Medical Devices
"President Barack Obama on Wednesday rejected the idea of fully taxing Americans" employer-provided health insurance benefits, but suggested he might be persuaded to tax so-called Cadillac coverage ... in the interest of a compromise with Congress," McClatchy/The Star-Telegram reports. The President, speaking at a "town hall-style event" taped at the White House and aired on ABC News, "said he would prefer to pay for expanded coverage by eliminating some deductions for higher-earning taxpayers but that "there"s going to have to be some compromise." The President "said he understands Americans" trepidation about changing the system: "They know that they"re living with the devil, but the devil they know they think may be better than the devil they don"t." He said any reform would be phased in, not happen overnight" (Talev and Lightman, 6/24).
Some Senators "struggled" Wednesday with the possibility that the health reform overhaul could derail America"s tradition of employer insurance plans, The New York Times reports.
Michigan lawmakers introduced health reform packages this week, the Detroit News reports. On Thursday, state senators introduced a bipartisan package of health care bills aimed at expanding health insurance coverage to the state"s 1.2 million uninsured residents. The package, named MI Health, would establish two state health plans that provide the residents with more affordable and accessible coverage options.MI Access would expand the state Medicaid program to include residents with annual incomes under 200% of the federal poverty level, and beneficiaries would contribute copayments for services and medications. MI Coverage would provide subsidized coverage options for residents with annual incomes at 200% to 300% of the poverty level. Fees for residents under MI Coverage would be set according to their health levels and habits (Bouffard, Detroit News, 5/14). The proposed legislation package also would create a state fund that pays for insurance claims exceeding $25,000, or up to $250,000 per year, with health plans making contributions to the fund. In addition, the package proposes to bar commercial insurers from rejecting coverage for applicants with chronic conditions or increasing their premiums if they have been previously diagnosed with a chronic condition (Anstett, Detroit Free Press, 5/15).
The New York Times examines a program being offered at an orphanage in Tanzania that provides emotional and physical support for newborns and young children who are at a high risk of death after losing their mothers in infancy. "Africa is full of at least 50 million orphans, the legacy of AIDS and other diseases, war and high rates of death in pregnancy and childbirth," the newspaper writes. "With the numbers increasing every day, Africans are struggling to care for them, often in ways that differ strikingly from the traditional concept of an orphanage in the developed world."
The world is slowly losing the fight against hunger in the Horn of Africa, according to the International Federation of Red Cross and Red Crescent Societies (IFRC), which renewed its call for emergency food supplies, water and recovery activities to help about 2.5 million food insecure people in Djibouti, Ethiopia, Kenya and Somalia, Xinhua/CRIENGLISH.com reports. The IFRC"s revised emergency appeal seeks $67 million to assist 2.5 million people over five years.
The Denver Post on Friday examined efforts to establish needle-exchange programs in Colorado to reduce the risk of HIV and hepatitis C among injection drug users. According to the Post, 185 cities in Colorado have needle-exchange programs, but legislation that would have legalized needle exchanges statewide did not advance in the Legislature this year. "The issue is more complex than it perhaps first appears," Evan Dreyer, a spokesperson for Gov. Bill Ritter (D), said, adding that "law enforcement and the Colorado Department of Public Health and Environment both expressed serious reservations" about a proposal that would have legalized needle-exchanges statewide. A coalition of public health officials, treatment providers and advocates are increasing efforts to establish a needle-exchange program in Denver, the Post reports. The Denver Drug Strategy Commission in February recommended that Mayor John Hickenlooper consider a pilot needle-exchange program, DDSC Director Karla Maraccini said. The commission is looking at different programs to develop a model following Hickenlooper"s request for additional research. However, Denver District Attorney Mitch Morrissey has concerns that a local needle-exchange program would violate state law, according to Morrissey"s spokesperson Lynn Kimbrough. Eric Brown, a spokesperson for Hickenlooper, added, "Anything in contradiction to city or state law would have to be carefully considered." Proponents of needle-exchange programs say they prevent HIV and hepatitis C, but opponents say they condone injection drug use. Mark Thrun, director of HIV prevention for Denver Public Health, said, adding that needle-exchange programs prevent IDUs from "getting these chronic, potentially fatal diseases" and give public health workers "an opportunity to link them into treatment; and it lessens the economic burden on the already overburdened health care system." Thrun noted that several studies have found that needle-exchange programs do not encourage or prolong injection drug use and make IDUs more likely to seek treatment. In addition, a 2005 CDC study found that 86% of exchange programs make treatment referrals and that more than 80% offer counseling and testing for HIV/AIDS and hepatitis C.Nancy Steinfurth, executive director of the Hep C Connection, noted that an estimated 10% of HIV cases and 70% of hepatitis C cases are transmitted through needles (Auge, Denver Post, 5/15).
President Barack Obama"s signature on a bill this week to grant the Food and Drug Administration (FDA) regulatory authority over tobacco was historic, and represents a step in the march to eliminate tobacco use in this country by 2047, two national tobacco experts said recently (June 25).
In a landmark technical achievement, investigators in the Vanderbilt Center for Structural Biology have used nuclear magnetic resonance (NMR) methods to determine the structure of the largest membrane-spanning protein to date.
