The fascinating history of clinical trials

From the June 3, 2020 article at The Conversation

“Clinical trials are under way around the world, including in Australia, testing COVID-19 vaccines and treatments.

These clinical trials largely fall into two groups. With observational studies, researchers follow a group of people to see what happens to them. With experimental studies, people are assigned to treatments, then followed. 

These study designs have come about from centuries of people trying out different ways of treating people.

Here are some of the key moments in the history of clinical trials that led to the type of trials we see today for COVID-19.”

Continue reading the article for examples as ginseng in China, rhubarb in 18th century England, Early 20th-century randomised trial, and tuberculosis and the randomised controlled trial

Additional resources and reading

—Randomised control trials: what makes them the gold standard in medical research?

–From the research lab to your doctor’s office – here’s what happens in phase 1, 2, 3 drug trials

— Health Check: can vitamins supplement a poor diet?

—ClinicalTrials.gov – a searchable database of privately and publicly funded clinical studies conducted around the world.

Looking for summaries of the best current evidence for healthcare decision making? Cochrane Evidence may have a report on a topic of interest

Cochrane reviews are systematic reviews of primary research of human health care. They are systematic because they review ALL the available journal articles to answer a specific question.. Each systematic review can take up to 2 years and includes at least 2 people.
An example of a question would be
Can antibiotics help in alleviating the symptoms of a sore throat?
Cochrane Reviews do not answer every healthcare question, but they currently have several thousand reviews answering specific questions.

Cochrane Evidence has plain language summaries of the above reviews.
““Cochrane summarizes the findings so people making important decisions – you, your doctor, the people who write medical guidelines – can use unbiased information to make difficult choices without having to first read every study out there…” 
Sifting the evidence, The Guardian, 14 September 2016

How your behaviour on social media could be limiting the quality of your news feeds

From the 16 June 2020 University of Western Australia News Release

Wondering if you are getting good quality and balance information from your news feeds and social media? You might not be alone. Over half the world’s population gets their news from social media. But how reliable are posts on social media? and how to select the more reputable?

First, be careful when you dislike a post or opt to see less of something on a news feed. Even if it seems to be a reputable source.

“Throughout social media, a series of complex algorithms are in place to keep users engaged and visiting social media sites as long as possible. They want the user to have the feeling of ‘you’re right’ so content is tailored to that person.

“This creates an environment of like-minded users who reinforce that person’s opinions rather than providing balanced information.”

So disliking and opting to see less may well result in your missing information from a reputable source.

“The researchers say another possibility would be to make it more difficult for users to share information when an article fails to cite external references. For example, users might be required to click past a pop-up window.

“Another option is what is called boosting, to enhance user competence in the long-term. This could, for instance, mean teaching people to determine the quality of a news item by looking at a set of variables, such as the sources being cited, that determine its likely quality,” he said.”

Related articles

• How to evaluate complementary health approaches in the news (jflahiffwordpress post)
• Misleading information on health social sites (and tips on how to evaluate health/medical information) ((jflahiffwordpress post))

• Evaluating Internet health information (Penn State)
• Evaluating Medical Research Findings and Clinical Trials (Family Caregiver Alliance)
• A Consumer’s Guide to Taking Charge of Health Information (Harvard Center for Risk Alliance)
• Evaluating Health Information on the Internet (National Cancer Institute)
• Quackwatch: Your Guide to Quackery, Health Fraud, and Intelligent Decisions (Stephen Barrett, M.D.)

Experts urge caution in interpreting COVID-19 antibody tests

False positive results are cause for concern
From the May 26, 2020 Washing University School of Medicine in St. Louis News Release

Laboratory workers at Washington University School of Medicine in St. Louis process blood samples. Blood tests for antibodies against the COVID-19 virus are becoming more available, but no test is perfectly reliable, so results must be carefully interpreted, experts say.

“There are two kinds of COVID-19 tests, and both are critical to controlling this pandemic. Molecular diagnostic tests, first developed in January, detect parts of the COVID-19-causing virus on swabs from people’s noses or throats. Such tests can identify people with active infections, even when they have no symptoms. With widespread and rapid diagnostic testing, people with the virus can be identified quickly and isolated, and anyone who came into contact with them quarantined and tested. Such surveillance and isolation measures can prevent a few cases from mushrooming into an outbreak.”
…
Why are antibody tests for COVID-19 important?

Farnsworth: Antibody testing is really helpful in monitoring how widely a virus has spread within a community. Such testing could help determine how many people have recovered from the virus, even if they never had symptoms. For many viruses, once about 70% of the population is immune – either because they have had a natural infection or, better yet, received a vaccination – infected people are less likely to encounter a susceptible person and give them the virus, so transmission goes down and the epidemic ends. That’s called herd immunity.”
…
If my antibody test is positive, does that mean I’ve had COVID-19 and won’t get it again?

Anderson: A positive test just means your body has produced antibodies in response to a past infection; it doesn’t tell us whether those antibodies will protect you from getting re-infected
…
Can antibody tests decide who can safely go back to work?

Farnsworth: Many people are anxious to get people back to work, but antibody tests may give some people a false sense of security. The problem is that even a highly accurate antibody test like the one we use in our laboratory has false positives and false negative

How should antibody tests be used?

Anderson: There have not been formal guidelines at the national or local levels regarding how exactly these tests should be used. And, in the absence of such guidelines, many people are anxious to get antibody testing. The way I look at such tests is that they’re a tool.…not … the sole source of information for decision-making.

Related Resources

• Coronavirus Disease 2019 – Test for Past Infection (CDC -US Centers for Disease Control and Prevention)
  Outlines what results mean (positive or negativbe) and CDC’s work in antinbody testing
  
• How do COVID-19 antibody tests differ from diagnostic tests? (Mayo Clinic)
  Outlines 2 types of tests
  
• What COVID-19 Antibody Tests Can and Cannot Tell Us
  “Assays that detect prior novel coronavirus infections could reveal the extent of outbreaks. But they may give individuals false security”
  
• COVID-19 (Johns Hopkins University)
  Includes
  • Serology-based tests for COVID-19
    This resource serves to provide up to date information on serology tests that are in development or available for use
  • Molecular-based tests for COVID-19
    The diagnostic testing field for COVID-19 is rapidly evolving and improving in quality every day, with many tests focused on diagnosing patients with active viral infections. Read more about molecular-bases tests for COVID-19 here.
    

Time to Talk Tips on Complementary Health Practices [Reblog]

Time to Talk Tips on Complementary Health Practices Information Resources By Evelyn Cunico, M.A., M.S. Posted June 02, 2015 Background “Time to Talk Tips” is one of the resources in the…

Source: Time to Talk Tips on Complementary Health Practices

Analyzing the Life Cycle of Chemicals

From a page from the US EPA

EPA is combining different types of data to characterize impacts of chemicals to human health and the environment. The research provides accessible information to support scientific discovery and sustainable decisions. EPA researchers are using scientific advances to identify chemical characteristics and features that are associated with potential for environmental and human health impacts.

The research is generating chemical, biological and toxicological information to advance the understanding of relationships between chemical characteristics and potential impacts of use. This research will help EPA and others evaluate these chemicals prior to use to ensure they are the most effective and safest chemicals to use.

Our research analyzing the life cycle of chemicals focuses on four areas:

• Nanoparticles and emerging materials;
• Sustainable chemistry;
• Environmental and human health impacts of chemical use across the chemical/product life cycle; and
• Ecological modeling.

Nanoparticles and Emerging Materials

• Nanomaterials Research

Sustainable Chemistry

• Distributed Structure-Searchable Toxicity (DSSTox) Database Network
• Environmental Fate Simulator: Forecasting how chemicals move in the environment

Environmental and human health impacts of chemical use across the chemical/product life cycle

EPA is developing ways to efficiently evaluate environmental and human health impacts of chemical use across the chemical/product life cycle to support sustainability analysis, assessment of chemical alternatives and to help inform risk-based decisions.

• Life Cycle Perspective
• Life Cycle Resources
• Life Cycle Tool: Tool for the Reduction and Assessment of Chemical and Other Environmental Impacts
• Program for Assisting the Replacement of Industrial Solvents (PARIS III)

Ecological Modeling

EPA evaluates the risk of pesticide use to threatened and endangered species. This research is using population effects and spatial distribution to develop ecological risk models to predict potential risk to ecological systems and the environment.

• Markov Chain Nest Productivity Model: estimates the impact of pesticide exposures on the reproduction success of bird populations.
• Web Ice: estimates acute toxicity to aquatic and terrestrial organisms for use in risk assessment.
• EcoTox: Provides information on adverse effects of single chemical stressors to ecologically relevant aquatic and terrestrial species. It includes more than 780,000 test records covering 12,000 aquatic and terrestrial species and 11,000 chemicals.

Contact Us to ask a question, provide feedback, or report a problem.

Teens turn to Internet to cope with health challenges [news release]

Teens turn to Internet to cope with health challenges.

From the 2 June 2015 Northwestern University news release

National survey explores how and why teens use online health information and digital tools

June 2, 2015 | by Julie Deardorff

EVANSTON, Ill. — At a time when teenagers are grappling with new and often confusing health concerns, the overwhelming majority — 84 percent — turn to the Internet, according to the first national study in more than a decade to examine how adolescents use digital tools for health information.

But while most teens tap online sources to learn more about puberty, drugs, sex, depression and other issues, a surprising 88 percent said they do not feel comfortable sharing their health concerns with Facebook friends or on other social networking sites, according to the study by Northwestern University researchers.

The report yields important information for public health organizations trying to reach adolescents. Nearly one third of the teenagers surveyed said the online information led to behavior changes, such as cutting back on soda, trying healthier recipes and using exercise to combat depression. One in five teens surveyed, or 21 percent, meanwhile, have downloaded mobile health apps.

“We found some real surprises about what teens are doing online when it comes to their health,” said Ellen Wartella, director of Northwestern’s Center on Media and Human Development and lead author of the report.

“We often hear about all the negative things kids are doing online, but teens are using the Internet to take care of themselves and others around them,” said Wartella, the Hamad Bin Khalifa Al-Thani Professor in Communication in Northwestern’s School of Communication.

“The new study underscores how important it is to make sure there is accurate, appropriate and easily accessible information available to teens, because it’s used and acted upon.”**

– See more at: http://www.northwestern.edu/newscenter/stories/2015/06/teens-turn-to-internet-to-cope-with-health-challenges.html#sthash.kXrBqfZl.dpuf

**Related Resources

KidsHealth provides information about health, behavior, and development from before birth through the teen years.Material is written by doctors in understandable language at three levels: parents, kids, and teens. KidsHealth also provides families with perspective, advice, and comfort about a wide range of physical, emotional, and behavioral issues that affect children and teens

 

Medline Plus (National Insitutes of Health)  is a great starting point for reliable health information.Over 750 topics on conditions, diseases, and wellness.  Information on drugs, herbs, and supplements. Links to directories (health care providers, health care facilities, etc) and organizations which provide health information. Surgery videos, interactive health tutorials, and more. 

The CDC is the US government’s primary way to communicate information on diseases, conditions, and safety. Information may be found in areas as ….

• Data and Statistics
• Diseases and Conditions
• Emergency Preparedness and Response

• Environmental Health
• Healthy Living
• Injury Prevention and Control

Even more….

Health Resources for All Edited by Janice Flahiff

Consumer Health Library Guide – University of Toledo
mostly link to free reputable Web sites

 

 

Where do you get your health information? [Reblog]

Where do you get your health information? ‹ Reader — WordPress.com.

From a June 2015 post at drgladstone

Recently there was something in the news about roughly half of the information in the shows “the doctors” and the Dr. Oz show was correct (actually it was 63% of the time in “the doctors: and correct about 49% on the Dr. Oz show). See an article reporting on this here. Often times people will have looked things up on the internet when they come into the office.

Now I’m not bringing this up to knock Dr. Oz or the doctors who appear on “The Doctors”, nor looking things up the internet. However it’s important to ask several questions.
1) Does the claim have any scientific basis?
2) Has the study (if a study is being quoted) been replicated with the same or similar results obtained?
2a) who funded the study? was it reported in a reputable journal? If it is a product being touted, did the company making the product fund the study?
3) Does the person ‘reporting’ the results, or pushing the product have a connection with the company? Just because someone is employed or funded doesn’t necessarily mean they’re biased, but it is something to take into account

…

Read the entire post here

Related Resources

Medline Plus (National Insitutes of Health)  is a great starting point for reliable health information.Over 750 topics on conditions, diseases, and wellness.  Information on drugs, herbs, and supplements. Links to directories (health care providers, health care facilities, etc) and organizations which provide health information. Surgery videos, interactive health tutorials, and more.

Patients and Consumers – AHRQ

  Latest information for improving your health, including podcasts and videos

The CDC is the US government’s primary way to communicate information on diseases, conditions, and safety. Information may be found in areas as …. Diseases and Conditions Emergency Preparedness and Response Environmental Health Healthy Living Injury Prevention and Control eMedicine Health has over 900 health and medical articles.   Most articles include causes, symptoms, treatment options, prevention, prognosis, and more. Information may also be browsed by topic (Topics A-Z).  Additional features include picture slideshows, etools, and more.      Familydoctor.org includes health information for the whole family Short generalized information on Diseases and Conditions (with A-Z index), Health Information for Seniors, Men, and Women, Healthy Living Topics, pages geared to Parenting & Kids.  Numerous health tools in the left column (as health trackers, health assessments, and a Search by Symptom page. Healthfinder.gov is a US government Web site with information and tools that can help you stay healthy.   KidsHealth provides information about health, behavior, and development from before birth through the teen years.Material is written by doctors in understandable language at three levels: parents, kids, and teens. KidsHealth also provides families with perspective, advice, and comfort about a wide range of physical, emotional, and behavioral issues that affect children and teens

Patient Care and Health Information contains trusted information on diseases and conditions  (including a symptom checker), drugs and supplements, tests and procedures, and healthy lifestyle information.      UpToDate For Patients has a Patient Information tab to find information by topic or through a search box. Topics help one to learn more about a medical condition, better understand management and treatment options, and have a better dialogue with health care providers.   [Adapted from Great Places to start (Univ of Toledo Consumer Health LibGuide)]

Even more….

