On a personal note, my husband is very sensitive to e-cigarette vapors.
He finds he has to leave any room where they are being “smoked”.
E-cigarettes are becoming increasingly popular and widely available as the use of regular cigarettes drops. Recently, the Centers for Disease Control and Prevention (CDC) reported that e-cigarette use by children doubled from 2011 and 2012. The health effects of e-cigarettes have not been effectively studied and the ingredients have little or no regulation. Mayo Clinic’s Nicotine Dependence Center experts are available to discuss what people should know before trying e-cigarettes
Electronic cigarettes, often called e-cigarettes, are battery-operated devices that provide inhaled doses of a vaporized solution of either propylene glycol or vegetable glycerin along with liquid nicotine. An atomizer heats the solution into a vapor that can be inhaled. The process, referred to as “vaping,” creates a vapor cloud that resembles cigarette smoke. Some liquids contain flavoring, making them more appealing to users.
“As of right now, there is no long-term safety data showing the impact of repeated inhalation of propylene glycol or vegetable glycerin on lung tissue,” cautions Jon Ebbert, M.D., associate director at Mayo Clinic’s Nicotine Dependence Center. “There is some short-term data suggesting that e-cigarettes may cause airway irritation, but until we have long-term safety data, we are not recommending e-cigarettes for use among cigarette smokers to help people stop smoking.”
So, what is known about electronic cigarettes?
*Manufacturers claim that electronic cigarettes are a safe alternative to conventional cigarettes.
*The Food and Drug Administration (FDA) has questioned the safety of these products.
*FDA analysis of two popular brands found variable amounts of nicotine and traces of toxic chemicals, including known cancer-causing substances (carcinogens).
*The FDA has issued a warning about potential health risks associated with electronic cigarettes, but is not yet regulating their use or standards of manufacture.
“It’s an amazing thing to watch a new product like that just kind of appear. There’s no quality control,” says Richard Hurt, M.D., director of Mayo Clinic’s Nicotine Dependence Center. “Many of them are manufactured in China under no control conditions, so the story is yet to be completely told.”
- E-cigarette regulation debate heats up (wavy.com)
- Should e-cigs be treated like regular cigarettes? (utsandiego.com)
- Conn. Lawmaker To Propose Ban On E-Cigarettes In Public Places (newyork.cbslocal.com)
- Report Finds Too Many American Children Are Smoking Flavored Cigars (counselheal.com)
- Safer Cigarrettes (powerecigs.wordpress.com)
- Don’t smoke your e-cigarettes indoors, say London’s top restaurateurs (standard.co.uk)
- Cigarette alternatives may not be ‘safe’ tobacco (universityofcalifornia.edu)
- E-Cigarettes Now Being Used To Smoke Marijuana, Worrying Some Health Officials (medicaldaily.com)
- Council bureaucrats to ban “E-Cigarettes” in order to have a “clear policy” towards smoking. (visitscunthorpe.com)
Greetings from the National Library of Medicine and MedlinePlus.gov
Regards to all our listeners!
I’m Rob Logan, Ph.D. senior staff National Library of Medicine for Donald Lindberg, M.D, the Director of the U.S. National Library of Medicine.
The extent of caregivers’ assistance to patients — and suggested strategies for physicians to assist caregivers — are detailed in an interesting commentary recently published in the Journal of the American Medical Association.
The commentary’s author (who is a professor at Harvard Medical School) explains about 42 million Americans are caregivers and they assist patients for an average of 20 hours a week. Muriel Gillick M.D. reports the majority of caregivers are middle-aged women caring for aging parents.
Dr. Gillick notes caregivers often assist patients with daily living activities, such as shopping, cooking, bathing, and dressing. However, Dr. Gillick writes (and we quote) “Nearly half of all caregivers report responsibility for complex medical tasks that often are the province of a professional nurse or trained technician’ (end of quote).
Dr. Gillick finds caregivers report they are responsible for clinical activities including: diet adherence, wound care, treating pressure ulcers, providing medications and intravenous fluids, as well as operating medical equipment.
Dr. Gillick notes the recipients of caregiving are likely to be seniors in the last stages of their life. In the year before death, Dr. Gillick explains only 17 percent of Americans are without a disability while about 22 percent have a persistent severe disability. She reports the largest groups of caregiver-dependent adults include seniors who are frail or have advanced dementia. Dr. Gillick notes about 28 percent of Americans are frail and 14 percent have advanced dementia in their last year of life.
Dr. Gillick adds patients who are frail or have dementia often cannot participate in the management of their care, which necessitates a caregiver’s involvement. Dr. Gillick writes (and we quote): ‘If (end of life) medical care is to be patient centered, reflecting the values (patients) no longer have the cognitive capacity to articulate, clinicians must rely on surrogates to guide them. Yet, few programs caring for patients with dementia (or frailty) regularly incorporate caregivers in every phase of care’ (end of quote).
To improve assistance to caregivers, Dr. Gillick suggests physicians need to better explain a patient’s underlying health condition as well as work with caregivers to prioritize a patient’s health care goals.
Dr. Gillick adds caregivers should be encouraged to provide input about a patient’s surroundings as well as more fully participate in health care planning in a partnership with attending physicians.
Dr. Gillick notes caregivers are especially helpful in creating a continuity of patient care within different settings. She writes (and we quote): ‘In the complex US health care system, in which patients are cared for in the home, the physician’s office, the hospital, and the skilled nursing facility, the most carefully thought-out plan of care will prove useless unless its details can be transmitted across sites’ (end of quote).
Dr. Gillick concludes physicians as well as health care organizations need to provide more educational support to help caregivers.
Meanwhile, MedlinePlus.gov’s caregivers health topic page provides comprehensive information about caregiving’s medical and emotional challenges. For example, a helpful website from the American Academy of Family Physicians (available in the ‘start here’ section) helps caregivers maintain their health and wellness.
A similar website that addresses overcoming caregiver burnout (from the American Heart Association) can be found in the ‘coping’ section of MedlinePlus.gov’s caregivers health topic page.
In addition, there are special sections loaded with tips to provide caregiving to seniors as well as women and children within MedlinePlus.gov’s caregivers health topic page.
MedlinePlus.gov’s caregivers health topic page also provides links to the latest pertinent journal research articles, which are available in the ‘journal articles’ section. Links to clinical trials that may be occurring in your area are available in the ‘clinical trials’ section. You can sign up to receive updates about caregiving as they become available on MedlinePlus.gov.
To find MedlinePlus.gov’s caregivers health topic page, type ‘caregiver’ in the search box on MedlinePlus.gov’s home page. Then, click on ‘caregivers (National Library of Medicine).’ MedlinePlus.gov additionally features health topic pages on Alzheimer’s caregivers, child care, and home care services.
It is helpful to see JAMA address some caregiving issues. Let’s hope other medical journals will help educate caregivers and encourage more physician-caregiver communication.
Before I go, this reminder… MedlinePlus.gov is authoritative. It’s free. We do not accept advertising …and is written to help you.
To find MedlinePlus.gov, just type in ‘MedlinePlus.gov’ in any web browser, such as Firefox, Safari, Netscape, Chrome or Explorer. To find Mobile MedlinePlus.gov, just type ‘Mobile MedlinePlus’ in the same web browsers.
We encourage you to use MedlinePlus and please recommend it to your friends. MedlinePlus is available in English and Spanish. Some medical information is available in 43 other languages.
Your comments about this or any of our podcasts are always welcome. We welcome suggestions about future topics too!
Please email Dr. Lindberg anytime at: NLMDirector@nlm.nih.gov
That’s NLMDirector (one word) @nlm.nih.gov
A written transcript of recent podcasts is available by typing ‘Director’s comments’ in the search box on MedlinePlus.gov’s home page.
The National Library of Medicine is one of 27 institutes and centers within the National Institutes of Health. The National Institutes of Health is part of the U.S. Department of Health and Human Services.
A disclaimer — the information presented in this program should not replace the medical advice of your physician. You should not use this information to diagnose or treat any disease without first consulting with your physician or other health care provider.
It was nice to be with you. I look forward to meeting you here next week.
[Reblog-commentary on medical journalism] This is nuts: news coverage stating that great Dads have smaller testicles
Remember…just because two factors occur together, it doesn’t mean one necessarily causes the other!
Here, just because an involved father has smaller testicles, it does not necessarily mean that smaller
testicles enable one to be a better father!
Thinking that desires to get quick fixes or quick answers often get in the way of the necessity to take time and analyze reports objectively!
OK, I am bragging. But I have a whole Web page (with links) on how to evaluate health/medical information.
This is the kind of news coverage about a study that results in science and journalism about science losing credibility. To get warmed up, check some of the headlines:
- Great dads have smaller testicles, study suggests – CBC
- Study: Choose Dads With Smaller ‘Nads – TIME
- Study: You may be a terrible dad because you have enormous testicles – Salon.com
Or see countless other silly headlines in a simple web search that will come up with probably more than 100 news stories.
It’s all based on a study published in the Proceedings of the National Academy of Sciences, “Testicular volume is inversely correlated with nurturing-related brain activity in human fathers.”
It doesn’t appear that Emory University, home of the authors, distorted the findings. This Emory story states:
“Men with smaller testes than others are more likely to be involved in hands-on care of their toddlers, finds a new study by anthropologists at Emory University. …
Smaller testicular volumes also correlate with more nurturing-related brain activity in fathers as they are looking at photos of their own children, the study shows.
Our data suggest that the biology of human males reflects a trade-off between investments in mating and parenting effort,” says Emory anthropologist James Rilling, whose lab conducted the research.
The goal of the research is to determine why some fathers invest more energy in parenting than others. “It’s an important question,” Rilling says, “because previous studies have shown that children with more involved fathers have better social, psychological and educational outcomes.” …
The study included 70 biological fathers who had a child between the ages of 1 and 2, and who were living with the child and its biological mother.
