Oncology
"Even with the Medicare drug benefit, even with the prevalence of low-cost generics, even with loss-leader discounting by big chains, many Americans still find themselves unable to afford the prescription medications that manage their life-threatening conditions," The New York Times reports. In some areas, "the recession has heightened the struggle. National surveys consistently find that as many as a third of respondents say they are not complying with prescriptions because of cost, up from about a fourth three years ago."
The following summarizes recent action on reproductive health-related legislation in two states.~ Oregon: Gov. Ted Kulongoski (D) on Tuesday signed a measure (H.B. 2509) that requires school districts to provide students in all public elementary and secondary schools with medically accurate, age-appropriate sex education courses, KOHD.com reports. The law stipulates that schools emphasize the best way for students to prevent pregnancy and reduce the spread of sexually transmitted infections is to practice abstinence and that the best approach for adults is to engage in mutually monogamous relationships with partners without STIs. In addition, the law requires that students be given current, statistically based information about the efficacy of all methods of preventing STIs. The measure also requires that sex education courses include instruction on the benefits of delaying pregnancy until after adolescence, as well as information about the characteristics of an emotionally and physically healthy relationship. The law directs schools to provide students with information on state laws related to young people"s rights and responsibilities with regard to childbearing and parenting (KOHD.com, 6/2).~ Tennessee: State Rep. Tony Shipley (R) on Tuesday withdrew from consideration a bill (H.B. 1762) he sponsored that would have given parents full access to their children"s medical records, the AP/Chattanooga Times Free Press reports. Under the measure, physicians would have been required to provide written results of any tests or procedures performed on minors upon request from their parents or guardians. The measure could have jeopardized about $6.5 million in federal family planning funding that is attached to privacy requirements, according to legislative analysts (AP/Chattanooga Times Free Press, 6/2).
Whether and how medical personnel and their digital systems can talk to one another in a meaningful way is a subject pertinent to the health of patients about whom they "converse."
The Institute for OneWorld Health, the US-based non-profit pharmaceutical company that develops drugs for people with neglected infectious diseases in the developing world, today announced that it has successfully completed its first screening campaign of the Roche proprietary compound library and will select up to 40 new drug leads for further study intended to identify a new treatment for childhood diarrhea.
As the 2009 hurricane season begins, the MIT AgeLab and the Advance 50 Team of gerontologists at The Hartford Financial Services Group, Inc., offer new research and life-saving tips to help caregivers, family and friends of those with Alzheimer"s disease who live at home prepare for a natural disaster and get their lives back on track in the aftermath.
Novocell, Inc., a stem cell engineering company, announced that it has received U.S. Patent No. 7,541,185 with method claims covering the use of endoderm cells derived from human embryonic stem cells (hESCs) for drug discovery. This is the second U.S. patent issued to Novocell related to human endoderm. U.S. Patent No. 7,510,876, issued on March 31, 2009, is directed to an in vitro human endoderm composition.
A new contract that will help improve the use of Patient Reported Outcome Measures (PROMs), which support the NHS to collect patient feedback on the success of their operations, was today awarded to the Royal College of Surgeons and London School of Hygiene & Tropical Medicine.
Huge economic gains could be made if eyeglasses were provided to approximately 150 million people in need, according to research published today in the international public health journal, the Bulletin of the World Health Organization.
An Essay published this week in the open access journal PLoS Medicine
Are you someone who squirms when confronted with slime, shudders at stickiness or gets grossed out by gore? Do crawly insects make you cringe or dead bodies make you blanch?
A recent surge in immigration rates has led psychologists to study how these families are coping and thriving in their adopted countries. In a special June issue of the Journal of Family Psychology, published by the American Psychological Association, researchers report that close family ties are crucial for immigrants" successful transition to their new country.
Two-thirds of patients are happy for their medical records to be stored electronically, according to a snapshot survey carried out in a community mental health setting. But many patients still have concerns about security and confidentiality.
The focus on acute stroke in the UK government"s national stroke strategy may distract attention and res from other important elements of stroke care, warn experts in a paper published on bmj.com today.
Representatives of the NPA have met with the Minister for Health and Social Services, Edwina Hart, to discuss a number of matters on behalf of members in Wales.
In recent decades, there have been periodic reports of a worldwide decline in sperm count and quality. Male infertility has ostensibly been on the rise, accompanied by increases in testicular cancer and hypospadias -- a congenital defect in which the opening of the urethra is on the underside, rather than at the end, of the penis. Taken together, these three conditions have been termed testicular dysgenesis syndrome.
