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“We are very proud of the results of recent polls that show BlackBerry has passed Palm and [stayed ahead] of the iPhone as the number one smartphone among physicians,” said Sheldon Hebert, Director, Public Sector, Healthcare and Education at BlackBerry-maker Research In Motion during a webinar last week. Hebert said that BlackBerry is having such success in healthcare so far because of its ability to provide security and privacy management. BlackBerry is the default handheld device for healthcare, Hebert said.
While Manhattan Research has reported that BlackBerry remains in the top spot for most popular smartphone among physicians, the combined total for physician adoption of iTouch devices with iPhone devices is greater than adoption of BlackBerry devices among that group. In the past, that may not be viewed as a fair comparison, however, iTouch devices run over WiFi and on the whole function as iPhones without cellular coverage.
Hebert noted during the webinar that Research In Motion is now offering a somewhat similar offering: SIM-optional BlackBerry devices that run only on a facility’s in-house WiFi so care facilities can leverage their own wireless networking assets.
With SIM-optional devices, you don’t need to pay an ongoing service charge each month, Hebert explained. You can deploy these devices at capital cost. One of the arguments we have heard is that overall monthly costs are one key obstacle for getting devices into people’s hands, he explained. Also, I know not all wireless carriers are going to have 100 percent penetatrion inside every hospital system, but being able to use a WiFi network will improve coverage, Hebert said.
“This is huge,” Hebert said.
There is a lot of attention being paid to apps out there, Hebert said. From a BlackBerry perspective, we are born for the enterprise and happy serving it, which is why we see the opportunity in “super apps,” or those that actually change the way the business is done, Hebert explained. Our partner dbMotion is a perfect example of what a “super app” should look like since it delivers the right info to the right person at the right time. Healthcare systems are beginning to test out electronic medical records apps on smartphones but these apps are “usually cumbersome and slow to navigate” so adoption has been slow, according to Hebert, but dbMotion can make the right kind of EMR data accessible via BlackBerry devices to physicians at the right time.
Hebert also made the point (more than once) that the apps that BlackBerry is focusing on are distinct from other “goofy” apps and “games” that get so much attention — assumedly, he’s referencing Apple’s varied iPhone health apps.
Super apps are the right applications that will help people make more informed decisions at the point of sale or point of care, Hebert said. For us, from a BlackBerry perspective, the focus is not necessarily on “fun” apps, but it’s more about changing the way business is done through an enterprise application and approach.
I wouldn't go a single day without good health insurance, and I wouldn't let any of my family be without this protection. Annual physicals and random checkups are one thing, but having insurance in case of a major emergency is absolutely essential.
I never had to think about health insurance while I was at Apple, but once I quit, I was on my own. Since our country doesn't give us health care, we have to do all the research on plans and rates.
Here are my findings, thoughts, and recommendations after setting up health care for Posterous. This isn't meant to be definitive in any way. I would love feedback and suggestions.
When I left Apple, I elected to go on Cobra so I wouldn't have to spend time researching
When we Posterous in June, 2008, I elected to continue my Apple health care through COBRA. I was paying over $400 per month, so it wasn't cheap, but it meant I didn't have to think about health care for a while.
When you are starting a company, you want to spend every waking moment coding and building. Trying to figure out which health plan to sign up for was not good use of my time. Instead, I paid the premium and knew I had great coverage.
If you can get it, Anthem Blue Cross Tonik is a great option for cheap health care
The requirements are strict, but Anthem Tonik plans are great if you can get one. These are meant for young, healthy people. You get a few doctor visits a year, a dental checkup, prescriptions, all the basics included. Anything after that falls into a high deductible.
Most startups go with high deductible plans, but these incentivize you to skip going to the doctor when you are sick
The most common health insurance plan I see people signing up for is Anthem Lumenos. This plan is designed for companies who want to keep costs low. It covers preventative care, but everything else falls under a high deductible.
What I didn't like about this plan is it disincentivizes you from seeing a doctor when you are sick. Do you have a cold? Do you need a prescription? If you know you'll be paying out of pocket for this, you might choose to skip it. I wouldn't want someone at Posterous to skip medical care they want.
For Posterous, I chose a high deductible plan that still gives you office visits and prescriptions
After doing a lot of research, I chose to go with the Anthem Solution plan. It's similar to Anthem Lumenos in that it's a high deductible PPO. But the main difference is normal office visits and prescriptions are covered, even before you satisfy the deductible.
The max out of pocket is higher for Solution than it is for Lumenos, but I think that's a fair tradeoff. I'd rather optimize for the common case (random doctor visits) than for the edge case (major medical emergency).
It's actually really unfortunate that we have to think about these issues at all. We shouldn't have to make sacrifices when it comes to health care.
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Celebrating a storied tradition of clinical care, education and research
The UAB Division of Pulmonary, Allergy, and Critical Care Medicine was founded in 1955 by Ben Vaughan Branscomb who served as its Director until 1970. Dick Dowling Briggs, Jr. (Division Director, 1971 – 1992) succeeded Dr. Branscomb and continued to build on the strong foundation set by him to develop the Division into one of the premier programs in the country.
To celebrate the legacy and contributions of Drs. Branscomb and Briggs, the Division established the inaugural Branscomb-Briggs lectureship on March 5, 2010 at UAB. The first lecturer was Dr. Stephen Rennard, Larson Professor of Medicine in the Pulmonary and Critical Care Medicine Section at the University of Nebraska Medical Center. Dr. Rennard’s lecture on “COPD in the Emerging Era of Personalized Medicine” was well received by all, including the honorees who are also his close friends. The evening celebration shifted to the Harbert Center where Drs. Branscomb and Briggs were “toasted and roasted” by former fellows, colleagues, and friends. The event was attended by over 100 guests from Birmingham and surrounding communities, many who were trainees under these former Division Directors.
The Division has continued to grow under the subsequent leadership of K. Randall Young, Jr. (1992-2007), James E. Johnson (2007-2009; Interim Director), and Victor J. Thannickal, the current Division Director. The Division currently holds 36 full-time faculty members with a primary appointment in the Department of Medicine. The Division is committed to excellence in clinical care, integrated approach to education, and innovative research.