Health Resources for All Edited by Janice Flahiff

Consumer Health Library Guide – University of Toledo
mostly link to free reputable Web sites

Pick Your Poison: Intoxicating Pleasures and Medical Prescriptions

Pick Your Poison: Intoxicating Pleasures and Medical Prescriptions
·http://www.nlm.nih.gov/exhibition/pickyourpoison/

 

It’s not hard to see why our readers loved this thought-provoking expose of America’s long history with mind-altering substances. In fact, the ad for Cocaine Toothache Drops (contemporarily priced at 15 cents) alone is worth a trip to this colorful and well curated site. Lesson plans and online activities help educators illustrate how the United States has handled the thin and shifting line between useful medical prescriptions and harmful, illicit substances.

Over a century ago, it was not uncommon to find cocaine in treatments for asthma, cannabis offered up as a cure for colds, and other contentious substances offered as medical prescriptions. This engaging collection from the U.S. National Library of Medicine brings together sections on tobacco, alcohol, opium, and marijuana. Visitors can learn about how these substances were marketed and also view a selection of digitized items culled from its voluminous holdings, including advertisements, doctor’s prescriptions, and early government documents. In the Education section, educators can look over lesson plans, check out online activities, and explore online resources from the National Institutes of Health, such as, “A Guide to Safe Use of Pain Medicine” and “College Drinking: Changing the Culture.”

[Research Journal] PLAID – People Living with and Inspired by Diabetes

PLAID (People Living with and Inspired by Diabetes) is an open access, peer-reviewed interdisciplinary research journal focused on people living with and inspired by diabetes.

Via an email from someone who subscribes to this blog. (Thank you for sharing news about this!)

PLAID: People Living with and Inspired by Diabetes. It is kind of unique in that it is trying to bridge the gap between physicians and patients. It is trying to get conversations started as well as provide access to new research in the diabetes community. Here is the link to its website: http://theplaidjournal.com/index.php/CoM

[News release] Tox Town Town neighborhood now has a new photo-realistic look



The National Library of Medicine (NLM) Tox Town Town neighborhood now has a new photo-realistic look. The location and chemical information remains the same, but the new graphics allow users to better identify with real-life locations.

The Town scene is available in HTML5, allowing it to be accessed on a variety of personal electronic devices, including cell phones (iphones and androids), ipads, ipad minis, and tablets. 

Tox Town uses color, graphics, sounds and animation to add interest to learning about connections between chemicals, the environment, and the public’s health. Visit the updated Town neighborhood and learn about possible environmental health risks in a typical town.

http://toxtown.nlm.nih.gov/flash/town/flash.php    

[Online Magazine] BioNews

BioNews is an online British magazine that covers genetics, assisted conception, and stem cell research. Founded in 1999 with a grant from the Baroness Mary Warnock, the site offers a mix of news and commentary on both scientific advancements and the political, legal, ethical, and social issues that arise with these advancements. Recent articles have unpacked Europe’s approval of stem cell marketing, highlighted some bad journalism on egg donors, and explored the possible medical applications of graphene. In addition to the excellent news coverage, the site offers a large glossary of terms related to genetics, assisted conception, and stem cell research. Few free, web-based magazines can compete with BioNews when it comes to coverage of biotech and related topics. [CNH]

From The Scout Report, Copyright Internet Scout 1994-2015. https://www.scout.wisc.edu

[News release] Millions of women and children get improved health services

From the 10 March 2015 EurekAlert!

Massive health program: $34 billion spent on women and children since 2010; New goal: End preventable deaths of women and young children

An ambitious 2010 initiative to improve the health of women and children around the world has turned into the fastest growing global public health partnership in history, attracting $60 billion in resources. Some $34 billion, nearly 60 percent of the total, has already been disbursed.

The Every Woman Every Child movement has now gathered more than 400 commitments by more than 300 partners around the world, ranging from governments and foundations to business, civil society and low-income countries themselves.

The movement stems from the Global Strategy for Women’s and Children’s Health, launched by United Nations Secretary-General Ban Ki-moon in 2010 to accelerate progress towards the Millennium Development Goals (MDGs) for health.

Every Woman Every Child has set off a major wave in attention to improving essential health care for millions of poor women and children. Major gains in the past five years include greater professional maternity care, family planning, prenatal and postnatal care, childhood vaccinations, oral rehydration therapy and improving access to drugs to prevent mother-to-child transmission of HIV.

The result of such increased care is that maternal and child death rates have fallen in every one of the Global Strategy’s 49-targeted countries in the latest four years.

…

“The synergy between education and health is evident. Education and health are, quite simply, the drivers of change and development. Education empowers women and girls to live healthier lives and as a result, fewer children are dying. The evidence is clear, better education leads to better health outcomes.

…

“One of the most important lessons we have learned through the Millennium Development Goals is that to make progress we need an integrated and multifaceted approach,” says Kathy Calvin, president of the UN Foundation. “Effective partnerships are not just about financing; they also tap into partner expertise, innovation, and resources to deliver results. Every Woman Every Child has shown that when each sector contributes its unique strengths and capacities, we can save lives.”

Keys to progress

Significant improvements in key health indicators mainly in 49-targeted countries during its five-year history of Every Women Every Child include:

• 870,000 new health care workers.
• 193 percent increase in prevention of mother-to-child HIV treatment.
• 49 percent increase in oral rehydration therapy for treating infant diarrhea.
• 44 percent increase in exclusive breastfeeding.
• 25 percent rise in post-natal care for women.
• 25 percent rise in skilled birth attendance.

Related articles

• U.N. Says Maternal Mortality Rate Has Nearly Halved since 1990
• A Model for the Future: Funding the End of Childhood Illness Together
• How The UN Plans To Use Innovation And Entrepreneurship For Sustainable Development
• The challenge for 2015: Ensuring global development within planetary guard rails
• How to Make the Sustainable Development Goals Work
• Namibia’s Meeting MDGs In Doubt
• Students Speak: are there too many development goals?
• UN United Nations : Increased Innovative Financing, Strong Partnerships Key to Ending Preventable Deaths of Women and Children, Secretary-General Says at High-Level Event

[Calendar] National Health Observances

 

Looking to promote prevention of a particular disease or condition this coming year? Or bring awareness to a population need?
Consider tying in your program with a US based national observance.
This guide is also great for the curious!

Each site has a related Web site (usually the sponsoring organization) and contact information.

 

 

National Health Observances – 2015 at a Glance

 

 

[Press release] Elsevier Announces the Launch of Atlas: Research for a Better World | Elsevier

Elsevier Announces the Launch of Atlas: Research for a Better World | Elsevier.

Only three articles so far, may be worth returning to in the future. Bonus – all scientific articles referred to will be available for free.

Excerpt from the press release

ublishing about the science behind global issues that affect us all in a format that can be read by all

Oxford, January 5, 2015Elsevier, a world-leading provider of scientific, technical and medical information products and services, today announced the launch of a new virtual journal: Atlas. Published as a virtual journal, Atlas selects already published research on topics that hold high societal relevance or address global issues, and summarizes and presents the science in a lay-friendly, story format to reach an as wide as possible global audience.

Atlas showcases research that can (or already has) significantly impact(ed) people’s lives around the world. Articles published are selected by an external advisory board made up of representatives of some of the world’s most renowned Non-Government Organisations (NGOs), including the United Nations University and Oxfam.  Every month the Board selects a paper from a shortlist of suggested articles published in any of Elsevier’s 1800+ journals. Once selected, the author(s) of the paper are awarded “The Atlas” and work with a team of dedicated Atlas science journalists to summarize the research into an easy-to-digest, lay-friendly story format which will be published online. Additionally, all articles featured on Atlas will include a direct link to the full research paper on ScienceDirect which will be made freely available for all.

– See more at: http://www.elsevier.com/about/press-releases/research-and-journals/elsevier-announces-the-launch-of-atlas-research-for-a-better-world#sthash.fGan6rY2.dpuf

[Press release] NLM Releases RxClass Drug Class Application. NLM Technical Bulletin. 2014 Sep–Oct

NLM Releases RxClass Drug Class Application. NLM Technical Bulletin. 2014 Sep–Oct.

From the 22 October 2014 press release

RxClass is a new application from researchers in the Lister Hill National Center for Biomedical Communications (LHNCBC) at the National Library of Medicine (NLM). RxClass allows users to search and browse drug classes and their RxNorm drug members through a simple Web interface (see Figure 1). Unlike RxNav, a related application from NLM LHNCBC which focuses on browsing and searching individual RxNorm drugs, RxClass provides a class-centric view of the drug information in RxNorm.

Figure 1: RxClass Homepage.

Drug Class Sources
RxClass includes drug classes from the following data sources:

• ATC – The Anatomical Therapeutic Chemical (ATC) drug classification is a resource developed for pharmacoepidemiology purposes by the World Health Organization Collaborating Centre for Drug Statistics Methodology.
• MeSH – The Medical Subject Headings (MeSH), developed by NLM, provides a rich description of pharmacological actions for the purpose of indexing and retrieval of biomedical articles.
• NDFRT – The National Drug File-Reference Terminology (NDFRT), developed by the Department of Veterans Affairs (VA), provides clinical information about drugs, such as therapeutic intent and mechanism of action.RxClass includes six sets ofNDFRT drug classes:
  1. Established Pharmacologic Classes (EPC)
  2. Chemical Structure (Chem)
  3. Disease
  4. Mechanism of Action (MoA)
  5. Physiologic Effect (PE)
  6. Pharmacokinetics (PK)

Drug Class Relationship Sources
RxClass includes five sources which assert relationships between drugs and drug classes from ATC, MeSH, and NDFRT:

1. ATC – provides relationships between ATC drugs and ATC drug classes.
2. MeSH – provides relationships between MeSH drugs and MeSH pharmacologic actions.
3. DailyMed – provides relationships between substances in DailyMed Structured Product Labels (SPLs) and NDFRT EPC, Chem, MoA, and PE classes.
4. NDFRT – provides relationships between NDFRT drug concepts and NDFRT Chem, Disease, MoA, PE, and PK classes.
5. FDA SPL – provides relationships between NDFRT drug concepts mapped to DailyMed SPL substances and NDFRT EPC, Chem, MoA, and PE classes.

Drug Source
RxClass includes drugs from the sources mentioned above, which are mapped to ingredients (IN), precise ingredients (PIN), and multiple ingredients (MIN) in RxNorm. RxNorm is a normalized naming system for generic and branded drugs developed by NLM to allow computer systems in hospitals, pharmacies, and other organizations to communicate drug-related information efficiently and unambiguously.

Browse Drug Classes
RxClass provides a simple tree browser for navigating through drug class hierarchies. You can click on the orange arrow next to a class to reveal its subclasses in the tree. Clicking on the name of a drug class populates the results area under the search box with the members of that class, if applicable, and the name, source identifier, class type, and contexts for that class (see Figure 2).

Figure 2: RxClass Class Browser. Navigate drug classes by clicking the arrows or class names.

Search by Drug Class/RxNorm Drug
RxClass also provides access to drug classes and their RxNorm drug members through a simple search box (see Figure 3). You can search RxClass by:

1. Drug class name or source identifier
2. RxNorm drug name or RxNorm identifier (RXCUI)

For drug classes and RxNorm drugs in multiple contexts, RxClass presents all of the contexts, allowing you to select the desired drug class context to populate the results area.

Figure 3: Search RxClass by drug class or RxNorm drug name.

Results Display
When browsing or searching RxClass, the results display is populated with the drug class you selected and the RxNorm drugs that belong to the class (see Figure 4). For each RxNorm drug, RxClass displays the:

• Type (RxNorm term type)
• RXCUI
• RxNorm Name
• Source ID (Unique identifier from drug class source)
• Source Name (Name from drug class source)
• Relation (Relationship between the drug and the selected drug class (direct or indirect))
• All classes (All drug classes of which this drug is also a member)

Figure 4: RxClass results display: Shows RxNorm and drug class source data for your results.

Application Programming Interface (API)
Behind the RxClass Web application is a set of API functions. The RxClass API can be used independently for integrating drug class information into programs.

See the RxClass Overview and RxClass FAQ for more information about browsing and searching drug classes on RxClass. An RxClass turorial is forthcoming.

For questions, comments or feedback about these resources, please contact us at rxnavinfo@list.nih.gov.

By Patrick McLaughlin
MEDLARS Management Section

Partners in Information Access for the Public Health Workforce – Great site to learn and keep updated about issues afffecting all

Keeps you informed about news in public health, upcoming meetings, and new public health online resources

Partners in Information Access for the Public Health Workforce  is a  collaboration of U.S. government agencies, public health organizations and health sciences libraries.  This comprehensive collection of online public health resources includes the following topic pages. Each has links to news items; links to relevant agencies, associations, and subtopics; literature and reports; data tools and statistics; grants and funding; education and training; conferences and meetings; jobs and careers;  and more

• Environmental Health
• Nutrition
• Obesity
• Public Health Genomics
• Workforce Development

Main Topic pages include material on

 

• Health Promotion and Health Education -news and resources
• Health Data Tools and Statistics-  links to international,  national, state, county and local data resources
• Grants and Funding
• Education and Training -many free and online
• Conferences and Meetings
• Finding People – directories of people and organizations in public health.
• Discussion and E-mail Lists
• Jobs and Careers

 

 

 

Related articles

• District Dispatch: Free webinar: Helping patrons understand Ebola
• Adult Literacy: Better Reading Comprehension, How to Speed-Read, and Some Life-Changing Literature to Improve Your Life
• Library Research Service | Research And Statistics About Libraries

[Repost] The Healthy Woman: A Complete Guide for all Ages

 

The Healthy Woman: A Complete Guide for all Ages | Publications.USA.gov.

Can be downloaded for free!

A comprehensive reference with helpful charts and personal stories. The guide covers major diseases, aging mental health, reproductive health, nutrition and alternative medicine. It also provices advice on common screening tests and immunizations you may need. (Previous item number: 107W)

Source: U.S. Department of Health and Human Services
Released: 2008
Pages: 500

Recent additions to the NLM Drug Information Portal include clinical experience with drugs and dietary supplements

 

 

 

 

 

 

From the NLM-TOX-ENVIRO-HEALTH-L Digest – 2 Oct 2014 to 7 Oct 2014 (#2014-19)

The National Library of Medicine (NLM) Drug Information Portal (http://druginfo.nlm.nih.gov) is a free web resource that provides an informative, user–friendly gateway to current drug information for over 53,000 substances. The Portal links to sources from the NLM, the National Institutes of Health (NIH), and other government agencies such as the U.S. FDA.