The mothers and fathers were interviewed separately about the father’s involvement in hands-on childcare, including tasks such as changing diapers, feeding and bathing a child, staying home to care for a sick child or taking the child to doctor visits.
The men’s testosterone levels were measured, and they underwent functional magnetic resonance imaging (fMRI) to measure brain activity as they viewed photos of their own child with happy, sad and neutral expressions, and similar photos of an unknown child and an unknown adult. Then, structural MRI was used to measure testicular volume.
The findings showed that both testosterone levels and testes size were inversely correlated with the amount of direct paternal caregiving reported by the parents in the study.”
The Emory blog post listed some of the study’s limitations:
“Although statistically significant, the correlation between testes size and caregiving was not perfect.
A key question raised by the study findings is the direction of casualty (sic: I’m sure they meant causality). “We’re assuming that testes size drives how involved the fathers are,” Rilling says, “but it could also be that when men become more involved as caregivers, their testes shrink. Environmental influences can change biology. We know, for instance, that testosterone levels go down when men become involved fathers.”
Another important question is whether childhood environment can affect testes size. “Some research has shown that boys who experience childhood stress shift their life strategies,” Rilling says. “Or perhaps fatherless boys react to the absence of their father by adopting a strategy emphasizing mating effort at the expense of parenting effort.”
While it could have been stated more clearly, that excerpt nails the huge leap from the assumptions of the study to any proof of cause-and-effect. It discussed correlation – not cause. In other words, it’s nuts to have news headlines like the ones I listed above.
There are countless ways to poke holes in the fMRI analysis of 70 men, but I’ll leave that to the experts.
The clamor for cutesy cleverness outpaced real scrutiny in most of the stories we’ve seen.
- A Discover blog: “So while it certainly takes balls to be a father, bigger is not necessarily better.”
- CNN.com: “It was published Monday in the Proceedings of the National Academy of Sciences, which goes by the acronym PNAS (Yes, that’s chuckle-worthy in this context, so go ahead and laugh). …When I learned of this study, I immediately feared what could happen if it gets taken out of context. Dystopian future headline: “Deadbeat Dads Blame it on Large Family Jewels!” Dystopian future advice mothers give to daughters before marriage: “But will he be a good father? Weigh the wedding tackle!”
- TIME.com: “Perhaps it’s time to stop obsessing over penis size, and start to think more about those underloved lads underneath. A new study has suggested that testicle size plays a role in whether or not a guy is an involved dad, but this is one time less is more: the smaller the family jewels, the better the family man.”
CNN.com quoted one of the study authors succinctly: “Rilling says the study is not about “good” or “bad” dads.”
So again, where did all of those headlines come from?
And didn’t we have a possibly pending war, the unfolding Affordable Care Act, even another Anthony Weiner story to cover today instead of all the attention given this?
ADDENDUM: This is even more nuts. Each day I work really hard but may reach only relatively small numbers of people with articles that I think are important to try to improve the public dialogue about health care. Today my traffic is through the roof, and it’s all because I had testicles or nuts in my headline. And that, at least temporarily, put me in a prominent position on Google Search. Nuts.
- Study: Smaller testicles, more-involved dads? (fox2now.com)
- Dads with smaller testicles are better fathers, study shows (medicalnewstoday.com)
Those of you of a certain age, remember this? (If not, or if you want to get all the details…here’s a good summary)
The new Samsung Galaxy Gear Smartwatch was just presented and based on its features it has the potential to replace medical pagers while smartphones could not make this step.
The new Samsung Galaxy Gear Smartwatch was just presented and based on its features it has the potential to replace medical pagers while smartphones could not make this step.
- Obviously, it works like a watch.
- It can record videos.
- Play music.
- Has a pedometer
- Make phone calls
- Has its own applications
- Weather, taking notes, sending messages and many more.
- Samsung To Include Enterprise Antivirus on Smartphones – CIO Today (newestgadgetsinfo.com)
- Samsung announces Galaxy Gear smartwatch at IFA 2013 (9to5google.com)
- Spec stand off: Samsung Galaxy Gear vs Sony SmartWatch 2 (techhive.com)
Not just for teachers!
Welcome to BioEd Online, the online educational resource for educators, students, and parents. BioEd Online utilizes state-of-the-art technology to give you instant access to reliable, cutting-edge information and educational tools for biology and related subjects. Our goal is to provide useful, accurate, and current information and materials that build upon and enhance the skills and knowledge of science educators. Developed under the guidance of our expert Editorial Board, BioEd Online offers the following high-quality resources.
- Streaming Video Presentations - View timely presentations given by thought leaders on education in biology and related subjects, classroom management, science standards, and other issues in education. Presentation topics include content reviews for prospective biology teachers, content updates for experienced teachers, research lab technique demonstrations, inquiry science, and assessment. In addition, BioEd Online offers helpful presentations for teachers in training as they prepare for the classroom experience.
- Slide Library - Customize exciting and relevant lesson plans and activities from hundreds of searchable slides developed by our Editorial Board and contributors. The slide library is updated regularly. Each slide is complete with talking points and references and can be downloaded into your own PowerPoint program for personal educational use.
- Editors’ News Picks - Stay current with science news selected by our Editorial Board. Check back each week for new science stories and related discussion questions to complement your ongoing science activities, and to stimulate an exchange of ideas in your classroom. All Editors’ Picks are maintained in our archive for easy access whenever you need them.
BioEd Online is regularly updated with pertinent new slides in the slide library, presentations on breakthrough research, reviews, and virtual workshops on educational approaches and materials. Stay current with the latest research from top educators in the country by bookmarking BioEd Online for later use!
Other resources of note
- A variety of free, interactive courses designed for science educators and other life-long learners seeking to increase their knowledge of key scientific subjects. Course offerings range from cutting edge genetics to topical environmental health content and the fascinating science of water. Materials are sorted by topic, making it easy locate the content most appropriate for you.
- BioEd Online’s library contains student storybooks, magazines, supplemental materials and other items integrated with teacher’s guides and lessons found on this website. Some items may be used as stand-alone reading and language arts activities.
Yoga can improve mood and mental wellbeing among prisoners, an Oxford University study suggests, and may also have an effect on impulsive behaviour.
The researchers found that prisoners after a ten-week yoga course reported improved mood, reduced stress and were better at a task related to behaviour control than those who continued in their normal prison routine.
‘We found that the group that did the yoga course showed an improvement in positive mood, a decrease in stress and greater accuracy in a computer test of impulsivity and attention,’ say Dr Amy Bilderbeck and Dr Miguel Farias, who led the study at the Departments of Experimental Psychology and Psychiatry at Oxford University. ‘The suggestion is that yoga is helpful for these prisoners.’
Dr Bilderbeck adds: ‘This was only a preliminary study, but nothing has been done like this before. Offering yoga sessions in prisons is cheap, much cheaper than other mental health interventions. If yoga has any effect on addressing mental health problems in prisons, it could save significant amounts of public money.’
If yoga is associated with improving behaviour control, as suggested by the results of the computer test, there may be implications for managing aggression, antisocial or problem behaviour in prisons and on return to society, the researchers note — though this is not measured in this initial study.
Dr Bilderbeck, who practices yoga herself, cautions: ‘We’re not saying that organising a weekly yoga session in a prison is going to suddenly turn prisons into calm and serene places, stop all aggression and reduce reoffending rates. We’re not saying that yoga will replace standard treatment of mental health conditions in prison. But what we do see are indications that this relatively cheap, simple option might have multiple benefits for prisoners’ wellbeing and possibly aid in managing the burden of mental health problems in prisons.’
Sam Settle, director of the Prison Phoenix Trust, says: ‘Almost half of adult prisoners return to prison within a year, having created more victims of crime, so finding ways to offset the damaging effects of prison life is essential for us as a society. This research confirms what prisoners have been consistently telling the Prison Phoenix Trust for 25 years: yoga and meditation help them feel better, make better decisions and develop the capacity to think before acting — all essential in leading positive, crime-free lives once back in the community.’
- Yoga Improves Mental Health Among Prisoners (medindia.net)
- Prisoners should do yoga as a cheap way of improving their behaviour, according to academics (telegraph.co.uk)
- Teaching prisoners yoga stops them bending rules, says study (oxfordmail.co.uk)
From the Science Daily report (July 17, 2013)
Physicians and patients who are wary of addiction to pain medication and opioids may soon have a healthier and more natural alternative.A Duke University study revealed that a derivative of DHA (docosahexaenoic acid), a main ingredient of over-the-counter fish oil supplements, can sooth and prevent neuropathic pain caused by injuries to the sensory system. The results appear online in the Annals of Neurology….…
Their findings revealed that NPD1=PD1 not only alleviated the pain, but also reduced nerve swelling following the injuries. Its analgesic effect stems from the compound’s ability to inhibit the production of cytokines and chemokines, which are small signaling molecules that attract inflammatory macrophages to the nerve cells. By preventing cytokine and chemokine production, the compound protected nerve cells from further damage. NPD1=PD1 also reduced neuron firing so the injured animals felt less pain.Ji believes that the new discovery has clinical potential. “Chronic pain resulting from major medical procedures such as amputation, chest and breast surgery is a serious problem,” he said. Current treatment options for neuropathic pain include gabapentin and various opioids, which may lead to addiction and destruction of the sensory nerves.
- New Remedy for Chronic Pain Uncovered (medindia.net)
- Uncovering a healthier remedy for chronic pain (eurekalert.org)
- Advances in Neuropathic PainDiagnosis, Mechanisms, and Treatment Recommendations. (zedie.wordpress.com)
- What is chronic pain? (dailylivingwithpain.com)
- Managing Horrible Pain with Narcotics (apluscaregiver.com)
Health insurance coverage to help you fix decades of high cholesterol will probably not save your life. This is the problem that America faces as it is found to be sick because of health behaviors it does not want to change. We have the freedom to act very unhealthy and to get sick. How much will increasing insurance coverage really improve our health?