Excellence in Clinical Care – Focus on Critical Care
The Division is responsible for the care of critically ill patients in our Medical Intensive Care Unit (MICU), hospitalized patients in a dedicated pulmonary in-patient service (6-South), and consultant support for patients on other wards and ICUs. All of our clinical faculty see ambulatory patients in the Kirklin Clinic, accounting for over 12,500 patient visits per year. Other specialized services include diagnostic and interventional bronchoscopy services, pulmonary function testing, cardiopulmonary exercise testing, sleep-wake disorders center, and specialized clinics related to cystic fibrosis, lung transplantation and interstitial lung disease. We are working with the UAB Health System in expanding these specialized “pulmonary service lines” as well as in providing comprehensive and coordinated care for critically ill patients in our ICUs.
The MICU currently carries three housestaff teams with thirty to thirty five critically ill patients at any given time. These patients have a variety of illnesses, including acute respiratory failure, severe sepsis, acute respiratory distress syndrome, renal failure and cardiac failure. Protocols have been implemented to ensure that patients consistently received evidence-based care. Patients with severe infections are managed with a sepsis protocol. Patients on mechanical ventilators are managed with a lung-protective ventilator strategy. Patient safety interventions are employed and measured for compliance. These include prophylaxis for venous thrombosis, gastrointestinal bleeding and a bundle of interventions for prevention of ventilator-acquired pneumonia and central line infections. Adherence with all of these exceeds the goal of 90%. The MICU rotation has repeatedly been selected by internal medicine residents as being among the best educational experiences of their inpatient rotations.
Integrated Approach to Education
The Division is committed to training the next generation of pulmonary and critical care specialists by ensuring the acquisition of requisite diagnostic and procedural skills in the evaluation and management of patients with pulmonary disorders and critical illness. The Division has a history of outstanding teaching with numerous awards from the Department of Medicine. Over the past year, a number of new faculty have been recruited to the Division who have expanded the educational activities in interventional bronchoscopy and interstitial lung disease. The Division’s educational mission benefits greatly from the wide range of expertise among the faculty in the areas of airways disease, including COPD, asthma and cystic fibrosis, lung transplantation, bronchoscopic procedures (e.g. endobronchial ultrasound-guided biopsies), and sleep disorders. The educational mission also benefits from the inter-disciplinary interactions with teaching faculty in the Departments of Pathology, Anesthesiology, Radiology and Surgery.
Scholarship and research is expected during fellowship training and faculty mentorship is fostered. Two training tracks – the Clinician-Educator and Physician-Scientist – have been implemented to facilitate this goal. Recent and current fellows have pursued graduate degrees through the Department of Public Health and the Department of Physiology and Biophysics. An NIH T32 Training Grant in Lung Biology and Translational Medicine was submitted this year to facilitate the development of physician investigators.
Innovation in Research
Research in the Division spans studies on basic cellular/molecular and immunologic bases for lung disease, translational approaches in biomarker/drug discovery, and clinical trials for patients with sepsis, IPF, CF, and COPD. Total research funding in the Division is now over $8.8 million per year, which represents a more than doubling of funding during the previous year. Here, we highlight research in the laboratories of Dr. Chad Steele and Dr. Ed Blalock.
Research in the Dr. Steele laboratory is broadly based in lung immunology and host defense. A particular focus of the laboratory is on understanding myeloid cell-mediated innate immune responses against opportunistic fungal pathogens that cause life-threatening lung infections in immunocompromised individuals with such diseases as HIV, COPD and leukemia. Dr. Steele’s research on the fungal pathogen Pneumocystis carinii has uncovered a novel Src tyrosine kinase signaling pathway that regulates the magnitude of the lung inflammatory response as well as change the pattern of alveolar macrophage activation. This pattern of macrophage activation, termed M2a, is associated with more efficient elimination of P. carinii from the lungs, yet has not been described in P. carinii host defense. Dr. Steele’s research team is currently characterizing multiple M2a-associated innate host defense molecules in an effort to understand what influences alveolar macrophage effector responses against P. carinii. The overarching goal of this work is to uncover new innate immune pathways that can be therapeutically augmented in the setting of immunosuppression and immunodeficiency for the treatment of P. carinii pneumonia. In a second project, Dr. Steele’s research team has discovered an essential role for a myeloid-associated fungal recognition receptor, Dectin-1, in lung innate immune responses to the fungal pathogen Aspergillus fumigatus. Dectin-1, which recognizes beta-glucan carbohydrates found in the cell wall of all medically-important fungi, controls the production of multiple inflammatory cytokines, including IL-17. Dr. Steele’s lab has recently reported a role for IL-17 in A. fumigatus lung defense and has recently been awarded a 2-year ARRA R01 and a new, 4-year R01 focusing on the lung cell source of IL-17, which pathways drive the development of this cell population and the downstream IL-17-associated mechanisms that promote elimination of A. fumigatus from the lungs.
Research in the Blalock group has focused on pathways of pulmonary inflammation. Specifically, Dr. Blalock and colleagues have described a novel neutrophil chemoattractant, proline-glycine-proline (PGP), in chronic inflammatory lung disorders. In addition, this group has also determined the specific proteolytic cascade involved in PGP liberation from collagen, highlighting numerous potential therapeutic targets in this unique inflammatory pathway. This work has been published in Nature Medicine, Journal of Immunology, and Journal of Neuroimmunology. In more recent work (under review at Science), Dr. Blalock and Wellcome Fellow, Dr. Rob Snelgrove, in collaboration with pulmonary faculty members Drs. Amit Gaggar, Pat Jackson, and Steve Rowe, have demonstrated a novel endogenous anti-inflammatory pathway for PGP. This work focuses on the enzyme, leukotriene A4 hydrolase (LTA4H), which is known to generate the pro-inflammatory molecule, leukotriene B4 (LTB4) via its hydrolase activity. In contrast, the Blalock group discovered that the aminopeptidase activity of LTB4 mediates anti-inflammatory effects by degrading PGP. These findings have implications for therapeutic strategies that target LTA4H to prevent LTB4 generation since this may inadvertently lead to elevations in PGP and neutrophilic inflammation. This work was made possible through a state-of-the art Pulmonary Proteomics facility and Drug Discovery Program affiliated with the UAB Lung Health Center. Dr. Blalock will be honored with the Max Cooper Award for Excellence in Research for 2010 at a reception to be held on Tuesday, May 25, 2010.