Current information regarding consumer health, clinical trials, AIDS–related drug information, MeSH® pharmacological actions, PubMed® biomedical literature, and physical properties and structure is easily retrieved by searching a drug name. A varied selection of focused topics in medicine and drug–related information is also available from displayed subject headings.

The Drug Portal retrieves by the generic or trade name of a drug or its category of usage.  Records provide a description of how the drug is used, its chemical structure and nomenclature, and include up to 20 Resource Locators which link to more information in other selected resources.   Recent additions to these Locators include clinical experience with drugs in PubMed Health (http://www.ncbi.nlm.nih.gov/pubmedhealth), substances reviewed in NLM LiverTox (http://livertox.nih.gov/), information from the Dietary Supplement Label Database (http://dsld.nlm.nih.gov/dsld/), and drug images in the Pillbox beta (http://pillbox.nlm.nih.gov/) database.

Data in the Drug Information Portal is updated daily, and is also available on mobile devices.

More information can be found at http://www.nlm.nih.gov/pubs/factsheets/druginfoportalfs.html

Related articles

• NLM Technical Bulletin, Sep-Oct 2014, NLM Resource Update: Drug Information Portal
• Recent additions to the NLM Drug Information Portal include clinical experience with drugs and dietrary supplement information

Everything you need to know about back pain in 11 minutes

Posting this because I can relate. Was diagnosed with a lumbar sprain two weeks ago. It was only acute for two days. Am better now and going to physical therapy once a week for awhile.

Dr. Evans has videos on other health subjects at http://www.evanshealthlab.com
Topics include smoking, insomnia, type 2 diabetes,

Everything you need to know about back pain in 11 minutes.

From the YouTube site

Published on Jan 24, 2014

Check out our new website, http://www.evanshealthlab.com/
Follow Dr. Mike for new videos! http://twitter.com/docmikeevans

Dr. Mike Evans is founder of the Health Design Lab at the Li Ka Shing Knowledge Institute, an Associate Professor of Family Medicine and Public Health at the University of Toronto, and a staff physician at St. Michael’s Hospital.

Evans Health Lab fuses clinicians and creatives, filmmakers and patients, social entrepreneurs and best evidence to create “edutaining” healthcare information.

 

 

Exercise is also mentioned as a possible replacement for unnecessary medical testing/health screenings.
(Remember, discuss personal health decisions with your health care provider!)
From the YouTube link below

Who knew questioning medical tests could be so much fun? Watch Pharrell Williams’ “Happy” with lyrics that advocate more
sensible medical testing. James McCormick, co-host of the Best Science Medicine Podcast, wrote this pitch perfect parody.  The
ABIM Foundation’s Choosing Wisely campaign educates both physicians and the public to question medical tests and
treatments.

 

Related articles

• 8 Tips for Managing Stress and Improving Your Outcomes
• Exercise As Medicine: 30 Minutes Of Physical Activity Is The Best Single Thing You Can Do For Your Health

Drugs From Nature, Then and Now – Medicines By Design

 

From the article at the US National Institutes of Health,  last reviewed on October 27, 2011

Chapter 3: Drugs From Nature, Then and Now – Medicines By Design – Science Education – National Institute of General Medical Sciences

Long before the first towns were built, before written language was invented, and even before plants were cultivated for food, the basic human desires to relieve pain and prolong life fueled the search for medicines. No one knows for sure what the earliest humans did to treat their ailments, but they probably sought cures in the plants, animals, and minerals around them.

[The table of contents]

• Nature’s Medicine Cabinet
• Natural Cholesterol-Buster
• Cancer Therapy Sees the Light
• Ocean Medicines
• Miracle Cures
• Prospecting Biology?

• Tweaking Nature
• Toxicogenetics: Poisons and Your Genes
• Is It Chemistry or Genetics?
• Blending Science
• Testing..I, II, III
• Got It? 

  ………

…Crews is among a new breed of researchers delving into a growing scientific area called chemical genetics (see main text). Taking this approach, scientists use chemistry to attack biological problems that traditionally have been solved through genetic experiments such as the genetic engineering of bacteria, yeast, and mice. Crews’ goal is to explore how natural products work in living systems and to identify new targets for designing drugs. He has discovered how an inflammation-fighting ingredient in the medicinal herb feverfew may work inside cells.

He found that the ingredient, called parthenolide, appears to disable a key process that gets inflammation going. In the case of feverfew, a handful of controlled scientific studies in people have hinted that the herb, also known by its plant name “bachelor’s button,” is effective in combating migraine headaches, but further studies are needed to confirm these preliminary findings….

Related articles

• Is the next ‘new’ cancer drug already in your medicine cabinet?
• Medicinal Plants from the Forest
• Institute of Medicine::.Marijuana and Medicine: Assessing the Science Base
• openFDA – More than 3 million adverse drug event reports at your fingertips.
• Nature’s chem lab: How microorganisms manufacture drugs
• Experts moot herbal gardens

Global Health and Human Rights Database

Global Health and Human Rights Database.

• A free online database of law from around the world relating to health and human rights.Offers an interactive, searchable, and fully indexed website of case law, national constitutions and international instruments
• Features case law and other legal documents from more than 80 countries and in 25 languages.
• Provides 500 plain-language summaries and 200 original translations of case law previously unavailable in English.
• Developed by Lawyers Collective and the O’Neill Institute for National and Global Health Law at Georgetown University, in collaboration with over 100 partners from civil society, academic, and legal practice worldwide.
• Links to Additional Resources

 

 

 

 

Related articles

• New Reference Resource: Global Health and Human Rights Database
• Dictators Worldwide Demand Aid, Empowered UN, Global Socialism

[Tedx Talk] Truth That Lasts: David Newman at TEDxColumbiaEngineering

Good points about the limits of observational studies and how NNT (number needed to treat) is a good indicator of the efficacy of an intervention. Also good point of how a good preventive diet can often trump medications/surgery. 
Well worth the 18 minutes of viewing.

From the Web site

Published on Sep 29, 2012

Dr. Newman is the Director of Clinical Research in the Emergency Department at the Mt. Sinai School of Medicine, and an Iraq war veteran. In addition to being widely published in medical journals he has written health care articles for the New York Times and is the author of Hippocrates’ Shadow: Secrets From the House of Medicine. For the past ten years he has concentrated his work in medical evidence translation and appraisal. He is also the editor-in-chief for two online publications, TheNNT.com, a resource for health care evidence summaries, and SMART-EM, a monthly audio review. He lives in New York City with his wife and teaches at both Mount Sinai School of Medicine and at Columbia University.

 

Related articles

• Hippocrates’ Diet and Health Rules Everyone Should Follow

[Educational Resource] Science Literacy Resources

This resource is a bit off topic. It is an educational resource basically for junior high and high school teachers. However, I find it fascinating on how it shows the interrelationship among science and mathematical concepts. Here’s a few that are health/medical related

• Disease
• Maintaining Good Health
• Coping with Mental Distress
• Culture Affects Behavior
• Group Behavior

Here’s a sample

[Press release] In search of a few good apps

In search of a few good apps.

New JAMA article suggests review and certification process for mHealth apps

BOSTON–While the Food and Drug Administration (FDA) has released guidelines for the regulation of mobile health (mHealth) apps that act as medical devices or as accessories to medical devices, the vast majority of mHealth apps remain unregulated and unevaluated. In a Viewpoint article, “In Search of a Few Good Apps”, published in JAMA on March 24, 214, co-authors, David Bates, MD and Adam Landman, MD of Brigham and Women’s Hospital (BWH) and Adam Powell, PhD, president of Payer+Provider Syndicate, call for the creation of mHealth (mobile health) app review and certification organizations to evaluate apps that are not regulated by the government.

“This article gives health care providers, patients, policymakers and mHealth app developers a perspective on how the issue of determining which apps are most useful might be addressed,” said Bates, who is Chief Quality Officer at BWH and chaired the Food and Drug Administration Safety and Innovation Act (FDASIA) Workgroup that made recommendations to the government about regulation of HIT and mobile apps. “Establishing an unbiased review and certification process is a key step in helping mHealth apps achieve their potential.”

The concept for this Viewpoint article was conceived by Landman and Powell after discussing their mutual concern about the lack of oversight over the accuracy, quality, and security of mHealth apps at the BWH Hackathon, an event sponsored by BWH’s Innovation Hub (iHub).

“Dr. Powell and I examined numerous mHealth apps and it was difficult to assess app credibility,” said Landman, Chief Medical Information Officer for Health Information Innovation and Integration and an emergency medicine physician at BWH. “The currently available reviews of mHealth apps have largely focused on personal impressions, rather than evidence-based, unbiased assessments of clinical performance and data security. With more rigorous certification criteria and unbiased accrediting bodies, both clinicians and consumers could be more confident in their selection and use of mHealth apps.”

In the article, authors describe the potential for multiple organizations to be created that could review and objectively certify mHealth apps for quality, accuracy, security and safety, similar to the role that Health On the Net Foundation (HON), a non-profit, non-governmental organization, plays in evaluating the quality of online medical content.

“People are increasingly turning to their smartphones for assistance in improving their health, but are having difficulty determining which apps are the securest and most effective. We hope that our article will instigate action that will enable clinicians and patients to make more effective use of mHealth apps,” said Powell, lead author of the article. “We foresee a potential future in which physicians will be able to confidently prescribe apps to their patient, and will have the tools that they need to interpret the resulting data. The establishment of an unbiased app certification and review process will play a key role in getting us there.”

 

Related articles

Wellocracy aims to help trackers choose and use health apps and devices

 

Related Resources

Free and low cost Health Apps sources include

• Health and Wellness Information Apps for locating information for personal health and wellness
• Health and Fitness Tracking Apps to help you enter and store your personal health and fitness information quickly

And these may be helpful when selecting health apps

• How to Choose A Better Health App (by LEXANDER V. PROKHOROV, MD, PHD at KevinMD.com on August 8, 2011) contains advice in the following areas

Set realistic expectations
Avoid apps that promise too much
Research the developers
Choose apps that use techniques you’ve heard of
See what other users say
Test apps before committing
iMedical apps has mobile medical app reviews and commentary by medical professionals. Most apps are about apps geared toward professionals and are not free.
The iMedical app forum now includes a medical librarian corner, with some patient/consumer apps

• iMedical apps has mobile medical app reviews and commentary by medical professionals. Most apps are about apps geared toward professionals and are not free.

Interactive USDA Food Environment Atlas

The USDA has published online an interactive map including food security issues by county.

Topics include”store/restaurant proximity, food prices, food and nutrition assistance programs, and how community characteristics—interact to influence food choices and diet quality.”

Options for printouts and exports (JPG and NPG).

A little tricky to use. Found by trial and error (I have a MacBook Pro) that the arrows on the lower right  of my keyboard re-center the map.

Related articles

• USDA seeks more sites for summer meals program for Nebraska kids
• USDA Makes Healthy Changes to WIC Program
• USDA State Fact Sheets
• USDA Supertracker -Our Third Week of Tracking Nutrition & Physical Activity
• Supplemental Nutrition Assistance Program [“Food Stamps”]: Examining the Evidence to Define Benefit Adequacy
• Your Tax Dollars at Work – SuperTracker Looks Up Nutrition Info, Tracks/Compares Food to Your Targets, Tracks Physical Activities, and More
• Lacto-Ovo and Vegan Information Included in USDA Dietary Guidelines

Commemorating the 50th Anniversary of the Surgeon General’s Report on Smoking and Health

From the Office of the Surgeon General Website

January 11, 2014 marked the 50th anniversary of the first Surgeon General’s Report on Smoking and Health. The 1964 landmark report, released by Surgeon General Dr. Luther Terry, was the first federal government report linking smoking and ill health, including lung cancer and heart disease. This scientifically rigorous report laid the foundation for tobacco control efforts in the United States. In the last 50 years, 31 Surgeon General’s Reports have been released, increasing our understanding of the devastating health and financial burdens caused by tobacco use. We now know that smoking causes a host of cancers and other illnesses and is still the leading preventable cause of death in the United States, killing 443,000 people each year. In 2014, we highlight half a century of progress in tobacco control and prevention, present new data on the health consequences of tobacco use, and introduce initiatives that can potentially end the tobacco use epidemic in the United States in the 32rd Surgeon General’s Report on smoking and health, The Health Consequences of Smoking—50 Years of Progress.

                  Below is an image of a widget at the Surgeon General site
Click here to go to the widget, then click on the links as About Tobacco. 

Additional Resources and Articles

• Treating Tobacco Use and Dependence: 2008 Update Includes new, effective clinical treatments for tobacco dependence that have become available since the 2000 Guideline was published.
• Anti-smoking efforts have saved 8 million American lives
  http://www.usatoday.com/story/news/nation/2014/01/07/anti-smoking-efforts-saved-lives/4355227/
• Study: U.S. tobacco control laws have saved 8 million lives over 50 years
  http://www.healthline.com/health-news/addiction-anti-smoking-laws-save-8-million-lives-in-50-years-010714
• New E-Cig TV Spot Comes Very Close to Making Health Claims
  http://adage.com/article/media/njoy-e-cig-tv-spot-insists-friends-friends-smoke/290886/
• World Health Organization: Tobacco Free Initiative
  http://www.who.int/tobacco/en/
• Tobacco Cessation: Robert Wood Johnson Foundation
  http://www.rwjf.org/en/topics/search-topics/T/tobacco-cessation.html

 

More Related articles

• 50 Years after the Surgeon General’s First Report on Smoking: Where are we now?
• Surgeon general: Smoking to kill 5.6 million kids if we don’t act now
• Surgeon general urges new resolve to end smoking
• Smoking is even worse than you thought
• Surgeon general adds to list of smoking’s harms
• New report on smoking harkens back to historic 1964 report

[Free Statistics Book] Know Your Chances – NCBI Bookshelf

Ever been scared or made uncomfortable about threats to your health? And solutions that seemed too good to be true?
Here’s a book for just about everyone that can help one understand the statistics behind health information. And how to spot misinformation easily.

What This Book is About – Know Your Chances – NCBI Bookshelf.

From the intro

Every day we are faced with news stories, ads, and public service announcements that describe health threats and suggest ways we can protect ourselves. It’s impossible to watch television, open a magazine, read a newspaper, or go online without being bombarded by messages about the dangers we face.

