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WHO Maintains That 2B Worldwide Could Get H1N1
The WHO on Tuesday maintained that roughly two billion people could become infected with the H1N1 (swine flu) virus, Reuters reports. "By the end of a pandemic, anywhere between 15-45 percent of a population will have been infected by the new pandemic virus," WHO spokeswoman Aphaluck Bhatiasevi said, adding that 30 percent, or 2 billion people worldwide, is the mid point of that estimate. "But the estimate comes with a big health warning: no one knows how many people so far have caught the new strain ... and the final number will never be known as many cases are so mild they may go unnoticed," the news service writes (Lynn, 8/4).
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New York Times Column Examines Experiences Of Nurse-Midwife
Elizabeth Letts, an author and certified nurse-midwife, in the New York Times" "Cases" column on Tuesday reports on her first experience assisting in the delivery of a stillborn infant. Letts describes how witnessing a more experienced midwife comfort the pregnant woman and perform the delivery helped her to stop "believ[ing] that providing support meant sitting in a corner pretending that death could be covered up with small talk." The experience reminded Letts that "birth and death are right around the corner from each other, and that as a midwife I may be charged with bringing either one into the world" (Letts, "Cases," New York Times, 6/23).
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Research Debunks Perception That State Or National Lines Offer Protection From Swine Flu
As panic surrounding the spread of swine flu heightens following the World Health Organization"s declaration of a global pandemic, many may be fooling themselves into believing that their state or national border can provide protection from the virus, based on new research from NYU Stern on people"s tendency to treat arbitrary political boundaries as safeguards.
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Comparative Effectiveness Tested In Diabetes Study, VA Records Release

A study in the New England Journal of Medicine has found common surgical interventions and stents, the expensive medical devices used in bypass surgeries, are no more effective at preventing death, heart attacks and strokes in diabetic patients than less expensive drugs, the Wall Street Journal reports. The study, which included 2,368 patients, is representative of new interest in head-to-head comparisons of treatments. "Funding for similar "comparative effective" studies have just been given a big boost. These bake-offs between competing therapies for the same condition have been hailed as a possible answer to wasteful health-care spending in the U.S. Washington allocated $1.1 billion for such research in the economic-stimulus bill passed in February," the Journal reports (Winstein, 6/8). Comparative effectiveness research requires scientists to tap health provider"s patient-care data. To that end, the Department of Veterans Affairs is opening their electronic medical records to researchers across the system, American Medical News reports. "The de-identified, aggregated data of veterans will allow researchers to pinpoint the most effective treatments for specific conditions, including posttraumatic stress disorder and antibiotic-resistant staph infection ... The VA says the result will be broader clinical studies that will provide physicians, both inside and out of the system, with better data on the best treatment methods for various conditions" (Dolan, 6/8). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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