Dey, L.P., a subsidiary of Mylan Inc. (NYSE: MYL), has announced that data from two presentations highlighting the use of Perforomist® (formoterol fumarate) Inhalation Solution will be featured in poster format at the International Conference of the American Thoracic Society on May 19, 2009 in San Diego.
An extract of ginkgo biloba shows scientific evidence of effectiveness against one common and hard-to-treat type of pain, according to animal data reported in the June issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
CSIRO and a local water authority in Queensland, SEQWater, have joined forces to monitor the Lake Wivenhoe catchment, which spans an area about the size of the city of Brisbane, and supplies water to the region"s 1.5 million residents.
The recent murder of Kansas abortion provider George Tiller has prompted other providers nationwide to reassess their need for protective measures against violent actions from opponents of abortion rights, the AP/San Francisco Chronicle reports. In the days following Tiller"s murder, many clinic officials nationwide said that they had contacted law enforcement and examined their existing security measures. U.S. Attorney General Eric Holder also ordered the U.S. Marshals Service to provide security to several clinicians and facilities. According to the AP/Chronicle, violence against abortion providers in the 1980s and 1990s forced many to take various precautionary measures in and around their clinics, while some underwent training to protect themselves.Kate Michelman, former president of NARAL Pro-Choice America, said the election of former President George W. Bush, an abortion-rights opponent, helped alleviate some violence against abortion providers. However, she said that she believes Tiller"s murder might indicate the situation is changing during the first months of President Obama"s administration. Obama has rejected abortion-rights opponents" calls for restrictions on the procedure and also reversed the "global gag rule," or "Mexico City" policy.Michelman said, "Historically, when those who oppose a woman"s right to decide are frustrated politically, they get more violent," adding, "I have been thinking about this ever since the [Obama] election." She said that some providers will remain fearful even though she believes clinics are now safe. "In the end ... if someone is out to get you and they are determined and have a chorus encouraging them, ... there"s not much you can do to stop them," Michelman said. Provider LeRoy Carhart, who provided abortion services at Tiller"s clinic, said that people who commit violence against abortion providers should be charged with hate crimes (Hanna, AP/San Francisco Chronicle, 6/3).
Thousands of international HIV/AIDS experts will convene in Windhoek, Namibia, next week for a five-day meeting focused on HIV/AIDS, New Era reports.
HIV Specialty Clinics Across U.S. Closing, Changing Focus, Citing Lack Of Funding, Other Reasons. The Scripps Howard/Kansas City infoZine examines how some medical clinics across the U.S. that specialize in treating patients with HIV are closing due to lack of funding and decreased demand, among other reasons.
New research led by the University of Cincinnati (UC) suggests that the hunger hormone ghrelin is activated by fats from the foods we eat - not those made in the body - in order to optimize nutrient metabolism and promote the storage of body fat.
The Medical Defence Union (MDU) the UK"s largest medical defence organisation has reassured doctors that they are not admitting liability if they apologise when something has gone wrong with their treatment of a patient.
UroToday.com - In the online version of The Prostate, Dr. Ravishankar Jayadevappa and colleagues from the University of Pennsylvania analyzed the association between race, risk of biochemical recurrence and recovery pattern of patient reported outcomes such as satisfaction with care, HRQoL (generic and prostate-specific) and cost in younger men with newly diagnosed prostate cancer (CaP). The investigators hypothesized that younger African American men will have impaired HRQoL outcomes and will present with higher cost compared to younger Caucasian CaP patients.
The results of the LEAD-6 study are published in an article Online First and in a future edition of The Lancet. The findings are presented at the same time at the American Diabetes Association meeting in New Orleans, USA. They indicate that taking liraglutide once a day is more efficient in controlling blood glucose in type 2 diabetes than the presently marketed treatment - two doses a day of exenatide.
Given Imaging Ltd. (NASDAQ: GIVN) announced a new study that shows over half of the eligible patients with occult or obscure gastrointestinal bleeding (OGIB) may benefit from the additional diagnostic information provided by small bowel capsule endoscopy in accordance with existing gastrointestinal (GI) society guidelines, which call for the patient-friendly, non-invasive procedure following a negative upper endoscopy and colonoscopy. Additional studies advocate broader utility of capsule endoscopy in iron deficiency anemia (IDA) and suspected small bowel Crohn"s disease. The studies were presented at the Digestive Disease Week(R) (DDW) 2009 conference taking place in Chicago from May 30 - June 4, where Given Imaging also demonstrated a new, simplified procedure for performing PillCam(R) capsule endoscopy of the small bowel and the latest version of its RAPID(R) Software Suite at booth #2235 at the conference.
