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A Painless Way To Hold Down Health Costs?
NPR reports on a way to reduce national health care costs: "Getting doctors and hospitals in the parts of the country that spend the most on medical care now to bring that spending more in line with that of lower-spending regions." Researchers at The Dartmouth Atlas of Health Care "have found two key points. First, it"s clear that patients who live in the lower spending areas do just as well as those where spending is higher. But just as important, more is not always better: Sometimes more spending can lead to worse outcomes." In lower-spending areas, "more care tends to be provided by primary care physicians, and patients in those areas are much less likely to spend time in the hospital for care that could be provided elsewhere." But "Patients in those higher spending communities are twice as likely to have 10 or more different physicians involved in their care. ò€¦ And it"s really hard for physicians to maintain effective communication when there are so many more of them involved in a patient"s care," says Elliott Fisher, principal investigator for the Dartmouth Atlas.
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The Slow, Slow Pulse Of The Deliberative Body The Washington Post
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Senate Fiscal Year 2010 Spending Bill Excludes Abstinence-Only Education Funding, Needle Exchange Language
The Senate Appropriations Labor, HHS, Education and Related Agencies Subcommittee on Tuesday approved by voice vote its fiscal year 2010 spending bill draft, which excludes funding for abstinence-only sex education programs and, unlike the House bill, does not include language lifting the ban on the use of federal funding for needle exchange programs, CQ Today reports. According to the article, Committee Chair Tom Harkin (D-Iowa) "confirmed that the bill will not contain funding for abstinence-only education programs when the full committee marks it up on Thursday. Instead, the draft will contain funding for more comprehensive sex education, which can include teaching abstinence." Harkin also said that the Senate bill does not contain language lifting the ban on the needle exchange funding because that is "a matter for conference" (Wolfe, 7/28).
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American Heart Association Support Earned By UAB Students For Nintendo Wii CPR

The American Heart Association has pledged $50,000 to fund the work of University of Alabama at Birmingham (UAB) biomedical engineering undergraduate students who are working to develop a computer program that teaches CPR using hand-held remote controls from the Nintendo® Wii video game console. Students James McKee, Jack Wimbish, Haisam Islam and Zach Clark began work on the project as seniors at UAB. Along with faculty advisers Greg Walcott, M.D., associate professor of medicine, and Jack Rogers, Ph.D., associate professor of biomedical engineering, the team has been developing the Wii CPR technology for the last seven months. Based on an idea initiated by Walcott, the technology is a computer program that can be downloaded on home computers and synched with the wireless technology of the Wii remote to teach users proper CPR technique. "We began talking about the possibility of using the Nintendo Wii to teach CPR last January, and that is when we initially contacted the American Heart Association about the idea," Walcott said. "The Heart Association wanted a better sense of how it might work, so we assigned the research to our senior year biomedical engineering students this past spring semester for their senior project." The UAB team worked on the Wii CPR project for its Design in BME biomedical engineering course, which required the students to successfully design and construct a prototype of the technology for real-world use in order to pass the course. After a successful class presentation in May, which showed the students" progress and the real potential for the technology, the American Heart Association contacted UAB to offer the education grant, Rogers said. "The Heart Association"s high interest in our students" innovations points to potential of this project and how it fits in with its desire to deliver reliable CPR education to the masses," Rogers said. When completed, the UAB Wii CPR program will become available on the American Heart Association Web site as an open code download, which would make it free and available to anyone with Internet access. The UAB team says it could complete its program development by early fall of 2009. Andrew Hayenga University of Alabama at Birmingham


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