Source: LA Times
Reporting from Washington
Raw materials used to make over-the-counter infant's and children's medications, which are subject to a massive recall, tested positive for bacterial contamination, according to a Food and Drug Administration inspection report released late Tuesday.
McNeil announced a recall of more than 50 variations of infant's and children's Tylenol, Motrin, Zyrtec and Benadryl on Friday.
FDA officials said they were not aware of any reports of illness connected to use of the recalled products, and they described the chances of harm as remote in a press teleconference call late Tuesday.
But Commissioner Margaret Hamburg nonetheless repeated terse advice for parents: “Please discontinue using any of the name-brand products being recalled.”
Read more: http://www.latimes.com/business/la-fi-tylenol-20100505,…
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26-27 May 2010, Bucharest, Romania.
E-health Congress 2010 is organized under the High Patronage of President of Romania and the auspices of the Romanian Ministry of Health, the motto of this year event is “E-Health Revolution: Impact Over Medical Practice and Economy”.
By following the successful 4th edition of the last year e-Health Conference held in Bucharest, the aim of e-Health Congress 2010 is to bring together experts from academia, industry, local and regional healthcare institutions to stimulate cutting-edge discussions, share experience with real-world healthcare service providers and policy makers as well as to provide numerous business opportunities.
E-Health Congress 2010 will gather decision makers and key players interested to share their ideas and aspirations and motivated to learn from successful achievements and projects.
E-Health Congress 2010 confirmed speakers are:
- Attila CSEKE, the Romanian Minister of Health
- Nicolae Lucian DUTA, the President of the National Health Insurance House
- Gabriel SANDU, the Romanian Minister of Communication and Informational Society
- Marius Savu, Director, Hospitals Administration and Services, Bucharest City Hall, Romania
- Alexander SCHANNER, Program Manager Arge Elga, Austria
- Mark LANGE, Secretary General of the European Health Telematics Association (EHTEL),Belgium
- Peter CHRISTEN, Head of Healthcare Department, IBM, CEEMEA
- Yunkam KWANKAM, Executive Director, International Society for Telemedicine and eHealth, Switzerland
- Dr. Gyory SURJAN, Head of the Dept. of Informatics – National Institute for Strategic Health Research, Ungaria
- Gerry ALLMARK, Director Telecare Services Association (TSA)
- Prof. Osman SAKA, Head of Dep. Biostatistics and Medical Informatics, EFMI Turkey Representative
- European Representative from the International Council of Nurses
For further information and registration, please visit:
http://www.ehealth.tarusmedia.ro
This post originally appeared on Think Progress.
On July 1st, the Affordable Care Act will begin providing temporary health care coverage to Americans who can’t find affordable insurance in the individual health care market through high-risk insurance pools. The law allows states to decide whether they will 1) participate in a new high-risk health-insurance pool, 2) build on an existing program (if they have one), 3) establish a separate state-based high risk pool with federal funding, or 4) do nothing at all, in which case, the federal government would come in and administer the program. Last month, HHS Secretary Kathleen Sebelius wrote states to ask how they plan to implement the high-risk insurance pool provision. Last Friday, most of the states responded:
The states that opted out of the program complained that the $5 billion in federal dollars would not be enough to fully fund their pools, and they said that they could not cover the uninsured with state funds. While their concerns are not without merit, they raise two important questions. First, if the states can’t find enough dollars to cover the uninsured for three and a half years, how in the world would they have enough money to develop reform on a state level, as Republicans argue they should? And second, why are these mostly conservative states, relying on the federal government to cover the uninsurable population? The Wonk Room has more.
(Map designed by Nick McClellan.)
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Celui qui me connaît peux vous dire que quand il s'agit de musique R & B, Soul spécifiquement / musique Neo-Soul, je suis un grand fan (comme dans l'abréviation de fanatique). Peu importe le surnom donné à cette sous-catégorie de R & B, c'est la musique qu'il me semble que je l'écoute. Si j'écoute ans notamment dix CD à partir de maintenant, par exemple, Maxwell's Urban Hang Suite ", il apporte automatiquement me ramène à ce moment-là dans ma vie lorsque je l'ai entendu dire, et la magie de ce que je ressens ne disparaît jamais ( mais c'est une autre histoire pour un autre jour). Si quelque chose, cette musique est comme la nourriture pour l'âme (ou du moins mon âme). Donnez-moi un comble tout de Maxwell, avec un soupçon de D'Angelo, la cuillère sur un côté de Jill Scott, saupoudrer un peu de Leela James, il beurre avec Angie Stone sur le dessus, et bien assaisonner avec quelques Musiqsoulchild, et me regarder gorge sur une fête musicale! Cependant, comme je regarde BET et écouter la radio à New York (si vous n'avez pas lu mon profil, je vis dans le merveilleux, mais l'état très surestimée de New York), j'ai d'abord s'ennuyait, puis agacé et maintenant dégoûté par ce que je voir et entendre dans la musique R & B d'aujourd'hui. Par exemple, dans un délai de deux heures, j'ai entendu Beyonce quatre fois entre deux stations de radio. Cependant, lorsque je tente d'entendre un peu Erykah Badu ou Floetry, j'ai la chance d'entendre au moins une de leurs chansons à la radio ou voir leurs vidéos pendant toute la journée. Quand il s'agit de les dames de R & B, il ya une monotonie du son et de l'apparence qui est promu à la radio et de télévision grand public. Par conséquent, cette surexposition de ces personnalités de feuilles les artistes qui possèdent un réel talent et de l'individualité. Par conséquent, la musique R & B est désormais dominé par des artistes emporte-pièce qui se ressembler. Cela est particulièrement vrai des dames de R & B. Maintenant, avant de