- Disease and death in America: A poor bill of health | The Economist (dralfoldman.com)
- Disease and death in America: A poor bill of health | The Economist (policyabcs.wordpress.com)
- America's Health Report Card Shows Improvement Needed (voanews.com)
- Higher BMI Increases Risk Of Gallstones, Especially In Women (medicalnewstoday.com)
- United States losing ground to other countries in health outcomes (eurekalert.org)
- U.S. health "mediocre" compared to other wealthy countries (cbsnews.com)
- Embracing disease, not eradicating it. (watsonfor13.wordpress.com)
High school years hard on adolescent health, with spikes in drinking, smoking and drug use: Canada study
High school may improve young people’s minds, but it does the opposite for their bodies.
A new study out of the University of Waterloo shows Canadian students in Grade 12 are in worse health than their younger high school peers.
A medical journal is raising concerns about alcohol advertising, saying young girls are being influenced by the ads.
The editorial in this week’s issue of the Canadian Medical Association Journal says health warnings should be embedded in alcohol ads, so that young girls understand the risks of drinking.
SAN DIEGO - A judge ruled Monday that a public school district can teach yoga, siding with administrators who argued the practice is a secular way to promote strength, flexibility and balance and rejecting pleas of parents who said the classes are inherently religious and violate the constitutional principle of separating church and state.
Yoga is a religious practice, but not the way that it is taught by the Encinitas Union School District at its nine campuses, San Diego Superior Court Judge John S.
Am wondering if murder, planning to murder, and domestic violence are brain disorders…
If so, or even probably so, this is a real wake up call for prison reform…
From the 23 April 2013 item at the National Institute of Mental Health
A rethink is needed in terms of how we view mental illness, stated National Institute of Mental Health Director Thomas Insel, M.D., in a recent TEDx talkat the California Institute of Technology (Caltech) in Pasadena.
Deaths from medical causes such as leukemia and heart disease have decreased over the past 30 years. The same cannot be said of the suicide rate, which has remained the same. A vast majority of suicides—90 percent—are related to mental illnesses such as depression and schizophrenia.
Insel believes part of the problem is that mental illness is referred to either as a mental or behavioral disorder. “We need to think of these as brain disorders,” he said, adding that for these brain disorders, behavior is the last thing to change.
Insel walked the audience through recent advances in neuroscience, including the Human Connectome, which indicates that mental illness may be more of a neuronal connection or circuit disorder. The earlier these circuits are identified, he said, the earlier preventive treatments could be used to save the lives of people with mental illnesses.
“If we waited for the ‘heart attack,’ we would be sacrificing 1.1 million lives every year in this country,” he said. “That is precisely what we do today when we decide that everyone with one of these brain disorders, brain circuit disorders, has a behavior disorder. We wait until the behavior emerges. That’s not early detection, that’s not early prevention.”
- Toward A New Understanding of Mental Illness (thesecretkeeper.net)
- A Break From Politics: Toward a new understanding of mental illness (freakoutnation.com)
- Once, people suffering from a mental illness were hidden … (jillsmentalhealthresources.wordpress.com)
- What Does It Really Mean for Me to Have a Mental Illness? (thedancingwriterblog.wordpress.com)
- Vaughan Bell: news from the borders of mental illness (guardian.co.uk)
- Mental Health Awareness Month (irishdragon7.wordpress.com)
- Medical Brain Disorders~The Benefits of Exercise (keepchoosingconsistency.com)
Please read the entire article, there are many factors that need to be “teased out” in future studies (as the author emphasizes).
A fascinating read, nonetheless.
It’s a common lament among parents: Kids are growing up too fast these days. Parents worry about their kids getting involved in all kinds of risky behavior, but they worry especially about their kids’ forays into sexual relationships. And research suggests that there may be cause for concern, as timing of sexual development can have significant immediate consequences for adolescents’ physical and mental health.
But what about long-term outcomes? How might early sexual initiation affect romantic relationships in adulthood?
Psychological scientist Paige Harden of the University of Texas at Austin wanted to investigate whether the timing of sexual initiation in adolescence might predict romantic outcomes — such as whether people get married or live with their partners, how many romantic partners they’ve had, and whether they’re satisfied with their relationship — later in adulthood…
- Young Porn Users Need Longer To Recover Their Mojo (psychologytoday.com)
- Fathers Matter When It Comes To Their Teenager’s Sexual Behavior (medicalnewstoday.com)
- Ontario slammed for outdated sex ed and mental health curriculum (metronews.ca)
- Does Your Child Have a Mental Health Disorder? (psychologytoday.com)
From the 19 July article at Digitial Medicine
Consumer mHealth is here. There has been a spurt of entrepreneurship in this field and some Indian phone/ mobile based start-ups have been launched over the past couple of years. Mainly, they have been services meant to connect healthcare consumers with doctors via phone (like Ask a Doctor from Vodafone, Mediphone by Religare technologies, Dial UR Doctor and Mera Doctor). Most of these tools are voice based and sometimes don’t even fit the rigid definitions of mHealth. Further, they are all healthcare professional specific and have pointedly ignored patients in any decision making process.
Not that all mHealth projects in India are in the private sector. The government of India has also been active in harnessing the reach of mobile phones in the country with some projects in Public health like in ensuring treatment compliance in DOTS Program and in healthcare reporting at grass roots level. …
..The latest mHealth project by the government of India looks to strike at the alleged root of costly medical care : the widely variable costs of branded drugs. The Indian government has taken the initiative to use simple messaging services (SMS) to educate the public on drug prices.
Here is how it works: Once the person sends a text message of the prescribed brand of drug to a particular number from his mobile, he will receive two to three options of the same medicine, along with the price differential. Say, a patient is prescribed a popular anti-infective like Augmentin (GlaxoSmithKline). He types in Augmentin and sends the SMS to the designated number. He would get a return SMS, possibly mentioning Moxikind CV (Mankind), which is substantially cheaper. But sources said that all responses would come with a caution: please consult the doctor before popping the alternative (pill).
- How mobile phones have changed Africa (cnn.com)
- Seven ways mobile phones have changed lives in Africa (textually.org)
- Revolutionising Medical Care With Mobiles (epiphanysearch.co.uk)
- The Investor’s View of Pharma’s Plunge Into Mobile Apps (medmeme.com)
This morning I stumbled upon LiveScience.com while perusing January’s Internet Reviews at College and Research Library News.
Live Science provide news in the areas of science, health, and technology for a general academic audience, especially undergraduates.It is a commercial site that is part of the TechMedia Network (which also includes TechNews Daily and Business News Daily). LiveScience content is often featured at partner sites including Yahoo and MSNBC.com. Most of the professional journalists on the editorial staff hold advanced degrees in technology or the sciences.
The site can be a big overwhelming at first with its images and video links, but there is wealth of information for the patient!
The features include:
- 11 subject areas in the bar at the top of the page – “Space,” “Animals,” “Health,” “Environment,” “Technology,” “History,” “Culture,” “Video,” Strange News,” “Images,” and “Topics.”
- “Top Stories” section typically presents five current news items along with a variety of rotating images.
- Images (containing considerable archives) with links to albums, infographics, and wallpapers
From the 6 January 2012 US Food and Drug Administration (FDA)
Stem cell therapies offer the potential to treat diseases or conditions for which few treatments exist.
Stem cells, sometimes called the body’s “master cells,” are the precursor cells that develop into blood, brain, bones and all of your organs. Their promise in medical treatments is that they have the potential to repair, restore, replace and regenerate cells that could then be used to treat many medical conditions and diseases.
But the Food and Drug Administration (FDA) is concerned that the hope that patients have for cures not yet available may leave them vulnerable to unscrupulous providers of stem cell treatments that are illegal and potentially harmful.
FDA cautions consumers to make sure that any stem cell treatment they are considering has been approved by FDA or is being studied under a clinical investigation that has been submitted to and allowed to proceed by FDA.
FDA has approved only one stem cell product [Flahiff's emphasis], Hemacord, a cord blood-derived product manufactured by the New York Blood Center and used for specified indications in patients with disorders affecting the body’s blood-forming system.
Regulation of Stem Cells
FDA regulates stem cells in the U.S. to ensure that they are safe and effective for their intended use.
“Stem cells can come from many different sources and under the right conditions can give rise to many different cell types,” says Stephanie Simek, Ph.D., deputy director of FDA’s Office of Cellular, Tissue and Gene Therapies.
Stem cells that come from bone marrow or blood are routinely used in transplant procedures to treat patients with cancer and other disorders of the blood and immune system.
Umbilical cord blood is collected from a placenta with the birth mother’s consent. Cord blood cells are then isolated, processed, and frozen and stored in a cord blood bank for future use. Cord blood is regulated by FDA and cord blood banks must follow regulatory requirements.
But there are many other stem cell products, including other cord blood-derived products, that have been reviewed by FDA for use in investigational studies, says Simek. Investigational products undergo a thorough review process as the sponsor prepares to study the safety and effectiveness of the product in adequate and well-controlled human studies (clinical trials).
As part of this review, the sponsor must show how the product will be manufactured so that FDA can make certain that appropriate steps are being taken to help assure the product’s safety, purity and potency. FDA also requires that there be sufficient data generated from animal studies to aid in evaluating any potential risks associated with the use of these products.
Consumers need to be aware that at present–other than cord blood for certain specified indications–there are no approved stem cell products.
Advice for Consumers
- If you are considering stem cell treatment in the U.S., ask your physician if the necessary FDA approval has been obtained or if you will be part of an FDA-regulated clinical study. This also applies if the stem cells are your own. Even if the cells are yours, there are safety risks, including risks introduced when the cells are manipulated after removal.There is a potential safety risk when you put cells in an area where they are not performing the same biological function as they were when in their original location in the body,” says Simek. Cells in a different environment may multiply, form tumors, or may leave the site you put them in and migrate somewhere else.
- If you are considering having stem cell treatment in another country, learn all you can about regulations covering the products in that country. Exercise caution before undergoing treatment with a stem cell-based product in a country that—unlike the U.S.—may not require clinical studies designed to demonstrate that the product is safe and effective. FDA does not regulate stem cell treatments used in solely in countries other than the United States and typically has little information about foreign establishments or their stem cell products.