Many of the messages are intended to be scary, warning us that we are surrounded by danger and hinting that everything we do or neglect to do brings us one step closer to cancer, heart disease, and death. Other messages are intended to be full of hope, reassuring us that technological miracles and breakthrough drugs can save us all. And many messages do both: they use fear to make us feel vulnerable and then provide some hope by telling us what we can do (or buy) to lower our risk. In addition, as you may suspect, a great many of these messages are wildly exaggerated: many of the risks we hear about are really not so big, and the benefits of many of the miraculous breakthroughs are often pretty small.

As a result, we are often left misinformed and confused. But it doesn’t have to be that way.

The goal of this book is to help you better understand health information by teaching you about the numbers behind the messages—the medical statistics on which the claims are based. The book will also familiarize you with risk charts, which are designed to help you put your health concerns in perspective. By learning to understand the numbers and knowing what questions to ask, you’ll be able to see through the hype and find the credible information—if any—that remains.

Don’t worry: this is not a math book (only a few simple calculations are required). Instead, this is a book that will teach you what numbers to look for in health messages and how to tell when the medical statistics don’t support the message. This book will help you develop the basic skills you need to become a better consumer of health messages, and these skills will foster better communication between you and your doctor.

 

From the book (pages 130-132)

From the book

CREDIBLE SOURCES OF HEALTH STATISTICS

Sources Created Primarily for Consumers BMJ (British Medical Journal) Best Treatments

http://besttreatments.bmj.com/btuk/home.jsp

Medical publishing division of the British Medical Association (no commercial ads allowed). Rates the science supporting the use of operations, tests, and treatments for a variety of conditions. In the United States and Canada, available only with a Consumer Reportssubscription.

Center for Medical Consumers

www.medicalconsumers.org

Independent, nonprofit organization. Offers a skeptical take on health claims and recent health news. Free.

Consumer Reports Best Buy Drugs* www.consumerreports.org/health/bestbuy-drugs.htm

Independent, nonprofit organization. Compares the benefits, side effects, and costs of different prescription drugs for the same problem, based on information from the Drug Effectiveness Review Project (see listing on page 131). Free.

Foundation for Informed Medical Decision Making*

www.informedmedicaldecisions.org

Independent, nonprofit organization. Offers decision aids that describe the treatment options and outcomes for various conditions in order to promote patient involvement in decision making. DVDs must be purchased at http://www.healthdialog.com/hd/Core/CollaborativeCare/videolibrary.htm.

* Two of us (Drs. Schwartz and Woloshin) are on the advisory board for Consumer Reports Best Buy Drugs (unpaid positions). We have been paid consultants reviewing materials for the Foundation for Informed Medical Decision Making.

Informed Health Online

www.informedhealthonline.org

Institute for Quality and Efficiency in Health Care, an independent, nonprofit organization established by German health care reform legislation. Describes the science supporting the use of operations, tests, and treatments for a variety of conditions. Free.

Ottawa Health Research Institute Patient Decision Aids

http://decisionaid.ohri.ca

Academic affiliate of the University of Ottawa. Provides a comprehensive inventory of decision aids (plus a rating of their quality), and tells patients how to get them. Some are free.

Sources Created Primarily for Physicians and Policy Makers Agency for Healthcare Research and Quality (AHRQ)

www.ahrq.gov/clinic/epcix.htm

U.S. federal agency under the Department of Health and Human Services. Summarizes all the available data about treatments for specific conditions (look for EPC Evidence Reports). Free.

Cochrane Library

www3.interscience.wiley.com/cgi-bin/mrwhome/106568753/HOME

International, independent, nonprofit organization of researchers. Summarizes all the available data about treatments for specific conditions (look for Cochrane Reviews). Abstracts free, full reports by subscription.

Drug Effectiveness Review Project (DERP)

www.ohsu.edu/drugeffectiveness/reports/final.cfm

Collaboration of public and private organizations developed by Oregon Health and Science University. Provides comparative data on the benefit, side effects, and costs of different prescription drugs for the same problem (source for Consumer Reports Best Buy Drugs). Free.

National Institute for Health and Clinical Excellence (NICE)

www.nice.org.uk/guidance/index.jsp?action=byTopic

Independent, nonprofit British organization that advises the British National Health Service. Summarizes all the available data about treatments for specific conditions (look for NICE Guidance). Free.

Physician Data Query (PDQ)—National Cancer Institute

www.cancer.gov/cancertopics/pdq

U.S. federal government (part of the National Cancer Institute). Summa- rizes all the available data about cancer prognosis and treatments (look for Cancer Information Summaries). Free.

U.S. Food and Drug Administration (FDA), Center for Drug Evaluation and Research

www.fda.gov/cder/index.html

U.S. federal agency under the Department of Health and Human Services, which reviews and approves new and generic drugs. To look up individual drugs, go to http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm. After you choose a drug from the index, the Drug Details page appears. If you click Approval History, you may be able to access a Review and then a Medical Review. TheMedical Review contains all the relevant randomized trials submitted to the FDA for approval. From the Drug Details page, you can also access Label Information, when it is available (the package insert that comes with prescription drugs and summarizes excerpts of the review documents). Warning: This site can be challenging. The review documents can be hundreds of pages, and there may be multiple entries for the same drug (because it is used for multiple purposes). Free.

US Preventive Services Task Force

www.ahrq.gov/clinic/uspstfix.htm

Independent panel of experts sponsored by AHRQ. Summarizes the available data about preventive services. After you choose a topic, you’ll see the relevant recommendations; at the bottom of the list, you can click Best- Evidence Systematic Review under Supporting Documents. Free.

Related articles

• From My Bookshelf to Yours. 2013 (bookaddictgurl.wordpress.com)
• NCBI Educational Resources (bettyblazetech.wordpress.com)
• eBooks added Dec. 2013 (wulibraries.typepad.com)

[Journal article] Why We Engage: How Theories of Human Behavior Contribute to Our Understanding of Civic Engagement in a Digital Era

A social network diagram (Photo credit: Wikipedia)

From the abstract

Eric Gordon –Berkman Center for Internet and Society; Emerson College

Jessica Baldwin-Philippi Emerson College

Martina Balestra –Cornell University

October 22, 2013

Berkman Center Research Publication No. 21

Abstract: 

As digital communication technologies have evolved over the past few decades, the convergence of network structure and accessibility with hardware and software advances has allowed individuals to interact in various, even contradictory, ways. They can explore, hide, reach out, evaluate, connect, negotiate, exchange, and coordinate to a greater degree than ever before. Furthermore, this has translated to an ever-increasing number of users interacting with information in unprecedented ways and, due to device portability, in totally new physical locations. Twitter, Facebook, and Foursquare update each other simultaneously across application platforms with near-real time photos and impressions of places; mobile exercise applications allow users to track their own movements as well as view where others in their geographic vicinity went running; Yelp users can read selective reviews from social network friends and strangers in their community on a specific restaurant; and Facebook friends can see what their peers bought, listened to, and read – from anywhere they are able to access the Internet. Most of these apps update across platforms enabling both maximum reach across a user’s social group as well as a highly selective direction of information to a subset of their social network.Just as the rapidly evolving landscape of connectivity and communications technology is transforming the individual’s experience of the social sphere, what it means to participate in civic life is also changing, both in how people do it and how it is measured. Civic engagement includes all the ways in which individuals attend to the concerns of public life, how one learns about and participates in all of the issues and contexts beyond one’s immediate private or intimate sphere. New technologies and corresponding social practices, from social media to mobile reporting, are providing different ways to record, share, and amplify that attentiveness. Media objects or tools that impact civic life can be understood within two broad types: those designed specifically with the purpose of community engagement in mind (for instance, a digital game for local planning or an app to give feedback to city council) or generic tools that are subsequently appropriated for engaging a community (such as Twitter or Facebook’s role in the Arab Spring or London riots). Moreover, these tools can mediate any number of relationships between or among citizens, local organizations, or government institutions. Digitally mediated civic engagement runs the gamut of phenomena from organizing physical protests using social media (e.g., Occupy), to using digital tools to hack institutions (e.g., Anonymous), to using city-produced mobile applications to access and coproduce government services, to using digital platforms for deliberating. Rather than try to identify what civic media tools look like in the midst of such an array of possibilities (by focusing on in depth examples or case studies), going forward we will instead focus on how digital tools expand the context of civic life and motivations for engagement, and what participating in civic life looks like in a digital era.

We present this literature review as a means of exploring the intersection of theories of human behavior with the motivations for and benefits of engaging in civic life. We bring together literature from behavioral economics, sociology, psychology and communication studies to reveal how civic actors, institutions, and decision-making processes have been traditionally understood, and how emerging media tools and practices are forcing their reconsideration.

Full text of paper may be downloaded for free at the site

Related articles

• Community & Civic Engagement are Key (rs450cuppashley.wordpress.com)
• What is civic engagement? (mgadea1.wordpress.com)
• Hacking Civic Engagement Through Design (codeforamerica.org)

Resources from the Association of Health Care Journalists

From the Resource page

The Association of Health Care Journalists offers a wide range of resources – many of which are available exclusively to members.

AHCJ publications include our newsletter, HealthBeat, as well as several guides to covering specific aspects of health and health care.

Members share ideas and ask questions of fellow members on the AHCJ electronic mailing list. Tip sheets are prepared for our conferences and workshops, often offering sources and information about covering specific stories.

Contest entries are from the Awards for Excellence in Health Care Journalism, recognizing the best health reporting in print, broadcast and online media. We have links to past winners and information culled from questionnaires submitted with the entries about how each story was researched and written.

We include links to some recent reports and studies of interest to our membership, as well as links to Web sites relevant to health care.

Members and other journalists write articles specifically for AHCJ about how they have reported a story, issues that our members are likely to cover and other important topics.

 

• AHCJ Articles
• Tip Sheets
• Health Data
• HospitalInspections.org
• Covering Health blog
• Global Health Coverage
• AHCJ Reporting Guides
• AHCJ Publications
• Electronic Discussion List
• Webcasts
• Contest Entries
• Latest Reports/Studies
• Websites
• Health-related Newsletters
• Freelancer’s Corner
• Advanced Search

 

 

• Health Reform
• Aging
• Oral Health
• Medical Studies
• Insurance
• Social Determinants
• Other Topics

Related articles

• Journalists Doubt Obama Administration’s Dedication to Transparency (pogoblog.typepad.com)
• Charles Ornstein: Six Questions About HealthCare.gov’s Future (guernicamag.com)
• There Once was a Responsible Journalist (find links at the bottom) (scottbest.wordpress.com)
• Donor Dilemma receives national recognition (andrewcconte.wordpress.com)

 

[Purdue Library Website] Good Resource Tools for Medical and Health Information

Of particular note in the health/medical area….

Under the tab Health Information

DISEASES

• Cancer.gov

• Centers for Disease Control, and Prevention
  • Diseases and Conditions
  • Traveler’s Health
• ClinicalTrials.gov

• HealthFinder: Diseases & Conditions

• MedlinePlus: Health Topics

• Merck Manual

• National Institutes of Health
  • Health Information
  • Institutes, Offices and Centers

Under the tab Consumer Information

GUIDES TO FINDING AND EVALUATING HEALTH INFORMATION ON THE WEB

• Introduction

• Content Evaluation Guidelines

• MLA Top Ten Consumer Health Information Sites

• MLA Recommended Cancer Websites

• MLA Recommended Diabetes Websites

• MLA Recommended Heart Disease Websites

Needless to say, I’ve added a link to this at my Health Resources for all Web site

Related articles

• Good Resource Tools for Medical and Health Information (sciencepowerx.wordpress.com)

 

[Reblog] A field guide to The Diagnosis Difference (with a request from the the blogger, Ms. Fox for responses)

From the 26 November 2013 posting at Susannah Fox – Internet geologist**. Health care gadfly. Community colleague.

The Pew Research Center released a report today on people living with chronic conditions: The Diagnosis Difference.

Policy makers, patient advocates, entrepreneurs, investors, clinicians — all health care stakeholders — can use the data to map the current landscape. There are still barren patches, where people remain offline and cut off from the resources and tools. But there are lush valleys, too, where engagement and change is happening.

I see e-patients as the guides to those valleys since unless you are living with chronic conditions — or love someone who is — you don’t see that side of the internet. So here’s my request: provide your evidence. Show what you have learned.

First, a quick summary of the report:

1. 45% of U.S. adults have a chronic condition (For some, that’s a revelation and there is still a considerable distance to go before that reality is widely known. For you, that’s not the news. That’s just proof that we have a sample that matches the CDC’s estimate and you can therefore trust the data.)

2. 72% of adults with chronic conditions have internet access, compared with 89% of U.S. adults who report no conditions. There are digital divide implications to this because having a chronic disease is an independent factor in predicting if someone has access — apart from things like age, income, and educational attainment.

3. Clinicians are central resources. People living with chronic conditions are more likely than other adults to consult a clinician when they need help or after they Google for a diagnosis.

4. Self-tracking is a massive activity, particularly for people living with 2 or more chronic conditions, and this group is more likely to use formal means, not just tracking in their heads as many “well” trackers do. For example, 41% of health trackers who report having one or more chronic conditions use pencil and paper and 14% of this group uses a medical device such as a glucometer.

5. Living with a chronic condition has an independent, significant effect on behaviors that are often described as signs of consumer health engagement, like reading up on drug safety, medical treatments, or delivery-of-care reviews. Internet users living with chronic conditions are more likely than others to read or watch someone else’s commentary or personal experience about health or medical issues online.

I want to stop a moment and give some examples of what that might look like.

• Someone living with cancer might follow Lisa Bonchek Adams’s blog, learning abouthow to prepare for having a port placed.
• Someone living with diabetes might check out Diabetes Mine to learn how other PWDs (people with diabetes) rank tech tools and quality of life measures.
• Someone living with a heart condition might read Carolyn Thomas’s blog to gain reassurance that their post-diagnosis PTSD is not in their head.
• Someone living with a lung condition might learn from Propeller Health about why they, in particular, should get a flu shot.
• Someone living with high blood pressure might search Inspire.com for insights on how to keep it under control.

And now we come to the category that personally means the most to me since I’ve spent time in rare disease communities: the 16% of U.S. adults who are living with “other conditions,” like rheumatoid arthritis, epilepsy, or fibromyalgia (to name a very few of thousands). They are hardly ever in the mainstream spotlight. They may have awareness days or weeks or months that their communities honor, but you won’t see the National Football League wearing their colors.

The internet is their spotlight. A blog, a hashtag, a YouTube channel, or a Facebook group can be their lifeline. Yes, they consult clinicians like everyone else, but those who are online know that the path to health — for them — is often found in the advice shared by someone like them or the person they are caring for. The feeding tip that will help their baby get the nutrients she needs to grow. The heating-pad tip that will ease their painsomnia.