If you have hay fever, headaches or a cold, it"s only a short way to the nearest chemist. The drugs, on the other hand, can take eight to ten years to develop. Until now animal experiments have been an essential step, yet they continue to raise ethical issues. "Our artificial organ systems are aimed at offering an alternative to animal experiments," says Professor Heike Mertsching of the Fraunhofer Institute for Interfacial Engineering and Biotechnology IGB in Stuttgart. "Particularly as humans and animals have different metabolisms. 30 per cent of all side effects come to light in clinical trials." The test system, which Professor Mertsching has developed jointly with Dr. Johanna Schanz, should in future give pharmaceutical companies greater security and shorten the path to new drugs. Both researchers received the "Human-centered Technology" prize for their work.
Scientists at the Gladstone Institutes of Virology and Immunology (GIVI) have found another clue that may lead to eradication of HIV from infected patients who have been on antiretroviral therapy. A real cure for HIV has been elusive because the virus can "hide" in a latent form in resting CD4-T cells. By understanding this "latency" effect, researchers can identify ways to reactivate the virus and enable complete clearance by current or future therapies.
The recent decline in invasive breast cancer in the US was significantly less pronounced in the poor and those who live in rural areas. Researchers writing in the open access journal BMC Medicine suggest this may be due to varying reductions in the numbers of women taking hormone therapy (HT).
Scientists working at the Carnegie Institution"s Department of Embryology, with colleagues, have overturned previous research that identified critical genes for making muscle stem cells. It turns out that the genes that make muscle stem cells in the embryo are surprisingly not needed in adult muscle stem cells to regenerate muscles after injury. The finding challenges the current course of research into muscular dystrophy, muscle injury, and regenerative medicine, which uses stem cells for healing tissues, and it favours using age-matched stem cells for therapy. The study is published in the June 25 advance on-line edition of Nature.
In primates including ourselves, the ability to register where others are looking is key in social circles. And, according to a new report published online on June 25th in Current Biology, a Cell Press publication, the way our brains process gaze-direction is much more sophisticated than a simple eyes-right versus eyes-left.
"The details of President Obama"s new global health initiative have left many concerned that the financing described does not reflect the commitment required to lead the United States" efforts in the global fight against HIV and AIDS," Jennifer Delaney, executive director of Global Action for Children, writes in a New York Times letter to the editor. She adds that the Obama administration "needs to recognize that we cannot afford to scrimp on global health -- the cost of failure is too high. Our inaction threatens to forsake the more than 15 million children orphaned by AIDS, future parents and leaders of our world."As Eric Goosby, the recently nominated Global AIDS Coordinator, "begins his work in Washington, he faces serious obstacles to securing the full financing Congress has authorized to combat HIV and AIDS -- the financing our moral obligations demand," Delaney writes. She concludes, "We expect Dr. Goosby to be a fierce advocate for lifesaving HIV/AIDS and children"s programs. He can expect our tireless support in return" (Delaney, New York Times, 5/17).
"Eradicating global poverty starts with the health of the world"s poor," Bill Frist, former U.S. Senate Majority leader and currently a member of the Millennium Challenge Corporation"s (MCC) Board of Directors, writes in a Charlotte Observer opinion piece. "It starts with empowering them physically to contribute to the vitality of their countries," Frist says, which "makes as much good sense for the world"s poor as for our collective international economic growth."Frist says that Obama"s recent proposal of a six-year $63 billion global health initiative is "bold," and the "smart use of res improves the health of the world"s poorest and strengthens the global economic climate for us all." He writes that it"s important not to overlook "other factors that directly affect global health," such as roads and water and sanitation systems. He points to the U.S. government"s Millennium Challenge Corporation, which "takes a holistic approach to global health, laying the groundwork for poverty reduction and economic development.""By building healthier, hopeful, and productive communities, we build safer and more secure societies that can alleviate global poverty and contribute to global prosperity," Frist writes. "When communities are productive and thriving they don"t become breeding grounds for dangerous extremism" (Frist, Charlotte Observer, 5/14).
The NMC announced the appointment of Roger Thompson as its new Director of Standards and Registration.
Newly appointed IHS Director Yvette Roubideaux on Friday announced that American Indian tribes will receive $500 million as part of the $787 billion economic stimulus package to fund health care projects, the Green Bay Press-Gazette reports. According to the Press-Gazette, American Indian tribes frequently cite lack of adequate health care as a major issue on reservations. President Obama also included a $454 million increase for IHS programs in his 2010 budget proposal to address such barriers.The $500 million includes:
Researchers at the European Molecular Biology Laboratory (EMBL) in Heidelberg, Germany, came a step closer to understanding how cells close gaps not only during embryonic development but also duringwound healing. Their study, published this week in the journal Cell, uncovers a fundamental misconception in the previous explanation for a developmental process called dorsal closure.
Tensions are showing as health reform continues to be center stage on the President"s and Congress" domestic policy agenda. The Associated Press reports that "President Barack Obama has learned the lessons of Bill Clinton"s failed bid to overhaul the nation"s health care system. Too well, in fact, say fellow Democrats angry over [Obama"s] refusal to intervene while a conservative proposal advances in the Senate," feel Obama has "over-learned the lessons of 1993 and is bending over too far to attract GOP support in the Senate." Obama supports a public option for health insurance, but "wants to avoid issuing nonnegotiable demands early in the legislative process," say White House aides. "Insurance companies oppose the public option proposal. Their cause was hurt this week when congressional investigators said two-thirds of the U.S. health insurance industry used a faulty database that overcharged patients for seeing doctors outside their insurance network, costing Americans billions of dollars in inflated medical bills" (Babington, 6/26).
