Decoding digestive discomfort: the science behind FODMAPs
FODMAPs are Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols. Digestive discomfort – excessive flatulence, “bloating”, loose stool, or constipation – is a prevalent issue for many, and it often finds its roots in a group of fermentable carbohydrates collectively known as FODMAPs. Understanding the science behind FODMAPs could help in establishing a more comfortable and gratifying relationship with food. In the realm of our digestive system, envision a system akin to an intricate ecosystem, teeming with activity. Various nutrients act as its constituents, powering this intern...
Source: David Bradley Sciencebase - Songs, Snaps, Science - February 5, 2024 Category: Science Authors: David Bradley Tags: Food Health and Medicine Source Type: blogs

" A patient just arrived as a transfer for NSTEMI. "
Conclusion: Our THANKS to Dr. Frick for his detailed and highly insightful presentation. CREDIT to him for masterful correlation of clinical events to each ECG — that thoroughly supports his explanation of the successful treatment received by this patient with evolving LAD OMI.QUESTION: Isn ' t it so much EASIER with the lead-to-lead comparison facilitated by Figure-1  — to see the subtle-but-important evolution of ST-T wave changes that so closely correspond to clinical events?  (Source: Dr. Smith's ECG Blog)
Source: Dr. Smith's ECG Blog - December 7, 2023 Category: Cardiology Authors: Willy Frick Source Type: blogs

A New FHIR Analytics Tool from SAS Health
Most data about patients exists in EHRs or other repositories in a variety of legacy formats. Analytics, though, requires you to compare apples and apples. Thus, SAS Health Solutions offers a common data model, ingesting data from disparate sources of FHIR data into the appropriate fields for analysis.  Plus, once collected, that data can easily leverage the full suite of SAS analytics tools. Gail Stephens, VP, Health and Life Sciences, explains the uses for SAS Health in this video, her goal being to “get patients to better health, more quickly.” For instance, a clinician can look across a cohort of patients ...
Source: EMR and HIPAA - October 11, 2023 Category: Information Technology Authors: Andy Oram Tags: Administration Health IT Company Healthcare IT Hospital - Health System Interoperability IT Infrastructure and Dev Ops FHIR Gail Stephens Health Data Healthcare Analytics Healthcare Interoperability Healthcare IT Video Interviews S Source Type: blogs

THCB 20th Birthday Classic: Value-based care – no progress since 1997?
As the 20th Birthday rolls on I thought I’d bring out a more recent piece first published in October 2020, albeit one that relies heavily on 25 year old data to make a point. This is some evidence to back up Jeff Goldsmith’s comment on the original that for all the talk “ ‘Value based” payment is a religious movement, not a business trend’ ” By the way, Humana updated these numbers last year and there’s been basically no change — Matthew Holt By MATTHEW HOLT Humana is out with a report saying that its Medicare Advantage members who are covered by value-based care (VBC) ar...
Source: The Health Care Blog - August 24, 2023 Category: Consumer Health News Authors: matthew holt Tags: The Business of Health Care Capitation Humana Medicare Advantage VBC Source Type: blogs

Comparing the Cost of IRA Energy Tax Credits to Expensing
Adam N. MichelThe House Republican debt ceiling package repeals many of theInflation Reduction Act (IRA)energy tax credits.Revised estimates of the tax credits confirm that their costs will be at least two times higher than originally thought.Putting aside the countless problems with each of the specific tax credits, it ’s worth comparing the size of the special interest IRA tax subsidies to other more beneficial tax changes Congress could have made. For example, the energy credits could end up costing almost twice as much as making full expensing permanent, the most pro‐​growth investment incentive in the 20 17Tax C...
Source: Cato-at-liberty - April 27, 2023 Category: American Health Authors: Adam N. Michel Source Type: blogs

Cato Wins Webby Honor for Study on How Qualified Immunity Hurts Law Enforcement
James CravenAn interactive study from the Cato Institute —How Qualified Immunity Hurts Law Enforcement—is an honoree inthis year ’s Webby Awards for “Best Individual Editorial Feature.” The Webby Awards are the most prestigious awards for websites and online content. Out of thousands of entries, many submitted by nationally recognized brands, Cato’s study on how qualified immunity impacts police was one of just eight features to receive re cognition in this category.While much of Cato ’s qualified immunity work focuses on the harm the doctrine has wrought on victims of government abuse, this feature explored ...
Source: Cato-at-liberty - April 5, 2023 Category: American Health Authors: James Craven Source Type: blogs

Navigating gender identity confusion in a high-stress environment
As nurses in behavioral health, we were not well-versed in the field. After 33 years in ICU nursing, I left the unit expecting behavioral health to be an easier transition. However, the comparison between the two was like comparing apples to oranges. There was no real comparison between the two. One day, we admitted a Read more… Navigating gender identity confusion in a high-stress environment originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 4, 2023 Category: General Medicine Authors: Tags: Conditions Psychiatry Source Type: blogs

AMA Touts Apples ‐​to‐​Oranges Study in its Fight to Preserve the Medical Cartel
This study supports the evidence that use of NPs can improve access to primary care with similar quality and cost of care.The VHA emergency medicine study that the AMA is touting makes no case against NPs and FNPs independently providing primary care. However, its findings do suggest that hospitals should prefer board ‐​certified ENPs to FNPs when staffing their emergency departments with non‐​physicians.Spencer Pratt is a  Research Associate in the Department of Health Policy Studies (Source: Cato-at-liberty)
Source: Cato-at-liberty - December 13, 2022 Category: American Health Authors: Jeffrey A. Singer, Spencer Pratt Source Type: blogs