As I wrote at the top, unless you are living with chronic conditions — or love someone who is — you don’t see that side of the internet. So let’s open up the landscape.

Please post in the comments what you have learned online from a fellow spoonie, from a fellow caregiver, from a fellow traveler along the path to health. What would you tell someone just diagnosed with your condition to do, especially in tapping into the resources available online? When someone asks you, maybe over Thanksgiving, about why you spend time online, what will you say?
Post it here [at Samantha Fox’s blog] . Links to blogs, videos, tweets — all are welcome.

Thank you.

** From Susannah Fox’s About Page (Internet Geologist definition)

I was at a cocktail party, struggling to describe in just a few sentences what I do for a living, when my friend Paul Tarini broke in and said, “You’re an internet geologist. You study the rocks, you don’t judge them.” Exactly. I study patterns in the online landscape and provide data so people can make better decisions about the social impact of the internet.

My other favorite description of the kind of research I do is “nowist” (meaning: instead of being a futurist, understand what people are doing now and be alert to changes).

“Health care gadfly” describes my role outside the fray, as an observer, hopefully contributing to the public conversation in a useful way.

Ted Eytan coined the phrase “community colleague” for people who collaborate by default. That’s me. My work is enriched by the health geek tribe. I can’t imagine doing the work I do without the help of my community.

Related articles

• How US adults with chronic health conditions share health information online? (gadgetrends.ro)
• Pew Report: Chronic Health Conditions Impact 45% Of American Adults, Contribute To 75% Of Health Care Costs (medicaldaily.com)
• The Diagnosis Difference: Those with Chronic Conditions Have Different Online Habits (drhiphop85.com)
• Increased frailty associated with childhood cancer survivorship (2minutemedicine.com)
• Chronic Conditions and Medical Complexity (rehabcare.com)
• What we see and what we cannot see. What we share and do not share. And why. (snideeffects.com)
• Ill workers ‘feared losing jobs’ (standard.co.uk)

Behavioral Health United States 2012

From the US Substance Abuse and Mental Health Administration press release

Behavioral Health United States 2012

SAMHSA’s newly-released publication, Behavioral Health, United States, 2012, the latest in a series of publications issued by SAMHSA biannually since 1980, provides in-depth information regarding the current status of the mental health and substance abuse field. It includes behavioral health statistics at the national and State levels from 40 different data sources. The report includes three analytic chapters:

• Behavioral Health Disorders across the Life Span
• Mental Health and Substance Use Disorders: Impairment in Functioning
• Mental Health and Substance Use Disorders: Treatment Landscape

 

The volume also includes 172 tables, which are organized into four sections:

• Behavioral Health of the Population: the mental health status of the U.S. population and prevalence of mental illness;
• Behavioral Health Service Utilization: providers and settings for behavioral health services; types of behavioral health services provided; and rates of utilization;
• Behavioral Health Treatment Capacity: number of facilities providing mental health and substance abuse services; numbers of qualified specialty mental health and substance abuse providers; and
• Payer and Payment Mechanisms: expenditures and sources of funding for behavioral health services.

 

No other HHS publication provides this type of comprehensive information regarding behavioral health services delivery in the U.S. This publication is the only available comprehensive source of national-level statistical information on trends in both private and public sector behavioral health services, costs, and clients. Drawing on 40 different data sources, this publication also includes State-level data, and information on behavioral health treatment for special populations such as children, military personnel, nursing home residents, and incarcerated individuals.

 

Related articles

• Two behavioral health nonprofits agree to repay $4.2 million (abqjournal.com)
• Mental health providers to pay NM for overbilling (kansascity.com)
• Innovation in behavioral health (whyy.org)
• A public health approach for mental health (jsonline.com)
• Judges and Psychiatrists Discuss Mental Health Treatment in the Judicial System (namisouthbay.com)
• Reports possible soon on some mental health fraud (miamiherald.com)
• NH schools awarded behavioral health grants (mysanantonio.com)

 

[FDA program aimed at health care providers] Truthful Prescription Drug Advertising and Promotion

This page is geared towards health care providers, but it may be of interest to others.

From the US FDA (Food and Drug Administration) Web page 

FDA’s Bad Ad program is an outreach program designed to educate healthcare providers about the role they can play in helping the agency make sure that prescription drug advertising and promotion is truthful and not misleading.

The Bad Ad Program is administered by the agency’s Office of Prescription Drug Promotion (OPDP) in the Center for Drug Evaluation and Research. The program’s goal is to help raise awareness among healthcare providers about misleading prescription drug promotion and provide them with an easy way to report this activity to the agency: e-mail BadAd@fda.gov or call 855-RX-BADAD.

Continuing Medical Education Video itself is free for anyone to view (http://www.sigmatech.com/BadAd/courses/index.htm)It covers what is legal/illegal for pharmaceutical companies and their representatives when advertising their products at different venues

Prescription drug advertising must:

• Be accurate
• Balance the risk and benefit information
• Be consistent with the prescribing information approved by FDA
• Only include information that is supported by strong evidence

What types of promotion does OPDP regulate?

• TV and radio advertisements
• All written or printed prescription drug promotional materials
• Speaker program presentations
• Sales representative presentations

OPDP does not regulate promotion of:

• Over-the-Counter Drugs
• Dietary Supplements
• Medical Devices

Common Violations:

• Omitting or downplaying of risk
• Overstating the effectiveness
• Promoting Uses Not Addressed in Approved Labeling

• Misleading drug comparisons

 Examples of Violations

Example of Omission of Risk

You attend a speaker program which features a slide show that presents efficacy information about Drug X, but no risk information.

This presentation would be misleading because it fails to include a fair balance of benefit and risk information for Drug X.

Example of Uses Not Addressed in Approved Labeling
You are in a commercial exhibit hall and a company representative tells you that a drug is effective for a use that is not in the FDA-approved product labeling.

This presentation would be illegal because it promotes an unapproved use.

Example of Overstating the Effectiveness

“Doctor Smith, Drug X delivers rapid results in as little as 3 days.”

This presentation is misleading because the majority of patients studied in the clinical trials for Drug X showed results at 12 weeks, with only very few showing results in 3 days.

Frequently Asked Questions

1. Can I report anonymously?

Yes, anonymous complaints often alert FDA to potential problems.  However, complaints accompanied by names and contact information are helpful in cases for which FDA needs to follow-up for more information.

2. Will OPDP be able to stop the misleading promotion?

In many cases, yes, especially if the appropriate evidence is provided.  Evidence can include the actual promotional materials or documentation of oral statements made by company representatives.

3. What will happen to my complaint once I have contacted OPDP?

The information you provide will be sent to the Regulatory Review Officer in OPDP responsible for this class of drugs.  The reviewer will evaluate it and determine if it may serve as the basis for a potential enforcement action or as valuable information for our ongoing surveillance activities.

4. How do I learn more?

To learn more about OPDP in-service training for large medical group/hospitals call 301-796-1200.

Related articles

• FDA providing education on bad drug ads (medicationhealthnews.wordpress.com)
• FDA “Bad Ads” – Now for CME Credit… (cooleyhealthbeat.com)

[Reblog]Over half of drug ad claims potentially misleading

From the 30 September 2013 article by Gary Schwitzer at HealthNewsReview.org

 

“Content Analysis of False and Misleading Claims in Television Advertising for Prescription and Nonprescription Drugs,” is the title of a paper in the Journal of General Internal Medicine.

In the eyes of coders in this analysis, 57% of major claims in TV drug ads were potentially misleading.

But the researchers broke down different shades of truth.  For example:

Minimal Facts

A claim that presented a difference among products, but
exaggerated the importance of the difference, promoting
the difference as important when it is not; for example,
when advertisers use poor-quality clinical evidence to
support a claim, and exaggerate the clinical importance of
the poor-quality evidence.

• “Bayer Quick Release Crystals are ready to work faster than caplets or tablets.” The formulation may dissolve quicker, but it is not taken up by the body any faster, nor will it relievepain faster than other formulations.
• “Nothing works better than Prevacid” implies that Prevacid is superior to other heartburn remedies when, in fact, it is just as good as other heartburn remedies.

Nonfacts

A claim that presented an intangible characteristic, but not
about the product. Often these claims were in the form of
product opinions or lifestyle claims. Opinions say nothing
about the product, but consumers are left to misinterpret the
opinion as an objective product evaluation. Lifestyle claims
associate the product with a target market that the
advertiser believes is likely to buy the product, in the
absence of evidence to support additional benefit to this
subpopulation.

• “Move on up to Aleve,” provides the advertisers baseless opinion or recommendation on the choice of product.

• “AlkaSeltzer is the official cold medicine of the US Ski Team.” Product endorsements like this one are the opinion of a famous or identifiable entity and do not say anything about the functioning of the product.

• “Help bridge the gap between the life you live and the life you want to live [by taking Enbrel].” This claim makes a vague lifestyle association between the product and the life “you want to life.”

• “Levitra works for me. Maybe it can work for you,” provides the opinion of the actor in the advertisement about the functioning of Levitra.

False

A claim that was objectively false by directly contradicting
evidence, or lacking any evidence to support it.

• “Alkaseltzer crystal packs are a taste-free powder.” Inspection of the inactive ingredients from the product label include both flavor and sucrose.

• “The difference between Advil PM and Tylenol PM is a better night’s sleep.” The specificity of this claim implied that specific head-to-head comparative evidence was available. No studies had been published comparing Advil PM (ibuprofen with diphenhydramine) versus Tylenol PM (acetaminophen with diphenhydramine), only studies comparing ibuprofen

The researchers remind us that “consumers may see up to 30 hours of TV drug ads each year while only spending 15 to 20 minutes on average at each visit with their primary care physician.

television (Photo credit: jeevs)

 

Related Resources

 

Anyone can publish information on the Internet. So it is up to the searcher to decide if the information found through search engines (as Google) is reliable or not. Search engines find Web sites but do not evaluate them for content. Sponsored links may or may not contain good information.

 

 

A few universities and government agencies have published great guides on evaluating information.

 

 

Here are a few

 

• The Penn State Medical Center Library has a great guide to evaluate health information on the Internet.

  The tips include

  • Remember, anyone can publish information on the internet!
  • If something sounds too good to be true, it probably is.
    If the Web site is primarily about selling a product, the information may be worth checking from another source.
  • Look for who is publishing the information and their education, credentials, and if they are connected with a trusted coporation, university or agency.
  • Check to see how current the information is.
  • Check for accuracy. Does the Web site refer to specific studies or organizations?

The Family Caregiver Alliance has a Web page entitled Evaluating Medical Research Findings and Clinical Trials
Topics include

• General Guidelines for Evaluating Medical Research
• Getting Information from the Web
• Talking with your Health Care Provider

Additional Resources

• Consumer’s Guide to Taking Charge of Health Information (Harvard Center for Risk Analysis)
• How to Evaluate Health Information on the Internet (US National Cancer Institute)9iiu9
• Quackwatch (a private corporation operated by Stephen Barrett, MD)

…And a Rumor Control site of Note (in addition to Quackwatch)

 

National Council Against Health Fraud

National Council Against Health Fraud is a nonprofit health agency fousing on health misinformation, fruad, and quackery as public health problems. Links to publications, position papers and more.

 

 

Related articles

• TV Drug Ad Claims Are Often Misleading, Study Finds (huffingtonpost.com)
• Most TV drug ads can be misleading, often exaggerating their benefits, says new study (thescoopblog.dallasnews.com)
• Up to 60 percent of drug ads on TV make false health claims (blacklistednews.com)
• Most Drug Commercials False Or Misleading: Erectile Dysfunction Drugs Deemed ‘Repeat Offenders’ (medicaldaily.com)
• Study Finds Most Drug Commercials Misleading (scientificamerican.com)
• TV drug ads frequently make misleading claims according to study (pbs.org)
• Beware of TV drug ads (medicalnewstoday.com)
• Majority of Drug Ads Found to Be Misleading or False (madinamerica.com)
• Science confirms the obvious: Pharmaceutical ads are misleading (sott.net)

 

15 Maps That Show How Americans Use Drugs – Business Insider

15 Maps That Show How Americans Use Drugs – Business Insider.

From the 26 September 2013 article at Business Insider by PAMELA ENGEL, GUS LUBIN AND MIKE NUDELMAN

Below is a map of illicit drug use by state, with the highest rates found in the West, Northeast, and Colorado. Vermont is the druggiest state, with 15.29% saying they have used illicit drugs in the past month compared to only 4.29% in Utah.

Substance Abuse and Mental Health Services Administration 2010/2011 Survey / Business Insider

Marijuana use follows a similar pattern. Vermont takes the lead again with 13.12% using in the past month.

Substance Abuse and Mental Health Services Administration 2010/2011 Survey / Business Insider

Read more: http://www.businessinsider.com/15-maps-that-show-how-americans-use-drugs-2013-9#ixzz2gSpMIf5o

Related articles

• More Americans are using marijuana (usatoday.com)

 

PestiByte Podcasts Discuss Common Pesticide Questions

From the Web site

Listen to the voice of NPIC! Our new PestiBytes PODcasts feature NPIC specialists discussing common pesticide questions from people like you. PestiBytes are short (1-2 minute) interviews with NPIC pesticide specialists on each of the topics. Watch for more to come!