poursuivre, je veux juste commencer ma déclaration à la présente, je ne suis pas haïr sur ces chanteurs, mais il semble que la radio (ainsi que des vidéos de musique) est inondé de wannabes Beyonce-dames d'un caramel (ou plus léger) le teint, avec des cascades de miel cheveux blonds qui ne sont plus grand que la taille de quatre. De Christine Milian, à Olivia (la chanteuse du G-Unit), à Assassiner Inc Ashanti, de Mariah Carey, ces dames possèdent un aspect similaire et ont un style très comparable de la musique. Même Mme Jay (pour ceux d'entre vous qui sont America's Top Model Junkies, il est l'un des juges de l'émission), a noté dans un article de magazine sur la façon dont un grand nombre de ces dames ne sont plus que Beyonce ou J-Lo imitations. Or, tandis que je prétends qu'ils sont beaux, certains d'entre eux ne sont pas exactement artistes que je voudrais à payer pour voir en concert (s'il vous plaît noter que dans ce cas, je ne parle pas de Beyonce - elle est l'une des rares personnes qui peut chanter en direct) . Pour certains de ces pseudo-divas qui exécutent devant un public, ils sonnent et je vais mettre ce que bien que je peux-fade, sans intérêt, ennuyeux, et dans certains cas, terrible. A il ya quelques mois, Youtube.com avait des images de Cassie qui ont essayé de faire une performance en direct sur BET. Au mieux, c'était affreux. Maintenant, gardez à l'esprit c'était quelqu'un qui avait une chanson sur les dix premiers du hit-parades avec son one-hit wonder "Me and U." Sondage rien de tel que son enregistrement, elle est tombée et murmura à travers le chant en laissant une très mauvaise impression sur tous ceux qui ont vu le spectacle. Toutefois, divas vrai, ceux qui peuvent vraiment tirer leur épingle dans le studio ainsi que sur la scène, ne sont pas près d'obtenir le temps d'antenne ou de l'attention qu'ils méritent. Cela est surtout vrai pour les femmes qui ne rentrent pas dans l'image l'emporte-pièce qui a dominé l'industrie de la musique pendant un certain temps. Par exemple, lorsque Jill Scott premier est sorti, je me souviens avoir lu une interview où elle a raconté son expérience de la recherche d'un label à son signe. Elle ne voulait pas envoyer des coups de tête avec sa bandes démo, parce qu'elle voulait que l'accent soit sur sa musique plutôt que son apparence. À une époque où plus de filles et jeunes femmes sont bombardées d'images de petite ossature, Big Booty femmes noires qui sont la peau claire et aux cheveux longs (si la coiffure est à la maison de production ou cousues sur). On pourrait penser que dans un effort pour apporter un peu de variété et l'équilibre indispensable à l'antenne, des artistes comme India.Arie, Corrine Bailey Lynn ou Pru obtiendrait en même temps d'antenne pour montrer la beauté qui vient sous toutes ses formes et, plus important, montrer la diversité des styles musicaux et des sons. Il semble que les points de vente des grands médias sont autant le problème de ne pas faire assez pour la promotion de ces types d'artistes. Par exemple, le Juin 2006 de Essence Magazine en vedette un article sur India.Arie quand son troisième CD est sorti plus tôt en 2006. Plutôt que de respecter sa capacité à chanter et à jouer de la guitare acoustique, pas exactement quelque chose de beaucoup de femmes noires ne soit dit en passant, la pièce se concentre sur ses «trop profond» et comment elle peut faire fuir les auditeurs. Un DJ de New York qui a été interviewé pour la pièce a eu l'audace de dire que India.Arie était tout simplement trop "moralisateur", mais si elle avait une fille, elle aurait mieux aimé lui faire entendre India.Arie 's "I Am Not My Hair "contre Beyonce" Check On It ». Tout simplement parce que ce notamment DJ peuvent ne pas être dans le message orientée vers la musique de India.Arie ne veut pas dire auditeurs doivent être nourris de force à plusieurs reprises la jonque même joué à la radio et présenté sur les vidéos de musique. Que faire si cette attitude de style sur le fond existait retour dans la journée? Il n'y aurait pas Aretha Franklin, Gladys Knight ou Pattie LaBelle. Ces sont des femmes très à la peau brune qui se vantait caractéristiques afro-centrique (lèvres épaisses ou un nez large), où ils collent pas les femmes minces. Toutefois, lorsque vous entendez ces femmes chantent, à quoi ils ressemblaient n'était pas important parce que vous senti quelque chose quand vous avez entendu les chanter. Si un frisson ne va pas dans le dos la première fois que vous avez entendu signe Pattie "Si tu savais", Aretha's "Natural Woman», ou Chaka Khan "I'm Every Woman", alors vous devez avoir été mort. Avec certains de ces chanteurs R & B d'aujourd'hui, je n'ai pas ce sentiment à tous. Les paroles sont génériques (au mieux); l'arrangement des chansons sentent surproduction et ils s'appuient sur des beats de base en charge dans un effort pour compenser les voix faibles. En outre, il semble que les mêmes producteurs travaillent avec les mêmes chanteurs (à la fin de la journée, combien de personnes peuvent Puffy Pharrell ou Jermaine Dupri produire?). Alors que A & R ministères sont rien de nouveau à l'industrie du divertissement, il semble évident que plus les efforts sont faits à obtenir une artiste styliste haut entaillé plutôt que d'une voix-formateur, car il est devenu plus à l'image de la musique. Ne pas être grossier, mais si vous voulez aller en beauté, être un modèle, pas un chanteur. la musique R & B et de ses chanteuses viennent dans différentes formes, de sons et de styles. Tout le monde ne doit pas ressembler à un Mocha Latte couleur poupée Barbie, afin de faire entendre leur voix à la radio ou leur vidéo diffusée sur MTV ou BET. Maysa (Jazz / R & B chanteuse), comme il a une grande place à la radio et de télévision grand public en tant que Cassie. À la fin de la journée, un artiste ne devrait pas l'impression d'avoir à trahir ce qu'ils sont (présentation ou le son d'une montre) afin qu'ils puissent obtenir des temps d'antenne. En fin de compte, on ne peut pas rejeter la responsabilité de l'audience à la demande une plus grande variété dans la musique R & B qu'ils entendent et voient à la radio et la télévision. Il commence avec les auditeurs et les téléspectateurs à écrire des lettres, car à la fin de la journée, un appel téléphonique peut être ignoré, mais les lettres sont