The Kaiser Family Foundation, ahead of National HIV Testing Day on Saturday, has released new and updated informational res on HIV testing in the U.S., including a fact sheet that provides HIV testing statistics, policies and CDC recommendations. In addition, the Foundation released two survey briefs, which examine the public"s attitudes, experiences and knowledge related to HIV testing, one of which focuses on black residents. The briefs are based on the 2009 Survey of Americans on HIV/AIDS released this spring. Information regarding HIV testing by state also is available through statehealthfacts.org (Kaiser Family Foundation release, 6/24).
High intake of dietary fats from red meat and dairy products was associated with an increased risk of pancreatic cancer, according to a new study published online June 26 in the Journal of the National Cancer Institute.
Research lead by Dr. Nicolas Bazan, Boyd Professor and Director of the Neuroscience Center of Excellence at LSU Health Sciences Center New Orleans, identifying an enzyme that makes neuroprotectin D1 which specifically and selectively protects retinal cells key for vision, was published in the June 26, 2009 issue of the Journal of Biological Chemistry.
Because tobacco use impairs military readiness, harms the health of soldiers and veterans, and imposes a substantial financial burden on the departments of Defense and Veterans Affairs, these agencies should implement a comprehensive strategy to achieve the Defense Department"s stated goal of a tobacco-free military, says a new report from the Institute of Medicine. DOD should gradually phase in a ban on tobacco use in the military, starting at military academies and officer training programs and among new recruits, the report says. DOD should also stop selling tobacco products in Army and Air Force commissaries -- Navy and Marine Corps commissaries already do not sell them -- and should stop selling them at a discount in military exchanges and other stores. In addition, Congress should allow VA to establish tobacco-free medical centers.
Alcohol"s inebriating effects are familiar to everyone. But the molecular details of alcohol"s impact on brain activity remain a mystery. A new study by researchers at the Salk Institute for Biological Studies brings us closer to understanding how alcohol alters the way brain cells work.
New data demonstrate that treatment with Afinitor® (everolimus) in combination with Sandostatin® LAR® (octreotide acetate suspension for injection) and Afinitor monotherapy may have the potential to stabilise tumour growth in patients with advanced pancreatic neuroendocrine tumours (NET). These results were presented at the 11th World Congress on Gastrointestinal Cancer in Barcelona, Spain.
A UK wide public opinion poll conducted by Hamilton Lock for the British Medical Association released yesterday has revealed how worried the public is about the future funding of the health service in light of the recession. The poll was published to launch the Annual Conference of the BMA in Liverpool this week (29 June to 2 July 2009).
When a patient is diagnosed with metastatic disease the primary site of the cancer is usually, but not always, evident. When the origin of the cancer is not identified it is described as a Cancer of Unknown Primary site, or CUP.
Radiant Research, Inc. announced that it is actively recruiting subjects and establishing operational plans for upcoming H1N1 vaccine trials. The World Health Organization declared the H1N1 influenza outbreak a pandemic, and the CDC has shipped virus samples to several manufacturers with the hope of having vaccine available to the general public by the fall. Manufacturers will need to complete clinical trials prior to release of vaccine to the public.
Doctors will have greater clarity around releasing a patient"s full medical notes to insurance companies after the Privacy Commissioner concluded that the law allows insurers to collect only the information that they need to make insurance decisions.
A series of articles in the July/August 2009 issue of The Journal of Midwifery & Women"s Health (JMWH) focuses on midwives" participation in the education of medical students and residents. This issue includes the results of a new national survey by Edie McConaughey, CNM, MS and Elisabeth Howard, CNM, PhD, which found that the number of midwives involved in medical education in the United States has tripled in the past 10 years. More recently, the growth of this model has accelerated secondary to the mandated decrease in resident work hours.
Diabetes UK is asking you to donate your unwanted or broken jewellery and accessories to our jewellery appeal.
The Health and Safety Executive (HSE) is urging landlords and property agents to ensure that their gas appliances are serviced and maintained and that landlords" gas safety checks are completed. It follows the prosecution of a Tamworth man, after four people were taken to hospital suffering suspected carbon monoxide poisoning at a rented property.
UCB announced that Neupro(R) (rotigotine transdermal patch) can now be prescribed to all patients with idiopathic Parkinson"s disease in Europe and is newly available for the symptomatic treatment of moderate to severe idiopathic Restless Legs Syndrome (RLS) in adults. This follows the decision of the European Commission to lift treatment restrictions on Neupro® in line with the recommendation of the European Medicines Agency (EMEA), issued on 29 May 2009.
Physio-Control Inc., a wholly-owned subsidiary of Medtronic, Inc. (NYSE: MDT), announced today that LUCAS™ 2, the next-generation LUCAS™ Chest Compression System, has been granted 510(k) market clearance by the U.S. Food and Drug Administration (FDA). Developed and manufactured by Jolife AB and distributed exclusively in the United States by Physio-Control, the LUCAS 2 is an automated, battery-powered device that is designed to give consistent, uninterrupted compressions to victims in cardiac arrest.
