3 Ocak 2013 Perşembe

Johns Hopkins Bloomberg School Receives $28 Million in Grants from Gates Foundation, Packard Foundation and Hewlett Foundation to Expand Advanced Family Planning Advocacy

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The whole idea here is to expand access and use of familyimage planning services.  Nine countries will be in the initiative,  India, Indonesia, Nigeria, Senegal, Burkina Faso, the Democratic Republic of the Congo, Uganda, Tanzania and Kenya.  If you have not seen the TED video from Melinda Gates from earlier this year, use the link below and watch it.  You know her influence on the Johns Hopkins grants are is all over it.  BD 

Melinda Gates Talks Birth Control and Contraception–Giving Women the Option To Control When They Want to Have Children–TED Video


Newswise — The Johns Hopkins Bloomberg School of Public Health has received $28 million in grants from the Bill & Melinda Gates Foundation, the David and Lucile Packard Foundation and the William and Flora Hewlett Foundation to continue and expand the Advance Family Planning advocacy initiative within the Bloomberg School’s Bill & Melinda Gates Institute on Population and Reproductive Health.

Advance Family Planning aims to increase resources and political commitment for quality family planning programs, as part of the July 2012 London Summit on Family Planning (now known as FP2020). The vision of the summit was to enable more women and girls in some of the world’s poorest countries to use contraceptive information, services and supplies, without coercion or discrimination, by 2020.

http://www.newswise.com/articles/view/597573/?sc=rsla&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+NewswiseLatestNews+%28Newswise%3A+Latest+News%29

FDA Approves Another ADHD Generic Version of Concerta

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This will offer another alternative generic as if you read on the web there’s a lot of comments about how the generic doesn’t work as well and this is odd because they are both manufactured in the same Ortho-McNeil plant but we don’t know the formulation so again you would think they would be real close if for no other reason than extensive retooling the production line.  Now here’s one from a totally different manufacturer.  BD 



Mallinckrodt, the Pharmaceuticals business of Covidien plc (COV - Analyst Report), has won the U.S. Food and Drug Administration (FDA) imageapproval to manufacture and sell a generic version of CONCERTA (methylphenidate HCl) Extended-Release (ER) Tablets USP (CII) in 27 mg, 36 mg and 54 mg dosage strengths.

The tablets are used to treat patients, aged between 6 and 65, suffering from Attention Deficit Hyperactivity Disorder (ADHD). ADHD is a neurobehavioral disorder, usually diagnosed in childhood.

Children with ADHD are inattentive, hyperactive and impulsive. Despite being a long-term chronic condition, it can be successfully treated with proper therapy and medication.

http://www.zacks.com/stock/news/89503/fda-approves-covidien-drug

Dune Medical Gets FDA Approval On Device Used to Identify Breast Cancer Cells Along the Edges of Tissue- Will Help Avoid Second Surgeries To Remove More Cancer That May Have Been Missed

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imageSo what does the machine do? We all wonder when surgery takes place with removing cancer, did they get it all? The devices gives the surgeons the information they need to find out during surgery. The probe uses software that detects to see if any more tissue needs to be cut away.
Radio frequency technology is used and it is the only device that can find microscopic cancer on the marginal tissue. The price is certainly affordable as far as surgical and diagnostics go at 2k. The whole point here is avoid second surgeries of course to remove additional cancer cells.

Right now the device is designed for breast cancer detection only but the company hopes to expand on this for other types of cancers. The clinical trial was done at NYU.

image  BD




Federal regulators have approved a new instrument made by imageDune Medical Devices Inc. that enables breast cancer surgeons to determine immediately whether they have removed all of the cancer tissue during lumpectomy procedures, the company is set to disclose Wednesday.

Dune Medical, based in Caesarea, Israel, plans to move its US office from Framingham to Boston’s Innovation District next week as it builds a sales force to market the device, called the MarginProbe system, to breast cancer surgeons across the nation.

