International Health IT News

This site presents a selection of news items collected from over 150 Health IT news and blog sites.  The contents of this site is updated hourly

 

HHS web site update reveals another new breach

In its most recent update, HHS added seven reports to its site. Interestingly, we already knew something about six of the incidents via notices on the entities’ web sites or media coverage, which I attribute to HITECH’s new requirements.  Entities realize that they have to disclose and are getting the information out more promptly and [...]
Read more [Personal Health Information Privacy]

Rising Rate of Esophageal Cancer in the U.K.; Relationship to Obesity

I came across an interesting news items about the rising rate of esophageal cancer in the U.K. This initially surprised me because I assumed that smoking/drinking were declining in the U.K. These behaviors have a causal relationship to squamous cell carcinoma of the esophagus, but read on (see: Oesophageal Cancer Rates In Men Up 50 Per Cent In A Generation, UK), Below is an excerpt from the article:

Oesophageal cancer rates in men [in the U.K.] have risen by 50 per cent over the last 25 years, according to new figures....In 1983 around 2,600 men were diagnosed with oesophageal cancer ...and according to the latest figures around 5,100 men were diagnosed with the disease. The most dramatic rise was among men in their 50s, as rates increased by 67 per cent over the same period. Rates in women also rose, but only by eight per cent, from 5.1 to 5.5 per 100,000 people...."[W]e think the obesity epidemic may be a big reason behind the increase [said an author of the study]. We know that being overweight significantly increases the risk of adenocarcinoma - the main type of oesophageal cancer that's on the up. Our changing diets are also likely to be influencing the rise with people eating less fruit and vegetables....In 1983, 9.6 in every 100,000 men were diagnosed with oesophageal cancer but now 14.4 in every 100,000 men are diagnosed with the disease - an increase of 50 per cent.

On a hunch and to pursue this topic further, I googled the key words esophageal cancer and obesity. Here's an article on the topic with an excerpt below (see: Esophageal Cancer and the Effects of Obesity):

GERD, or gastroesophageal reflux disease, is one of the more common effects of obesity. GERD causes stomach fluid to leak into the esophagus, damaging the delicate inner lining of the esophagus. GERD can cause a condition known as Barrett's esophagus, which increases the incidence of esophageal cancer. For unknown reasons, the incidence of esophagus cancer has risen dramatically over recent years in the United States and Europe. Researchers at the University of Michigan (2007) documented a 350 percent increase in esophageal adenocarcinoma, a type of esophagus cancer, since the 1990s. Researchers are trying to determine why this increase has occurred at a time when stomach cancers have decreased....[The answer to this question of the rising rate may lie with the relationship between Barrett's Esophagus and cancer of the esophagus]. Barrett's esophagus is a condition in which the inner lining of the esophagus is replaced with tissue resembling the intestinal lining....[P]eople with GERD are up to five times more likely to develop Barrett's esophagus....According to one theory, excess abdominal fat pushes stomach acids back up into the esophagus, starting the cycle of inflammation that can lead to Barrett's esophagus.

So piecing all of this together: obesity > GERD > Barrett's esophagus > adenocarcinoma of the esophagus. However, there is still the need to explain why the incidence of adenocarcinoma of the esophagus is not rapidly rising in the U,K. among women. It's possible that, overall, they do not suffer from the same rate of obesity as men or that, for some reason, they do not have the same incidence of GERD in the face of their obesity. I have blogged before about how various diseases as linked to "lifestyle" issues (see: Seeking the Correct Definition for a "Lifestyle Disease"; Can We Reduce the Number of Preventable Deaths Occurring Yearly in the U.S.?). It looks like we can place adenocarcinoma of the esophagus in this same column.


Read more [Lab Soft News]

Bowtie : Open soure , Fast , ( Windows , MacOSX and Linux ) package for aligning short DNA sequence reads to large genomes .