In an unprecedented move today, millions of midwives, nurses and doctors across the world delivered a message to G8 leaders to take urgent action to prevent women dying needlessly in pregnancy and childbirth.
The recently released results of two large randomized trials suggest there are no big benefits from prostate cancer screening, and if
Patients who have regained weight after gastric bypass surgery now have access to an incisionless procedure that appears highly effective at reversing weight gain, according to data presented at the annual meeting of the American Society of Metabolic and Bariatric Surgeons. Santiago Horgan, MD, professor of surgery and director of the Center for the Treatment of Obesity at UC San Diego, presented six-month outcomes from a national registry of 116 patients who underwent the procedure, known as ROSE (Restorative Obesity Surgery, Endolumenal).
Analysis of the longest running ICSI programme in the United States has found reassuring evidence that babies born from frozen embryos fertilised via ICSI (intracytoplasmic sperm injection) do just as well as those born from frozen embryos fertilised via standard IVF treatment.
The US Food and Drug Administration (FDA) said yesterday, June 29, that it had found E. coli O157:H7 in a sample of prepackaged Nestlē© Toll
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. ņ¦ 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.
The CDC convened a national vaccine advisory committee Friday to discuss the best response to the spread of H1N1 (swine flu) with an estimated 6,000 new cases in the U.S. last week alone, Reuters reports. "The key point is this new infectious disease is not going away," despite the fact the flu season in North America has passed, Dr. Anne Schuchat of the CDC said. "In the U.S., we"re still experiencing a steady increase in the number of reported cases."
A new report finds that "a growing global trade in black market cigarettes is killing tens of thousands of people a year, causing massive health problems and costing governments billions of pounds," the Guardian reports.
Fox News examines a U.S.-supported program in Iraq that is equipping women with the skills they need to become nursing aids.
Registered nurses and hospital employees will hold a patient care vigil Tuesday night, at UC Irvine Medical Center (UCIMC), to protest the administration"s retaliatory actions against Ethel Mark, an RN who has worked in the hospital"s cardiac care unit for the last seven years as a model patient advocate. Ms. Mark was informed that she could expect to be terminated by the beginning of July.
Each Fourth of July, thousands of people are injured from using consumer fireworks. According to the U.S. Consumer Product Safety Commission, more than 9,000 fireworks-related injuries happen each year. Of these, nearly half are head-related injuries with nearly 30 percent of these injuries to the eyes. One-fourth of fireworks eye injuries result in permanent vision loss or blindness.
At the annual meeting of the American Optometric Association (AOA), members voted Friday 1,126 to 887 in favor of establishing the American Board of Optometry (ABO) as the entity to develop and implement the framework for board certification and maintenance of certification.
HIV rates have been steadily increasing over the last three years in Salt Lake County, which includes Salt Lake City and surrounding areas, according to the Salt Lake Valley Health Department, the Deseret News reports. Health officials contend that lack of awareness of HIV, personal concern about becoming infected and sexual health discussions - especially among young adults - are driving the increase. Preliminary data indicate that the trend will continue in 2009, according to health officials. Stan Penfold, the executive director of the Utah AIDS Foundation, said, "Rates grow because there is a lack of conversation around HIV and what the risk factors are. It is really easy to compartmentalize because of the stigma associated with HIV, but the average age of infection is getting younger and younger," he said. Lynn Beltran, STD and HIV program manager for the Salt Lake County Health Department, noted that sex education in high schools also is a concern, but added, "Everyone needs to educate themselves and understand how to make healthy decisions about sex" (Norlen, Deseret News, 6/28).
A powerful new research facility at the heart of King"s Health Partners Academic Health Sciences Centre has been launched by Professor Dame Sally C Davies, Director General of Research and Development and Chief Scientific Adviser, Department of Health. The Biomedical Research Centre (BRC) Nucleus is funded by a ÷£3M infrastructure grant from South London and Maudsley Charitable Funds (÷£1.8M) and Guy"s and St Thomas" Charity (÷£1.2M) to create a unique centre housing key translational initiatives to support the development of novel therapies and treatments for mental health and related disorders.
Today the Lance Armstrong Foundation and the American Cancer Society announced they have formed a first-of-its-kind partnership to empower and support survivors all over the world and aggressively address the global cancer burden. As part of its ongoing global commitment to fight cancer, the Society has become an international collaborating partner for the LIVESTRONG® Global Cancer Summit in Dublin, Ireland in August. The Society will actively participate in LIVESTRONG Global Cancer Campaign events at both the Tour de France in July and the Summit, beginning Aug. 24 in Dublin. John R. Seffrin, Ph.D., chief executive officer, American Cancer Society, will join the U.S. delegation to the Summit and address the 250 advocates selected from all over the world for their commitments to cancer control.
XCounter AB (publ) (AIM:XCT), a technology leader in the development of tomosynthesis-based 3D medical imaging, announced positive initial results from the first clinical evaluation of its innovative breast screening device XC Mammo - 3T. The device is the world"s first dedicated 3D digital mammography system for the detection of breast cancer, the most common form of cancer found in women.
A Kansas State University researcher is studying the potential health benefits of a specially bred purple sweet potato because its dominant purple color results in an increased amount of anti-cancer components.