Dune Medical’s new device, already in use in Israel, Germany, and Switzerland, got the green light from the Food and Drug Administration eight months after the privately held company filed its application for premarket approval. That followed clinical trials involving 664 patients at two dozen sites in the United States and Israel. MarginProbe was shown to be effective in identifying cancer along the edge of breast tissue during lumpectomy surgery.



“This is the only device that will identify microscopic cancer on the margin,” Levangie said, noting that MarginProbe is his company’s first approved product. “This is a first-of-a-kind device. But the technology can be applied to a wide variety of other cancers.”

MarginProbe, including the console and probes, will cost health care providers about $2,000, a fraction of the cost of screening equipment used to make the initial diagnosis of breast cancer.

http://bostonglobe.com/business/2013/01/02/dune-medical-wins-fda-approval-sell-new-breast-cancer-tissue-assessment-tool/km72J2iXqbt2Sv3G0mnHRJ/story.html

Physician Rating Sites Are Seeing Fewer Reviews These Days–Flawed Data Catching Up Along With Loss of Value As Consumers and Doctors Lose Interest?

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It looks like a group at Loyola University did a study on these sites and they kind of came up with what I have been saying for the last couple of years.  First of all I go back a few years ago when myself and several doctors looked around the sites, dead doctors was one of the first issues we found.  There’s nothing wrong with keeping a listing as those are helpful but the over all grading systems don’t offer much anymore as everyone who does ratings has their own set of parameters they use to judge and give that report card grade.  Now according to this report fewer patients are rating doctors too so more evidence that these sites as far as value have dropped?  Every time I go to one of them I find errors with only a couple searches and the sites blame the state boards for the data but in my opinion, some simple web searches will help all of them update their information.  You can read below where I said six months ago that these sites are getting dated. 


HealthGrades Puts Out Top Hospital List–Time to Drop All the Hospital Ratings Sites As Nobody Cares, Many Don’t Have Time To Read and Too Much “Flawed Data”

You read stories in the news too with major hospitals who get a “C” rating and yet they provide life saving procedures that areimage not available at smaller hospitals so what’ up with that.  I’m back to my same old rant again about quality of data and the rise of “flawed data” in some areas of healthcare.  Healthgrades is now owned by a marketing company so what does that mean?  Better marketing or better information, and I think it’s more like the first. 

 

HealthGrades to Merge with CPM Marketing–Will Their Data and Questionable Algorithms Will Be Improved For Consumers?

I also said consumers were too busy and that’s a fact as now consumers are just as busy as doctors in “correcting” all the flawed data posted by various sites and companies about them.  It’s a scary growing trend but companies make billions selling all kinds of data they mine and they put the money in the bank and consumers and doctors have to spend time on their own dime to fix the flawed data that makes billions in profits for corporate USA.  I said over a year go that it’s time to excise tax all that sell data which would include banks, companies, social networks, etc. 

We could fund the FDA and the NIH with such money.  This is a runaway train here with corporate USA getting free labor to fix all their mistakes as there’s a captive audience here who is stuck as they can’t get whatever they need, be it a car, house or whatever until on their own dime, they fix the flawed data that makes billions in profits for corporate USA, one of my Attack of the Killer Algorithm posts.  Nobody minds the shop government wise and there’s very little risk and these profit makers found the ultimate free labor to fix their data, doctors and consumers sadly.  I only got in on this a few years ago when I found my former doctor who had been dead for 8 years still listed as seeing new patients and the AMA and I had a nice chat about it. 

Here’s some other related information about E-Scoring that gets around the law with what they call their business and you and I as consumers have not a clue on what data they have or have any access as they found a loophole in the law that allows them to do this and sure there’s others who do this as well.  BD

 

One More Good Reason to Tax the Data Sellers– Create Additional Funding for the NIH and FDA From Sources That Otherwise Are Too Greedy to Share & Contribute

Start Licensing and Taxing the Data Sellers of the Internet Making Billions of Profit Dollars Mining “Free Taxpayer Data”–Attack of the Killer Algorithms Chapter 17 - “Occupy Algorithms”– Help Stop Inequality in the US



Newswise — MAYWOOD, Il. - Millions of Americans read physician ratings on websites such as Healthgrades.com, but such ratings are based on scores from an average of only 2.4 patients, a Loyola University Medical Center study has found.

