An E.R. Kicks the Habit of Opioids for Pain - The New York Times
Brenda Pitts sat stiffly in an emergency room cubicle, her face contorted by pain. An old shoulder injury was radiating fresh agony down to her elbow and up through her neck. She couldn't turn her head. Her right arm had fallen slack. Fast relief was a pill away — Percocet, an opioid painkiller — but Dr. Alexis LaPietra did not want to prescribe it. The drug, she explained to Mrs. Pitts, 75, might make her constipated and foggy, and could be addictive. Would Mrs. Pitts be willing to try something different? Then the doctor massaged Mrs. Pitts's neck, seeking the locus of a muscle spasm, apologizing as the pat...
Source: Psychology of Pain - June 12, 2016 Category: Anesthesiology Source Type: blogs

Reflections on the Immigration Act of 1924
Last week marked the 92nd anniversary of the passage of the Immigration Act of 1924, also known as the National Origins Act.  This bill marked the permanent end of America’s nearly open borders policy with Europe.  Other previously passed laws like the Chinese Exclusion Act, the Literacy Act of 1917, and the Page Act restricted immigration from elsewhere. The Immigration Act of 1924 limited the annual number of new immigrants by country to just 2 percent of the number of immigrants from that country who were already living in the United States in 1890.  This was a reform of the temporary Emergency Quota Act of 1921 th...
Source: Cato-at-liberty - June 1, 2016 Category: American Health Authors: Alex Nowrasteh Source Type: blogs

Are You Ready for Some (Political) Football? - the NFL, Concussion Research, the NIH, and the Revolving Door
Probably because it involved the favorite American sport, the controversy about the risk of concussions to professional National Football League (NFL) players, and how the NFL has handled the issue is very well known.  A recent article in Stat, however, suggested that one less well known aspect of the story overlaps some issues to concern to Health Care Renewal.Allegations that a Prominent Physician and NFL Official Tried to Influence the NIH Grant Review Process The article began,Dr. Elizabeth Nabel, president of Boston’s Brigham and Women’s Hospital [BWH] and one of the nation’s most prominent medical execut...
Source: Health Care Renewal - May 26, 2016 Category: Health Management Tags: conflicts of interest NIH Partners Healthcare revolving doors Source Type: blogs

An Independent Medical Review Panel for the Candidates
By ART CAPLAN and JONATHAN MORENO As unusual as the 2016 presidential election has been, one obvious aspect has gone largely unnoticed: By the time the next president of the United States is inaugurated on Jan. 20, 2017, he or she will have reached or come close to reaching 70 years old. That all the remaining major candidates are among the “young old” at this stage of the election process is unprecedented. Yet, in spite of the stakes for the American people, there is no independent source that can provide an adequate accounting of the medical condition of the next president. Historians have examined the ways ...
Source: The Health Care Blog - May 19, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

PEM Guides Online
This month sees the release of two new eBooks for brushing up on your Paediatric Emergency Medicine Skills. Both of these eBooks are a truly great addition to your PEM reference resources. They are both free and there’s no excuse not to have them handy on your mobile. PEM Guides 2.0 by NYU Langone Medical Center Website – iBooks “PEM (Pediatric Emergency Medicine) Guides was developed as a point of care resource in our pediatric emergency departments at Bellevue Hospital Center and NYU Langone Medical Center. The PEM Guides focus on the essential diagnostic, treatment and disposition decisions. – Micha...
Source: Life in the Fast Lane - May 19, 2016 Category: Emergency Medicine Authors: Tessa Davis Tags: Book Review Tech Tool Web Culture Langone Medical Center NYU pediatric emergency medicine PEM Guide Source Type: blogs

A Community Compass to Keep Basic Science on Track
By: Ana Emiliano, MD, MS, instructor in clinical investigation, Laboratory of Molecular Genetics, Rockefeller University As an endocrinologist researching the basic science underlying obesity and type 2 diabetes, I wasn’t sure that participating in a community engagement project would lead me to greater insights into the molecular and genetic underpinnings of metabolic disorders. Because of our dichotomized medical training system, in which the basic sciences tend to be separate from the clinical sciences, I had embraced the misconception that clinical research was for epidemiologists and that I should stick to the l...
Source: Academic Medicine Blog - May 10, 2016 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective Bariatric Surgery Metabolic Outcomes Project basic science research community engagement PCORnet Bariatric Study Rockefeller University translational research Source Type: blogs