Thwarting a Stem Cell Scheme
In December, 2011, three men were arrested in the United States and charged with 15 counts of criminal activity related to manufacturing, selling and using stem cells without FDA sanction or approval.
According to the criminal indictment, one of the accused, a licensed midwife who operated a maternity care clinic in Texas, obtained umbilical cord blood from birth mothers, telling them it was for “research” purposes. Instead, the midwife sold the cord blood to a laboratory in Arizona which, in turn, sent the blood to a paid consultant at a university in South Carolina. The owner of the laboratory in Arizona was convicted in August 2011 of unlawfully introducing stem cells into interstate commerce. She faces up to 3 years in prison and a fine of up to $10,000.
The consultant, an assistant professor, used university facilities to manufacture stem cell products. He then sent the products back to the lab, which sold them to a man representing himself as a physician licensed in the U.S. The man then traveled to Mexico to perform unapproved stem cell procedures on people suffering from cancer, multiple sclerosis and other autoimmune diseases.
The three defendants allegedly received more than $1.5 million from patients seeking treatment for incurable diseases.
“Scammers like these offer false hope to people with incurable diseases in order to line their own pockets with money,” says Special Agent in Charge Patrick J. Holland of FDA’s Office of Criminal Investigations (OCI), Kansas City Field Office. “FDA will continue to aggressively pursue perpetrators who expose the American public to the dangers of unapproved stem cells and ensure that they are punished to the full extent of the law.”
FDA’s OCI worked the case with the Federal Bureau of Investigations and the Internal Revenue Service’s Criminal Investigations Division.
This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products.
- Stem Cells (Medline Plus) has links to overviews, news items, specific conditions, research (including clinical trials and research news from reputable organizations), directories and organizations
- Stem Cell Information(US National Institutes for Health) includes links to
- FDA Warns About Stem Cell Claims – Information You Should Know (regcompliance.wordpress.com)
- Stem Cells: Worldwide Markets for Transplantation, Cord Blood Banking and Drug Development (prnewswire.com)
- American scientist arrested in stem-cell clinic sting (blogs.nature.com)
- FBI crackdown on unproven stem cell therapies (newscientist.com)
- FBI crackdown on unproven stem cell therapies (newscientist.com)
- 3 Arrested for Peddling Miracle Stem Cell Cure (foxnews.com)
- Stem Cell Fraud: A 60 Minutes investigation (cbsnews.com)
- Legislator says stem cells helped ” Times Record News (wingright.org)
- Flexible Adult Stem Cells, Right There In Your Eye (medicalnewstoday.com)
- What Is Autologous Stem Cell Transplantation? (everydayhealth.com)
- Video: Preview: Stem Cell Fraud (cbsnews.com)
- FDA Approves Cord Blood For Stem Cell Transplant (medicalnewstoday.com)
- The FDA, Politics and Journalistic Fraud: The Stem Cell Battle in America (erasetheneed.wordpress.com)
- Texas prepares to fight for stem cells (nature.com)
Evidence on cost savings and health benefits of nutritional intervention published in the Journal of the Academy of Nutrition and Dietetics
Philadelphia, PA — The Academy of Nutrition and Dietetics has prepared a request to submit to the Centers for Medicare and Medicaid Services (CMS) to expand coverage of medical nutrition therapy (MNT) for specific diseases, including hypertension, obesity, and cancer, as part of the CMS National Coverage Determination (NCD) Process. Most chronic health conditions can be controlled or treated with medical nutrition therapy, yet Medicare will only reimburse nutrition therapy services provided by a registered dietitian for individuals with diabetes and renal disease. “That’s just not enough if we want to improve the health of the nation and rein in escalating healthcare costs,” says Marsha Schofield, MS, RD, LD, the Academy’s Director of Nutrition Services Coverage.
The article is “The Academy of Nutrition and Dietetics National Coverage Determination Formal Request [Full Text of the article],” by Prashanthi Rao Raman, Esq, MPH, and Erica Gradwell, MS, RD, in the Journal of the Academy of Nutrition and Dietetics, Volume 112, Issue 1 (January 2012) published by Elsevier.
In an accompanying podcast Ms. Schofield, Ms. Blankenship, and Ms. Gradwell discuss the NCD process undertaken by the Academy and share insights about its potential impact on healthcare and the role of the registered dietitian. The podcast is available at http://andjrnl.org/content/podcast.
- The Academy of Nutrition and Dietetics advocates for expanded nutritional coverage under Medicare (medicalxpress.com)
- The Academy of Nutrition and Dietetics advocates for expanded nutritional coverage under Medicare (eurekalert.org)
- A Dietitian Reflects on the Recent Nutrition Conference (fooducate.com)
- The ADA Needs to Change More than just its Name (fooducate.com)
- Medicare Offers Medical Nutrition Therapy (mayorshealthline.wordpress.com)
Researchers have developed a bandage that stimulates and directs blood vessel growth on the surface of a wound. The bandage, called a “microvascular stamp,” contains living cells that deliver growth factors to damaged tissues in a defined pattern. After a week, the pattern of the stamp “is written in blood vessels,” the researchers report.
A paper describing the new approach will appear as the January 2012 cover article of the journal Advanced Materials.
“Any kind of tissue you want to rebuild, including bone, muscle or skin, is highly vascularized,” said University of Illinois chemical and biomolecular engineering professor Hyunjoon Kong, a co-principal investigator on the study with electrical and computer engineering professor Rashid Bashir. “But one of the big challenges in recreating vascular networks is how we can control the growth and spacing of new blood vessels.”
“The ability to pattern functional blood vessels at this scale in living tissue has not been demonstrated before,” Bashir said. “We can now write features in blood vessels.”
Other laboratories have embedded growth factors in materials applied to wounds in an effort to direct blood vessel growth. The new approach is the first to incorporate live cells in a stamp. These cells release growth factors in a more sustained, targeted manner than other methods, Kong said. …
- Team designs a bandage that spurs, guides blood vessel growth (eurekalert.org)
- Team designs a bandage that spurs, guides blood vessel growth (physorg.com)
- Hydrogel helps grow new scar-free skin over third degree burns (gizmag.com)
Whether you call it Health 2.0, Medicine 2.0, or e-Health 2.0, the Internet is changing medicine in ways that challenge the status quo. This article explores how a group of amateurs who call themselves “health hackers” and “citizen scientists” are trying to use the Internet to connect with other patients, run experiments, and conduct clinical trials on their own diseases.
Dr. Gunther Eysenbach states “Medicine 2.0 applications, services and tools are Web-based services for health care consumers, caregivers, patients, health professionals, and biomedical researchers, that use Web 2.0 technologies as well as semantic web and virtual reality tools, to enable and facilitate specifically social networking, participation, apomediation, collaboration, and openness within and between these user groups.” One review examined 46 different definitions of Health 2.0, and Eysenbach’s definition does not emphasize a key component of the concept: amateurs can use these new Internet tools to do work that in the past was only done by professionals….
Charles Blanke, MD, Director of Gastrointestinal Oncology at the Oregon Cancer Institute summarizes the advantages and disadvantages of their patient-initiated approach:
This is powerful and compelling work! I remain incredibly impressed by the data-coordinating abilities of the Life Raft personnel. I see the major purpose of this sort of data as hypothesis generating. Unfortunately, it cannot be free of bias and thus cannot stand by itself, but it certainly can point investigators and the Company in the right direction and let us know what we need to be looking at more closely. Thus, its importance cannot be overstated….
,,,The tension between the traditional approach to medical research and patient-initiated research can only be resolved by cooperation and two-way communication between the two groups. The Mayo Clinic and PXE examples clearly show that both groups can benefit by meaningful and respectful partnership. The AIDS and ALS examples demonstrate that patients with few options and new Internet tools will continue to push the traditional research community to be open to new ideas, new approaches, and new possibilities. Gilles Frydman, founder of the Association of Cancer Online Resources, has stated, “Better-informed people are more willing to participate in the advancement of science. Those patients taking Gleevec do not consider themselves guinea pigs. They are recipients of experimental medicine.”…
- DocGreet Steadily Grows as the Leader in Health 2.0 and Medical Social Media (prweb.com)
- Connect with Project HealthDesign at Health 2.0 (projecthealthdesign.typepad.com)
- Reflections on the Medicine 2.0 conference at Stanford #med2 (medicineandtechnology.com)
- Health IT and Patient Safety: Building Safer Systems for Better Care (jflahiff.wordpress.com)
- During the Fifth Annual Health 2.0 Conference, Dr. James Mault of HealthyCircles will Showcase Innovative Technology that will Help Transform Health Care (prweb.com)
New approach supports families dealing with ‘normal diversity’ of gender identity and expression
How should parents respond when their four years old son insists on wearing girls’ clothes, or their daughter switches to using a male version of their name? These are the questions increasingly being asked of family therapist Jean Malpas who writes in Family Process about a new approach to support parents with gender nonconforming and transgender children.
Jean Malpas, the Director of the Gender and Family Project at the Ackerman Institute for the Family, explains how families of gender nonconforming and transgender children can benefit from a multi-dimensional approach to negotiating two understandings of gender: One being a traditional system of male or female which dominates mainstream society, which contrasts with a more flexible and fluid spectrum of gender being expressed by their children.
“Parents of gender nonconforming children often struggle with how to best protect their child from bullying and ostracism, while accepting and nurturing their child’s identity and expression.” said Jean Malpas. “This research shows how coaching, education, parent support group and family therapy can support everyone in the family in negotiating this dilemma.”
Jean Malpas’ clinical findings confirm that a normal diversity of gender expression exists among children and uses anonymous case studies to demonstrate the varied paths children take when developing their identity. Some nonconforming children will grow up to be transgender, others will eventually feel comfortable identifying with their biological sex, while others will continue to display gender nonconforming traits without requesting social or medical transition.