WHAT:
The NMC has started work to improve its advice and information on whistle-blowing for nurses and midwives.
University of Queensland research is uncovering why a flutter on the pokies can lead to bigger problems for some older adults.
The current financial meltdown has in part been caused by bankers who display the attributes of Hubris Syndrome, a former leader of the Social Democratic Party (SDP) has claimed.
UC Santa Barbara and Sansum Diabetes Research Institute scientists have demonstrated for the first time that an automated artificial pancreas system (APS) can safely and effectively maintain desired blood glucose levels in patients with type 1 diabetes. The clinical study results will be presented today in a late-breaking poster session(1) at the American Diabetes Association"s 69th Scientific Sessions in New Orleans.
A study in the June issue of Clinical Gastroenterology and Hepatology, published by Elsevier, demonstrates that the Hepascore(TM) liver fibrosis blood-serum test panel may help physicians more accurately diagnose and stage liver fibrosis in patients with chronic hepatitis C (HCV), potentially alleviating the need for liver biopsy, the standard of care for staging fibrosis, in a particular subset of patients. The Hepascore test panel is provided exclusively by Quest Diagnostics Incorporated (NYSE: DGX), the world"s leading provider of diagnostic testing, information and services.
Trius Therapeutics, Inc. announced results from its Phase 2 clinical trial evaluating the safety and efficacy of oral torezolid (TR-701), its investigational antibiotic for the treatment of severe complicated skin and skin structure infections (cSSSI) caused by gram-positive bacteria, especially drug-resistant strains such as methicillin-resistant Staphylococcus aureus (MRSA). The study achieved its primary goals of establishing safety and efficacy in all doses evaluated.
The UK"s first guide to help secondary breast cancer1 patients struggling to access necessary levels of support and care has been launched today.
Creighton Medical Laboratories, based at Creighton University School of Medicine in Omaha, announced today that it has become the first clinical laboratory worldwide to offer a new and more effective testing method for cancer.
At a June 12 forum cosponsored by Health
The AP/Washington Post examines how the millions of Pakistani refugees fleeing from the army"s offensive against the Taliban in the northwest of the country are overwhelming the country"s health care system. "The crisis has exhausted doctors, used up limited supplies of medicines and buried hospitals in a mountain of red tape as they try to get money and medicine for the crisis" pushing the entire health system to the brink of collapse, the AP/Washington Post writes.
Tau protein tangles are found in the brains of people with a range of neurodegenerative diseases, including Alzheimer"s.
More than 350 leading women donors from across the country will gather at the American Red Cross national headquarters in Washington, D.C., on June 8 for a two-day summit on philanthropy and service.
Several newspapers had articles about major congressional players in the health care debate.
A study available ahead of print in Tobacco Control reports that the cost of tobacco illnesses to the National Health Services in The United Kingdom is five times the accepted figure, resulting in more than 5 billion pounds a year.
US researchers found that treating depression may protect against insulin resistance observed in depression in patients at risk of type 2
According to a research abstract presented on Monday, June 8, at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies, both long and short sleepers are at greater risk for diabetes. Individuals sleeping for more than eight hours per night may be particularly vulnerable.
St. Jude Medical, Inc. (NYSE:STJ) announced the completion of patient implants in its U.S. pivotal clinical study of deep brain stimulation (DBS) for the symptomatic treatment of Parkinson"s disease, a neurological disorder affecting approximately 6.3 million people worldwide that progressively diminishes a person"s control over his or her movements. The announcement was made at the Movement Disorder Society"s 13th International Congress of Parkinson"s Disease and Movement Disorders in Paris.
Radiologists, like professional pilots for example, depend on good vision as part of their occupation. However, radiologists unlike pilots are not required to undergo regular vision testing. A new study found that approximately 50% of radiologists surveyed indicated they don"t recall ever having their vision tested or it had been 24 months or longer since their last vision exam.
The genes that play a role in adolescent insomnia are the same as those involved in depression and anxiety, according to a research abstract presented on June 8, at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies.