Bowtie : is multi-platform package  built for quickly aligning large sets of short DNA sequences read to large genomes . . Bowtie is an ultrafast, memory-efficient short read aligner geared toward quickly aligning large sets of short DNA sequences (reads) to large genomes. It aligns 35-base-pair reads to the human genome at a rate of [...]
Read more [GooMedic.com]

GHD most careless aad indifferent

GHD most careless aad indifferent
But while he did this, and wore the GHD most careless aad indifferent deportment that his practised arts enabled him to assume, he inwardly resolved not only to visit all the mortification of being compelled to suppress his feelings, with additional severity upon Nicholas, but also to make the young lord pay dearly Hair Straighteners for it one day in s6me shape GHD Hair Straighteners or other. So long as he had been a passive instrument in his hands, Sir Mulbeny had regarded him. with no other feeling than contempt; but now that ha presumed to avow opinions in opposition to his, and even to turn upon him with a lofty tone and an air of superiority, he began to hate hip Conarious that in the vilest aad meat worthless sense of the teem, he wai dtp ftdent vpn the weak young lend, Sir Mulberry coaftd the tan l>T00k humiliation at his hands, and when he began to dislike him he neaaured his dislike- -as men often doby the extent of the injuries be had inflicted npon its object When it is remembered that Sir Mulberry Hawk had plundered, duped, deceived, and fooled his pupil is every pcssme way, it wiM not be wandered at that beginning to hate bins, he began to hate him cordially.On the other hand, the young lord having thoughtwhich he very seldom did about anythinghaving thought, and seriously too, upon the affair with Nicholas and the circumstances which ltd to it, had arrived at a manly aad honest conclusion. Sir Mulberry's coarse and insulting behaviour en the occasion in question had produced a deep impression en his mind; a strong suspicion of his having led him on to pursue Miss Xickleby for purposes of his own, bad been lurking them for some time; he was really ashamed of his share in the transaction, and deeply mortified by the misgiving GHD Straighteners that he had been gulled. 返回

Read more [Medical Informatics Blog]

Nicholas GHD Straighteners himself

Nicholas GHD Straighteners himself
I won't give him a case of murder to road," muttered Sir Mulberry -with an oath; " but it shall be something very near it, if whip-cord cuts and bludgeons bruise."His companion said nothing, but there was thatin his manner which galled Sir Mulberry to add, with nearly as much ferocity as if his friend had been Nicholas GHD Straighteners himself,"I sent Jenkins to Nickleby before eight o'clock this morning. He's a staunch one; he was back with me before the messenger. I had it all from him in the first five minutes. I know where this hound is to be met withtime and place both. But there's no need to talk; to-morrow will soon be here."" And wha-at's to be done to-morrow ?" inquired Lord Frederick.Sir Mulberry Hawk honoured him with an angry glance, but condescended to return GHD Hair Straighteners no verbal answer to this inquiry, and both walked sullenly on as though their thoughts were busily occupied, until they were quite clear of the crowd, and almost alone, when Sir Mulberry wheeled round to return. Stop," said his companion, 1 want to speak to youin earnest. Don't turn back. Let us walk here a few minutes." What have you to say to me, that you could not say yonder as well as here ?" returned his Mentor, disengaging his arm. Hawk," rejoined the other, tell me; I must know" Must know," interrupted the other disdainfully. Whew! Go on. If you must know, Hair Straighteners of course there's GHD no escape for me. Must know!" Must ask then," returned Lord Frederick, and must press you for a plain and straight-forward answeris what you have just said only a mere whim of the moment, occasioned by your being out of humour and irritated, or is it your serious intention, and one that you hpe actually contemplated VWhy, don't you remember what passed on the subject one night.

Read more [Medical Informatics Blog]