“Research on gender nonconformity also has implications for education policy,” said Malpas. “It is important that schools are aware and sensitive to the non-binary and non-biological aspects of gender, as it means gendered activities and segregation of students based on gender lines may no longer be appropriate if our children’s understanding of gender is expressed in more complex ways.”
Clinical approaches based on the non-pathologisation of gender diversity contrast with traditional psychiatric approaches, which have used cognitive-behavioral methods to extinguish atypical behaviours and reinforce traditional gender expression.
“Our clinical findings show that gender nonconformity in children is not a psychopathology but a normal display of diversity in gender expressions and identities,” concluded Malpas. “Providing multi-dimensional support to parents of gender nonconforming and transgender children allows them to accept and affirm their child’s identity while providing valuable protection at home, in school and out in the world.”
From the 22 November 2011 article
A computer system that can read scientific papers in a similar way to humans promises breakthroughs in cancer research, according to Cambridge scientists.
By Christopher Williams, Technology Correspondent
Called CRAB, the system is able to trawl through millions of peer-reviewed articles for clues to the causes of tumours. Already, it has uncovered a potential reason why some chemicals induce pancreatic cancer only in men.
CRAB is the latest implementation of a rapidly-emerging form of artificial intelligence called natural language processing, which is also used in the Siri personal assistant software in the iPhone 4S. It allows computers to read texts and derive meaning from them, despite their complexity and abiguities, as humans do.
The system will first be used to assess the risk that new chemicals could cause cancer.
“The first stage of any risk assessment is a literature review. It’s a major bottleneck,” said Dr Anna Korhonen of the University of Cambridge, who led the development of CRAB.
“There could be tens of thousands of articles for a single chemical. Performed manually, it’s expensive and, because of the rising number of publications, it’s becoming too challenging to manage,” she said.
- Computer that reads raises hope for cancer breakthroughs (news.bioscholar.com)
- Computer that can read promises cancer breakthroughs (telegraph.co.uk)
From the 19 November 2011 mobilehealth article
By: Chris Gullo
iTriage: One of the relatively few health apps that boasts millions of users.
Some 26 percent of US adults used their mobile phones to access health information in the past year, according to a new Cybercitizen Health study by Manhattan Research. The number has nearly doubled from the 12 percent reported in 2010.
According to the study, looking up health information or reading health-related news remains the most popular mobile health activity. The survey polled 8,745 adults online and via phone during the third quarter of 2011.
Another interesting metric: 8 percent of consumers used prescription drug refill or reminder services on their mobile phones, up from 3 percent in 2011.
“Growth in mobile health is impressive, but still in line with our and several health stakeholders’ expectations,” stated Monique Levy, VP of Research at Manhattan Research in a press release. “The interesting part is when, how and from where mobile phones are being used. Getting these details will impact the success of mobile investments in 2011 and 2012.”
While not specifically mobile-related, worth noting that the report found some 56 million US consumers had accessed their medical information on an electronic health record (EHR) system maintained by their physician, with an additional 41 million expressing interest in doing so in the future.
- Call for mobile phone health warnings despite ‘inconclusive’ evidence (telegraph.co.uk)
- Emerging market for mobile health products (trendsspotting.com)
- New Report: The Internet Has More Influence Over Consumer Health Actions than Traditional DTC Channels (prweb.com)
- Who are the Top 11 Mobile Health Innovators in 2011? (prweb.com)
- Oncologists Visit Pharma Sites and Post Professional Content Online More Frequently than the Average Physician (prweb.com)
- Mobile health has huge potential in the Middle East, industry study says (thenextweb.com)
The art of medicine, the most important part of medicine, involves several components:
- Caring for patients, showing honest concern and compassion
- Giving patient’s time, not rushing in and out of the exam clinic room, being patient with them, having a great bedside manner
- Using the evidence based medicine algorithms as a guideline, as we apply them to each and every patient we see. Understanding that every patient is an individual who has individual circumstances that affect their lives
- Helping every patient to acquire the best outcome they can for themselves by working with them, educating them, coming up with a mutually agreed upon plan of action
Evidence based medicine does not teach us how to apply them to the patients we see, only the art of medicine does that. [Flahiff's emphasis] Much unlike evidence based medicine we don’t learn the art of medicine in a classroom. We learn the art of medicine by seeing patients, one by one, year after year. As new research comes out and the evidence based medicine algorithms change, hopefully we have refined our art of medicine skills to such a fine point that we have attained the stature of a wise mentor….
- Evidence based medicine removes a physician’s autonomy (kevinmd.com)
- Compassionate care is a crucial component of care (kevinmd.com)
- Using Social Media For Practicing Evidence Based Medicine (drneel.wordpress.com)
- Substitutes for evidence based (and science based) medicine (doctorrw.blogspot.com)
- 5 tips to evaluate medical websites (kevinmd.com)
Excerpt from Is preventive health really preventative?
I am not necessarily disputing any evidence or recommendations that have been introduced, but the false sense that we have the ability to “prevent” an illness or disease from happening in the first place. This can lead to unrealistic expectations and negative backlash. Yes, we may be able to detect an early cancer prior to it’s spread or immunize individuals against certain infectious diseases. But prevent altogether? Sadly, I don’t think so – in fact, I know so.
That is why I am using the term pro-active health rather than prevention. There are actions that individuals can take to lower their risks from disease and illness and I believe that is taking a pro-active part in one’s health. We do this in the hopes of longevity, wellness, disease avoidance and early detection (if illness is identified).
- Study finds shifting disease burden following universal Hib vaccination (eurekalert.org)
- Maintaining a Flu-free Family (education.com)
- Arctic Lab Expansion Provides Early Detection of Infectious Disease and Bioterrorism (indiancountrytodaymedianetwork.com)
- NBA players not immune to serious illness from norovirus (eurekalert.org)
- Vaccine Could Prevent Mononucleosis And Cancers Linked To Epstein-Barr Virus (medicalnewstoday.com)
- Tuberculosis detector would ferret out disease by scent (theglobeandmail.com)
A few years ago, Father Tomasz Trafny was brainstorming with other Vatican officials about what technologies would shape society, and how the Vatican could have an impact. And it hit them: Adult stem cells, which hold the promise of curing the most difficult diseases, are the technology to watch.
“They have not only strong potentiality,” says Trafny, “but also they can change our vision of human being[s], and we want to be part of the discussion.”
In a rare move, the Vatican decided to collaborate with a private company, NeoStem, to do education and eventually research. The Catholic Church is investing $1 million to form a joint foundation, and next week, scientists from around the world will meet at the Vatican to discuss the future of stem cell therapies.
Trafny, who is chairman of the science and faith department at the Pontifical Council for Culture, says they believe there’s a superior alternative to embryonic stem cell research.
“We don’t see reason why we have to sacrifice human lives, while we have technologies that do the same without harming anyone and without raising any moral difficulties,” he says.
“What people don’t realize is for 30 years, we’ve been using adult stem cells,” says Robin Smith, the chief executive officer of NeoStem. “That’s called a bone marrow transplant. Diseases like leukemia, lymphoma, multiple myeloma, anemia — this is all part of the standard of care.”..
- Should I Save Stem Cells Now for Future Treatment? (everydayhealth.com)
- How Can I Mobilize Stem Cells for Myeloma? (everydayhealth.com)
- Stem cell hope for elderly patients (telegraph.co.uk)
- Scientists Clone Embryonic Stem Cells from Individuals To Aid In Cure For Diabetes as Reported by DiabeticLive.com (prweb.com)
- Pharmaceutically Speaking, Part 11: Outlawed Stem Cell Patents (tacticalip.com)
Like you, I receive a whole bunch of breaking medical news every day, from television, radio, newspapers, direct mail, email alerts, press releases, and multiple websites.
Is any of it worth my time, my attention, or even a change in my knowledge, attitude, behavior, or medical practice? How can I quickly tell?
A medical journalist from Minnesota named Gary Schwitzer recognized this problem many years ago and created a service that will help all of us, in and outside of medicine and medical journalism, to spend our time and direct our attention wisely.
Schwitzer’s service is called Health News Review and widely publicizes a set of criteria to apply to medical stories reported in the popular media.
While his approach cannot prevent fraud, liars, and fabricators, a careful use of his criteria can help the reader filter out what is likely to be real junk, or even worse, harmful.
Medical Reporting Rules to live (or die) by:
- How available is the treatment/test/product/procedure to the likely reader/viewer/listener at the time of the report?
- What is the cost or charge for the test/treatment/product or procedure mentioned in the story? To the patient? The insurance company? The government?
- Is there evidence of disease mongering in the story? Does it oversell or exaggerate a condition or create unwarranted fear?
- Does the story seem to grasp and convey the quality of the evidence supporting the basis for the study?
- Does the article provide appropriate balance about harms that might be caused by the treatment/test/product/procedure that constitutes the basis for the story?
- Does the story establish the true novelty of the approach? Much that is purported to be new, really is not.
- How does the story frame the relative quantitative value of a new treatment, test, product, or procedure and place the benefits in context with others, especially dealing with absolute and relative values?
- Did the author and editor of the medical news story rely solely or largely on a press release or did they also seek and quote other sources?
- Was there an independent source and were any possible conflicts of interests of sources disclosed in the article?
- Does the story provide the context of treatment/test/product/procedure other than those that are being reported?
- Essential tips for medical journalists (kevinmd.com)
- Comparison of good and bad reporting on leukemia gene therapy (boingboing.net)
- Health Literacy Month Is Back – Tell a Friend (engagingthepatient.com)
The American Board of Medical Specialties (ABMS) has begun publicly reporting whether specialists are meeting the continuing education requirements necessary for maintaining board certification.
Seven member boards — the American Boards of Dermatology, Family Medicine, Nuclear Medicine, Otolaryngology, Physical Medicine and Rehabilitation, Plastic Surgery, and Surgery — are the first to report via the ABMS.
Information is available on physicians certified by those boards at www.certificationmatters.org.