The study of 500 randomly selected urologists found that 79.6 percent of physicians were rated by at least one of the 10 free physician-review websites researchers examined. Eighty-six percent of physicians had positive ratings, with 36 percent receiving highly positive ratings. Healthgrades had the most physician ratings.

Healthgrades posted reviews on 54 percent of physicians, followed in order by Vitals.com, 45 percent of physicians; Avvo.com, 39 percent; RateMDs.com, 25 percent; Drscore, 13 percent; Revolutionhealth.com, 5 percent; Kudzu.com and Healthcarereviews.com, 1 percent; and Zocdoc.com and Yelp.com, less than 1 percent.

http://www.newswise.com/articles/physician-rating-websites-rely-on-few-patient-reviews

Lexmark Buys Acuo Technologies–Software to Connect to PACS Systems and More To EMRs

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This side of the business has certainly grown as I remember the early days and there’s still a lot of this that goes on to get paper information scanned and connected to an EMR to reference.  As a matter of fact many offices did this to to have not go back and pull out older paper charts, a great idea and system.  Now we are at the Enterprise level with bringing  in imaging to connect which again makes sense.  It’s all about the indexing and connecting the relative patient data.  BD



Lexmark International, Inc. has announced the acquisition of Acuo Technologies, LLC, a leader in high performance software and imageservices for clinical content management, data migration and vendor neutral archives (VNA), for a cash purchase price of approximately $45 million. Acuo Technologies will become a part of Perceptive Software, a Lexmark company.

Acuo Technologies, when combined with Lexmark’s Perceptive Software healthcare software solutions, will enable customers to deploy a single, enterprise-wide access platform for clinical content via any electronic medical record (EMR) system.

Acuo Technologies’ offerings include a single integration point for all medical imaging assets, lowering costs and risks through the Universal Clinical Platform’s ability to work with different systems – enabling flexibility and efficiency across users and departments.

http://www.kyforward.com/2013/01/lexmark-acquires-acuo-technologies-continuation-of-capital-allocation-framework/

2 Ocak 2013 Çarşamba

Bill McDonough at Zeitgeist '07

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Bill McDonough at Zeitgeist '07 Tube. Duration : 20.22 Mins.

Session Title: The Green Collar Worker We're beginning to realize that all of us aren't just connected by the Internet; we're connected through the things we produce. McDonough, co-author of the seminal "Cradle to Cradle," has for years been a passionate advocate of green supply chains and living buildings. In this session, McDonough will discuss examples where companies have completely rethought their entire process of designing and delivering products to ensure they better mimic the natural world around them.
Keywords: Google, Zeitgeist

Almost Wasn't - A Memoir Of My Abortion And How God Used Me

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Karma's Dirty Secrets Memoir

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Homeowners' Benefit: Alamo Homes Line the Iron Horse Trail

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East of San Francisco Bay, past the beauty of the Oakland hills, is the upscale and exclusive town of Alamo. And Alamo has just about everything one could want in the way of lifestyle. Being centrally-located in the Golden State, the Bay Area provides Alamo with all of the big attractions like the Pacific Ocean (about an hour), the intriguing cultural theaters of the big city, wine tasting in the gorgeous Napa Valley, the World Champion San Francisco Giants, as well as skiing and entertainment fun at Lake Tahoe.

Sometimes, many of the added-value small amenities that exist in the Bay Area present themselves after one has lived in a neighborhood for some period of time, in other words, you end up "discovering them". But, "if these perks can be known ahead of time, small attractions usually become significant in any home-buying decision as they may greatly improve quality of life", says two Realtors over coffee. "The Iron Horse Trail is one of those not-so-small treasures one loves while living in the town of Alamo", he adds.

