not inevitable, and that it can be prevented. Successful violence prevention programs exist around the world, but a comprehensive approach is needed to systematically apply such programs to this problem. As the global community recognizes the connection between violence and failure to achieve health and development goals, such an approach could more effectively inform policies and funding priorities locally, nationally, and globally.
The Institute of Medicine (IOM) will convene a 2-day workshop to explore the evidentiary basis for violence prevention across the lifespan and around the world. The public workshop will be organized and conducted by an ad hoc committee to examine: 1) What is the need for an evidence-based approach to violence prevention across the world? 2) What are the conceptual and evidentiary bases for establishing what works in violence prevention? 3) What violence prevention interventions have been proven to reduce different types of violence (e.g., child and elder abuse, intimate partner and sexual violence, youth and collective violence, and self-directed violence)? 4) What are common approaches most lacking in evidentiary support? and 5) How can demonstrably effective interventions be adapted, adopted, linked, and scaled up in different cultural contexts around the world?
The committee will develop the workshop agenda, select and invite speakers and discussants, and moderate the discussions. Experts will be drawn from the public and private sectors as well as from academic organizations to allow for multi-lateral discussions. Following the conclusion of the workshop, an individually-authored summary of the event will be prepared by a designated rapporteur.
- Comprehensive public health approach urged to curb gun violence in U.S. (mwoods228.wordpress.com)
- Harvard Researchers: Tackle Gun Violence Like Smoking, Car Deaths (wbur.org)
- Biden: Executive action can be taken on guns (politico.com)
- Vice President Biden Meets with Groups to Discuss Violence Prevention (salem-news.com)
- Analyst: No “Single Solution” to Gun Violence (voicerussia.com)
- Comprehensive Public Health Approach Urged to Curb Gun Violence in U.S. (emberbranch.wordpress.com)
- Violence plays role in shorter US life expectancy (newsobserver.com)
- Giffords launches anti-gun violence site (cnn.com)
- Montpelier OKs armed school janitors (toledoblade.com)
*** I did respond to the newspaper article. The response is online. I am expecting some rather strong responses, perhaps about how naive I am (sigh).
“Now I know, more than ever, that I have to get more involved in addressing violence through nonviolent means. For starters, am going to get better prepared for a nonviolent workshop our Pax Christi USA section is sponsoring next month. Also am going to do my best to follow through with a local Community Committee Against Gun Violence (http://civic.moveon.org/event/events/index.html?rc=homepage&action_id=302). Guess it’s time to be part of the solution…these two events are steps that are challenging, don’t solve things overnight, but in my heart of hearts…I feel called to participate in actions like these….(am thanking teachers here, esp those at St. Catherine’s(1960-1969) and Central Catholic (1969-1973).”