Martin Simon Hickman, a 49-year-old unlicensed and counterfeit medicines dealer, was sentenced to two years imprisonment at the Southwark Crown Court after pleading guilty to six counts of selling and supplying fake and unlicensed medicines, and money laundering to the sum of ÷£1.4m.
A majority of high-risk stroke patients are less likely to meet clinical treatment targets to prevent repeat stroke or heart attacks compared to those with heart disease, suggesting the need to examine new therapeutic strategies, according to a study led by St. Michael"s Hospital neurologist Dr. Gustavo Saposnik. What"s more, medical procedures or ongoing specialty care may improve patients" awareness and consequent treatment success.
Being overweight is a health concern, and using only body mass index (BMI) to determine weight classification may not give an accurate picture of a person"s health, according to an advisory published in Circulation: Journal of the American Heart Association.
- Nearly two thirds (59%) of the British public are neglecting
Health professionals across the world can now get on-the-spot access to expert opinion, guidelines and the latest clinical evidence on their mobile phone.
A synthetic DNA binding compound has proved surprisingly effective at binding to the DNA of bacteria and killing all the bacteria it touched within two minutes. The DNA binding properties of the compound were first discovered in the Department of Chemistry at the University of Warwick by Professor Mike Hannon and Professor Alison Rodger (Professor Mike Hannon is now at the University of Birmingham). However the strength of its antibiotic powers have now made it a compound of high interest for University of Warwick researchers working on the development of novel antibiotics.
Researchers have been seeking a safe and effective way to treat cognitive impairments associated with schizophrenia by enhancing N-methyl-D-aspartate (NMDA) glutamate receptors. Functional deficits in NMDA receptors may contribute to the underlying neurobiology of this disorder. The first generation of studies trying to stimulate NMDA receptors administered large amounts of substances, like glycine or D-serine, which indirectly enhance NMDA receptor function. While there were some positive reports of efficacy, findings across studies were more inconsistent than was hoped.
As Memorial Day Weekend and the opening of the summer beach season fast approach, The Cancer Institute of New Jersey (CINJ) is making experts available to discuss the risks of developing skin cancer and what steps can be taken to prevent it.
This Sunday, thousands of people around the globe will join the
New research indicates that natural selection may shape the human genome
The results from the phase II SYNCHRONY study are published in an article Online First and in a future edition of The Lancet. At the same time, the findings are presented at the American Diabetes Association meeting in New Orleans, USA. They suggest that aleglitazar, a treatment for type 2 diabetes, might be safe and effective and may perhaps be introduced into phase III trials.
Many cancerous tumors possess a genetic mutation that disables a tumor suppressor called PTEN. Now researchers at Washington University School of Medicine in St. Louis have shown why inactivation of PTEN allows tumors to resist radiation therapy.
The World Health Organization announced today that swine flu, or influenza A(H1N1) has now infected humans in 36 cases, making a total of 8,451 people ill, and causing the deaths of 66 people in Mexico, 4 deaths in the USA, and 1 death in Canada. All data indicate the virus strain is not a virulent one (an aggressive and dangerous one).
Two chemicals - trichloroethylene (TCE) and tetrachloroethylene (PCE) - found to have contaminated drinking water at Marine Corps Base Camp Lejeune from the 1950s to 1985 have been linked to certain diseases and disorders, including various cancers. A new report from the National Research Council, Contaminated Water Supplies at Camp Lejeune - Assessing Potential Health Effects, reviews scientific evidence about the potential adverse health effects that could occur after exposure to TCE, PCE, and other contaminants; recommends the usefulness of conducting additional studies on former residents of the base; and identifies scientific considerations that could help the U.S. Department of the Navy, under which the Marine Corps operates, set priorities on future actions. The report will be released at a 90-minute public briefing.
More than 3,300 primary care providers nationwide will be eligible for approximately $200
Rep. Barbara Lee (D-Calif.) introduced legislation that seeks to encourage state and local governments, as well as media organizations, to recognize June 8th as National Caribbean American HIV/AIDS Awareness Day, the American Chronicle reports. The legislation also supports the development of a national AIDS strategy that aims to reduce new HIV infections in the U.S., particularly among minorities (American Chronicle 6/9).
"The new swine influenza virus [H1N1], which appeared suddenly after years of warning about a potential pandemic of avian influenza, upset the WHO"s assumptions that most people have the same understanding of the word pandemic," says the New York Times in a report that examines the difficultly health experts have had when attempting to agree upon what constitutes a pandemic.