"Well, get up and drink some water and let's go!" I say to our white German Shepherd "Mika" (pronounced "Mee-ka"). Into the bathroom she pads to her dish, I hear "slurp, slurp, slurp", and she is back waiting eagerly by the door after taking a series of gigantic happy-bounces. Her big brown eyes and dolphin-like smile let me know that at least with her, "my stock is up today!" As the door opens, she is out of the house and into the bright sunshine, fresh air and trees, acting like a two year old puppy. Come on, she pleads; there are dogs to visit and people to see! Mika strongly believes that a walk is the absolute best thing that can happen in any given day. This is living, this is luxury!

And, everyone does love a great place to enjoy a leisurely walk, reacquaint with nature while pondering life's bigger challenges. They say there is no exercise like walking to line-up all the muscles and bones in your body while making peace with your mind. Dogs know this, too. Also, for those of you with young bones who love to jog, I know just the place in Alamo. So, go ahead, like me, you can take your puppy for a walk, exercise your horse, ride your mountain bike, roll along on inline skates, enjoy the sunshine, breathe some fresh air, and get that positive attitude going for the day on the Iron Horse Trail.

With her head moving from side to side, those big German Shepherd ears are up and ready for anything, Mika is happy to be going onto "her trail". "Don't pull my arm like that!" I command. Mika is hearing none of it, she is "on a walk" and nothing else matters. Like sports car enthusiasts who live for an on-ramp, shepherd dogs live for a walk.

According to Alamo Real Estate professionals, a great benefit of living in the San Ramon Valley in the East San Francisco Bay Area is being able to enjoy use of the Iron Horse Trail. The trail, appropriately-named after early Indians dubbed a steam locomotive an "Iron Horse", stretches south from Concord through Walnut Creek, Alamo, Danville, San Ramon all the way to Dublin and Pleasanton. It passes through Contra Costa and Alameda Counties. This great trail is relatively flat, paved, and well-maintained. The roughly 33-mile trail was built after the Iron Horses of the Southern Pacific Railroad became silent and abandoned the land in 1977. Serving as an important recreational and even commute choice for the communities it passes through, it poses the thought: "Why not take my bike to shopping, to the store, or even skate to work?" I, for one, cannot offer an excuse as to why not as the trail is open most all of the day from 0500 am until 10:00 pm.

Arriving at the turn-around point on our walk, Mika has slowed down a little and is now acting her 88 people-years of age. Somewhere along the way, she greets her friend Sarah, a black and brown Shepherd, as well as every other dog she sees while "getting her dog news". She also knows it is time for us to stop in and relax while getting some chow at one of the nearby restaurants. People have to "get the news" too. Remarkably, restaurants are friendly here to the dog population, and Mika, for one, really appreciates it.

A great benefit of this fabulous trail is that one may find food (I like Alamo Plaza and Danville for several breakfast and lunch haunts) in many places if the need strikes you, or if you just want to sit, share a cup of coffee, and chat with fortunate local residents. Restaurants in Alamo include MaggieRay's stellar barbeque for yummy ribs, pulled pork and tasty salads. Cherubini Coffee shop, Starbucks, and Peet's Coffee offer great sit around and chat places too. In nearby Danville, the best breakfast is to be had from historic Vally Medlyn's restaurant.

The Iron Horse connects almost seamlessly to four other great Trails: the Ygnacio Canal Trail, the Contra Costa Canal Trail, the Las Trampas to Mt. Diablo Regional Trail, and the Briones to Mt. Diablo Trail. Close by, in several of the communities the Iron Horse passes through, are entrances to the huge Las Trampas Regional Park as well as close-by access to the beautiful Mt. Diablo State Park. However, one should reserve the Las Trampas and Mt. Diablo trails for more serious hikes whereas the Iron Horse is for everybody.