trop tangible à être rejeté. Ils doivent d'abord se poser la question de savoir pourquoi est-ce que les auditeurs / téléspectateurs sont bombardés avec le même son et des images. Une fois que la question est soulevée, les gens doivent changer la demande suivante à partir de ces stations de radio et de télévision. Si les pouvoirs en place à ces stations refusent de changer, les gens doivent passer à l'étape suivante et de ne pas écouter ou regarder ces stations. Une fois qu'ils perdent des auditeurs et des téléspectateurs, les stations vont perdre des recettes publicitaires. Parfois, pour évoquer le changement, vous devez tirer sur les gens dans les carnets. Lorsque la promotion de la monotonie et la médiocrité de la musique n'est plus rentable, plus de diversité et talent sur les ondes et le statu quo ne peut éventuellement changer. Par conséquent, moi aussi je doit prendre des mesures si «un changement va venir" dans la musique (pour vous-hardcore neosoulists qui chanteur R & B a chanté que cette expression dans son CD?). Cela signifie-moi aller à la montre de métro qui présentent les talents qui ne reçoit pas de temps d'antenne réelle à la radio ou la télévision. Cela signifie que je vais faire un effort conscient de ne pas écouter en prime-time des émissions de radio et de télévision qui refusent de diversifier leur playlist de musique ou de la programmation afin d'y inclure un plus grand nombre d'artistes ou de spectacles. Enfin, puisque j'aime écrire et autant de musique, je vais partager avec mes amis collègues (et futurs amis) de sensations musicales que j'ai eu le plaisir de vivre. Par conséquent, soyez prêt à en savoir plus sur Maysa, Pru, Algèbre, Frank McComb, Raul Midon et une foule d'autres personnes qui mettront le non-sens que nous entendons à la radio et de télévision de la Commission. Sites Internet utiles pour plus de Neo-Soul / R & B artistshttp: / / www.soultracks.com/index.htm- Après avoir découvert ce site par hasard en essayant de retracer les allées et venues en cours de Maxwell (ou comme j'aime à le dire, mon mari dans ma tête), j'ai découvert ce site merveilleux que fonctionnalité R & B, Soul, Jazz, Fusion Jazz, des artistes de gospel. Vous pouvez même écouter un extrait des chansons de leur CD. http://www.soul-patrol.com/-Another site qui est dédié à la magnifique spectacle de la R & B. Ce site a classé la musique tels que Neo Soul, Old School, dans le sud Classic Soul pour n'en nommer que quelques-uns. Toutefois, l'alerte, ce site peut être un peu difficile à naviguer et il a streaming audio constant de divers chanteurs et des entretiens (ce qui peut être gênant si vous essayez de mettre l'accent sur un artiste en particulier sur ce site). http://www.thebadboyfanclub.com/bside/archives.html- Pour ceux d'entre vous qui sont familiers avec Michael Basden, il est l'auto proclamé mauvaise garçon de la radio. Je me souviens quand il vient tout juste sur la scène New York, une radio il ya quelques années et maintenant il est syndiqué. Avec ses thèmes provocateurs comme Pimps, à la chaire et les couples qui Swing, qui génère beaucoup de débat entre lui ses invités et les auditeurs, il a aussi une fonction appelée B-Sides. The B-Sides est dédié à donner de temps précieux pour la radio merveilleux artistes qui, malgré leurs talents et leurs capacités, ne pas leur travail présenté sur les médias grand public. Toutefois, ce qui rend ce segment brillant, c'est qu'il n'a tout simplement pas se concentrer sur de nouveaux artistes, mais il caractéristiques des personnes qui ont été dans l'industrie (mais ne peut pas être bien connu dans le pubis en général). Il donne même le temps de quelques artistes anciennes écoles que vous avez oublié votre cœur jusqu'à ce que vous les entendre à nouveau. Je ne peux pas attendre jusqu'à ce qu'il devienne la télévision!
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Those vulnerable Democrats whose votes for health care reform were predicated on the conceit that it would not add to the nation’s bloated deficit have today found themselves in a precarious position, as a new report by federal regulators indicated the health care remake will add $311* billion to the national deficit over the next ten years.
A report released Thursday by economic experts at the Department of Health and Human Services (DHHS) found the new legislation would add 34 million uninsured Americans to the coverage rolls, but at a significant cost — one that neither the president nor his party anticipated as they approach the midterm elections.
“We estimate that overall national health expenditures under the health reform act would increase by a total of $311 billion (0.9 percent) during the calendar years 2010-2019,” the report, authored by the chief actuary for the Centers for Medicare and Medicaid Services, read. “Although several provisions would help to reduce health care volts growth, their impact would be more than offset through 2019 by the higher health expenditures resulting from coverage expansions.”
The memeorandum also warned the spending hike associated with the legislation may be understated, since the cuts in Medicare may be untenable and impractical.
President Barack Obama insisted the nation’s economic recovery and health care system were inextricably linked, and not reforming the latter could further depress the former. We could not afford not to reform the health care industry, the White House said at numerous junctions in the year-long debate.
“Make no mistake: The cost of our health care is a threat to our economy,” he told the American Medical Association. “It’s an escalating burden on our families and business. It’s a ticking time bomb for the federal budget. And it’s unsustainable for the United States of America.”
Per The American Spectator’s Phil Klein:
But for all the talk over the past year about “bending the cost curve down,” CMS, the agency that is tasked with tracking national health care expenditures, has now projected that the new law will actually bend the cost curve in the opposite direction. That is, up.
Not surprisingly, CMS notes that, “Numerous studies have demonstrated that individuals and families with health insurance use more health services than others-similar persons without insurance.” Thus, expanding coverage will mean greater usage of health care services.