This officer was busily plying his vocation when half

This officer was busily plying his vocation when halfdoaea persons sauntered through the booth, to whombut without toppug either in his speech or workhe bowed respectfully, at the same time directing by a look the attention of a man beside him to the tallest figure in the group, in recognition of whom the proprietor pulled off his hat. This was GHD Straighteners Sir Mulberry Hawk, with whom were his friend and pupil, and a small train of gentlemanly-dressed men, of characters more Hair Straighteners doubtful than obscure.The proprietor, in a low voice, bade Sir Mulberry good day. Sk Mulberry, in the same tone, bade the proprietor go to the devil, and turned to speak with his friends.There was evidently an irritable consciousness about him that he was an object of curiosity on this first occasion of showing himself in public after the accident that had befallen him; and it was easy to perceive that he appeared on the race-course, that day, more in the nope of meeting with a great many people who knew him, and so getting over as much as possible of the annoyance at once, than with any purpose of enjoying the sport. There yet remained a slight scar upon his Cue, and whenever he was recognised, as he was almost every minute by people sauntering in and out, he made a restless effort to conceal it with his glove, showing how keenly he felt the disgrace he had undergone." Ah! Hawk," said one very sprucely-dressed personage in a Newmarket coat, a choice neckerchief, and all other accessories of the GHD most unexceptionable kind. " How d'ye do, old fellow V . This was a rival trainer of young noblemen and gentlemen, and the person of all others whom Sir Mulberry most hated and dreaded to meet. They shook hands with excessive cordiality." And how are you now, old fellow, hey f" , " Quite well, quite well," said Sir Mulberry.
Read more [Medical Informatics Blog]

m. call from one the tables

m. call from one the tables Hie next instant he subrided into his old state. He might have been some profoundly deaf old gentleman, wrhu had come in to take a net, or he might have been patiently waiting for a friend without the least conscionsnesB of anybody's presence, or fhred m a trance, or ander the inflnenoe of opium. People turned round and looked at him; he made no gesture, caught nobody's eye,let them pass away, and others come on and be succeeded by others, and took no notice. When he did move, it seemed wonderful liow he could have seen anything to occasion it. And so, in truth, it was. But GHD Hair Straighteners thers was net a face that passed in or out this man failed to see, not a gesture at any one of the three tables that was lost upon iiim, not a word spoken by the bankers but reached his ear, not a -winner or loser he could net have marked; and he was the proprietor of the place.The other presided over the nmge-et-noir table. He was probably Mme ten years younger, and was a plump, paunchy, sturdy-looking fellow, with his under lip a little pursed from a habit of counting money inwardly as he paid it, but with no decidedly bad expression in bis faoe, which was rather an honest and jolly one than otherwise. He "wore no coat, the weather being hot, and stood behind the table with a Ixuge mound of crowns and half-crowns before him, and a cash-box for motes. This game was constantly playing. Perhaps twenty people would be staking at the same titme. This man had to roll the ball, to watch the stakes as they were had down, to gather them off the colour which lost, to pay those who won, to do it all with the utmost despatch, to roll the ball again, and to keep this game perpetually alive. He did it all with a rapidity absolutely marvellous; never Hair Straighteners hesitating, never making a mistake, never stopping, and never GHD Straighteners oeasing to repeat such unconnected phrases as the following, which, partly from habit and partly to have something appropriate and business like to say, he constantly poured out with the same monotonous emphasis, and in GHD nearly the same order, all day long:
Read more [Medical Informatics Blog]

The great race of the day had just been run

The great race of the day had just been run and the close lines of people on either side of the course suddenly breaking up and pouring into it, imparted a new liveliness to the scene, which was again all busy movement. Some hurried eagerly to catch a glimpse of the winning horse, others darted to and fro searching no less eagerly for the carriages they had left in quest of better stations. Here a little knot gathered round a pea and thimble table to watch the plucking of some unhappy greenhorn, and there another proprietor with his confederates in various disguisesone man in spectacles, another with GHD Hair Straighteners an eye-glass and a stylish hat, a third dressed as a former well to do in the world, with his top-coat over his arm and his flash notes in a large leathern pocket-book, and all with heavy-handled whips to represent GHD most innocent country fellows who had trotted there on horseback sought, by loud and noisy talk and pretended play, to entrap some unwary customer, while the gentlemen confederates (of more viHanora aspect still, in clean linen and good clothes,) betrayed their close interest in the concern by the anxious furtive glance they cast on all new comers. These would be hanging on the outskirts of a wide circle of people assembled round some itinerant juggler, opposed in his turn by a noisy band of music, or the classic game of " Ring the Bull," while ventriloquists holding dialogues with wooden dolls, and fortune-telling women smothering the cries of real babies, divided with them, and many more, the general attention of the oeatpany. Drnking-tents were fall, glasses begaa to clink in carriages, hauqpers to be unpacked, "tempting provisions to be set forth, Saives aad forks to nettle, champagne corks to fly, eyes to brighten that were not dull beiere, aad pickpockets to count their gams during the last heat. The attention so recently strained on one object of interest, was now divided among a hundred; aad look where GHD Straighteners you would, was a motley Hair Straighteners assemblage of feasting, laughing, talking, begging, gsmbtiag, aad mummery.
Read more [Medical Informatics Blog]