Available PestiByte PODcasts:

	My yard is being sprayed; can my kids go out and play? Episode 22 – A specialist discusses ways to minimize exposure to children after lawn treatments. Download and Listen, View Transcript – 2:17 min., 1.4MB
	Don’t let pesticides make your bed bug problem worse! Episode 21 – A specialist discusses some do’s and dont’s about getting rid of bed bugs. Download and Listen, View Transcript – 2:26 min., 1.4MB
	Slug Baits with Iron Phosphate Episode 20 – A veterinarian gives pet owners some important information about slug & snail products containing iron phosphate. Download and Listen, View Transcript –2:11 min., 0.96MB
	Fasten the Lid. Protect Your Kids! Episode 19 – A specialist discusses how to store pesticides during and after use to keep kids from being exposed. Download and Listen, View Transcript – 2:26 min., 1.67MB
	The Crop Was Just Sprayed. Can I Work There Today? Episode 18 – A specialist provides information on reentering fields after pesticides have been applied. Download and Listen, View Transcript – 2:27 min., 1.69MB
	My Home is Being Sprayed. Should I Go or Stay? Episode 17 – A specialist discusses steps you can take to minimize your risk when your home is going to be treated with pesticides. Download and Listen,View Transcript – 2:05 min., 1.43MB
	Precautions for Using Spot-on Flea and Tick Products Episode 16 – A veterinarian gives pet owners some important pointers about using flea and tick spot-on treatments. Download and Listen, View Transcript –2:38 min., 4.95MB
	Can Bug Bombs Really Explode? Episode 15 – A specialist warns about the fire hazards of insecticide foggers and lists safety steps to take before setting off bug bombs. Download and Listen, View Transcript – 2:02 min., 3.73MB
	Don’t Distress Over Uninvited Guests (Roaches)! Episode 14 – A pesticide specialist discusses common problems with cockroaches in the home and simple ways to prevent infestations. Download and Listen,View Transcript – 2:06 min., 3.85MB
	Cover the Holes When Baiting for Moles (or Gophers)! Episode 13 – A specialist answers questions about the risks of gopher bait for dogs, and how to keep them from snacking on the bait. Download and Listen,View Transcript – 2:03 min., 3.85MB
	Pesticides and Food Containers Just Don’t Mix Episode 12 – A specialist points out the dangers of storing pesticides in any container other than the original container. Download and Listen, View Transcript – 2:06 min., 3.94MB
	Would I Hurt the Fish by Weeding and Feeding the Lawn? Episode 11 – A specialist explains ways to keep weed killers from harming fish.Download and Listen, View Transcript – 1:50 min., 3.36MB
	Get Rid of the Mouse! With Kids In the House? Episode 10 – A specialist lists precautions to consider when thinking of using rat or mouse baits around pets and children. Download and Listen, View Transcript – 1:53 min., 3.45MB
	When to Plant After Using Weed Killer? Episode 9 – A specialist provides information about using weed killers to prepare a vegetable garden. Download and Listen, View Transcript – 1:44 min., 3.96MB
	With a Baby on the Way… Is It Okay to Spray? Episode 8 – A specialist discusses infant sensitivity to pesticides and lists some ideas for minimizing exposure. Download and Listen, View Transcript – 1:55 min., 4.41MB
	Could Snail Bait Hurt My Dog? Episode 7 – A specialist cautions dog owners about the risks of snail baits and provides ways to to protect their pets. Download and Listen, View Transcript – 1:56 min., 4.42MB
	Dirty Work Clothes: How Should I Wash Out Pesticides? Episode 6 – A specialist explains how to handle and launder clothes that are contaminated with pesticides. Download and Listen, View Transcript– 1:33 min., 3.57MB
	What Should I Do During Mosquito Spraying? Episode 5 – A specialist answers questions about why city health departments might spray for mosquitoes and ways people can avoid contact with the mosquito spray. Download and Listen, View Transcript – 1:39 min., 1.50MB
	Should Kids Use Bug Spray? Episode 4 – A specialist lists precautions a parent might take if they choose to use insect repellents on children.Download and Listen, View Transcript – 2:07 min., 1.94MB
	A Mothball Mishap? Episode 3 – A specialist debunks mothball myths and describes how improper use of mothballs can lead to unpleasant or even unhealthy results. Download and Listen, View Transcript – 1:32 min., 1.41MB
	How Can I Wash Pesticides From Fruit and Veggies? Episode 2 – A specialist discusses how to best wash pesticide residues from produce, including potential risks of using household products to clean fruit and vegetables. Download and Listen, View Transcript – 1:41 min., 1.54MB
	About NPIC Episode 1 – Our director discusses how NPIC can assist people when making decisions about pesticides. Ways to contact NPIC are provided. Download and Listen, View Transcript – 2:07 min., 1.95MB

PestiBytes are brought to you by the National Pesticide Information Center, a cooperative agreement between Oregon State University and the Environmental Protection Agency and produced by OSU’s Environmental Health Sciences Center, funded by the National Institute of Environmental Health Sciences.

If you have questions about this, or any pesticide-related topic, please call NPIC at 1-800-858-7378 (7:30am-3:30pm PST), or email at npic@ace.orst.edu.

Similar podcasts  by the US NIH agency explore how environmental exposures affect our health. Each episode highlights ways researchers work in partnership with community groups to understand and address environmental health issues.

Related articles

• High pesticide levels found on common fruits. (telegraph.co.uk)
• Pesticide Abuse: Protecting crops to harm humans (ecoagriculturist.wordpress.com)
• Pesticide Program Update: EPA Proposes Registration of Nanosilver Pesticide Product (commercialappraiser.typepad.com)
• Toxic UK: pesticide levels in our food are rising (acefoodnews.com)
• Why Are There Pesticides in the Air and Water? (civilbeat.com)
• EPA’s Bee Label Rough Draft Revealed! (b4uleap.org)

Aspirin to Zoloft: Ways Medicines Work

From the 8 August 2013  US National Library of Medicine article

Most medicines work by binding to and modifying the actions of proteins, tiny molecular machines that perform important cellular tasks. Details about protein structure and function help scientists develop medicines that block proteins or otherwise interact with them. But even when a drug is designed to target a specific protein, it can sometimes impact others, causing side effects. The way medicines work also can be influenced by how a person’s body absorbs and processes them.

Findings from research funded by the National Institutes of Health have shed light on how some common medicines work.

HIV protease with saquinavir.
View larger image.

Antibiotics, Antivirals

Antibiotics and antiviral drugs attack proteins that are only found in the targeted bacterium or virus and that are crucial for the pathogen’s survival or multiplication. In many cases, the targets are enzymes, which are proteins that speed up chemical reactions. The antibiotic penicillin, for example, hones in on an enzyme that builds bacterial cell walls, causing infecting bacteria to burst and die. Protease inhibitors like saquinavir shut down an enzyme that would otherwise help HIV spread in the body.

Anticancer Agents

Tubulin with taxol.
View larger image.

Many anticancer drugs act by killing cells that divide rapidly, but they can also affect healthy dividing cells. For example, paclitaxel (Taxol), which is prescribed for breast, ovarian and other cancers, works by binding to the tubulin protein, inhibiting the formation of structures called microtubules that are needed for cell division. Newer anticancer drugs are more discriminating, often targeting important proteins that are abnormally active in certain cancers. One such drug, imatinib mesylate (Gleevec), halts a cell-communication pathway that is always “on” in a cancer of the blood called chronic myelogenous leukemia. Gleevec’s target is a protein called a kinase, and the drug’s design is based on years of experiments on the basic biology of how cancer cells grow.

Antihistamines, Antidepressants, Aspirin

Adrenergic receptor with carazolol, a beta-blocker. View larger image.

Some of the most widely prescribed drugs function by blocking proteins called G protein-coupled receptors, which play key roles in transmitting the signals that allow a cell to respond to its environment. The drug loratadine (Claritin) relieves allergies by blocking the histamine receptor; antidepressant medications (such as Prozac, Paxil and Zoloft) affect the serotonin receptor; and beta-blockers treat heart disease by interfering with the adrenergic receptor. Signaling can also be stopped by targeting the enzymes that create a molecule involved in the process. This is how aspirin works—it inhibits the enzyme cyclooxygenase, which makes pain-signaling molecules called prostaglandins.

Weight Loss, Cholesterol Blockers

Pancreatic lipase with an inhibitor similar to orlistat.
View larger image.

Medicines taken to control weight or cholesterol also work by interacting with specific proteins. The weight-loss drug orlistat (Xenical or Alli) blocks the action of pancreatic lipase, reducing the amount of fat that is absorbed from food. Cholesterol-lowering medications, such as atorvastatin (Lipitor) and simvastatin (Zocor), block the action of HMG-CoA reductase, an enzyme involved in making cholesterol.

Future Directions

With a better understanding of the specific relationships between a drug and its target (and off-target) proteins, researchers are using a variety of existing data to identify and test FDA-approved drugs for new uses and to predict potential side effects. This could reduce the time and cost of bringing drugs to market. Scientists are also learning more about how a person’s genes may influence the effectiveness and safety of certain drugs. Another area of active research involves developing new ways to deliver drugs to specific organs or disease sites, also improving therapeutic benefits and reducing side effects.

Content adapted from the poster “How Do Drugs Work?” available from the RCSB Protein Data Bank. Images courtesy of David S. Goodsell, The Scripps Research Institute.

Learn more:

• How Medicines Work Fact Sheet
• How Do Drugs Work? Poster 

Also in this series:

• Computation Aids Drug Discovery
• New Uses for Old Drugs
• For Proteins, Form Shapes Function

This Inside Life Science article also appears on LiveScience .

Related articles

• Wistar scientists decipher structure of NatA, an enzyme complex that modifies most human proteins (eurekalert.org)
• NEETs are prime suspects in breast cancer proliferation (news.rice.edu)

 

Blog Roll: Our Favorite Health Blogs

Includes areas as nutrition, healthcare, health communication, and health/medical resources

 

SurroundHealth Blog

With tons of health blogs out there today, it can be overwhelming trying to find solid ones to follow that are a good fit for your topic of interest. At SurroundHealth, we look for bloggers that align with our goals of sharing resources and best practices in areas such as: health education/communication, professional development and health careers, health and education technology, and current health events.

While this isn’t a FULL list of the blogs we follow, we thought it would be nice to share with our members and readers some of our favorite (in no specific order) health blogs out there!

Our ‘favorites’ blog roll:

Health ECareers Network– HeCN is a really informative blog providing access to everything healthcare careers- news, information, events, career resources and employment opportunities – all specific to individual career paths. Definitely a good one to check out if you are looking to learn…

View original post 290 more words

How to Handle Mold/Mycotoxin Exposure at Home or at Work – Where To Get Help

I usually don’t reblog articles that endorse commercial products or alternative/complementary medicine (without biomedical evidence).
Still, this post had a lot of good information on testing and one’s rights.

A few years back at a library where I worked, some of the folks at circulation were having breathing difficulties. They believed it was the HVAC system, but did not report it. Now I wish I could have worked with them to report it….
The folks at the circ desk were union, I was not. So they were more protected than I…..

Resources

• MedlinePlus: Molds, including
  • Molds in the environment (US Centers for Disease Control)
  • Brief Guide to Mold, Moisture, and Your Home(Environmental Protection Agency, Indoor Environments Division)
• Molds (US Occupational Safety and Health Administration – OSHA)
• Legal Aspects of Mold Contamination (Clean Water Partners – Environmental Law Experts)
  For Renters,Landlords, Home Sellers,  Home Buyers, Employers, Employees

Related articles

• Mold – The “New” Hidden Pandemic Sweeping Across America (momsmoldresources.wordpress.com)
• Curious case of toxic mold pits Chamber of Commerce employees against City of Madison (al.com)
• Mold forces woman from home and into search for answers (al.com)
• Preventing mold from forming in your home (mysouthwestga.com)
• Understanding Mold (moldremoversnj.wordpress.com)
• The way crucial is actually Health in our life (meizitangstrongbuys.wordpress.com)
• Mycotoxins=diabetes? (larahentz.wordpress.com)

BioEd Online- Science Resources from Baylor College of Medicine

Not just for teachers!

From the About Page

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.

Logo of the United States National Center for Complementary and Alternative Medicine , part of the National Institutes of Health. (Photo credit: Wikipedia)

 

 From the US National Center for Complementary and Alternative Medicine

 

Cancer and Complementary Health Approaches

Introduction

People with cancer want to do everything they can to combat the disease, manage its symptoms, and cope with the side effects of treatment. Many turn to complementary health approaches, including natural products, such as herbs (botanicals) and other dietary supplements, and mind and body practices, such as acupuncture, massage, and yoga.

This fact sheet was produced through a collaboration between the National Center for Complementary and Alternative Medicine (NCCAM) and the National Cancer Institute (NCI). It provides an introductory overview of complementary health approaches that have been studied for cancer prevention, treatment of the disease, or symptom management, including what the science says about their effectiveness and any concerns that have been raised about their safety.

 

Key Facts

• Symptom management. A substantial amount of scientific evidence suggests that some complementary health approaches may help to manage some symptoms of cancer and side effects of treatment. For other complementary approaches, the evidence is more limited.
• Disease treatment. At present, there is no convincing evidence that any complementary health approach is effective in curing cancer or causing it to go into remission.
• Cancer prevention. A 2012 study indicated that taking a multivitamin/mineral supplement may slightly reduce the risk of cancer in older men. No other complementary health approach has been shown to be helpful in preventing cancer.

 

Keep in Mind

• Unproven products or practices should not be used to replace or delay conventional medical treatment for cancer.
• Some complementary approaches can interfere with standard cancer treatments or have special risks for people who have been diagnosed with cancer. Before using any complementary health approach, people who have been diagnosed with cancer should talk with their health care providers to make sure that all aspects of their care work together.
• Tell all your health care providers about any complementary health approaches you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.

 

About Cancer

Cancer is a term for diseases in which abnormal cells divide without control. Cancer cells can invade nearby tissues and spread to other parts of the body through the bloodstream and the lymph system. Although cancer is the second leading cause of death in the United States, improvements in screening, detection, treatment, and care have increased the number of cancer survivors, and experts expect the number of survivors to continue to increase in the coming years. Detailed information on cancer is available from NCI at www.cancer.gov.

 

About Complementary Health Approaches

Complementary health approaches are a group of diverse medical and health care systems, practices, and products whose origins come from outside of mainstream medicine. They include such products and practices as herbal supplements, other dietary supplements, meditation, spinal manipulation, and acupuncture.

The same careful scientific evaluation that is used to assess conventional therapies should be used to evaluate complementary approaches. Some complementary approaches are beginning to find a place in cancer treatment—not as cures, but as additions to treatment plans that may help patients cope with disease symptoms and side effects of treatment and improve their quality of life.

 

Use of Complementary Health Approaches for Cancer

Many people who have been diagnosed with cancer use complementary health approaches.