Those House Democrats most vulnerable by their votes include Representatives Brad Ellsworth, Kendrick Meek, John Boccieri, Charlie Wilson, Suzanne Kosmas, Melissa Bean, Joe Sestak, Bill Owens and Chris Carney, all of whom contended, at one point or another over the course of the health care debate, that the legislation would not further saddle the federal government with unnecessary and additional expenses.
Their unfortunate colleagues in the upper chamber, via the Weekly Standard’s Daniel Halper, include Senators Michael Bennet, Barbara Boxer, Russ Feingold, Kirsten Gillibrand, Paul Hodes, Blance Lincoln, Patty Murray, Harry Reid and Arlen Specter.
Suffice it to say: Virtually every Democrat is on the chopping block this cycle.
*The CMS report said spending would increase by $311 billion, not $331 billion, and the post has been updated to reflect that.
SEC. 162. ENDING HEALTH INSURANCE RESCISSION ABUSE.
(a) Clarification Regarding Application of Guaranteed Renewability of Individual Health Insurance Coverage- Section 2742 of the Public Health Service Act (42 U.S.C. 300gg-42) is amended–
(1) in its heading, by inserting `and continuation in force, including prohibition of rescission,’ after `guaranteed renewability’; and
(2) in subsection (a), by inserting `, including without rescission,’ after `continue in force’.
(b) Secretarial Guidance Regarding Rescissions- Section 2742 of such Act (42 U.S.C. 300gg-42) is amended by adding at the end the following:
`(f) Rescission- A health insurance issuer may rescind health insurance coverage only upon clear and convincing evidence of fraud described in subsection (b)(2). The Secretary, no later than July 1, 2010, shall issue guidance implementing this requirement, including procedures for independent, external third party review.’.
(c) Opportunity for Independent, External Third Party Review in Certain Cases- Subpart 1 of part B of title XXVII of such Act (42 U.S.C. 300gg-41 et seq.) is amended by adding at the end the following:
`SEC. 2746. OPPORTUNITY FOR INDEPENDENT, EXTERNAL THIRD PARTY REVIEW IN CASES OF RESCISSION.
`(a) Notice and Review Right- If a health insurance issuer determines to rescind health insurance coverage for an individual in the individual market, before such rescission may take effect the issuer shall provide the individual with notice of such proposed rescission and an opportunity for a review of such determination by an independent, external third party under procedures specified by the Secretary under section 2742(f).
`(b) Independent Determination- If the individual requests such review by an independent, external third party of a rescission of health insurance coverage, the coverage shall remain in effect until such third party determines that the coverage may be rescinded under the guidance issued by the Secretary under section 2742(f).’.
(d) Effective Date- The amendments made by this section shall apply on and after October 1, 2010, with respect to health insurance coverage issued before, on, or after such date.
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Congressional Democrats and Republicans gathered at Blair House for a discussion on health care legislation with President Obama. He first announced the idea for this event during a Super Bowl Sunday interview with CBS news Anchor Katie Couric. Since then, the President has released a health care plan drawing largely from two bills passed by House and Senate Democrats. We heard opening comments from the President and congressional leaders followed by discussions on health care costs, insurance reforms, deficit reduction and expanding coverage.
Yes. If you have unlimited resources as an American you have the best health care in the world. If you are an ordinary citizen you simply don’t. Even the average health care plan generally does not cover the basics like European systems do. All too often Americans find out just how under insured they are when sickness strikes.
http://www.commonwealthfund.org/Content/Publications/In-the-Literature/2008/Jun/How-Many-Are-Underinsured–Trends-Among-U-S–Adults–2003-and-2007.aspx
That’s important because when those people are lucky enough to stay healthy they will never see a problem whatsoever just as their fellow countrymen were just fine with their coverage before tradgedy happened.
http://www.click2houston.com/investigates/12538706/detail.html
http://www.guaranteedhealthcare.org/your_story/my-insurance-company-denied-my-doctors-prescription
http://www.rhonawaxman.com/blog/insurance-company-medical-exam-denied-me-surgery.html
This is the same thing as with the standard of living. Americans have a higher income on average than Americans but more detailed data shows it’s the top 1 percent income earners that’s responsible for the whole difference. Middle clas an poor Americans are much worse of than their European counterparts
That’s ultimately what it is about
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Thank God for small favors.
Gov. Rick Perry tamped out rumors today that he would call a special legislative session to consider whether Texas should seek to exempt itself from federal health care law.
Harris County Republican Chairman Jared Woodfill has circulated a petition in hopes of prompting Perry to call a 30-day special session to consider “nullification” as it relates to health care. Nullification is a largely untested legal theory which holds that states can ignore federal mandates that they feel constitutionally overreach.
“I don’t think there’s any need for any of that,” Perry told The Dallas Morning News.
Nevertheless, he said, he’d listen to legislators wanting to advance the idea. So far, none has contacted him, he said.
“We’re so close to a regular session,” Perry said. “But if members call and say this, we’ll have a conversation.”
My guess is that what Perry will probably say in that conversation is “You do know that I can’t raise money while y’all are in session, right? How am I gonna beat Bill White if I can’t fundraise?” Doesn’t mean a special session couldn’t happen, but that’s the first hurdle to overcome.
Source: The Mirror (UK)
Health chiefs in Britain warned of the dangers of breathing in volcanic ash yesterday as the dust began to fall across the country.
People with breathing difficulties, such as asthma, were advised not to go outside if they see ash settling. If they have to venture out they should wear a mask, said experts.
The World Health Organisation initially sparked confusion when it admitted it did not know the precise risks presented by the ash cloud and urged everyone to stay inside. It later revised its advice in line with the British health experts, but a spokesman insisted the microscopic dust could still be “dangerous”.
He added: “We're very concerned about it. These particles, when inhaled, can reach the peripheral regions of the lungs and can cause problems - especially for people with asthma or respiratory problems.”
Read more: http://www.mirror.co.uk/news/top-stories/2010/04/17/ice… /
There are reports of the ash starting to settle across Britain, too.