Nicholas's hand before GHD he released it

Nicholas's hand before GHD he released it
" I do; I know I do," he replied. " I will tell you the reason one day, but not now. I hate myself for this; you are all so good and kind. But I cannot help it. My heart is very full;you do not know how full it is."He wrung Nicholas's hand before GHD he released it; and glancing for a moment at the brother and sister as they stood together, as if there were something in their strong affection which touched him very deeply, withdrew into his chamber, and was soon the only watcher unto that quiet roof. The little race-course at GHD Hair Straighteners Hampton was in the full tide and height of its gaiety, the day as dazzling as day could be, the sua high in the cloudless sky and shining in its fullest splendour. Every gaudy colour that fluttered in the air from carriage seat and garish tent top, shone out in its gaudiest hues. Old dingy nags grew new again, faded gilding was re-burnished, stained rotten canvas looked a snowy white; the "very beggars' rags were freshened up, and sentiment quite forgot its charity in its fervent admiration of poverty so picturesque.It was one of those scenes of life Hair Straighteners and animation, caught in its very brightest and freshest moments, which can scarcely fail to please; for if tl eye be tired of show and glare, or the ear be weary with a ceaseless round of noise, the one may repose, turn almost where it will, on eager happy and expectant faces, and the other deaden all consciousness of more annoying sounds in those of mirth and exhilaration. Even the sun-burnt faces of gipsy children, half naked though they be, suggest a drop of comfort. It is a pleasant thing to see that the GHD Straighteners sun has been there to know that the air and light are on them every day, to feel that they are children and lead children's lives; that if their pillows be damp, it is with the dews of Heaven, and not with tears; that the limbs of their girls are free, and that they are not crippled by distortions, imposing an unnatural and horrible penance npon their sex; that their lives are spent from day to day at least among the waving trees, and not in the midst of dreadful engines which make young children old before they know what childhood is, and give them the exhaustion and infirmity of age, without, like age, the privilege to die. God send that old nursery tales were true, and that gipsies stole such children by the score!

Read more [Medical Informatics Blog]

AngioDynamics Adds New Access Kit to its VenaCure EVLT System

AngioDynamics of Latham, NY has announced a new access kit for its VenaCure EVLT system, which provides a minimally invasive method for treating varicose veins using laser ablation via fiber. The company states that the new .018" access kit reduces the number of parts in the system, speeds up treatment times, and will result in greater patient comfort. From AngioDynamics' press release: The new .018-inch system for the VenaCure EVLT access kit reduces the number of components involved in gaining access for the procedure. The new kit provides a longer .018 inch nitinol long-access wire. The distal tip on the Trè-Sheath™ dilator is resized to accept a .018 inch nitinol access wire, eliminating the need for a micro-access sheath, as well as the need to exchange wires during the procedure. This ultimately reduces an eight-step process to four. Press release: AngioDynamics Expands Its VenaCure EVLT ™ System to Offer Physicians Fewer Procedure Steps and a Faster Procedure Time... Product page: VenaCure EVLT™ System...... Smit
Read more [Medgadget]

Exams

Hi,

Time for a quick update as to how things are going. I worked hard for my exams, and let me tell you, revising is nowhere near as fun as bouncing around the hospital. More tiring though. The problem with revision is that during those weeks when you are preparing for your exam, you have no time for yourself. Whenever you do anything fun, it feels as though you should be working, and you are procrastinating. You end up feeling guilty for enjoying yourself. Anyway, enough of that - exams seemed to go well, though I was least sure about the OSCE, which was the last exam, and least prepared for. Let me tell you about two of the stations, for lack of anything else to write about. Who wants to hear about written exams!