Search results show the name of the certifying board, and a “yes” or “no” as to whether the physician is meeting the maintenance of certification (MOC) requirements for that board. A link will take the searcher to the certifying board’s explanation of its specific requirements.
The remaining 17 member specialty boards will make maintenance of certification status available through the ABMS by August 2012.
- Clinical Informatics Wins Official Recognition (informationweek.com)
- Physicians Oppose Increased Certification Requirements (bsurgmed.wordpress.com)
- National Medical Society Advises How to Choose a Pain Specialist (prweb.com)
- Universal board certification can solve the Doctor Nurse controversy (kevinmd.com)
There are multiple costs to non-compliance, including financial, both personal and societal, and physical-emotional. When patients fail to comply with treatment protocols, fail to get prescribed tests, or fail to stop destructive behaviors, there is a societal cost.
Today, I want to address the physical and emotional costs of non-compliance. I just read a brilliant article by Roxanne Sukol, MD. Dr. Sukol’s article discussed the fact that diabetes starts 10 years prior to your doctor making a diagnosis and, if addressed early, often can be avoided. In her article, Dr. Sukol states, “I like my patient vertical. Not horizontal.” Most doctors have favorite sayings. My favorite is, “May you be so blessed as to never know what disease you prevented.” I’ll add Dr. Sukol’s to my favorite list.
Another one of my favorite sayings is “There is no such thing as pre-diabetes. Pre-diabetes is like being pre-pregnant.” …
(readers responses here, along with responses to other cases)
…..When it came to medical decisions, almost all the respondents wanted their doctors to offer choices and consider their opinions. But a majority of patients — two out of three — also preferred that their doctors make the final decisions regarding their medical care.
“The data says decisively that most patients don’t want to make these decisions on their own” said Dr. Farr A. Curlin, an associate professor of medicine at the University of Chicago and one of the authors of the study.
The challenges appear to arise not when the medical choices are obvious, but when the best option for a patient is uncertain. In these situations, when doctors pass the burden of decision-making to a patient or family, it can exacerbate an already stressful situation. “If a physician with all of his or her clinical experience is feeling that much uncertainty,” Dr. Curlin said, “imagine what kind of serious anxiety and confusion the patient and family may be feeling.”
Patients and their families also often don’t realize that their doctors may be grappling with their own set of worries. …
- Talking about faith increases hospital patients’ overall satisfaction (esciencenews.com)
- Do Patients Have the Toughest Job in Medicine? (well.blogs.nytimes.com)
- What this doctor learned when he was a patient (kevinmd.com)
- Why doctors should stop wearing ties (kevinmd.com)
- Patients want and need to take a greater role in their medical care (kevinmd.com)
In June 2011, the National Library of Medicine® (NLM ®) released several enhancements that improve users’ ability to share and consume MedlinePlus® content. MedlinePlus now offers RSS feeds for every health topic page on the site — nearly 1,800 feeds for MedlinePlus and MedlinePlus en español combined. Whenever MedlinePlus adds a new link to a health topic page, the item appears as an entry on the corresponding health topic RSS feed. Users can subscribe to a customized selection of RSS feeds based on their specific interests using the RSS reader/aggregator of their choice. Links to the health topic feeds are available on all health topic pages, the MedlinePlus RSS Feeds page, and via any Web browser’s RSS auto-detect feature.
In addition to the health topic feeds, MedlinePlus now offers two new English RSS feeds allowing users to subscribe to all new links added to MedlinePlus and all new NIH links added to MedlinePlus. These feeds are available on theRSS Feeds page under the heading “General Interest RSS Feeds.” For Spanish-language users, MedlinePlus provides one new RSS feed that contains all new links added to MedlinePlus en español. This feed is available from the Spanish RSS Feeds page.
NLM also unveiled enhancements to the print, email, and AddThis® icons on MedlinePlus and MedlinePlus en español health topic pages. These icons now appear above the topic summary, and the Facebook® and Twitter®sharing options are more prominent, making it easier for users to share content in these very popular social networks (see Figure 1).
- MedlinePlus the Magazine – Online Health Information Journal for the Public (aa47.wordpress.com)
- New MedlinePlus Tour Now Available (aa47.wordpress.com)
New Report Shows 85% of Fake Online Drug Outlets Don’t Require Valid Prescription, Fuel Prescription Drug Abuse
From the 28 July 2011 Drug Information Forum article by Marvin C Pankaskie
The National Association of Boards of Pharmacy® (NABP®) today issued a public health alert to warn Americans about the serious dangers associated with medicines purchased through fake online pharmacies. A report NABP released today on Internet drug outlets found that 96% of 8,000 rogue Web sites analyzed continue to operate out of compliance with United States pharmacy laws, fuel prescription drug abuse and misuse, and provide an outlet for counterfeit medicines to enter the US drug supply – all of which significantly endanger the health and safety of Americans.
“The fake online pharmacy crisis has reached an epidemic level – they prey on prescription drug abusers and the most vulnerable members of society who rely on medicine every day for their health,” said NABP President Malcolm J. Broussard, RPh. “They offer easy access to potent medicines without a prescription and indiscriminately push dangerous counterfeit drugs. This problem poses a clear danger to Americans’ health and safety and weakens the essential relationships between pharmacists and patients. By issuing a public health alert, we are calling on pharmacists, physicians, and other health professionals to educate their patients about the growing public health threat posed by these illegal online enterprises.”
- NABP Says Most Online Pharmacies Illegal (forum.thenewalchemist.com)
- Tracking illegal online pharmacies: Evidence of web manipulation (Science Daily)
- New Study Shows Safety of Ordering Prescription Drugs From Online Pharmacies Verified By PharmacyChecker.com (prweb.com)
- Online Pharmacies Certified by PharmacyChecker.com are Guaranteed to Provide Safe and Authentic Prescription Medications (prweb.com)
- 3rd Annual National Prescription Drug Take-Back Day Slated for October 29, 2011 (forum.thenewalchemist.com)
- FDA ‘Bad Ad’ Program Raises Awareness of Provider Role in Ensuring Truthful Prescription Drug Promotion (forum.thenewalchemist.com)
- Protecting Consumers from Rogue Online Pharmacies (eset.com)
- Google Was Warned on Rogue Drug Ads (online.wsj.com)
- PharmacyChecker.com Begins Blog About Americans’ Access to Affordable Medication (prweb.com)
World Population to Surpass 7 Billion in 2011; Explosive Population Growth Means Challenges for Developing Nations
In 2011, global population is expected to hit 7 billion. (Credit: © Feng Yu / Fotolia)
Global population is expected to hit 7 billion later this year, up from 6 billion in 1999. Between now and 2050, an estimated 2.3 billion more people will be added — nearly as many as inhabited the planet as recently as 1950. New estimates from the Population Division of the Department of Economic and Social Affairs of the United Nations also project that the population will reach 10.1 billion in 2100….
Population trends indicate a shift in the “demographic center of gravity” from more to less developed regions, Bloom writes. Already strained, many developing countries will likely face tremendous difficulties in supplying food, water, housing, and energy to their growing populations, with repercussions for health, security, and economic growth.
“The demographic picture is indeed complex, and poses some formidable challenges,” Bloom said. “Those challenges are not insurmountable, but we cannot deal with them by sticking our heads in the sand. We have to tackle some tough issues ranging from the unmet need for contraception among hundreds of millions of women and the huge knowledge-action gaps we see in the area of child survival, to the reform of retirement policy and the development of global immigration policy. It’s just plain irresponsible to sit by idly while humankind experiences full force the perils of demographic change.”…
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- Challenges, Opportunities and Action in a World of 7 Billion (prweb.com)
- Education — a key determinant of population growth and human well-being (Eureka alert)
Education — a key determinant of population growth and human well-being
Projections of future population trends that do not explicitly include education in their analysis may be flawed
Laxenburg, Austria – 28 July 2011 — Future trends in global population growth could be significantly affected by improvements in both the quality and quantity of education, particularly female education. Projections of future population trends that do not explicitly include education in their analysis may be flawed, according to research published today in the journal Science (July 29 2011).
The study uses a novel “multi-state” population modeling approach to incorporate education attainment level, along with age and sex. The integration of education in the analyses adds a “human quality” dimension to projections of fertility, mortality and migration. As education also affects health, economic growth, and democracy, these projections provide a more comprehensive picture of where, how, and under what conditions human well-being is increasing.
The research reinforces earlier findings that the level of formal education achieved by women is, in most cases, the single most important determinant of population growth. More educated women generally have fewer children, better general health, and higher infant survival rates. Education also appears to be a more important determinant of child survival than household income and wealth. The study also found that if concerted efforts were made to fast track education, the global population could remain below 9 billion by 2050. Thus the global population outlook depends greatly on further progress in education……”
Dr. Aletta shares these five rules for living well in spite of a chronic illness like cardiovascular disease:
1. Be confident you have the right doctor. When you have a chronic illness, your relationship with your doctor is second only to your spouse or your parents. Being honest (and you must be honest!) with that person means you need to be able to trust them to hear you. If you don’t have that kind of relationship, get a second opinion. Shop around.
“In my own chronic illness career, I fired three highly recommended specialists because they were jerks. Thankfully, I’ve also had wonderful physicians who literally saved my life and my mind.”
2. Define your circle of support carefully. Isolation leads to depression, and it is so easy to isolate when you feel lower then dirt. People may surprise you. Peripheral friends may step up and be terrific supports, while others you thought you could count on can’t be there for you. If someone inside the circle asks, “How are you?” – tell them the truth. When someone outside the circle asks you the same question, lie. Say, “I’m fine!” and change the subject. Too often they can’t handle the truth and they suck any energy you have taking care of them. If someone asks if they can help, say yes. Accepting help is a gift to them. Trust that someday you will be on the giving end. One big way someone can help is to go to doctor’s visits with you. The extra eyes and ears take the pressure off you when the news is emotionally laden and important, even if the news is good!