A Thanksgiving Sweet Potato Bake-Off
I hope your Thanksgiving was as wonderful as mine. We did our usual back-to-back Thanksgiving dinners, shuttling between mine and Mr. TBTAM’s families, trying not to eat too much or too little at either one. This year, my family eschewed the homemade turkey and instead had a relaxed luncheon at the Valley Green Inn situated on Philadelphia’s Wissahickon Valley Forbidden Drive, one of my favorite places in the whole world. I’ve biked, hiked, walked, or run that trail countless times over the years, alone and with friends and family. The place is so special to us that my sister Fran’s a...
Source: The Blog That Ate Manhattan - November 26, 2022 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Vegetables Candied Goguma Japanese sweet potatoes Korean sweet potatoes Thanksgiving Source Type: blogs

Enlightened Cream of Tomato Soup
Warning – The story behind this soup is a long one. A melodrama in three acts as it were. Act I It all started with a chicken that I purchased some weeks ago, in order to get a single chicken liver to use in a Bolognese ragu. After removing the liver from the little packet stuffed inside the chicken, I put the neck back in the cavity, put the chicken in the freezer and made the Bolognese. Act II Two weeks later, I took the chicken out of the freezer, put it in a pot with some veggies and water and cooked it, giving me a meat to make soft tacos for the a couple of dinners and lunches. And also a gorgeous...
Source: The Blog That Ate Manhattan - October 30, 2022 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Soups cream tomato soup Source Type: blogs

Social Security ’s COLA Increase Is Based on an Outdated Inflation Measure
Romina BocciaSocial Security just announced the biggest increase in beneficiaries ’ cost-of-living adjustment (COLA) in 40 years: 8.7%. The trouble is, Social Security is using an outdated measure that’s driving up benefit costs. The so-called chained CPI would protect seniors’ purchasing power while extending Social Security’s ability to provide benefits.Social Security benefits are indexed for inflation to protect beneficiaries from a decline in purchasing power when the prices of goods and services rise. That ’s generally a good thing. The 8.7 percent COLA increase, announced today, is a direct result of the 4...
Source: Cato-at-liberty - October 13, 2022 Category: American Health Authors: Romina Boccia Source Type: blogs

If Outright Repeal Is Off the Table, Reform and Restart the Section 301 Tariff Exclusion Process
Clark PackardAs the House and Senate prepare to reconcile the differences between their two China competition bills (United States Innovation and Competition Act and the America COMPETES Act, respectively), Sen. Pat Toomey (R ‑PA) is attempting to reform and restart the exclusion process from the Section 301 China tariffs, which lapsed at the end of 2020. Perhaps unsurprisingly, certain protectionist organizations are decryingany tariff relief at all.As I arguedrecently, the United States should completely eliminate the China tariffs. Policymakers areincreasingly aware that the Trump administration ’s tariffs have...
Source: Cato-at-liberty - May 5, 2022 Category: American Health Authors: Clark Packard Source Type: blogs

Impromptu Questions on the SEC ’s Climate Risk Proposal, Part 4
C. Wallace DeWittToday, let ’s consider the views, or at least the real interests, of environmental activists in evaluating the Securities and Exchange Commission’s (SEC) recent climate riskrule proposal. In my view, the environmental movement stands to lose from symbolic “meme regulation”—to coin a term —like this rulemaking.Did anyone ask environmentalists?Well, plainly yes, in a sense. The SEC ’s comment letter file is already filling with submissions from NGOs and “stakeholders” who are relatively infrequent participants in, say, nuts‐​and‐​bolts discussions of securities market infr...
Source: Cato-at-liberty - April 28, 2022 Category: American Health Authors: C. Wallace DeWitt Source Type: blogs

Dorie Greenspan ’ s Apple Cake ala ’ Marie-H élène
I found the recipe for this delicious Apple Cake on Food52, which features an adorable and informative video of Samantha Seneviratne and her little boy making a modified version of the original recipe, which Dorie Greenspan originally shared on Epicurious. Dorie credits her friend Marie-Hélène Brunet-Lhoste for the recipe, but truth be told, Dorie created this recipe herself, having been given only a few vague instructions from Marie-Hélène. This cake is mostly apples with a little sweet batter (and a little rum…) holding them together. It’s easy to make, bakes up beautifully, and, reports Dorie, tastes...
Source: The Blog That Ate Manhattan - February 21, 2022 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Fruit Apple Cake Apple dessert Apples Dorie Greenspan Marie-Helene Source Type: blogs

Dorie Greenspan ’s Apple Cake ala’ Marie-Hélène
I found the recipe for this delicious Apple Cake on Food52, which features an adorable and informative video of Samantha Seneviratne and her little boy making a modified version of the original recipe, which Dorie Greenspan originally shared on Epicurious. Dorie credits her friend Marie-Hélène Brunet-Lhoste for the recipe, but truth be told, Dorie created this recipe herself, having been given only a few vague instructions from Marie-Hélène. This cake is mostly apples with a little sweet batter (and a little rum…) holding them together. It’s easy to make, bakes up beautifully, and, reports Dorie, tastes...
Source: The Blog That Ate Manhattan - February 21, 2022 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Fruit Apple Cake Apple dessert Apples Dorie Greenspan Marie-Helene Source Type: blogs