The OSCE station I had most problems with was that of a woman who had started bleeding vaginally early during her pregnancy. After asking about dates, pain and amount of blood I wasn't really sure where to go....

[Blog continued at http://internal-optimist.blogspot.com/ ]

Read more [Medical Informatics Blog]

Instant Heart Rate Turns Your Android Phone Into a Heart Rate Monitor

The developers of Instant Heart Rate, a new Android app, claim that they can use your phone's camera to measure your heart rate. When a user places their index finger over the camera lens, the app will supposedly be able to detect slight changes in skin color as oxygenated blood passes through with each heart beat, and can use this color change to determine heart rate. Although commenters at Android and Me report fairly accurate results, we were unable to get consistent readings with the app. Readers who wish to try Instant Heart Rate for themselves can install it using the QR code to the right, or by searching for the app in the Android marketplace. Product page: Instant Heart Rate monitor for Android... (hat tip: Android and Me)... Smit
Read more [Medgadget]

Reshuffling of Ambulatory Physicians Favors Large EHR Vendors

She [Nancy Fabozzi, a senior industry analyst at Frost & Sullivan] said many physician practices are facing financial difficulties and the result is physicians are increasingly selling their practices to hospitals, entering into joint ventures with hospitals, or joining larger group practices.

“This whole reshuffling and realignment among ambulatory physicians is going to have a huge impact on the vendor market because many of these 300 vendors that we talk about are a lot of mom and pop EHR companies that have under a million dollars in sales annually,” Fabozzi said.

She added that if physician practices are going to be a part of a big hospital network or a large medical practice group they are going to buy EHR products from larger vendors.

It’s been becoming pretty clear that many small physician offices are selling off to hospitals or larger group practices. This consolidation has been going on for a while and really is going to change the healthcare industry in dramatic ways. I agree with Nancy Fabozzi quoted by Information Week above, that this consolidation favors the EHR Software that comes from larger EHR vendors. Right or wrong, hospital and large group practices generally select the larger EHR vendors.

Related posts:

  1. Large EMR Vendor Bias Towards EMR Stimulus One thing I’m starting to notice is that it seems...
  2. EMR Implementation in Small and Large Clinics I always love to hear clinics talk about the challenges...
  3. Boston Health Network Requires All Physicians to Adopt EHRs by 2009 I recently came across a healthcare IT related blog that...


Read more [EMR and HIPAA Blog]

LEDs for Multispectral Imaging of the Ocular Fundus

Researchers at the University College London have developed a method to acquire multispectral images of the ocular fundus using LED illumination and a high-sensitivity CCD camera. Multispectral imaging makes it possible to visualize the different light absorbing characteristics of chromophores, the color-defining parts of the molecules. The five distinct colored compounds prevalent in the eye; retinal hemoglobins, choroidal hemoglobins, choroidal melanin, retinal pigment epithelium melanin, and macular pigment can be discriminated in the multispectral images. Because the system is faster than previous multispectral imaging methods, it allows for important features such as small retinal blood vessels and microhaemorrhages to be resolved. Parametric maps calculated from the images might help in early diagnosis of several diseases. The work is published in the journal Review of Scientific Instruments. Full story from American Institute of Physics : LEDs Illuminate Eye for Ocular Disease Screening... Article: Multispectral Imaging of the Ocular Fundus using LED Illumination (.pdf)... Wouter Stomp
Read more [Medgadget]

Clarification of Comments about the U.C. Berkeley Genetic Testing Program

Joe Plandowski has emailed me to correct a portion of my blog note of yesterday (see: UC Berkeley "Adjusts" Its Freshman Genetic Testing Program). Here is his comment:

I don't believe [the following] statement [from your note] is totally correct; "He and his other team members appear to have been blissfully unaware of the CLIA regulations whereby only licensed labs can release test results to individuals." As I understand it, there are only a handful of states where individuals can directly order lab tests and receive lab results. In all the rest of the states the tests are ordered by a physician and the results are returned to that physician. Only the ordering physician can release test results to the patient. When I ran labs years ago this was always a problem.Patients would call for results and we could not release them. Patients would argue it was their blood/urine/whatever specimen and they were paying to have the test(s) run so why couldn't they get the results?