“A patient of mine found her mother would get hysterical at any medical news, so it was better to keep her at arm’s length. But my patient’s mother could do laundry for her, and that made both of them happy.”
3. Protect your health as you would a small child. You are more than your illness. That part of you that functions well needs you to advocate for it. Of course, there are the basics of getting plenty of sleep, exercise and eating smart. In addition to all that, I suggest learning a new set of signals that are your clues for when you’re wearing your health thin.
“For me, it’s lowered ability to concentrate, tension in my neck and shoulders, irritability and loss of my usually dependable sense of humor. When those yellow lights are blinking, it’s time for me to stop, assess and make changes. When I ignored those signals in the past, I relapsed. Looking back I can see where I ran the red lights. So be a fierce protector of your health. Set limits and find the courage to say ‘No’!”
4. Create a new measuring stick. Your self-esteem lies in the standards with which you measure yourself as you go through life. To thrive with chronic illness, throw out the old and rethink your standards. If you are used to defining yourself by your 50-hour work week, for instance, you may feel lousy about yourself because now you can’t manage it. But finding a new standard can be tough.
“One technique I use with patients is to have them ask themselves what is reasonable? Is it reasonable to do it all yourself or is it more reasonable to delegate? Is it reasonable to register the kids in travel hockey, or is it more reasonable to stay local? In my own life and in my work I find that those who thrive despite chronic illness creatively find opportunity in their new reality.”
This is where a lot of courage is needed. Courage to address old pressures to be a certain way, and to imagine value in doing things differently.
5. Have dreams and strive for them. You had ambitions to get a degree or a promotion, to see the world or save it, to get married or have kids. Now you’re thinking, do I have to give all that up? No, you don’t. It’s imperative for your spirit that you have goals for living, big and small.
“What might change with the reality of chronic illness is the path and timing. As we reach for the stars, let’s appreciate the ground we stand on. Mindfulness has a real place in keeping depression at bay for everyone. Sometimes our dreams are right before our eyes.”
- If We Share About Our Illness, Do We Need to Listen to the Response of Advice? (via Chronic Illness Pain Daily Devotionals) (thechristiangazette.wordpress.com)
- >Let’s Talk Chronic Illness (lupuschronicles.com)
- More Tools from My Chronic Pain Toolkit (ohmyachesandpains.info)
- Raising the Chronically Ill Child (child-psych.org)
- Patients for a Moment (PFAM): Independence & Chronic Illness (ohmyachesandpains.info)
The emerging literature on chronic disease management suggests that successful programs rely on patient self management skills. Having been in the primary care role for 20 years, that initially seemed self evident and a bit “so what?” to me, thinking it meant that we just need to teach our patients a bit more in the primary care office.
However self-management skills refer to specific curricula of skills that can be taught to patients in formal programs, without doctors. Coordinating these activities with what goes on a primary care office, and the community, and other care-giving settings is critical. These specific skills involve patients setting their own goals, and then creating plans to reach those goals with the assistance of their primary care team and others, but not at the direction of their primary care team. This is a real mind shift for the primary care doctor also.
- The benefits of successful patient self-management programs (kevinmd.com)
- Summary Box: Trying a new approach to primary care (seattletimes.nwsource.com)
- New Brief Outlines Strategies to Put Patients at the Center of Primary Care (jflahiff.wordpress.com)
Tenderness, kissing more important to men than women, study finds
TUESDAY, July 5 (HealthDay News) — Cuddling and caressing help boost satisfaction in long-term relationships, according to a new study of middle-aged and older couples.
The study also found that tenderness is more important to men than to women, that men are more likely to report being happy in their relationship, and that women are more likely to be satisfied with their sexual relationship, said the researchers from the Kinsey Institute at Indiana University.
The study included more than 1,000 couples from the United States, Brazil, Germany, Japan and Spain who had been together for an average of 25 years. The participants were 40- to 70-year-old men and their female partners.
Men were more likely to be happy in a relationship if they were in good health and if it was important to them that their partner experienced orgasm during sex. Frequent cuddling and kissing also predicted relationship happiness for men, but not for women.
Both women and men were happier the longer they had been together and if they had higher levels of sexual functioning, the investigators found.
Japanese men and women were significantly happier with their relationships than Americans, who were happier than Brazilians and Spaniards, according to Kinsey Institute director Julia Heiman and colleagues.
Sexual satisfaction for both women and men was associated with frequent kissing and cuddling, sexual caressing by a partner, high sexual functioning, and frequent sex. For men, having had more sex partners in their lifetime was a predictor of less sexual satisfaction, the report indicated…..
From the NY Times 23 June 2011 article (includes video)
The patient wanted to know, and her therapist — Marsha M. Linehan of theUniversity of Washington, creator of a treatment used worldwide for severely suicidal people — had a ready answer. It was the one she always used to cut the question short, whether a patient asked it hopefully, accusingly or knowingly, having glimpsed the macramé of faded burns, cuts andwelts on Dr. Linehan’s arms:
“You mean, have I suffered?”
“No, Marsha,” the patient replied, in an encounter last spring. “I mean one of us. Like us. Because if you were, it would give all of us so much hope.”
“That did it,” said Dr. Linehan, 68, who told her story in public for the first time last week before an audience of friends, family and doctors at the Institute of Living, the Hartford clinic where she was first treated for extreme social withdrawal at age 17. ….
The article goes on to tell Dr. Linehan’s journey to “radical acceptance” on how she uses this concept in therapy.
Looking at Healthcare through Payer Lens (so far Part I and Part II) gives great insight on how the healthcare industry can successfully work with with individuals and other stakeholders to deliver health insurance coverage.
These items (and realated others) may be found at Chilmark Research:Providing perspective on key IT trends in the healthcare sector
Part I outlines quick current summaries (snapshots) of Accountable Care Organizations, Consumer/Member Engagement, and Health Insurance Exchanges (HIX)
Part II outlines the necessary steps of establishing trust, engagement, and collaboration
- “Single-Payer Healthcare for Vermont: A Small State Takes a Giant Leap for the Nation” and related posts (buzzflash.com)
- Health Care Costs And The Third-Party Payer Problem (outsidethebeltway.com)
- Vermont Poised to Become First State to Enact Single-Payer Healthcare (alternet.org)
The National Prevention Strategy includes actions that public and private partners can take to help Americans stay healthy and fit and improve our nation’s prosperity. The strategy outlines four strategic directions that, together, are fundamental to improving the nation’s health. Those four strategic directions are:
- Building Healthy and Safe Community Environments: Prevention of disease starts in our communities and at home; not just in the doctor’s office.
- Expanding Quality Preventive Services in Both Clinical and Community Settings: When people receive preventive care, such as immunizations and cancer screenings, they have better health and lower health care costs.
- Empowering People to Make Healthy Choices: When people have access to actionable and easy-to-understand information and resources, they are empowered to make healthier choices.
- Eliminating Health Disparities: By eliminating disparities in achieving and maintaining health, we can help improve quality of life for all Americans.
- National Prevention Strategy: America’s Plan for Better Health and Wellness (nlm.nih.gov)
- HHS Announces Plan to Reduce Health Disparities (nlm.nih.gov)
The recently launched online magazine Pulse (currently free through registration) publishes personal accounts of illness and healing.
Pulse accepts submissions about giving and receiving health care from patients and health care professionals. Through the sharing of emotional and practical stories and poems, the magazine strives to promote compassionate health care.
Here are some excerpts from the article Hospital Librarian, by Pam Kress-Dunn
Some people seem surprised to find a library in a hospital. But it’s here, and so am I. Having been a librarian in lots of different libraries–public, academic, archival–I jumped at this job when it opened up. Little did I know what I was getting into.
Like many medical librarians, I work solo. I do have a volunteer who, despite being decades older than me, works tirelessly during the two days a week she’s here. But I’m the one who does the lit searches, tracks down the articles in medical journals and finds the piece of information the doctor requires before the surgery that’s scheduled for noon.
My predecessor told me about his most harrowing moment: A surgeon needed information–stat!–and it was available only from a journal our library didn’t carry. So he placed an interlibrary loan request, marking it “Urgent: Patient Care.” When the article came through on the fax machine, he read it aloud over the phone to the surgeon, who was standing in the OR as a nurse pressed the receiver to his ear….
…For family members like these, a hospital library is a sanctuary. It can be a relief to escape the medical floors for a while. And librarians may not be doctors or nurses, but we provide an essential kind of caregiving.
Librarians try to intuit what people need–whether it be silence, respite or practical help. From experience, I’ve learned that you never know what people are going through, or what they need. Often, the best I can offer is to keep my concerns to myself.
One day, a woman came in and asked if she could use a computer to send emails informing others about a family member’s health.
“Of course!” I said, showing her how to log on.
Looking cheerful, she began typing away. Then she paused.
“How do you spell ‘hospice’?” she asked.
I spelled the word, my heart sinking, and left her to craft her sad message…..
…Listening, saying sorry, and validating the complaint by repeating the complaint word for word – or least paraphrasing – can solve the majority of the problems and diminish the need for fights. Sometimes people just want to be heard…hear their complaints and gripes about life validated. Doesn’t mean necessarily you’re wrong and they’re right….they just need to blow off steam. Also, for some people after hearing their complaint repeated back it makes them realize they’re making a mountain out of a mole hill….they’re being unfair, unreasonable, and even silly. ….
..Source: Sorry Works! (“advocacy organization for disclosure, apology (when appropriate), and upfront compensation (when necessary) after adverse medical events.”)
- 10 steps to a successful complaint (telegraph.co.uk)
Create Your Mayo Clinic Health Experience At Mall Of America(R) To ‘Help People Live The Best Lives They Possibly Can’
Construction Under Way on New Prototype Mayo Clinic Facility to Open This Summer
People will interact, engage, relate, participate and share with Mayo Clinic experts to learn more about what they want and need from their health care experience.