On June 17 from 6.30pm to 8.30pm, Terrence Higgins Trust is launching a new Positive Self Management Programme for gay men living with HIV. The free workshops in Ladbroke Grove, London will run at the same time every subsequent Tuesday for seven weeks.
A Selection of Editorials and Opinions
Being stably married or gaining a partner is associated with better sleep in women than being unmarried or losing a partner, according to a research abstract that will be presented on Wednesday, June 10, at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies.
Parental presence at bedtimes appears to have a greater negative impact on infant sleep than actual co-sleeping, according to a research abstract that will be presented on Wednesday, June 10, at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies.
AFRESA® (insulin human [rDNA origin]) Inhalation Powder is a well-tolerated, ultra rapid acting insulin with changes in pulmonary function tests comparable to usual antidiabetic treatment, according to data presented today at the American Diabetes Association"s 69th Scientific Sessions. Results from the prospective, multicenter, phase 3 study conducted over a two-year period showed no difference in mean change in forced expiratory volume in one second (FEV1) between those treated with AFRESA and those treated with standard insulin therapy.
Researchers have found links between an individual"s genetics and their response to treatment with chemotherapy. The findings, by researchers at the National Cancer Institute (NCI), part of the National Institutes of Health, and colleagues, show how a genetic variation, located in the SOD2 gene, may affect how a person responds to the chemotherapy drug cyclophosphamide. Cyclophosphamide is used in the treatment of breast and other cancers.
The General Optical Council (GOC) has launched a consultation on its proposed Welsh Language Scheme. Anyone with an interest in the GOC"s work is encouraged to offer their suggestions and feedback on the draft proposals.
Researchers in Berlin, Germany have found that a specific type of immune cell, the regulatory T lymphocyte (Treg) plays an important role in hypertension-induced cardiac damage. The injected Treg that they harvested from donor mice into recipient mice were infused with angiotensin II, a blood pressure-raising peptide. The Tregs had no influence on the blood pressure response to angiotensin II. Nonetheless, cardiac enlargement, fibrosis, and inflammation was sharply reduced by Treg treatment. Furthermore, the tendency to develop abnormal heart rhythms that could lead to sudden cardiac death was also reduced. Dr. Heda Kvakan and Dr. Dominik N. MÃøller at the Experimental and Clinical Research Center at the Max DelbrÃøck Center do not intend Treg as a therapy. However, a better understanding of how the immune system fits into hypertension-induced organ damage could result from these studies (Circulation, Vol. 119, No. 22, June 9, 2009, 2904-2912 ).*
Botox is well known for its cosmetic uses, but researchers have now found that it can also significantly improve people"s quality of life if they suffer from another problem that increases with age, an overactive bladder (OAB).
A majority of people experiencing chronic insomnia can experience a normalization of sleep parameters through the use of cognitive behavioral therapy for insomnia (CBT-I), according to a research abstract presented at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies.
The most important factors for a successful stay in hospital short-stay units (SSUs) are the types of diagnostic tests performed and whether or not specialty consultations are needed. When hospitalists staff these units, they can ensure that only patients who need readily accessible services are admitted. These are the findings of a study published in the Journal of Hospital Medicine.
The Royal Society for Public Health (RSPH) announces it will be delivering training sessions for the RSPH Level 1 Health Awareness and the RSPH Level 2 Understanding Health Improvement awards.
New data presented at the American Diabetes Association (ADA) 69th Annual Scientific Sessions showed that initial treatment with "Janumet"* (sitagliptin/metformin) provided significantly greater blood sugar improvements in drug-naç¯ve** patients with type 2 diabetes, compared with metformin alone.[i]
The Senate Finance Committee and the House Energy and Commerce Committee on Thursday both worked on health care proposals aimed at overhauling the U.S. health care system, CQ Today reports. In its second of three closed-door meetings, the Finance Committee came to "early, broad agreement" on some issues but continued to disagree over a public option as part of a reform bill. Meanwhile, portions of an overhaul plan being developed by the Energy and Commerce Committee were leaked on Thursday, after Democrats on the committee held a closed-door session on the topic earlier this week (Armstrong, CQ Today, 5/14). Finance Committee
VNUS(R) Medical Technologies, Inc. (Nasdaq: VNUS), a worldwide leader in medical devices for the minimally invasive treatment of venous reflux disease, announced that the Journal of Vascular & Interventional Radiology, the prestigious monthly publication of the Society of Interventional Radiology, has published a study showing the VNUS ClosureFAST(TM) system for radiofrequency (RF) thermal ablation to be "significantly superior" to endovenous laser (EVL) for treating venous reflux, the underlying cause of symptomatic varicose veins.