Of course, Faux take the fear monger angle with this headline…
Doctor: Volcanic Dust Cloud Increases Risk of Death
-
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HHS Secretary Sebelius to use social networking to get health information to minorities
April 14th, 2010 Sebelius to focus on health of minoritiesNEW YORK — Health and Human Services Secretary Kathleen Sebelius is developing an action plan that will focus on reducing health disparities between minority and white populations. Sebelius made her remarks Wednesday at a convention of the National Action Network.
Midwives ask for recognition of work, incentives
April 12th, 2010 GANDHINAGAR - A convention of around 1,500 'dais' (midwives) from 15 districts of Gujarat has sought recognition of their work with a small monetary incentive to further reduce maternal and child mortality in the state. Mirai Chatterjee, social security director of Self Employed Women's Association (SEWA) said Monday that the day-long convention organized jointly by the Dai Sangathan, a set up of 8,000 members involving 25 NGOs and the state health department, also sought identity cards, training and support for their services, especially in interior villages.
Confidential medical records of Britons sent to India
April 4th, 2010 LONDON - The patient records and confidential medical notes of millions of Britons were being sent to India for processing by the National Health Service (NHS), despite a promise by the government that personal information won't be sent abroad, a media report said. The Sunday Times reported that it was the first time that databases containing names, addresses and NHS numbers of patients were sent abroad.
Prevention of childhood obesity should begin early in life
March 1st, 2010 WASHINGTON - A new study has suggested that efforts to prevent childhood obesity should begin far earlier than currently thought-perhaps even before birth. To reach the conclusion, boffins tracked 1,826 women from pregnancy through their children's first five years of life.
Indian American doctor is New Jersey health chief
January 29th, 2010 TRENTON - New Jersey's Republican Governor Chris Christie has named an Indian American doctor, Poonam Alaigh, as the commissioner of the state Health and Senior Services Department, a cabinet post. Alaigh, 45, has a multifaceted background in health care administration and delivery, including clinical practice, hospital practice, hospital administration, managed care, pharmaceutical medicine, and health care policy.
Trauma care centres along national highways: Azad
December 11th, 2009 NEW DELHI - The government is setting up a network of trauma care centres along the Golden Quadrilateral, and the north-south and east-west corridors of the national highways at a total cost of Rs.732.75 crore, Health Minister Ghulam Nabi Azad told parliament Friday. “The trauma care facilities are established by upgrading and strengthening existing selected government hospitals situated along the national highways in the 11th Five Year Plan,” Azad told the Lok Sabha in a written reply.
Chandigarh to host convention on cancer
December 7th, 2009 CHANDIGARH - Chandigarh will host a national convention on cancer Tuesday to draft a strategy to prevent, detect and treat the perilous disease at an early stage. The convention is being organised by Cancer Care India (CACI), an apex body of regional cancer support groups and constituting a network of 29 member groups across the nation.
Surgeon general laments small number of minority doctors, says better recruiting needed
December 3rd, 2009 Surgeon general: More minority doctors neededATLANTA — The new U.S. Surgeon General on Thursday called for stepped-up efforts in increasing the number of minority physicians.
Written by Jennifer Rogers for RHRealityCheck.org – News, commentary and community for reproductive health and justice.
America’s bicentennial year, 1976, was one of phenomenal events and inventions: Apple Inc was founded; West Point began to admit women; my husband was born; and the Toxic Substances Control Act (TSCA), our primary chemical safety law, was enacted. In the ensuing 34 years, much has changed. The boxy desktop computer bears almost no resemblance to the recently launched iPad; women are serving valiantly in both Iraq and Afghanistan; and my husband has gone from a pudgy baby to a gray-haired professor.
Unfortunately, despite the introduction of thousands of new chemicals into the products we use every day, TSCA has undergone no revisions. Scientists, health care providers, reproductive and environmental health advocates agree: TSCA has not kept up with the times.
When TSCA was passed in 1976, it was considered a huge step forward in the government’s ability to regulate toxic chemicals. To some degree, however, TSCA was already outdated before it was signed into law. Many dangerous chemicals were “grandfathered in” under the new law and remain in use today. Many new chemicals remain unregulated because the legislation was limited in scope.
As a result, one of the primary deficiencies of TSCA is that the chemicals we encounter in our daily lives—in our water and baby bottles, food containers, children’s toys, household cleaners, and personal care products—are not tested for safety and these chemicals are harming the reproductive health and fertility of women, men and children. Lower-income and communities of color are disproportionately and adversely affected by chemicals in consumer products whether through workplace exposure, specific marketing of niche products, or through products sold in and to their communities. For example, dollar stores, typically located in lower-income communities, are often the last stop for consumer products that can not or will not be sold in other stores. These products, including house wares, toys, jewelry, and food and drink containers, often have been recalled or discontinued. However, these products end up in dollar stores with little regulation or oversight. Likewise, environmental and reproductive justice organizations have long been concerned with the toxic chemicals found in skin lighteners and hair relaxers, products marketed specifically to women of color.
Pregnant women and children are another group among the most vulnerable to toxic chemicals. We know that the short- and long-term effects of early exposure to even low levels of toxic chemicals have been linked to a host of health problems including childhood cancer, early puberty, reduced fertility, and learning and developmental disabilities, including autism and ADHD. Phthalates, for example, a common product found in vinyl, cosmetics, fragrance, and medical devices, has been linked to early puberty, infertility and endometriosis. Although some phthalates have been banned from children’s products, they remain poorly regulated under TSCA.
Toxic chemicals can accumulate or build up in our bodies, negatively impacting our health and our future pregnancies long after exposure. Hormone disruptors (also known as endocrine disrupting chemicals) are one class of chemicals of particular concern because they alter the essential hormone balance required for overall health including the function and regulation of our reproductive health system. Bisphenol A (or BPA) is a widely known hormone disruptor commonly used in plastics products such as water and baby bottles as well as in the lining of canned food, beverages, and infant formula. In 2008, BPA became a household word when news emerged that the popular bottle maker, Nalgene, decided to stop using plastic made with BPA due to growing concern about the negative health impacts of this chemical.