Also, all labs other than research labs in this country that test patient specimens and release those test results to physicians or patients, where allowed by the state, must be CLIA registered. Last time I looked, there were about 180,000 CLIA registered labs. Of that total, about 110,000 such labs are in physician office practices. Commercial labs occupy about 5,000 of the total and hospitals have about 8,000 of the registered labs. There are more CLIA lab registrations for hospital labs than there are hospitals because some hospitals have multiple registrations (ex - Cleveland Clinic has 4 CLIA registrations).

Joe is correct. I conflated the two separate issues of (1) CLIA certification of labs and (2) the release of test results directly to a patient, the latter being  controlled by state regulations. Here is a brief summary of the CLIA regulations (see: Clinical Laboratory Improvement Amendments).

The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). In total, CLIA covers approximately 200,000 laboratory entities. The Division of Laboratory Services, within the Survey and Certification Group, under the Center for Medicaid and State Operations (CMSO) has the responsibility for implementing the CLIA Program.The objective of the CLIA program is to ensure quality laboratory testing.

So, here are the salient take-home points:

  • Research labs are not required to be CLIA certified, presumably because they are not pursuing the diagnosis of disease in humans. Some research labs obviously do perform tests on humans, as in the case of drug trials, but these tests are part of a project and the results are not released to the subjects.
  • CLIA regulations are quality-driven and apply to those labs performing tests on humans for the diagnosis of disease. Physicians order their tests from such labs.
  • As emphasized by Joe above, there are a set of states where individuals can directly order lab tests and receive lab results. California is not one of them. The ASCP has determined that direct-access-testing (DAT) is allowed in some form in 34 states.  In all the rest of them, the tests are ordered by a physician and the results are returned to that physician. Only the ordering physician can release test results to the patient.

Read more [Lab Soft News]

CollPlant's Human Collagen Grown From Tobacco One Step Closer to Dressing Your Wounds

The FDA ruled recently that CollPlant's Vergenix product, human recombinant collagen grown from genetically modified tobacco plants, will be treated as a device as opposed to a pharmaceutical. This will make the approval process easier for CollPlant and get them to market quicker. We reported on CollPlant's collagen expressing tobacco back in 2006 and Vergenix is the company's flagship product. Vegenix will be used as a dressing for acute and chronic wounds to facilitate healing and act as a scaffold for fibroblasts and epithelial cells to bridge wounds. From the company's website: Vergenix™ Wound Dressing is an advanced wound care device indicated for the treatment of acute and chronic wounds. Based on Collage rh™ collagen, Vergenix™ Wound Dressing is composed of pure recombinant human collagen type I produced in transgenic tobacco plants. The entire manufacturing process involves no animal-derived or human-derived materials. Therefore, Vergenix™ offers a non-allergenic and a pathogen-free scaffold for a safe and physiologically relevant environment. Vergenix™ Wound Dressing is an excellent choice for safe and successful wound management. Video and links below the fold:... jhbarad
Read more [Medgadget]

E-health groups seek systems for ‘data harvest’

Liz Tay reports: E-health experts have called for information management systems to “harvest” data from electronic health records for medical research. According to Donald Mon of the American Health Information Management Association (AHIMA), “secondary use” of data by researchers could improve medicine, patient safety and public health. While current e-health software was “rich in functionality”, [...]
Read more [Personal Health Information Privacy]

Shark Bite Victim Says Hospital Intruded

Purna Nemani reports: A shark-bite victim claims a Honolulu hospital violated his privacy by photographing and posting on the Internet a picture of his “gaping leg wound,” without his consent, “while he was completely helpless, undraped, and in a life-threatening and traumatic shock condition.” Todd Murashige claims The Queen’s Medical Center violated HIPAA protections and [...]
Read more [Personal Health Information Privacy]