Polyp detection rates at screening colonoscopy; EUS-based criteria for the diagnosis of chronic pancreatitis
A team of experts in biomechanics and physiology that conducted experiments on Oscar Pistorius, the South African bilateral amputee track athlete, have just published their findings in the Journal of Applied Physiology. Some of their previously confidential findings were presented to the Court of Arbitration for Sport (CAS) in Lausanne, Switzerland in May of 2008. Other findings are now being released for the first time.
Scientists have discovered gene expression differences that could lead to better ways to classify, predict outcome, and treat juvenile idiopathic arthritis (JIA). Eventually such findings could enable doctors to target more aggressive treatment to children at risk of more severe arthritis, while those likely to have milder disease could be spared the stronger treatments that carry a greater risk of side effects. The researchers were supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), a part of the National Institutes of Health.
Pfizer announced preliminary results
Amira Pharmaceuticals, Inc. announced initial positive data from a Phase 1 clinical study of AM211, the company"s oral selective antagonist of the DP2 (also known as CRTH2) receptor.
Applied Genetic Technologies Corporation (AGTC), a privately-held, clinical stage biotechnology company developing novel systems to deliver human therapeutics, announces that AGTC has entered into an agreement with the National Neurovision Research Institute (NNRI), the clinical trial support organization for the Foundation Fighting Blindness(FFB), to collaborate in experiments using the AAV delivery system in the treatment of two genetic retinal diseases known to cause blindness at an early age. The research will be coordinated by AGTC and will be conducted at The University of Florida, Oregon Health & Science University, The University of Pennsylvania, and The University of British Columbia.
Spain hosts this week, for the first time in history, this event, the most renowned international symposium on humour and laughter, where scientists and experts from four continents will discuss the latest advances and research of this field of study. The ninth occasion of the "International Summer School and Symposium on Humour and Laughter: Theory, Research and Applications" is being hosted by the University of Granada, and they will analyse the relationship between sense of humour and different fields such as anthropology, sociology, medicine or philosophy.
Many young smokers want to quit but don"t know what methods work.
Abraxis BioScience, Inc. (NASDAQ:ABII), an integrated biotechnology company, announced the listing of ABRAXANE® for Injectable Suspension (paclitaxel protein-bound particles for injectable suspension) (albumin-bound) 100 mg in Quebec for the treatment of metastatic breast cancer with a recommendation from the Quebec Conseil du Mē©dicament and approval from the Quebec Ministry of Health. ABRAXANE is approved and commercially available in Canada for the treatment of metastatic breast cancer, including first-line disease. The listing of ABRAXANE in Quebec offers an important new treatment option to Quebec women with advanced breast cancer.
BioSante Pharmaceuticals, Inc. (NASDAQ: BPAX), which is developing a testosterone gel (LibiGel®) to treat hypoactive sexual desire disorder (HSDD) in women, is pleased to comment on results in a paper published in the July issue of The Journal of Sexual Medicine showing testosterone has no effect on the incidence of invasive breast cancer among menopausal women who use testosterone to improve sexual function.
The National Chlamydia Coalition is partnering with the Centers for Disease Control and Prevention to increase public awareness and screening efforts for chlamydia, the most common sexually transmitted infection in the U.S., the Wall Street Journal reports. According to CDC, there were 1.1 million recorded cases of chlamydia in 2007, although experts estimate that there are twice as many cases that are not detected largely because the infection often causes few symptoms and many people go unscreened. The infection is three times more common in women than men, which experts say could be because men eliminate it from their bodies more readily than women. Chlamydia is treatable with a single dose of antibiotics, but if left untreated, it can lead to infertility or increased risk for ectopic pregnancies in women.CDC recommends that all sexually active women younger than age 26 be tested annually for the infection, as well as older women who have had a change of sexual partners. However, fewer than 40% of women in those groups are tested, the Journal reports. Chlamydia is particularly prevalent in women ages 15 to 19 and blacks, although sample studies have shown nearly 10% of all female Army recruits, 10% of female college freshmen and 14% of women in managed care plans are infected with chlamydia.Despite its prevalence, chlamydia is one of the least known STIs, which has compounded the difficulty of promoting screening efforts, the Journal reports. It causes few symptoms, and many people are unaware they were exposed to it. According to the Journal, many patients do not ask to be screened for the disease because the few symptoms it causes -- such as bleeding between periods, occasional vaginal discharge, pain during intercourse, pelvic pain in women, and burning upon urination in men -- are common to many conditions. While most screening efforts aim to identify active cases in younger women, there is a serious risk of infertility to older women who were exposed to the bacteria when they were younger, the Journal reports.According to the Journal, the chlamydia bacteria can move to a woman"s upper genital tract and set off pelvic inflammatory disease, which often leaves inflammation and scar tissue that obstructs a woman"s fallopian tubes and fertilization. PID is the most common cause of ectopic pregnancy and can cause endometriosis, a condition in which small portions of the uterine lining tissue grow outside the uterus, which can cause infertility and pain. Miklos Toth, a New York City-based ob-gyn, said, "It"s not the infection itself but the body"s response to get rid of the bacteria that causes scarring. And even if just some fragments of the bacteria remain, the immune system thinks an active infection is still present."According to the Journal, about 25% of women treated for chlamydia are re-infected within six