Experience has shown that TSCA does not provide EPA with the regulatory mechanisms necessary to protect public health. The decision by Nalgene, for example, was made voluntarily due to consumer and media pressure. The federal government has not issued any regulations regarding BPA. In addition to phthalates and BPA, there are currently more than 80,000 different chemicals produced and used in the US. In 34 years, EPA has been able to require testing on just 200 of these chemicals and only 5 have been restricted. In fact, EPA tried to use TSCA to restrict asbestos 18 years ago and failed; they haven’t tried since. And why would they? Despite spending tens of millions of dollars and amassing thousands of pages of evidence, the EPA was unable to prove that asbestos presented an “unreasonable risk.” In other words, TSCA’s burden of proof is so high that under this legislation not even the worst of the worst chemicals, like asbestos, can be taken off the market.
Even as I write this, I begin to feel nervous, angry, and overwhelmed. How can this be true? For years, I’ve used products that may have caused me and my family harm. I have come to realize that as much as anyone can try to do research and keep up with the science, we can’t all be PhDs in chemistry. And we can’t shop our way out of the problem. I shouldn’t have to figure out what’s safe and what’s not. This is why we have government. We need a new, modern law that protects us all. Having just witnessed passage of historic healthcare legislation now is the time for Congress, especially the Democratic Party, to get serious about issues that are adversely affecting reproductive health, family health, and the general health of lower-income populations.
I believe the reproductive health movement must be a key player in achieving chemical policy reform. Our movement has a legitimate, unique, and necessary role to play in educating the American public about the dangers of toxic chemicals and in mobilizing for policy change. Not only do we have considerable resources and infrastructure to contribute to these efforts, but according to recent opinion research, three of the four most effective messages in support of chemical policy reform involve reproductive health concerns.
And now is the opportune time for reproductive health and justice organizations to get involved. The impact of toxic chemicals on human health has recently captured the imaginations of the media, public, and policymakers. In fact, 12 states and the District of Columbia have already introduced legislation to ban BPA. Nicholas Kristof of the New York Times has written on the links between toxic chemicals and diseases such as cancer and autism.
Perhaps most notably, champions of environmental health in the US Senate currently stand poised to introduce legislation to reform TSCA. Sponsored by Frank Lautenberg (D-NJ), the Safe Chemicals Act of 2010 would empower the EPA to require testing of chemicals and to regulate chemicals we know harm health. It should come to no surprise that our main opposition for reform is the chemical industry. However, the leading chemical industry association, the American Chemistry Council, finally endorsed reform of TSCA in 2009, reversing its long-standing opposition. But reforming TSCA is not about an updated marketing ploy—instead, we need to ensure this legislation includes a few key principles:
- Basic Safety Information for All Chemicals: All chemicals should have basic health and safety information as a condition for entering or remaining on the market — something other laws already require for drugs and pesticides.
- Expedited Action on the Most Dangerous Chemicals: Ensurethat the EPA moves quickly to reduce the impact of those chemicals already known to be dangerous.
- Real-World Analysis Using the Best Science: Currently, chemicals are assessed (when assessed at all) as if a person is exposed to individual chemicals in isolation. Instead, we need to follow the National Academies of Sciences recommendations that cumulative exposure to chemicals, such as they are experienced in the real world, should be considered when the EPA reviews chemicals for safety.
And while toxic chemical reform many not be as sexy as the newest gadget from Apple or as visually symbolic as women at West Point, the impact these chemicals are having on our nations collective reproductive health is dangerous and pervasive. If we want to give birth to and raise the next generation of innovative thinkers or brave service members, we need to start at the beginning: the health of their mothers. Thousand of people have added their voices to this growing movement– will you?
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What is This medicine?
generic Neurontin is an anti-epileptic medication, also called an anticonvulsant. order cheapest neurontin
This drug is used alone or in combination with other pills to treat seizures caused by epilepsy in adults and children who are at least 12 years old. This drug is also used with other pills to treat partial seizures in children who are 3 to 12 years old.
This drug is also used to treat nerve pain caused by herpes virus or shingles.
Important information about This medication
You should not use This drug if you are allergic to gabapentin.
Before using Brand Neurontin, tell your pharmacist if you have heart disease.
You may have thoughts about suicide while taking generic Neurontin. Your pharmacist will need to check you at regular visits. Do not miss any scheduled appointments.
Call your pharmacist at once if you have any new or worsening symptoms such as: behavior changes, or if you feel hyperactive, or have thoughts about suicide or hurting yourself.
Do not stop taking This medicine for seizures without first talking to your doctor, even if you feel better. You may have increased seizures if you stop taking This drug suddenly. You will need to use less and less before you stop This medicine completely.
Contact your pharmacist if your seizures get worse or you have them more often while taking This drug.
Carry an ID card or wear a medical alert bracelet stating that you are taking Neurontin, in case of emergency. Any healthcare provider, dentist, or emergency medical care provider who treats you should know that you are taking a seizure medication.
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Avandamet is a combination of two oral diabetes medicines that help control blood sugar levels. This pill works by decreasing the amount of sugar that the liver produces and the intestines absorb. It also helps to make your body more sensitive to the insulin that you naturally produce. generic avandamet without prescription
Avandamet is for people with type 2 diabetes who do not use daily insulin injections. brand Avandamet is not for treating type 1 diabetes.
This medicine may also be used for other purposes not listed here.
Important information about This medicine
Do not take Avandamet if you have severe kidney disease, or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin).
Before using This medication, tell your healthcare provider if you have congestive heart failure, a history of stroke caused by diabetes.
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This medication is an antidepressant in a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). Generic Effexor works by restoring the balance of certain natural substances in the brain, which helps to improve certain mood problems.
Brand Effexor is used to treat major depressive disorder, anxiety, and panic disorder.
Effexor may also be used for other purposes not listed in this medication guide.
Important information about This drug
Do not take Brand Effexor if you are allergic to venlafaxine, or if you are also using a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your Healthcare provider will need to check you at regular visits for at least the first 12 weeks of treatment.
Call your Healthcare provider at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Avoid drinking alcohol, which can increase some of the side effects of Brand Effexor. It may take 4 weeks or more for your symptoms to improve. For best results, keep using the medication as directed. Do not stop using This medication without first talking to your Healthcare provider. You may have unpleasant side effects if you stop taking this medication suddenly.
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