The Iron Horse Trail transits many residential neighborhoods, along canals and a golf course, and is near Hap Magee Park in Danville. Hap Magee Park is now famous as a great dog park, and is especially popular with Mika's new friend "Nicki".

Ok, now brunch is over and it time to head home to her relaxing bed. Mika is happy overall in having the best walk she has ever had. Like me and to her, every walk along the Iron Horse is the best walk we have ever had.

What a wonderful home Alamo is to live in, and a great place to buy real estate. Perhaps the wonderful perk of the Iron Horse Trail will be yours to enjoy too.


Michael S. Hatfield invites Home property Buyers and Sellers to search listings of homes for sale on his website http://www.alamoluxuryhomes.com. To better assist Clients, this site is enabled in several languages. The site includes tips on how to prepare your home for sale, provides the latest Real Estate News, gives info on where to dine locally or get a Contractor, find a bouquet of flowers as well as a virtual multitude of really useful stuff. Alamoluxuryhomes.com allows the client to setup a Listing Manager Account so that a client can store properties they are interested in, as well as save property searches for retrieval and study later. Log in to http://alamoluxuryhomes.com and get the help you need so get the absolute best Real Estate deal.

Mexico Real Estate's Gems - Cancun Compared to Puerto Vallarta

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Mexico real estate has many excellent locations for Americans and Canadians to consider; two that stand out as exceptional choices are Cancun real estate and Puerto Vallarta real estate. The following is a comparison of some similarities and differences.
Similarities
Beachfront - Both Cancun and Puerto Vallarta are located on some of Mexico's finest beaches. In both places, beachfront properties are readily available and life on the beach can be enjoyed directly at your "front door." Both locations also offer nice properties back from the beach with close driving access to enjoy a walk in the warm sand, or a cold drink on a sunny day.
Luxury Properties - The properties available in both locations are very nice, with spacious design, nice views, high-quality finishing details, onsite amenities (in the case of condo complexes) and full modern connections for everything from basic electricity to high-speed internet. A beachfront lifestyle can be enjoyed in comfort.
Pricing - Just as important is that these luxury properties can be found in both Cancun and Puerto Vallarta for prices accessible to the average American budget. Financial tools such as mortgages help to make this even more accessible. The cost of day-to-day life is also considerably lower, making life's little luxuries much easier to afford.
Modern Services - Both locations have grown to be Mexico's top tourist destinations. Along with this large-scale tourism have come many modern services including activities like boat tours, sight-seeing tours, movie theaters and professional golf, as well as day-to-day necessities like Walmart, Home Depot, modern malls and top of the line clinics and hospitals.
Differences
Pacific vs. Caribbean - Puerto Vallarta is located on the Pacific Ocean, offering beautiful views of splendid sunsets where it looks like the sky is on fire. The Pacific Ocean also offers some unique oceanfront activities like surfing. Cancun, on the other hand, faces east on the Caribbean.
Views - Puerto Vallarta not only offers views of the Ocean, but also of the beaches stretching out along the bay and the surrounding mountains. Cancun offers views of it's very wide, white beaches, and the uniquely turquoise Caribbean beyond - beaches that many consider to be most beautiful in the world.
History - Puerto Vallarta has its Old Town, and is not too far away from the birth place of Mexico's famous liquor, the Tequila Valley. Cancun's is close to many Mayan ruins, and about 1.5 hours from the awe-inspiring Chichen Itza pyramids, now one of the new wonders of the world.
The choice between these two locations can be a tough one, and is largely dependent on personal taste. In either case, a buyer will be enjoying a beachfront lifestyle at its best, at a price they can afford!
TOPMexicoRealEstate.com; Mexico's Leading Network of Specialists for Finding and Purchasing Mexican Properties Safely

1 Ocak 2013 Salı

As The Fiscal Cliff Approaches, Time To Reflect With A Little Music For Thought: “This Is Not America”