The Los Angeles Times examined the effects of the proposed $80.1 million in budget cuts to HIV/AIDS programs in the state, as advocates are expected today to convene at the California State Capitol in Sacramento to protest the cuts. According to the Times, the proposed cuts would mean that the costs of running many HIV/AIDS-related programs would be shifted to local jurisdictions study, which "would become increasingly difficult for cash-strapped counties." HIV/AIDS programs would also need to rely more heavily on available federal financing. HIV education, prevention, counseling and testing services and early intervention programs would be affected, the Times reports. The state"s AIDS Drug Assistance Program would stand to lose $12 million (Yoshino, Los Angeles Times, 6/9). In related news, the Santa Cruz News examined how the proposed state budget cuts could put the Santa Cruz AIDS Project"s centers and programs, including sex education in schools and a needle exchange program "in serious jeopardy" (Lussenhop, Santa Cruz News, 6/9).
The Desert Sun published a series of articles related to HIV/AIDS. The articles include a feature profiling people living with the virus and others looking at efforts by advocates to offer culturally appropriate information on HIV to Hispanics, blacks and other minorities; the efficacy of antiretrovirals, and how the drugs are enabling people to live longer; and the potential effects of proposed state budget cuts on HIV/AIDS programs in Riverside County (Brambila, Desert Sun, 6/10).
Pfizer on Thursday announced a new program that would provide some of its existing customers access to more than 70 types of medications at no cost if they have recently been laid off or lost their prescription drug coverage, USA Today reports. The program -- called MAINTAIN, or Medicines Assistance for Those who Are in Need -- will begin July 1. To receive the drugs, individuals must show that they have been unemployed since Jan. 1 and that they no longer have prescription drug insurance. They also must prove that they cannot pay for their medications and that they were taking a medication listed under the program for at least three months prior to losing their jobs. Those who meet the eligibility requirements would receive their medications at no cost for up to one year, or until they have insurance coverage. Pfizer will accept applications through Dec. 31 (Petrecca, USA Today, 5/15).According to the AP/Detroit News, medications listed for the new patient drug-assistance program include some of Pfizer"s "top money makers," such as the anti-cholesterol drug Lipitor, the painkiller Celebrex, the fibromyalgia treatment Lyrica and the impotency treatment Viagra (Johnson, AP/Detroit News, 5/14).Ray Kerins, a spokesperson for Pfizer, declined to reveal how much the program would cost the pharmaceutical company or how many potential customers might benefit from it (Bloomberg/Miami Herald, 5/15).According to the AP/News, the program "could earn Pfizer some goodwill" after "long being a target of critics of drug industry prices and sales practices" (AP/Detroit News, 5/14). Scott Morgan, president of ad agency Brunner, said, "It goes beyond goodwill. There"s definitely a marketing strategy behind this about defending against generics and maintaining your consumer base. ... It"s a pretty savvy move" (USA Today, 5/15).
Health and Human Services Secretary Kathleen Sebelius and White House Health Czar Nancy Ann DeParle held a discussion of minority health issues at the White House yesterday, where Sebelius "said the Obama administration is committed to addressing the "alarming disparity in the delivery of quality health care"," which she said was necessary to lower costs, the Associated Press reports. The White House also "issued a summary report on minority health care showing that African-Americans are seven times more likely as whites to have HIV/AIDS, that blacks and Hispanics have diabetes rates nearly twice as high as whites, and that black men are 50 percent more likely than whites to have prostate cancer" (Evans, 6/9).
The health care industry funded "8,700 trips by Department of Defense personnel" from 1998 to 2007, at a cost of more than $10 million, the Center for Public Integrity reports. "In a joint project with Northwestern University"s Medill School of Journalism, the Center examined 22,000 travel disclosure forms filed by DOD personnel, and found that the medical industry was by far the biggest sponsor of free travel, accounting for about 40 percent of all trips. The sponsors included not only drug and device makers but also health foundations and trade groups often funded by those companies."