ROCHESTER, Minn. — Construction has begun on ‘Create Your Mayo Clinic Health Experience’ at Mall of America. The new space is a health care laboratory designed to integrate health and health care needs to help people stay well and get well. People will interact, engage, relate, participate and share with Mayo Clinic experts to learn more about what they want and need from their health care experience.
“The concepts for ‘Create Your Mayo Clinic Health Experience’ are based on extensive interaction with individuals. We know that health permeates virtually all aspects of our lives — how we eat, socialize, care for our children, exercise, work and so on,” says David Hayes, M.D., a cardiologist at Mayo Clinic who is leading the Mall of America project. “We know health care in the future will not be limited to hospitals and doctor’s offices. Mall of America provides an opportunity for Mayo Clinic to help transform health care delivery by enhancing convenience and enabling more people to access Mayo Clinic health resources on a day-to-day basis.”
At ‘Create Your Mayo Clinic Health Experience,’ you will be able to:
Interact with touch-screen health applications designed to entertain, inform and educate.
Engage with health care experience navigators who will help you assemble the tools you need to improve your health and well-being. These navigators will be experienced, Mayo-trained experts.
Relate individually with more in-depth information and programs tailored to your needs.
Participate in health education classes.
Share offerings from Mayo Clinic health professionals specific to women’s health, sports and performance health, preventive health and family and lifestyle health.
Learn more about the services Mayo Clinic provides at its Arizona, Florida, Minnesota and Mayo Health System campuses.
“This is really about Mayo’s commitment to helping people live the best lives they possibly can. The development of ‘Create Your Mayo Clinic Health Experience’ will be an exploration of health care, wellness and targeted prevention,” adds John La Forgia, senior administrator for the project. “Mayo is well known as a place for patients to find answers, but we would also like to gather more input about the future of preventive health services.”
“Our collaboration with Mayo Clinic throughout the past year has not only built momentum for this exciting venture, it has helped promote healthy living for thousands of mall visitors,” says Maureen Bausch, executive vice president of business development at Mall of America. “We look forward to the opportunities that our visitors will have to provide feedback and shape their own health experiences when this prototype space opens.”
‘Create Your Mayo Clinic Health Experience’ will be located on the first level near the East Market Rotunda. Construction began in April and Mayo Clinic plans to open the space in July. ‘Create Your Mayo Clinic Health Experience’ is a prototype space through which Mayo Clinic experts will gather input as part of the possible permanent facility Mayo Clinic plans for the Phase II expansion of Mall of America.
Mayo Clinic’s Arizona, Florida and Minnesota campuses, including Mayo Health System, will remain the patient-focused care centers that have been the hallmark of Mayo Clinic for more than 100 years. Both ‘Create Your Mayo Clinic Health Experience’ and the eventual permanent facility as part of the Phase II Mall of America expansion will complement these locations by providing convenient, day-to-day services to improve health and well-being, as well as offering direct connections to Mayo Clinic.
Doctors, nurses and other health care providers in America work incredibly hard every day to deliver the best care possible to their patients. Unfortunately, an alarming number of patients are harmed by medical mistakes in the health care system and far too many die prematurely as a result.
The Obama Administration has launched the Partnership for Patients: Better Care, Lower Costs, a new public-private partnership that will help improve the quality, safety and affordability of health care for all Americans. The Partnership for Patients brings together leaders of major hospitals, employers, health plans, physicians, nurses, and patient advocates along with State and Federal governments in a shared effort to make hospital care safer, more reliable, and less costly. The Partnership will help save 60,000 lives by stopping millions of preventable injuries and complications in patient care over the next three years and has the potential to save up to $35 billion, including up to $10 billion for Medicare. Over the next ten years, it could reduce costs to Medicare by about $50 billion and result in billions more in Medicaid savings. Already, more than 500 hospitals, as well as physicians and nurses groups, consumer groups, and employers, have pledged their commitment to the new initiative.
The two goals of this new partnership are:
- Keep patients from getting injured or sicker. By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010. Achieving this goal would mean approximately 1.8 million fewer injuries to patients, with more than 60,000 lives saved over the next three years.
- Help patients heal without complication. By the end of 2013, preventable complications during a transition from one care setting to another would be decreased so that all hospital readmissions would be reduced by 20% compared to 2010. Achieving this goal would mean more than 1.6 million patients will recover from illness without suffering a preventable complication requiring re-hospitalization within 30 days of discharge….
…To see which organizations have already joined the Partnership, visitpartnershippledge.HealthCare.gov. …
…For more information about the Partnership for Patients, visitwww.HealthCare.gov/center/programs/partnership. For more information about the Community-based Care Transitions Program funding opportunity visit: www.cms.gov/DemoProjectsEvalRpts/MD/itemdetail.asp?itemID=CMS1239313.
- Ohio Campaign for Better Care Launches “Healthy Hospital” Initiative, Vows Vigorous Work to Improve Hospital Care for Vulnerable Older Patients (prnewswire.com)
- HHS in Campaign to Cut Hospital Errors (abcnews.go.com)
- Improving Care for People with Medicare (whitehouse.gov)
- Coalition Applauds Congressional Champions for Protecting Access to Medicare Benefits (prnewswire.com)
ScienceDaily (Mar. 29, 2011) — Members of California’s aging lesbian, gay and bisexual population are more likely to suffer from certain chronic conditions, even as they wrestle with the challenges of living alone in far higher numbers than the heterosexual population, according to new policy brief from the UCLA Center for Health Policy Research.
Half of all gay and bisexual adult men in California between the ages of 50 and 70 are living alone, compared with 13.4 percent of heterosexual men in the same age group. And although older California lesbians and bisexual women are more likely to live with a partner or a family member than their male counterparts, more than one in four live alone, compared with one in five heterosexual women.
A lack of immediate family support may impact aging LGB adults’ ability to confront statistically higher rates of diabetes, hypertension, poor mental health, physical disability and self-assessed fair or poor health, compared with demographically similar aging heterosexual adults.
The study, which draws upon three cycles of data from the biennial California Health Interview Survey (CHIS), underscores the importance of considering these unique needs and chronic health conditions in providing health care and social services to the estimated 170,000 self-identified aging LGB adults in California — a population that will double in size over the next 20 years.
“Many aging LGB Californians do not have biological children or strong family support,” said Steven P. Wallace, the lead researcher on the project. “Organizations that serve these communities need to take this into account and consider outreach and support mechanisms that enable these individuals to maintain their independence and ability to age safely and in good health.”
The policy brief, “The Health of Aging Lesbian, Gay and Bisexual Adults in California,” includes the first data published on aging LGB adults based on a large statewide population. And among a population whose health needs are too often associated only with HIV and AIDS, the study offers the first insights about broader health conditions and trends….
- Groundbreaking report released: ‘Bisexual Invisibility: Impacts and Recommendations’ (pinkbananaworld.com)
- Lesbians, gays, bisexuals at higher risk for severe mental health problems (news.bioscholar.com)
- San Francisco Human Rights Commission Approves Groundbreaking Report: Bisexual Invisibility: Impacts and Recommendations (pinkbananaworld.com)
- Day 27- Sexuality in the US (feministactivism.wordpress.com)
- Bullying, Harassment of Gay/Lesbian Teens: Expert Q&A (webmd.com)
- Strong link found between victimization, substance abuse (eurekalert.org)
- Physiological Impacts Of Homophobia (mccswu.wordpress.com)
- Americans Have Higher Rates of Most Chronic Diseases Than Same-Age Counterparts in England (jflahiff.wordpress.com)
- Doctors lack data on LGBT community: report
From a March 9 2011 Health Day news item:
As Peer Pressure Increases, So Does Brain’s Ability to Resist It
Adolescents’ brain wiring gears up just as risky behavior approaches, researchers report
- Health Benefits of Antioxidants: What’s the Buzz?
- Studies of Antioxidants and Disease Prevention
- Potential Hazards of Antioxidants
- The Bottom Line on Antioxidants and Disease Prevention
Excerpt (Bottom Line)
The Bottom Line on Antioxidants and Disease Prevention
Free radicals contribute to chronic diseases from cancer to heart disease and Alzheimer’s disease to vision loss. This doesn’t automatically mean that substances with antioxidant properties will fix the problem, especially not when they are taken out of their natural context. The studies so far are inconclusive, but generally don’t provide strong evidence that antioxidant supplements have a substantial impact on disease. But keep in mind that most of the trials conducted up to now have had fundamental limitations due to their relatively short duration and having been conducted in persons with existing disease. That a benefit of beta-carotene on cognitive function was seen in the Physicians’ Health Follow-up Study only after 18 years of follow-up is sobering, since no other trial has continued for so long. At the same time, abundant evidence suggests that eating whole fruits, vegetables, and whole grains—all rich in networks of antioxidants and their helper molecules—provides protection against many of these scourges of aging.
Related Resources and Articles
- Walnuts richest in antioxidants (news.bioscholar.com)
- Dietary supplements for toddlers (healthychildren.org)
- Dietary Supplements Labels Database
Information about ingredients in more than three thousand selected brands of dietary supplements. It enables users to determine what ingredients are in specific brands and to compare ingredients in different brands. Information is also provided on the health benefits claimed by manufacturers. These claims by manufacturers have not been evaluated by the Food and Drug Administration. Check out the Help section for tips on how to browse and search this site.
Prescription and over-the-counter medication information contains answers to many general questions including topics as what a drug is used for, precautions, side effects, dietary instructions, and overdoses. From the American Society of Health System Pharmacists
Herb and supplement information includes information on uses based on scientific evidence as well as safety and potential interactions with drugs, herbs, and supplements. From Natural Standard, an independent group of researchers and clinicians.
- Drugs and Supplements (sponsored by the Mayo Clinic)
Somewhat lengthy drug and over-the-counter medicationinformation with these sections: description, before using, proper use, precautions and side effects. From Micromedex, a trusted source of healthcare information for health professionals.
Herb and supplement information includes information on uses based on scientific evidence as well as safety and potential interactions with drugs, herbs, and supplements. From Natural Standard, an independent group of researchers and clinicians.