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There was a move made a while back called “The Falcon and the Snowman” and it was about who selling America out and it was a good movie and the soundtrack alone was equally as good as the movie and one song that sticks in my brain today is this one as a “normal” environment we have known for years is changing and are we in a place that is no longer familiar to us in many ways…in watching our government with trying to agree and collaborate with solutions, which doesn’t seem to be going very well, this song keeps kicking around in my head (lyrics below) “this could be a miracle”?  How many snowmen are there out there?  Anyway the lyrics seem to somewhat say this is not the same as the country I grew up in as we watch current events and values get replaced  with new ones that seem to leave out some of the greatness of the past, inequality seems to be the big one that comes to mind. 





A little piece of you
The little peace in me
Will die
For this is not America
Blossom falls to bloom
This season
Promise not to stare
Too long
For this is not a miracle
There was a time
A storm that blew so pure
For this could be the biggest sky
And i could have
The faintest idea
Snowman melting
From the inside
Falcon spirals
To the ground
So bloody red
Tomorrows clouds
A little piece of you
The little piece in me
Will die
For this is not America
There was a time
A wind that blew so young
For this could be the biggest sky
And i could have the faintest idea
This could be the biggest sky
This could be a miracle


http://www.youtube.com/watch?v=MJRF8xGzvj4

Hospital Facility Fees Up for Discussion Again as Out of Pocket Costs Rise for Patients When Hospitals Buy Physician Practices And Appear to be Growing

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Facility fees are allowed by Medicare for hospitals to charge and these are tacked on, separate from medical services received.  More and imagemore of these types of charges are appearing on medical bills, especially ones set up for outpatient services.  Sometimes insurers do not pay the fees and thus some patients begin looking for doctors who do not have this charge.  Facility fees are amounting up to a billion dollars a year that Medicare pays, so you wonder what is accomplished here as practices can charge more that are owned by hospitals too so does Medicare get the double whammy when they are trying to save money? 

So as a patient, pay attention if you can to if your doctor’s practice was sold to a hospital as you may begin seeing those soon.  The story quotes one woman getting a facility or services fee for 8k, so of course that was negotiated down by the insurance company and and she ended up having to pay over a thousand of that fee.  Better disclosure is certainly needed as they are not always posted either.  They all do it and back in 2009 I wrote about the fee that Cleveland Clinics charge and the $55.00 fee looks rather small compared to what is being charged now with some of these fees.  BD

Cleveland Clinic “facility fee” or “hospital services fee” has Patients up in Arms


One family accustomed to paying about $120 in out-of-pocket costs for doctor visits and other medical services was outraged when their costs for similar visits soared to $1,000, Mullin said.

The reason for the increase: The physician practice had been bought by a local hospital, and “all of a sudden everything was charged differently,” said Mullin, a Republican.

The higher bills reflected “facility fees.” For years, hospitals that own physician practices and outpatient clinics have been allowed by Medicare to tack on these fees, separate from bills for doctors’ services, for the use of the facilities. As hospitals buy up medical practices and set up outpatient treatment centers, more of these fees are showing up on patients’ bills.

http://articles.washingtonpost.com/2012-12-23/national/36017221_1_facility-fees-hospitals-face-medicare-costs

Bill McDonough at Zeitgeist '07

To contact us Click HERE
Bill McDonough at Zeitgeist '07 Tube. Duration : 20.22 Mins.

Session Title: The Green Collar Worker We're beginning to realize that all of us aren't just connected by the Internet; we're connected through the things we produce. McDonough, co-author of the seminal "Cradle to Cradle," has for years been a passionate advocate of green supply chains and living buildings. In this session, McDonough will discuss examples where companies have completely rethought their entire process of designing and delivering products to ensure they better mimic the natural world around them.
Keywords: Google, Zeitgeist

Almost Wasn't - A Memoir Of My Abortion And How God Used Me

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