• According to the 2007 National Health Interview Survey (NHIS), which included a comprehensive survey on the use of complementary health approaches by Americans, 65 percent of respondents who had ever been diagnosed with cancer had used complementary approaches, as compared to 53 percent of other respondents. Those who had been diagnosed with cancer were more likely than others to have used complementary approaches for general wellness, immune enhancement, and pain management.
• Other surveys have also found that use of complementary health approaches is common among people who have been diagnosed with cancer, although estimates of use vary widely. Some data indicate that the likelihood of using complementary approaches varies with the type of cancer and with factors such as sex, age, and ethnicity. The results of surveys from 18 countries show that use of complementary approaches by people who had been diagnosed with cancer was more common in North America than in Australia/New Zealand or Europe and that use had increased since the 1970s and especially since 2000.
• Surveys have also shown that many people with cancer do not tell their health care providers about their use of complementary health approaches. In the NHIS, survey respondents who had been diagnosed with cancer told their health care providers about 15 percent of their herb use and 23 percent of their total use of complementary approaches. In other studies, between 32 and 69 percent of cancer patients and survivors who used dietary supplements or other complementary approaches reported that they discussed these approaches with their physicians. The differences in the reported percentages may reflect differences in the definitions of complementary approaches used in the studies, as well as differences in the communication practices of different groups of patients.

 

Safety

• Delaying conventional cancer treatment can decrease the chances of remission or cure. Do not use unproven products or practices to postpone or replace conventional medical treatment for cancer.
• Some complementary health approaches may interfere with cancer treatments or be unsafe for cancer patients. For example, the herb St. John’s wort, which is sometimes used for depression, can make some cancer drugs less effective.
• Other complementary approaches may be harmful if used inappropriately. For example, to make massage therapy safe for people with cancer, it may be necessary to avoid massaging places on the body that are directly affected by the disease or its treatment (for example, areas where the skin is sensitive following radiation therapy).
• People who have been diagnosed with cancer should consult the health care providers who are treating them for cancer before using any complementary health approach for any purpose—whether or not it is cancer-related.

 

What the Science Says

No complementary health product or practice has been proven to cure cancer. Some complementary approaches may help people manage cancer symptoms or treatment side effects and improve their quality of life.

Incorporating Complementary Health Approaches Into Cancer Care

In 2009, the Society for Integrative Oncology issued evidence-based clinical practice guidelines for health care providers to consider when incorporating complementary health approaches in the care of cancer patients. The guidelines point out that, when used in addition to conventional therapies, some of these approaches help to control symptoms and enhance patients’ well-being. The guidelines warn, however, that unproven methods should not be used in place of conventional treatment because delayed treatment of cancer reduces the likelihood of a remission or cure.

A comprehensive summary of research on complementary health approaches for cancer is beyond the scope of this fact sheet. The following sections provide an overview of the research status of some commonly used complementary approaches, highlighting results from a few reviews and studies focusing on preventing and treating the disease, as well as managing cancer symptoms and treatment side effects.

Talking With Your Health Care Providers About Complementary Approaches and Cancer

The National Institutes of Health (NIH) has resources that can help you talk with your health care providers about complementary approaches and cancer.

• NCI’s Office of Cancer Complementary and Alternative Medicine has a workbook to help cancer patients and their health care providers talk about and keep track of complementary approaches that patients are using. You can download it here: cam.cancer.gov/talking_about_cam.html?cid=ARcam_camnews.
• NCCAM’s Time to Talk campaign has tips to help both patients and health care providers discuss complementary health approaches.

Complementary Health Approaches for Cancer Symptoms and Treatment Side Effects

Some complementary health approaches, such as acupuncture, massage therapy, mindfulness-based stress reduction, and yoga, may help people manage cancer symptoms or the side effects of treatment. However, some approaches may interfere with conventional cancer treatment or have other risks.People who have been diagnosed with cancer should consult their health care providers before using any complementary health approach.

• There is substantial evidence that acupuncture can help to manage treatment-related nausea and vomiting in cancer patients. There is not enough evidence to judge whether acupuncture is effective in relieving cancer pain or other symptoms such as treatment-related hot flashes. Complications from acupuncture are rare, as long as the acupuncturist uses sterile needles and proper procedures. Chemotherapy and radiation therapy weaken the body’s immune system, so it is especially important for acupuncturists to follow strict clean-needle procedures when treating cancer patients.
• Recent studies suggest that the herb ginger may help to control nausea related to cancer chemotherapy when used in addition to conventional anti-nausea medication.
• Studies suggest that massage therapy may help to relieve symptoms experienced by people with cancer, such as pain, nausea, anxiety, and depression. However, investigators have been unable to reach definite conclusions about the effects of massage therapy because of the limited amount of rigorous research in this field. People with cancer should consult their health care providers before having massage therapy to find out if any special precautions are needed. The massage therapist should not use deep or intense pressure without the health care providers’ approval and may need to avoid certain sites, such as areas directly over a tumor or those where the skin is sensitive following radiation therapy.
• There is evidence that mindfulness-based stress reduction, a type of meditation training, can help cancer patients relieve anxiety, stress, fatigue, and general mood and sleep disturbances, thus improving their quality of life. Most participants in mindfulness studies have been patients with early-stage cancer, primarily breast cancer, so the evidence favoring mindfulness training is strongest for this group of patients.
• Preliminary evidence indicates that yoga may help to improve anxiety, depression, distress, and stress in people with cancer. It also may help to lessen fatigue in breast cancer patients and survivors. However, only a small number of yoga studies in cancer patients have been completed, and some of the research has not been of the highest quality. Because yoga involves physical activities, it is important for people with cancer to talk with their health care providers in advance to find out whether any aspects of yoga might be unsafe for them.
• Various studies suggest possible benefits of hypnosis, relaxation therapies, and biofeedback to help patients manage cancer symptoms and treatment side effects.
• A 2008 review of the research literature on herbal supplements and cancer concluded that although several herbs have shown promise for managing side effects and symptoms such as nausea and vomiting, pain, fatigue, and insomnia, the scientific evidence is limited, and many clinical trials have not been well designed. Use of herbs for managing symptoms also raises concerns about potential negative interactions with conventional cancer treatments.

Coping With Cancer

People who have cancer, or who have been treated for cancer, may have physical or emotional difficulties as a result of the disease or its treatment. Many conventional approaches can help people cope with these problems. For example, counseling may help people who are distressed about being diagnosed with cancer, medicines can control nausea related to chemotherapy, and exercise may help decrease treatment-related fatigue. Some people find that complementary approaches also help them cope with cancer and improve their quality of life. In addition, using complementary approaches can help people feel they are playing an active part in their own care. If you have cancer or if you have been treated for cancer, be sure to tell your health care providers about all approaches—both conventional and complementary—that you are using. Your health care providers need this information so they can make sure that all aspects of your care work well together. Additional information on coping with cancer is available from NCI at www.cancer.gov/cancertopics/coping.

Complementary Health Approaches for Cancer Treatment

This section discusses complementary health approaches to directly treat cancer (that is, to try to cure the disease or cause a remission).

No complementary approach has been shown to cure cancer or cause it to go into remission. Some products or practices that have been advocated for cancer treatment may interfere with conventional cancer treatments or have other risks. People who have been diagnosed with cancer should consult their health care providers before using any complementary health approach.

• Studies on whether herbal supplements or substances derived from them might be of value in cancer treatment are in their early stages, and scientific evidence is limited. Herbal supplements may have side effects, and some may interact in harmful ways with drugs, including drugs used in cancer treatment.
• The effects of taking vitamin and mineral supplements, including antioxidant supplements,during cancer treatment are uncertain. NCI advises cancer patients to talk to their health care providers before taking any supplements.
• A 2010 NCCAM-supported trial of a standardized shark cartilage extract, taken in addition to chemotherapy and radiation therapy, showed no benefit in patients with advanced lung cancer. An earlier, smaller study in patients with advanced breast or colorectal cancers also showed no benefit from the addition of shark cartilage to conventional treatment.
• A 2011 systematic review of research on laetrile found no evidence that it is effective as a cancer treatment. Laetrile can be toxic, especially if taken orally, because it contains cyanide.

Beware of Cancer Treatment Frauds

The U.S. Food and Drug Administration (FDA) and the Federal Trade Commission (FTC) have warned the public to be aware of fraudulent cancer treatments. Cancer treatment frauds are not new, but in recent years it has become easier for the people who market them to reach the public using the Internet.

Some fraudulent cancer treatments are harmful by themselves, and others can be indirectly harmful because people may delay seeking medical care while they try them, or because the fraudulent product interferes with the effectiveness of proven cancer treatments.

The people who sell fraudulent cancer treatments often market them with claims such as “scientific breakthrough,” “miraculous cure,” “secret ingredient,” “ancient remedy,” “treats all forms of cancer,” or “shrinks malignant tumors.” The advertisements may include personal stories from people who have taken the product, but such stories—whether or not they’re real—aren’t reliable evidence that a product is effective. Also, a money-back guarantee is not proof that a product works.

If you’re considering using any anticancer product that you’ve seen in an advertisement, talk to your health care provider first. Additional information on cancer-related health frauds is available from the FDA and from the FTC.

Complementary Health Approaches for Cancer Prevention

A large 2012 clinical trial has shown that taking a multivitamin/mineral supplement may slightly reduce the risk of cancer in older men. No other complementary health approach has been shown to be helpful in preventing cancer, and some have been linked with increased health risks.

Vitamin and Mineral Supplements. The results of a study of older men completed in 2012 indicate that taking a multivitamin/mineral supplement slightly reduces the risk of cancer. In this study, which was part of the Physicians’ Health Study II (a complex trial that tested several types of supplements), more than 14,000 male U.S. physicians were randomly assigned to take a multivitamin/mineral supplement or a placebo (an identical-appearing product that did not contain vitamins and minerals) for 11 years. Those who took the supplement had 8 percent fewer total cancers than those who took the placebo.

Other studies of vitamins and minerals—most of which evaluated supplements containing only one or a few nutrients—have not found protective effects against cancer. Some of these studies identified possible risks of supplementing with high doses of certain vitamins or related substances. Examples of research results include the following:

• In another part of the Physicians’ Health Study II (not the part described above), supplementing with relatively high doses of either vitamin E or vitamin C did not reduce the risks of prostate cancer or total cancer in men aged 50 or older. Men taking vitamin E had an increased risk of hemorrhagic stroke (a type of stroke caused by bleeding in the brain).
• A 2010 meta-analysis of 22 clinical trials found no evidence that antioxidant supplements (vitamins A, C, and E; beta-carotene; and selenium) help to prevent cancer.
• Two large-scale studies found evidence that supplements containing beta-carotene increased the risk of lung cancer among smokers.
• The Selenium and Vitamin E Cancer Prevention Trial (SELECT), funded by NCI, NCCAM, and other agencies at NIH, showed that selenium and vitamin E supplements, taken either alone or together, did not prevent prostate cancer. It also showed that vitamin E supplements, taken alone, significantlyincreased the risk of prostate cancer in healthy men. There was no increase in prostate cancer risk when vitamin E and selenium were taken together. The doses of selenium and vitamin E used in this study were substantially higher than those typically included in multivitamin/mineral supplements.
• Although substantial evidence suggests that calcium may help protect against colorectal cancer, the evidence of potential benefit from calcium in supplement form is limited and inconsistent. Therefore, NCI does not recommend the use of calcium supplements to reduce the risk of colorectal cancer.

Other Natural Products. A 2009 systematic review of 51 studies with more than 1.6 million participants found “insufficient and conflicting” evidence regarding an association between consuming green tea and cancer prevention. Several other natural products, including Ginkgo biloba, isoflavones, noni, pomegranate, and grape seed extract, have been investigated for possible cancer-preventive effects, but the evidence on these substances is too limited for any conclusions to be reached.

Do You Want To Learn More About Cancer Prevention?

People can reduce their risk of cancer in many ways. They include avoiding exposure to agents that cause cancer (such as cigarette smoke), having tests (such as colonoscopies) that find precancerous conditions early, and, for some people who are at high risk, taking medicines to reduce cancer risk (chemoprevention). Additional information on cancer prevention is available from NCI.

 

NIH Research on Complementary Health Approaches for Cancer

Both NCI and NCCAM fund many laboratory studies and clinical trials related to cancer. Some ongoing studies are investigating:

• The effects of genetic factors and intakes of calcium and magnesium on the risk of developing precancerous colorectal polyps
• Mechanisms of action of natural products that may be of value in cancer prevention or treatment, such as bamboo extract, grape seed extract, white tea, red ginseng, and S-adenosyl-L-methionine (SAMe)
• The use of acupuncture for difficulty in swallowing after treatment for head and neck cancer
• Mind and body practices to improve sleep in cancer patients.

Additional information is available from NCI and from NCCAM.

 

If You Have Been Diagnosed With Cancer and Are Considering a Complementary Health Approach

• Cancer patients need to make informed decisions about using complementary health approaches. NCCAM and NCI have written a brochure that can help: Thinking About Complementary and Alternative Medicine: A Guide for People With Cancer.
• Gather information about the complementary health product or practice that interests you, and then discuss it with your health care providers. If you have been diagnosed with cancer, it is especially important to talk with your health care providers before you start using any new complementary health approach. If you are already using a complementary approach, tell your health care providers about it, even if your reason for using it has nothing to do with cancer. Some approaches may interfere with standard cancer treatment or may be harmful when used along with standard treatment. Examples of questions to ask include:
  • What is known about the benefits and risks of this product or practice? Do the benefits outweigh the risks?
  • What are the potential side effects?
  • Will this approach interfere with conventional treatment?
  • Can you refer me to a practitioner?
• Do not use any health product or practice that has not been proven safe and effective to replace conventional cancer care or as a reason to postpone seeing your health care provider about any health problem.
• Tell all your health care providers about any complementary health approaches you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care. For tips about talking with your health care providers about complementary health approaches, seeNCCAM’s Time to Talk campaign.