months likely because of a partner who was not treated. CDC recommends that doctors prescribe a second course of antibiotics for partners of people with the infection. However, many doctors do not screen for or discuss chlamydia during office visits with their patients, especially pediatricians who may be uncomfortable discussing sexual activity with their younger patients, the Journal reports. Lynn Barclay, president of the American Social Health Association, said, "A lot of health care providers aren"t making the connection when they are dealing with adolescents. But to pretend that teenagers aren"t having sex is very dangerous."The Journal reports that the issue of how minors can pay for chlamydia testing can also create barriers. All 50 states allow minors to be tested and treated for STIs without parental consent. However, if a minor"s health insurance is provided by his or her parents, a lab fee listed on an explanation of benefits report for the testing could be considered a breach of confidentiality. Although some doctors suggest that minors pay the $40 to $90 cost for the test in cash, many refer younger patients to STI or family planning clinics that offer low- or no-cost testing. The Jour
Two recent advancements in ovarian transplant techniques could potentially expand the availability of the procedure for women seeking to avoid fertility problems as they age, researchers reported Monday at a meeting of the European Society of Human Reproduction and Embryology, the AP/Yahoo! News reports. According to the AP/Yahoo! News, ovary transplants traditionally have been performed on women with cancer as a method of preserving fertility after chemotherapy or other treatments that can affect the reproductive system. The procedure involves removing the ovaries before treatment and re-implanting them after treatment is complete. Because only a handful of these procedures have been successful, ovarian transplants have been an option only for women with serious diseases. However, as more women delay having children until their 30s or 40s, researchers say the new techniques, in theory, could make it simpler for healthy younger women to have an ovary removed, frozen and then re-implanted later in life when they are ready to have children.The first study examined how many eggs were lost or preserved in fresh and frozen ovarian tissue of 15 young women prior to the start of cancer treatment. According to the study, there was no difference in the quantity of eggs in the fresh tissue and in the ovaries frozen using a new ultra-fast technique. The study found that about 50% of a woman"s eggs were lost using the traditional, slow-freezing methods of preserving the ovaries.The second study reported on a new surgical technique to restore an ovary"s function after transplantation. For the study, Pascal Piver of Limoges University Hospital and colleagues divided the transplant process into two separate procedures in an attempt to more quickly re-establish blood and hormone supplies to the ovary. In the first procedure, the researchers performed a graft of small pieces of ovarian tissue to prompt blood vessels to grow. They performed the ovary transplant three days later. The technique was successful in a woman who lost fertility because of treatment for sickle cell anemia.Sherman Silber, director of the St. Louis Infertility Center in Missouri and a researcher for the first study, said the new techniques "could dramatically expand our reproductive life span." He added, "This is not an experimental procedure for cancer patients anymore. The question is whether more women should be able to have this option" (Cheng, AP/Yahoo! News, 6/29).
Over the last 27 sessions of Congress, there has always been a Dingell universal health care bill, introduced first by Rep. John D. Dingell"s father during World War II, and then by his son, The Washington Times reports.
Five Alabama communities have been selected to receive grants of $3,000 each to stimulate
The National Pharmacy Association (NPA) and Allergy UK are offering the community pharmacy allergy screening service to members of the public attending the Hampton Court Palace Flower Show from 7 July to 12 July.
Los Angeles County Sheriff Lee Baca is considering expanding an eight-year-old program at Men"s Central Jail that distributes condoms in a unit for gay men, the Los Angeles Times reports. Under the program, an outreach worker from the nonprofit Center for Health Justice visits the jail once weekly to distribute about one condom per inmate to the unit"s 300 inmates. Baca is considering doubling the number of condoms being distributed. Sheriff Department officials acknowledge that HIV is a problem in county jails and spend about $2 million annually on HIV/AIDS medication and identify about 65 new cases of HIV each month, according to the Times. Steve Whitmore, a spokesperson for the Sheriff"s Department, said, "Sex in jails is against the law, but there is a public health issue that needs to be considered." A separate condom distribution program is being piloted at the California State Prison at Solano (Bloomekatz, Los Angeles Times 6/29).
Lyme disease in the U.S. is caused by the tick-borne bacteria Borrelia burgdorferi and usually begins with a skin lesion, after which the bacteria spread throughout the body to the nervous system, heart or joints. About 60 percent of untreated individuals develop arthritis, which affects the knees in particular. Lyme disease usually responds well to antibiotic therapy, but in rare cases arthritis can persist for months or years after treatment, a rare condition known as antibiotic-refractory Lyme arthritis. Joint fluid usually tests negative for B burgdorferi after treatment, indicating that joint inflammation may persist even after the bacteria has been eradicated.
Shire plc (LSE: SHP, NASDAQ: SHPGY), the global specialty biopharmaceutical company, announced results from a Phase 3b study that found VYVANSE® (lisdexamfetamine dimesylate) CII demonstrated significant efficacy at 14 hours after administration during a simulated workplace environment study in adults with Attention Deficit Hyperactivity Disorder (ADHD). VYVANSE is the first approved stimulant for adults with ADHD to be evaluated in this setting, and these data were presented today at the 49th annual New Clinical Drug Evaluation Unit meeting in Hollywood, FL. VYVANSE is currently approved by the US Food and Drug Administration (FDA) for the treatment of ADHD in children age 6 to 12 years and in adults with ADHD.