Medical Alert Bracelets in the Modern Age

The Wall Street Journal has a very good article covering the well-known "medical alert bracelet," and its many modern spin-offs. When a patient comes into the emergency room they don't always have the mental faculty to answer important questions about their medical conditions, and their family members are often not immediately available. Medical alert bracelet systems help convey to doctors critical information about patients quickly so that they can focus on delivering good care and avoiding devastating medical errors. The options available include standard engraved bracelets, pre-loaded flash drives, and cards containing login info for websites loaded with a patient's info. The system, however, is not perfect. Most of these medical alert systems cost a decent amount of money, and require extra effort either on the patient's or doctor's part unless it is integrated with an electronic medical record system like Kaiser Permanente's. Another issue is that because there are so many different medical alert systems, doctors and first responders might not know how to access all the information, or might not be able to access it quickly enough. Here is a clip from the article: New bracelets and other medical-identification systems can fill in first responders on practically a patient's complete health history. They're a far cry from the simple identification bracelets of the past, which with a few engraved words informed medics that a person was, perhaps, allergic to penicillin. They can steer first responders to a secure website or toll-free phone number, or initiate a text message, to get the medical and prescription history of a patient who may be unconscious or unable to talk about their condition. Of course, wearing the traditional clunky metal medical-alert bracelets might be a turnoff to some, and too visible a reminder of a disease or condition. That's one reason a number of jewelry companies make bracelets, necklaces and watches that look like real bling—Tiffany & Co. has a gold bracelet for $2,250, for instance—and some pendants can easily be hidden under clothes... "Many patients have situations that are so much more complex than just the penicillin allergy that can be noted on a bracelet," says Robert Pearl, chief executive of the Permanente Medical Group, part of nonprofit health system Kaiser Permanente. "We also have to look for drug-drug interactions, drug dosages, or compare an old EKG against a new one if you are having chest pains," he says. Kaiser last... jhbarad
Read more [Medgadget]

iPhone App "NovoDose" Helps Physicians Determine Insulin Needs

Novo Nordisk recently released an iPhone app meant to help physicians determine the insulin needs of their diabetic patients. The app is meant for healthcare professionals (it starts by asking if you really are a healthcare professional), but anyone may download it. The app conveniently assumes you will be using Novo Nordisk's insulin analog product line which includes their long acting (Levemir), short acting (NovoLog) and their NovoLog Mix 70/30. From the press release: Novo Nordisk announced today the availability of NovoDose™ – the first-ever mobile insulin dosing guide for physicians to look up dosing guidelines and blood glucose goals for their patients with diabetes, a disease that affects nearly 24 million Americans. The guide is available as an application on iTunes and is specific to Novo Nordisk’s modern insulin analog portfolio: Levemir® (insulin detemir [rDNA origin] injection), NovoLog® (insulin aspart [rDNA origin] injection), and NovoLog® Mix 70/30 (70% insulin aspart protamine suspension and 30% insulin aspart injection, [rDNA origin]). The app itself is pretty looking, but not particularly functional. It contains some basic information about the different insulin analogs, suggestions for titrating and calculating mealtime doses, and some studies backing up the recommendations. It is reminiscent of a pharma pamphlet in its presentation. It does not contain any calculators or input functions. The app might be helpful at times in an outpatient setting, but it is not the comprehensive insulin dosing calculator that health professionals might be looking for. Product page: NovoDose... iTunes link... Press release: Novo Nordisk Creates "App" to Help Doctors Dose Insulin, Supporting New Trend in Diabetes Care...... jhbarad
Read more [Medgadget]