 

Key References

• Boehm K, Borrelli F, Ernst E, et al. Green tea (Camellia sinensis) for the prevention of cancer.Cochrane Database of Systematic Reviews. 2009;(3):CD005004. Accessed at http://www.thecochranelibrary.com on February 14, 2013.
• Cramer H, Lange S, Klose P, et al. Can yoga improve fatigue in breast cancer patients? A systematic review. Acta Oncologica. 2012;51(4):559–560.
• Deng GE, Frenkel M, Cohen L, et al. Evidence-based clinical practice guidelines for integrative oncology: complementary therapies and botanicals. Journal of the Society for Integrative Oncology. 2009;7(3):85–120.
• Elkins G, Fisher W, Johnson A. Mind-body therapies in integrative oncology. Current Treatment Options in Oncology. 2010;11(3–4):128–140.
• Ernst E. Massage therapy for cancer palliation and supportive care: a systematic review of randomised clinical trials. Supportive Care in Cancer. 2009;17(4):333–337.
• Ernst E, Lee MS. Acupuncture for palliative and supportive cancer care: a systematic review of systematic reviews. Journal of Pain and Symptom Management. 2010;40(1):e3–5.
• Gaziano JM, Glynn RJ, Christen WG, et al. Vitamins E and C in the prevention of prostate and total cancer in men: the Physicians’ Health Study II randomized controlled trial. JAMA. 2009;301(1):52–62.
• Gaziano JM, Sesso HD, Christen WG, et al. Multivitamins in the prevention of cancer in men: the Physicians’ Health Study II randomized controlled trial. JAMA. 2012;308(18):E1–E10.
• Klein EA, Thompson IM Jr, Tangen CM, et al. Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA. 2011;306(14):1549–1556.
• Ledesma D, Kumano H. Mindfulness-based stress reduction and cancer: a meta-analysis. Psycho-Oncology. 2009;18(6):571–579.
• Lin K-Y, Hu Y-T, Chang K-J, et al. Effects of yoga on psychological health, quality of life, and physical health of patients with cancer: a meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2011;2011:659876.
• Lippman SM, Klein EA, Goodman PJ, et al. Effect of selenium and vitamin E on risk of prostate cancer and other cancers: the Selenium and Vitamin E Cancer Prevention Trial (SELECT).JAMA. 2009;301(1):39–51.
• Lu C, Lee JJ, Komaki R, et al. Chemoradiotherapy with or without AE-941 in stage III non-small cell lung cancer: a randomized phase III trial. Journal of the National Cancer Institute. 2010;102(12):859–865.
• Manksy PJ, Wallerstedt DB. Complementary medicine in palliative care and cancer symptom management. Cancer Journal. 2006;12(5):425–431.
• Mao JJ, Palmer CS, Healy KE, et al. Complementary and alternative medicine use among cancer survivors: a population-based study. Journal of Cancer Survivorship. 2011;5(1):8–17.
• Milazzo S, Ernst E, Lejeune S, et al. Laetrile treatment for cancer. Cochrane Database of Systematic Reviews. 2011;(11):CD005476. Accessed at http://www.thecochranelibrary.com on February 14, 2013.
• Miller S, Stagl J, Wallerstedt DB, et al. Botanicals used in complementary and alternative medicine treatment of cancer: clinical science and future perspectives. Expert Opinion on Investigational Drugs. 2008;17(9):1353–1364.
• Myung S-K, Kim Y, Ju W, et al. Effects of antioxidant supplements on cancer prevention: meta-analysis of randomized controlled trials. Annals of Oncology. 2010;21(1):166–179.
• Paley CA, Johnson MI, Tashani OA, et al. Acupuncture for cancer pain in adults. Cochrane Database of Systematic Reviews. 2011;(1):CD007753. Accessed at http://www.thecochranelibrary.com on February 14, 2013.
• Pillai AK, Sharma KK, Gupta YK, et al. Anti-emetic effect of ginger powder versus placebo as an add-on therapy in children and young adults receiving high emetogenic chemotherapy. Pediatric Blood & Cancer. 2011;56(2):234–238.
• Ryan JL, Heckler CE, Roscoe JA, et al. Ginger (Zingiber officinale) reduces acute chemotherapy-induced nausea: a URCC CCOP study of 576 patients. Supportive Care in Cancer. 2012;20(7):1479–1489.
• Wilkinson S, Barnes K, Storey L. Massage for symptom relief in patients with cancer: systematic review. Journal of Advanced Nursing. 2008;63(5):430–439.

 

For More Information

NCCAM Clearinghouse

The NCCAM Clearinghouse provides information on NCCAM and complementary health approaches, including publications and searches of Federal databases of scientific and medical literature. The Clearinghouse does not provide medical advice, treatment recommendations, or referrals to practitioners.

Toll-free in the U.S.:

1-888-644-6226

TTY (for deaf and hard-of-hearing callers):

1-866-464-3615

Web site:

nccam.nih.gov

E-mail:

info@nccam.nih.gov

National Cancer Institute

The National Cancer Institute is the Federal Government’s lead agency for cancer research. The National Cancer Institute’s Office of Cancer Complementary and Alternative Medicine coordinates and enhances the National Cancer Institute’s activities in CAM research.

Toll-free in the U.S.:

1-800-4-CANCER (1-800-422-6237)

Web site:

www.cancer.gov/cam

E-mail:

cancergovstaff@mail.nih.gov

NCI’s Office of Cancer Complementary and Alternative Medicine

NCI’s Office of Cancer Complementary and Alternative Medicine coordinates and enhances NCI’s activities in complementary and alternative medicine research.

Information on complementary and alternative medicine in cancer treatment:www.cancer.gov/cancertopics/pdq/cam/cam-cancer-treatment/patient/page3/AllPages

Web site:

cam.cancer.gov

PubMed®

A service of the National Library of Medicine (NLM), PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals.

Web site:

www.ncbi.nlm.nih.gov/pubmed

NIH Clinical Research Trials and You

The National Institutes of Health (NIH) has created a Web site, NIH Clinical Research Trials and You, to help people learn about clinical trials, why they matter, and how to participate. The site includes questions and answers about clinical trials, guidance on how to find clinical trials through ClinicalTrials.gov and other resources, and stories about the personal experiences of clinical trial participants. Clinical trials are necessary to find better ways to prevent, diagnose, and treat diseases.

Web site:

www.nih.gov/health/clinicaltrials/

Acknowledgments

NCCAM thanks Cornelia Ulrich, Ph.D., German Cancer Research Center; Susan Folkman, Ph.D., University of California, San Francisco; Jun James Mao, M.D., University of Pennsylvania; Elizabeth Austin, M.S., Robin Baldwin, B.S.N., Barbara McMakin, M.S., and Jeffrey White, M.D., National Cancer Institute; and Carol Pontzer, Ph.D., and John (Jack) Killen, Jr., M.D., NCCAM, for their contributions to the 2013 update of this publication.

This publication is not copyrighted and is in the public domain. Duplication is encouraged.

NCCAM has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your primary health care provider. We encourage you to discuss any decisions about treatment or care with your health care provider. The mention of any product, service, or therapy is not an endorsement by NCCAM.

* Note: PDF files require a viewer such as the free Adobe Reader.

NCCAM Pub No.:

D453

Date Created:

September 2005

Last Updated:

May 2013

 

 

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Health Literacy Resources: Professional Healthcare Organizations and Associations

Great links to resources as
–High Value Care resources intended to help patients understand the benefits, harms and costs of tests and treatments for common clinical issues.
–Case Management Society of America’s has a consumer page that describes Case Management as a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s health needs
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Lower calorie foods – it’s just good business

 

 

Lower calorie foods – it’s just good business

In this landmark study, researchers examined NPD restaurant servings and traffic data, and Nation’s Restaurant News sales trends, to analyze whether or not growing sales of lower-calorie menu items in 21 national restaurant chains, accounting for half of the top 100 chain sales, resulted in superior business performance.

The study concluded that quick-service and sit-down restaurant chains that grew their lower-calorie servings delivered better business results. In short, sound strategic planning with a commitment to growing lower-calorie items is just good business.

The findings of this study clearly demonstrate that between 2006 and 2011 lower-calorie foods and beverages were the key growth engine for the restaurants studied. Restaurant chains growing their servings of lower-calorie foods and beverages demonstrated superior:

• Same-store sales (SSS) growth
• Increases in restaurant customer traffic • Gains in overall restaurant servings

Increasing lower-calorie menu portfolios can help quick-service and sit-down restaurant chains improve the key performance metrics demanded by their shareholders and Wall Street, while at the same time providing lower-calorie foods and beverages for families and children.

 

 

 

 

 

 

 

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Free Library Puts Resources About Minority Health Within Arm’s Reach – National Partnership for Action to End Health Disparities

Free Library Puts Resources About Minority Health Within Arm’s Reach

From the 9 April 2013 article at the National Partnership for Action to End Health Disparities

The Office of Minority Health Knowledge Center supports National Minority Health Month by highlighting many information resources available to the public. The Knowledge Center focuses its collection on consumer health and many other health equity issues, and builds on this year’s theme ofAdvance Health Equity Now: Uniting Our Communities to Bring Health Care Coverage to All.

Created in 1987, the Knowledge Center indexed and tracked the concept of health disparities in the available literature long before it appeared in the forefront of public health concerns. Today, the library offers both a historical and present day picture of the health status of minority populations and holds a collection of 10,000 reports, books, journals and media, and over 35,000 articles, which makes it the largest repository of minority health information in the nation.

Equal access to health care has long been a factor in health equity, and the Knowledge Center library catalog reflects those concerns. By searching our catalog, you will find many reports, books and fact sheets which explain disparities in access to health insurance and health care.

And the Knowledge Center is more than a library. We also contribute to the outreach and educational activities of the Office of Minority Health and reach out to other libraries to support their consumer health education initiatives. For example, a recent presentation and exhibit at the Joint Conference of Librarians of Color highlighted our services and resources for public and academic libraries.

Other libraries have found ways to advance health equity, in keeping with objectives set by our National Partnership for Action (NPA).  As an NPA partner, the University of Maryland Health Sciences and Human Services Library developed a health advocates program for local high school students (read more about the program.)

With 35 languages represented in our collection, the Knowledge Center is open to the public for research about a variety of diseases and health topics and you can search the database right from your desktop.

We invite you to take a look at our online catalog and conduct a search. Enter the search terms “Affordable Care Act” and discover what OMHRC has to offer you.

For questions or search assistance, please contact us at KnowledgeCenter@minorityhealth.hhs.gov.

Allergy Notes: Immunology in the Gut Mucosa – beautiful animation by the journal Nature

Allergy Notes: Immunology in the Gut Mucosa – beautiful animation by the journal Nature.

From the blog item

The gut mucosa is the largest and most dynamic immunological environment of the body. It hosts the body’s largest population of immune cells. It is often the first point of pathogen exposure and many microbes use it as a beachhead into the rest of the body.

The gut immune system therefore needs to be ready to respond to pathogens but at the same time it is constantly exposed to innocuous environmental antigens, food particles and commensal microflora which need to be tolerated.

Misdirected immune responses to harmless antigens are the underlying cause of food allergies and debilitating conditions such as inflammatory bowel disease. This animation introduces the key cells and molecular players involved in gut immunohomeostasis and disease.

Nature Immunology in collaboration with Arkitek Studios have produced an animation unraveling the complexities of mucosal immunology in health and disease:

T helper cells (click to enlarge the image).

Comments from Twitter:

FoodAllergySupport @FASupport: More fun than Magic School Bus!

 

The WomanStats Project and Database

The WomanStats Project and Database

From the Web site

The WomanStats Project is the most comprehensive compilation of information on the status of women in the world. The Project facilitates understanding the linkage between the situation of women and the security of nation-states. We comb the extant literature and conduct expert interviews to find qualitative and quantitative information on over 310 indicators of women’s status in 174 countries. Our Databaseexpands daily, and access to it is free of charge.

The Project began in 2001, and today includes six principal investigators at five universities, as well as a team of up to twenty graduate and undergraduate data extractors. Please learn more by clicking First Time Users and watching our Video Tutorials. Or visit our Blog, where we discuss what we are finding, view our Maps, or read our Researchreports.

…

First Time Users

Welcome to the WomanStats Database, the world’s most comprehensive compilation of information on the status of women.

The best way to acquaint yourself with the database and how to use it is to watch our Video Tutorials for beginners. The first video tutorial explains how to create a free account. The second teaches how to use the codebook and retrieve data from the View screen. The third covers reports, downloads, and maps. The fourth introduces you to other aspects of our web presence, such as our blog and social media.

Solve the outbreak!

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• CDC app turns iPad users into disease detectives (bizjournals.com)

Public Health--Research & Library News

Do you want to be a disease detective?  the Centers for Disease Control and Prevention (CDC) have released a new app, Solve the Outbreak.

New outbreaks happen every day and CDC’s disease detectives are on the front lines, working 24/7 to save lives and protect people. When a new outbreak happens, disease detectives are sent in to figure out how outbreaks are started, before they can spread.  with this new, free app for the iPad, you can play the role of an Epidemic Intelligence Service agent. Find clues about outbreaks and make tough decisions about what to do next: Do you quarantine the village? Talk to people who are sick? Ask for more lab results?

With fictional outbreaks based on real-life cases, you’ll have to puzzle through the evidence to earn points for each clue. The better your answers, the higher your score – and the more quickly you’ll save lives…

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Evidence based content for medical articles on Wikipedia?

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ScienceRoll

I would love to get your feedback on a project I just came across on Wikipedia, the WikiProject Medicine/Evidence based content for medical articles on Wikipedia. The organizer of the project is the same as in Cochrane Students’ Journal Club. Please sign up if you are interested in helping us out.

Wikipedia has been accepted world wide as a source of information by both lay people and experts. Its community driven approach has ensured that the information presented caters to a wide variety of people. An article from 2011 in the Journal of Medical Internet Research found that a significant number of experts and doctors consult Wikipedia’s medicine related topics.

Medical information is very dynamic and conclusions and recommendations are turned on their heads based on new findings. Taking this into account it is important to ensure that Evidence Based content is a part of any medicine related…

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New Database Reveals Thousands of Hospital Violation Reports New Database Reveals Thousands of Hospital Violation Reports

Hospital (Photo credit: Ralf Heß)

 

From the March 20, 2013 State Line article

 

Hospitals make mistakes, sometimes deadly mistakes.  A patient may get the wrong medication or even undergo surgery intended for another person.  When errors like these are reported, state and federal officials inspect the hospital in question and file a detailed report.

Now, for the first time, this vital information on the quality and safety of the nation’s hospitals has been made available to the public online.

A new website, www.hospitalinspections.org, includes detailed reports of hospital violations dating back to January 2011, searchable by city, state, name of the hospital and key word.  Previously, these reports were filed with the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid (CMS), and released only through a Freedom of Information Act request, an arduous, time-consuming process.  Even then, the reports were provided in paper format only, making them cumbersome to analyze.

Release of this critical electronic information by CMS is the result of years of advocacy by the Association of Health Care Journalists, with funding from the Ethics and Excellence in Journalism Foundation.  The new database makes full inspection reports for acute care hospitals and rural critical access hospitals instantly available to journalists and consumers interested in the quality of their local hospitals.

The database also reveals national trends in hospital errors. For example, key word searches yield the incidence of certain violations across all hospitals.  A search on the word “abuse,” for example, yields 862 violations at 204 hospitals since 2011. …

 

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• Time Magazine Study Reveals Hospitals Hiking up Medical Bills (counselheal.com)