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New Democrat Coalition Proposes Independent Panel To Oversee Comparative Effectiveness Research
Members of the moderate New Democrat Coalition on Tuesday proposed legislation (HR 2502) that would establish a non-governmental, independent office to oversee research efforts to compare the effectiveness of medical treatments, CQ HealthBeat reports. The bill would create the Health Care Comparative Effectiveness Research Institute, which would use money remaining from the $1.1 billion included in the economic stimulus package for comparative effectiveness research and additional funding from fees on Medicare and private insurers. HCCERI would be overseen by a 21-member board -- appointed by the U.S. Comptroller General -- that would include HHS officials, patients, physicians, private insurers and others (Norman, CQ HealthBeat, 5/19). In contrast, a panel to oversee comparative effectiveness research established by a provision in the stimulus bill would be made up of government health experts (Mundy, "Washington Wire," Wall Street Journal, 5/19). According to CQ HealthBeat, some people have raised concerns that comparative effectiveness research funded by the stimulus bill would result in research that could be used to deny coverage for certain treatments and that cost would factor disproportionately in such decisions. Rep. Kurt Schrader (D-Ore.), who introduced the bill, said HCCERI"s goal would be to ensure that medical decisions remain between physicians and patients and that both doctors and patients have the most understandable information possible to make such decisions. HCCERI also would make public its methods for deciding which research projects to approve, as well as any links the institute has to industry, its research protocols and the names of researchers. HCCERI would accept public comment before creating new research guidelines, and all research would be subject to peer review. In addition, HCCERI in commissioning studies would take steps to account for differences in patients" gender, race, age and ethnicity (CQ HealthBeat, 5/19).Schrader said that the bill "will bring patients, along with health care providers, physicians and industry, to the decision-making process," adding, "By having a seat at the table, the American people will help drive the direction of research based on what is most important to them" ("Washington Wire," Wall Street Journal, 5/19). Rep. Allyson Schwartz (D-Pa.) said that New Democrats seek to lower costs and improve quality of care, so "the most important thing we can do is to incentivize innovation and to provide that information on the best practices and best interventions and get that information out to providers." Industry Reaction
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Region's Top Psychologists To Share Research In Sheffield
Around 100 of the region"s psychologists are meeting in Sheffield on 26th June 2009 to hear the latest theories and research, at the British Psychological Society"s North East of England branch Annual Conference.
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Diabetes UK Pinpoints Key Research In South Asian People
Diabetes UK and the South Asian Health Foundation (SAHF) are highlighting 16 research topics in a new report to find out more about diabetes in South Asian people.
Oncology

Discovery Of New Proteins May Lead To More Effective Treatment Of Endocarditis And Infections Associated With Implants

A research team at the Faculty of Odontology at Malmo University in Sweden has discovered two new proteins that are of importance to the survival of bacteria and their colonization of the human body. Besides enhancing our knowledge of the ability of bacteria to spread, the findings may also lead to more effective treatment of endocarditis and infections associated with implants. Each year some 500 people in Sweden develop endocarditis, inflammation of the heart valves. The condition can be life-threatening, and one of the bacteria that cause the disease is Streptococcus gordonii, a bacterium that exists in the mouth. "It"s part of the natural flora of bacteria there, but sometimes it gets into the bloodstream, and then it can lead to infective endocarditis. The bacteria have also been found in infections surrounding various kinds of implants," says Associate Professor Julia Davies, who directed the research team at the Faculty of Odontology. To survive in the oral cavity the bacteria must be able to attach to a surface, such as the mucous membrane. This is done with the help of proteins. In the mid 1990s one of these proteins from the bacterium S. gordonii was identified by a research team in England. Julia Davies and her colleagues have now discovered two more. These scientists have thereby taken a step toward an understanding of how these bacteria get a grip on a surface, on heart valves, for instance. The two new proteins, SGO 0707 and SGO 1487, are found in the cell wall of the bacterium S. gordonii. The proteins are produced by the bacterium, and without them the bacterium cannot fasten to a surface, which is a precondition for it to be able to survive. If bacteria wind up in the bloodstream, they can bind to the heart valves, where they produce a so-called biofilm and encapsulate themselves. Once the bacteria are encapsulated, it is extremely difficult to get rid of them. But with enhanced knowledge of how bacteria fasten to surfaces, it will be easier to find effective new strategies to treat biofilms-induced diseases. "If we can block this binding with the help of drugs, treatment will be more effective," says Julia Davies. It was previously known that bacteria that grow in so-called biofilms alter their properties when they settle on a surface. For example, they become more resistant to antibiotics and antibacterial compounds. These researchers are now moving on to find out how this resistance arises. "We want to understand in what ways bacteria alter their properties when they settle on a surface," says Julia Davies. Vetenskapsradet (The Swedish Research Council)


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