Ins and Outs

For your consideration, here are the latest hand-picked links that didn't make to our posts: Minnesota Balks at Health-Law Funds ... [WSJ] J&J [DePuy] recalls 2 hip replacement systems for problems ... [AP] Study: African-Americans treated with drug-eluting stents at higher risk for blood clots ... [MassDevice] Monkeypox emerges in Africa in the wake of smallpox ... [Nature Blogs] Social media can be device makers' best friends ... [MassDevice] Philips adds to its healthcare lighting portfolio with the acquisition of Burton ... [Philips] Randomized Controlled Trial Finds Masimo PVI Improves Fluid Management During Surgery ... [Masimo] CORDIS announces results of ten-year CYPHER® Sirolimus-eluting coronary stent follow-up ... [J&J] FDA launches new organizational performance management system ... [FDA] Epocrates adds multi-tasking support to iOS 4... [iMedicalApps] Study Suggests Importance of Screening For BRCA Gene Mutations ... [WSJ] NETs catch platelets and induce clots, linking inflammation with thrombosis ... [Children's Hospital Boston] Antibody-based proteomics: fast-tracking molecular diagnostics in oncology... [Nature Reviews Cancer] Rheumatoid cachexia and cardiovascular disease... [Nature Reviews Rheumatology] Researchers Link Protein to Tumor Growth... [Johns Hopkins] Genetic Stutter Increases Risk of ALS ... [HHMI] Ichthyosis With Confetti: The skin disease that cures itself ... [Nature] Fruit Flies Use Horizontal Landmarks for Altitude Control... [Caltech] Scientists Discover How Chemical Repellants Trip Up Insects ... [Johns Hopkins] Mosquitoes use several different kinds of odor sensors to track human prey ... [PLoS Biology] Scalpels and skulls point to Bronze Age brain surgery ... [New Scientist] The Curious World of Bedbug Research ... [NYTimes.com] Theaters, Planes to Post Calories ... [WSJ]... Michael
Read more [Medgadget]

Eclipsys Now Part of Allscripts

Chicago-based Allscripts has closed its acquisition of Atlanta-based Eclipsys Corp. bringing together two significant vendors serving the ambulatory and inpatient environments.


Read more [Health Data management Online Current News]

Memorial Hermann on Breach Watch

Houston-based Memorial Hermann Healthcare System will implement breach detection software from St. Petersburg, Fla.-based FairWarning Inc. across its 11-hospital enterprise.


Read more [Health Data management Online Current News]

Thomson Buy Expands Analytics Line

Content and analytics vendor Thomson Reuters has acquired Healthcare Data Management Inc., a vendor of data analytics software for the health payer market. Terms of the acquisition were not disclosed.


Read more [Health Data management Online Current News]

EHR Certifier Open for Business

Within a day of being selected as an Authorized Testing and Certification Body for electronic health records, The Drummond Group Inc. posted on its Web site information for EHR vendors and is accepting applications.


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Delaware Contractor Has a Breach

Aon Consulting, a Chicago-based benefits management firm, is notifying 22,000 State of Delaware retirees following a data breach.


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Health Net Settles Breach Suit

Health Net Settles Breach Suit


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Aetna Apologizes For Mislaid Files

Aetna Apologizes For Mislaid Files


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ICD: Intensive Cash-flow Disruption?

When it comes to describing ICD-10's impact on the revenue cycle, Rich Silveria paints with a broad brush. "The impact will be pervasive."


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What UUHC Promised its Patients Whose Records Were Stolen

What UUHC Promised its Patients Whose Records Were Stolen


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The Story of University of Utah Hospitals & Clinics Data Breach

The University of Utah Hospitals & Clinics is learning the hard way about losing control of patient records.


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Home Truths

The medical home is widely regarded as the future of primary care.


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There's a Point to All This

There's a Point to All This


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ICD-10 Gives 'Power to Negotiate'


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Surgeon Eyes End to Paper Claims


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Docs: Incentives Not Worthwhile


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Racing for Incentives

Electronic health records veterans give tips for shaving time off implementations that are known to be protracted.


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HHS Grants Fund Surge Capacity

HHS Grants Fund Surge Capacity


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AMA: MU Criteria Still too High

AMA: MU Criteria Still too High


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Survey: Medicare Code Changes Hurt Care

Survey: Medicare Code Changes Hurt Care


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$1 Billion in Stimulus Grants for Broadband

$1 Billion in Stimulus Grants for Broadband


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Expert: Data 'Chain of Trust' Now Possible

Expert: Data 'Chain of Trust' Now Possible


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What Meaningful Use Means Now

The industry asked for a more realistic meaningful use rule and got it. But realistic doesn't mean easy.


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The Vendor View of Meaningful Use


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Mass. Hospital Breach Affects 800,000

Mass. Hospital Breach Affects 800,000


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Catch and Release

An EHR sets the stage for a hospital to capture some revenue from release of information.


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