The results of the first Welsh GP patient survey have been published recently.
Diabetics undergoing total joint replacement often are at a higher risk of experiencing complications after surgery due to various pre-existing health conditions. According to a new study published in the July 2009 issue of The Journal of Bone and Joint Surgery (JBJS), those complications are less likely to occur when a diabetic patient has glucose levels under control.
A multi-national group of investigators, including a scientist at the University of North Carolina at Chapel Hill, has discovered that nearly a third of the genetic basis of schizophrenia may be attributed to the cumulative actions of thousands of common genetic variants. The effects of each of these genetic changes, innocuous on its own, add up to a significant risk for developing both schizophrenia and bipolar disorder.
Major scientific contributors within the bariatric and psychiatric industries
Inter Press Service News Agency examines the prevalence of obstetric fistula in the southern region of Senegal. According to state reproductive health officials in the town of Kolda, 58 percent of births take place at home without medical assistance. "Women in the region suffer from exceptionally high rates of fistula," which "occurs when extended pressure damages the soft tissue in a woman"s pelvis during the process of giving birth" and can lead to debilitating complications and ostracization from their families, IPS writes.
A study published this week in the open access journal PLoS Medicine finds no evidence to suggest that a controversial antidote recommended by the
POZEN Inc. (NASDAQ:POZN), announced the submission of a New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for the marketing approval of VIMOVO™ (PN 400), the combination of enteric coated (EC) naproxen and immediate release esomeprazole. POZEN and AstraZeneca entered into a global co-development agreement for VIMOVO in August 2006. Pending regulatory approval, the proposed trade name is VIMOVO and the proposed indications are for the signs and symptoms of osteoarthritis, rheumatoid arthritis and ankylosing spondylitis in patients who are at risk for developing NSAID-associated ulcers.
The U.S. should conduct research to compare the effectiveness of innovative programs aimed at preventing unintended pregnancy, according to a report issued Tuesday by a congressionally convened Institute of Medicine panel, the New York Times reports (Meier, New York Times, 7/1). The recommendations state that these strategies should include "over-the-counter access to oral contraceptives or other hormonal methods, expanding access to long-acting methods for young women, [and] providing free contraceptive methods at public clinics, pharmacies or other locations" (List of Priorities, IOM, 6/26). The report lists 100 health topics that should be prioritized as the Obama administration seeks to increase cost-effectiveness in medicine. The federal stimulus package passed earlier this year allotted $1.1 billion for comparative effectiveness research into different ways of treating certain conditions and addressing various health care issues. According to the Times, the report is a first step in an expansive effort by the administration and health experts to direct medical practice toward scientifically proven treatments, rather than a provider"s personal opinion or a medical product company"s promotional claims. Harold Sox, co-chair of the IOM panel that wrote the report and the editor of the Annals of Internal Medicine, said that based on public comments, the panel decided it was important to include pregnancy prevention and other public health issues in its recommendations (Meier, New York Times, 7/1). The report also recommends that researchers compare different comprehensive care coordination programs, such as the medical home model and chronic disease management, especially in communities known to have health disparities (Simmons, HealthLeaders Media, 6/30).
The Minnesota Supreme Court on Tuesday unanimously voted to uphold Al Franken"s (D) win in the 2008 U.S. Senate election in Minnesota, effectively clearing the way for Franken to become the state"s newest senator, the Wall Street Journal reports. His election gives Democrats in the Senate a 60-vote supermajority, which could help the party pass health care reform legislation, according to the Journal. Following the ruling, opponent Sen. Norm Coleman (R-Minn.) conceded the election, and Minnesota Gov. Tim Pawlenty (R) said that he would certify the result Tuesday.Franken is expected to be seated next week. He will join the Senate Judiciary Committee, where he will vote on the Supreme Court nomination of Judge Sonia Sotomayor, and the Senate Health, Education, Labor and Pensions Committee, which is completing its draft of health care reform legislation (Bendavid/Hitt, Wall Street Journal, 7/1).
Two doctors with over 30 years of experience spoke with National Public Radio about how medicine has changed over their careers, and what they expect to see come out of the current health reform debate.
Deep brain stimulation improves movement skills and quality of life in some patients with a subtype of cerebral palsy (CP) (dystonia-choreoathetosis CP)*, and could be an effective treatment option for these patients, finds an Article published Online first and in the July edition of The Lancet Neurology.
Today, the Prime Minister, Gordon Brown, said he was determined to keep the issue of maternal mortality high on the agenda of the G8 summit in Italy next week.
The Texas Department of State Health Services is reminding swimmers and skiers to take precautions to avoid infection from Naegleria fowleri, an ameba assumed to be present in all rivers, lakes, ponds, tanks and streams.
Sucampo Pharma Americas, Inc., a wholly owned subsidiary of Sucampo Pharmaceuticals, Inc. (NASDAQ:SCMP), today reported top-line results from its phase 2 clinical trial of orally administered cobiprostone for the prevention of gastric ulcers and other gastrointestinal injuries in patients treated with non-steroidal anti-inflammatory drugs (NSAIDs).