Trust for America"s Health (TFAH) and the Robert Wood Johnson Foundation (RWJF) released a new public opinion survey today which finds that Americans rank prevention as the most important health care reform priority, and overwhelmingly support increasing funding for prevention programs to reduce disease and keep people healthy.
Ninety-six percent of primary care physicians believe the nation"s health care system should place more emphasis on nutrition to treat and manage chronic disease, according to a new survey released today. However, only 12 percent believe physicians currently pay significant attention to nutrition in the context of chronic disease.
People with chronic health conditions who receive coaching tailored to their level of health activation showed significant improvements in clinical outcomes, and experienced fewer hospitalizations and visits to the emergency room than those coached using traditional methods, according to a study published in the June issue of The American Journal of Managed Care.
Depression is a major public health problem, and one of the most important challenges for psychiatrists is to determine whether an individual with depression should receive cognitive-behavioral therapy or treatment with antidepressant medication. A study by researchers from Emory University, presented at the Annual Meeting of the Organization for Human Brain Mapping in San Francisco, used brain imaging along with sophisticated statistical techniques to examine the differences in brain function that result from these two different kinds of treatment. Forty individuals with depression were scanned with magnetic resonance imaging after undergoing cognitive behavioral therapy or antidepressant therapy. The researchers found that they could distinguish the brain activity of individuals undergoing the two different treatments, and in particular that the two treatments differently affected the communication of the brain areas that are thought to play a role in depression, including the communication between the prefrontal cortex and the nucleus accumbens, and between the subgenual cingulate and the thalamus. The results provide a basis for future research that will try to predict which individuals will benefit from different treatments for depression.
Washington state lawmakers this week eliminated a budgetary proposal that would have reduced Medicaid payment rates to pharmacies to the lowest levels in the country, the AP/Spokane Spokesman-Review reports. The provision would have reduced the payment rate from 86% to 80% of the average wholesale price of branded drugs. It had been approved by the state House and Gov. Chris Gregoire (D) and was intended to address the state"s $9.3 billion shortfall for the current fiscal year.The state"s Department of Social and Health Services moved to make the rate change on April 1, but pharmacy operators and a person living with HIV/AIDS brought a suit in federal court in Tacoma, Wash., and a judge blocked the change. According to the judge"s order, the plaintiffs likely could prove that their best interests had not been sufficiently considered and that the proposal would diminish the quality of Medicaid care in the state. Walgreen had stated that if the rate change occurred, 44 of its 111 stores in the state would no longer be able to fill Medicaid prescriptions. Other pharmacies made similar arguments. The state prepared an argument on behalf of the rate cut, but later decided against it.Along with eliminating the payment reduction, state legislators added a provision that a DSHS analysis is required before rates can be lowered in the next budget, as well as one placing a 2% cap on any future rate cuts. DSHS spokesperson Jim Stevenson said the agency had not started to analyze what would be required to get a rate cut approved, but added, "I think we"re at a stage where we"re going to have to do it soon if we want to get ready for July 1," the start of fiscal year 2010 (AP/Spokane Spokesman-Review, 5/13).
Thousands of people with Alzheimer"s will continue to be denied access to the only drug treatments for the disease following the publication of revised guidance by the National Institute for Health and Clinical Excellence (NICE). The original guidance recommended that only people in the moderate stages of Alzheimer"s disease should have access to drugs in the NHS, denying them to people in the early stages.
Commenting in response to today"s report from the NHS Confederation on the financial prospects for the NHS, The King"s Fund"s Chief Executive Niall Dickson said:
The Royal Pharmaceutical Society of Great Britain"s incumbent President, Steve Churton has
Cancer Therapeutics, Inc. (OTCBB: CTHP), an emerging biotechnology business incubator with a specific emphasis on disruptive cancer treatments and nanotechnology, announced its new partner, NanoTherapies, Inc., is utilizing calcium phosphate nanoparticles to detect and treat cancer. These particles are about 350 times smaller than a human cell while providing both a safe and effective way to transport drugs and imaging materials into diseased cells.
The American Physical Therapy Association (APTA) announced its official product endorsement of the NESS L300 Foot Drop System, manufactured by Bioness Inc. of Valencia, CA, the first functional electrical stimulation (FES) foot drop system to be endorsed by APTA.