Pfizer Inc announced that it has updated the U.S. product labeling for CHANTIX® (varenicline), a prescription aid to smoking cessation treatment, to communicate important safety information in a boxed warning as well as in revised warnings and precautions. These updates are based on post-marketing reports and are being made in agreement with the U.S. Food and Drug Administration (FDA). Pfizer is making this information available immediately to U.S. health care providers and patients through multiple communication channels, including letters to doctors and pharmacists, Web site updates, and the CHANTIX patient Medication Guide.
Take Care Health Systems, a wholly-owned subsidiary of Walgreens (NYSE:WAG) (NASDAQ:WAG) and the largest and most comprehensive provider of convenient care clinics and worksite health and wellness centers in the country, is now offering a new set of procedures for skin conditions and minor injury treatments.
Researchers have successfully tested for the first time a computer simulation of major portions of the body"s immune reaction to influenza type A, with implications for treatment design and preparation ahead of future pandemics, according to work accepted for publication, and posted online, by the Journal of Virology. The new "global" flu model is built out of preexisting, smaller-scale models that capture in mathematical equations millions of simulated interactions between virtual immune cells and viruses.
Occupational therapist, Ms Hannah McIlhinney has been suspended from the
GP phone consultations carry definite risks, warns an article in the current edition of Medical and Dental Defence Union of Scotland (MDDUS) magazine Summons today (Thursday, 2 July).
Counseling patients with non-alcoholic fatty liver disease (NAFLD) on how to increase physical activity leads to health benefits that are independent of changes in weight. These findings are in a new study in the July issue of Hepatology, a journal published by John Wiley & Sons on behalf of the American Association for the Study of Liver Diseases (AASLD). The article is also available online at Wiley Interscience.
An otherwise effective treatment for cystic fibrosis places patients at a high risk of sensorineural hearing loss, according to new research published in the July edition of Otolaryngology-Head and Neck Surgery.
A molecule called telomerase, best known for enabling unlimited cell division of stem cells and cancer cells, has a surprising additional role in the expression of genes in an important stem cell regulatory pathway, say researchers at the Stanford University School of Medicine. The unexpected finding may lead to new anticancer therapies and a greater understanding of how adult and embryonic stem cells divide and specialize.
The single-nucleotide polymorphism (SNP) known as 2q35-rs13387042 is associated with increased risk of estrogen receptor (ER) -positive and -negative breast cancer, according to a study published online July 1 in the Journal of the National Cancer Institute.
In response to Trust for America"s Health "F as in Fat" report released today, Health Secretary Alfredo Vigil, MD, said New Mexico needs to continue to strengthen its obesity-prevention efforts to address a serious problem with obesity. The report details obesity rates by states and discusses effective state policies and programs.
A Decade-Long campaign by the British Psychological Society to have statutory regulation for practitioner psychologists comes to fruition.
Eisai Co., Ltd. (Headquarters: Tokyo, President & CEO: Haruo Naito, "Eisai") and Eisai Corporation of North America (Headquarters: Woodcliff Lake, NJ, Chairman and CEO Hajime Shimizu) are currently focusing on three clinical development programs for the company"s major product Aricept(R) (donepezil hydrochloride tablets) to further contribute to patients with Alzheimer"s disease. As progress in those programs has been made, Eisai announces the status as follows:
New research out of Wake Forest University School of Medicine provides for the first time a solid scientific answer for the long-standing question of whether there is an association between preterm birth and brain malformations.
Phill Wilson, CEO of the Black AIDS Institute (BAI), last week addressed the annual convention of the National Newspapers Publishers Association where he discussed the reasons blacks "were so slow to grasp the severity of the threat" of HIV, the NNPA/Seattle Medium reports. According to Wilson, many blacks believed that HIV/AIDS was not directly affecting their communities in the early years of the epidemic. In addition, he said when AIDS reached its peak between 1980 and 1982, blacks also were dealing with unemployment, poverty and welfare reform and, as a result, addressing HIV/AIDS was not a priority. Wilson also noted the reluctance by blacks to deal with the stigma related to the virus. Wilson said, however, "I"m more optimistic now around mobilizing black folks around HIV than [ever] before. I think we"ve made tremendous stride[s] and our institutions across the board are at a different place than they were" (Curry, 7/1).
An OECD report has confirmed that GP-led primary care is a cost effective way to promote good health while sending a warning about the need to better promote general practice as a career. The OECD Health Data 2009 report says despite the growing need for GPs worldwide there is an increasing trend towards specialisation. The number of specialists rose by 60% between 1990 and 2007, compared with only a 23% increase in GPs.
The Wellcome Trust on Thursday pledged 30 million pounds or about $50 million to support health research at more than 50 African institutions, Nature reports (Nayar, 7/1).
Scientists in the US and the Netherlands discovered what most doctors already suspected: the new H1N1 swine flu virus causes more
Sen. Charles Schumer, D-N.Y., a member of the key Senate Finance Committee and advocate for a government-run health insurance plan, said yesterday he would abandon all other possible compromises in favor of immediately creating a public plan that "would operate on "a level playing field" with private insurers," CongressDaily reports. Other proposals have included a plan that would establish health insurance co-ops with government seed money or "trigger" the creation of a public plan only if private insurers fail to meet certain targets for containing costs and improving access.