New data presented at the 13th International Congress of Parkinson"s Disease and Movement Disorders show that Requip-Modutab* (ropinirole prolonged release tablets) improves nocturnal symptoms experienced by patients with advanced Parkinson"s disease (PD).[i] The data showed that patients with more significant nocturnal symptoms had a greater improvement with Requip-Modutab, when used as an adjunct to levodopa (L-dopa), versus placebo. These data indicate that once-daily Requip-Modutab remains effective in treating PD symptoms over the night as well as during the day and provides benefit to those in most need. Sleep disturbances, a key element of nocturnal symptoms, are one of the most common non-motor complications of PD and can affect up to 98% of patients.[ii]
Insured immigrants have lower medical expenses than insured U.S.-born citizens after taking into account their health status and other characteristics, according to a study released on Thursday and published in the American Journal of Public Health, Reuters Health reports. For the study, Leighton Ku, a health policy researcher at George Washington University, and colleagues examined data on adults ages 19 to 64 from the 2003 Medical Expenditure Panel Survey, and found that about 44% of recent immigrants and 63% of established immigrants were insured.After controlling for possible contributing factors, researchers found that medical costs averaged about 14% to 20% less than those who were born in the U.S. The finding was the same even after taking into account lower insurance levels among immigrants. Ku said, "When you control for their health status and all sorts of characteristics like age, they actually have medical expenditures that are far below those of U.S. citizens." According to the study, "Being a recent immigrant or an established immigrant was independently associated with both a reduced likelihood of using any medical care in the year and with lower total medical expenditure levels, compared with U.S.-born adults" (Reuters Health, 5/14).
Low blood glucose
Colorectal cancer (CRC) is one of the most common cancers in China. Although the association between the epidemiological factors and sporadic colorectal cancer has been studied, the relation between smoking, alcohol drinking, family history of cancer, body mass index (BMI) and sporadic colorectal cancer still remains uncertain. So it is important to investigate the role of these factors in the development of sporadic colorectal cancer.
Hepatocellular carcinoma (HCC) is the fifth most common malignancy worldwide and the third leading cause of cancer-related deaths. Type 2 diabetes mellitus has been associated with HCC. However, the relationship between type 2 diabetes mellitus and the underlying liver cirrhosis, and the effects of antidiabetic therapy on HCC risk have not yet been fully evaluated.
Hundreds of people gathered at a planned rally on Wednesday at the California State Capitol in Sacramento to protest the proposed $80.1 million in budget cuts to HIV/AIDS programs in the state, which would result in an 80 percent reduction in prevention, testing and counseling programs, as well as significant cuts in programs for people living with HIV, the San Francisco Chronicle reports. According to the Chronicle, the budget plan "faces pushback from the Legislature, where the leaders of both houses have announced their strong opposition," including Sen. Mark Leno (D). At the rally, Leno urged other lawmakers to examine the possible effects of the cuts. Lisa Page, a spokesperson for Gov. Arnold Schwarzenegger (R), said the governor understands the consequences of the cuts but the state is facing a $24.3 billion budget deficit and has limited options. She said, "Many of these cuts the governor would never consider except in a worst-case scenario, and this is the worst-case scenario" (Buchanan, San Francisco Chronicle, 6/11).
The Arizona AIDS Drug Assistance Program (ADAP) has reduced the number of medications it will cover - antiretrovirals and drugs that treat opportunistic infections will not be affected, the Arizona Daily Star reports. The program relies heavily on federal funding. Judy Norton, chief of the state"s Office of HIV, STD and Hepatitis C Services, said the state received $2.3 million less than what it requested from the federal government, requiring the program to make cuts. According to the Daily Star, federal ADAP funds are "drying up as drug costs rise and as more" people living with HIV/AIDS are enrolling in the program. The Arizona ADAP has been serving about 1,100 patients statewide, although the number has gone up in recent months, Laura Oxley, Arizona Department of Health Services spokesperson, said. A letter explaining the changes to the program was sent to clients and providers earlier this week (Innes, Arizona Daily Star, 6/11).
Bionic ears, bubbles, blast waves and biofilms
New Era examines discussions at the meeting over how "an acute scarcity of financial res is threatening to set back the commendable strides achieved in the global fight against HIV/AIDS pandemic within the next three to five years." The Global Fund To Fight AIDS, Tuberculosis and Malaria"s Director for the Africa Unit Fareed Abdullah said during a news briefing at the conference, "There is no[t] enough money on the table for antiretroviral (ARV) treatments. It is a massive conundrum. The funding gap would start to hit in the period going forward."