Dying in America: Complex Choices
Tonight, the New York Academy of Medicine hosts 'Dying in America: Complex Choices."  Register here. Expert PanelModerator: Barbara Glickstein, RN, MPH, MS - Public Health Nurse and Co-Founder and Co-Director of the Center for Health, Media and Policy (CHMP), Hunter College of the City University of New York Amy Berman, RN - Senior Program Officer, John A. Hartford Foundation Carolyn Jones - Filmmaker Kenneth Prager, MD - Professor of Clinical  Medicine, Director of Clinical Ethics and Chairman of the Medical Ethics Committee, Columbia University Medical Center Judith Schwarz, RN, PhD - Clinical Director, End of ...
Source: blog.bioethics.net - May 5, 2016 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care medical futility blog syndicated Source Type: blogs

US Senate Committee on Homeland Security, Hearing: America’s Insatiable Demand for Drugs
Conclusion There are likely to continue to be more hearings on the topic, by a variety of committees in Congress. It is likely that some form of action will be taken, once a consensus is reached within at least one committee, and we will see this problem continue to play out and try to be resolved through legislative means.         (Source: Policy and Medicine)
Source: Policy and Medicine - April 27, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

UC Davis Storer Lecture series - since 1963 87% of speakers are male
I wrote this blog post a while ago but never published it partly out of fear for upsetting some of my colleagues.  I try to be brave about such things, but I guess I just did not quite get up the poxy.  Well, today something came up that stimulated me to write the post. I got an email announcement for a talk that seems potentially quite interesting. The problem is not the talk.  The problem is with the endowed Lectureship that this talk is connected to.  So here is the post I have worked on on and off over the last year or more.UC Davis has an endowed lecture series- the Storer Lectureship in the Life S...
Source: The Tree of Life - April 20, 2016 Category: Microbiology Authors: Jonathan Eisen Source Type: blogs

Reminder: Tobacco Harm Reduction Conference - April 21, 2016
You are cordially invited to the Tobacco Harm Reduction conference. This event will focus on persons with a mental illness and drug users who smoke tobacco. Dr. Riccardo Polosa, an internationally recognized expert on tobacco harm reduction from Italy, will be speaking about his research on smoking among people with schizophreniaSpeakers (partial list) ·      Shadi Chamany, MD, MPH, Director of Science, Division of Prevention and Primary Care, NYC Department of Health & Mental Hygiene·      Kevin McGirr, RN, MPH, Associate Professor of Nursing, New York City College o...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - March 30, 2016 Category: Addiction Source Type: blogs

Save Algebra
Those of you who have followed my blog posts know that I sometimes express my views about education. I have argued for the value of broad-based education and in particular I have advocated both that scientists should receive quality education in the humanities and that those in the humanities should receive quality education in science. Now I am ready to again argue for inclusion of broad educational requirements and in particularly disagreeing with a man named Andrew Hacker who has, for some years now, argued against the required teaching of algebra. Andrew Hacker is a professor emeritus of political science at Queens Col...
Source: blog.bioethics.net - March 30, 2016 Category: Medical Ethics Authors: Bioethics Today Tags: Health Care education syndicated Source Type: blogs

Cool Image: A Circadian Circuit
This image, taken with a confocal microscope, shows how time-of-day information flows through the fruit fly brain. Clock neurons (stained in blue) communicate with leucokinin (LK) neurons (stained in red at the top left, top right and bottom middle), which, in turn, signal to leucokinin receptor (LK-R) neurons (stained in green). This circuit helps regulate daily activity in the fly. Credit: Matthieu Cavey and Justin Blau, New York University. Feeling sleepy and dazed after the switch to daylight savings time this weekend? Your internal clocks are probably a little off and need some time to adjust. Researchers have been s...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - March 14, 2016 Category: Research Authors: Srivalli Subbaramaiah Tags: Genetics Behavioral Research Biological Clocks Cool Images Model Organisms Source Type: blogs

Bioethics Meets Moral Psychology
On Thursday, May 19th 2016, in New York City the Hastings Center is sponsoring a free all-day symposium, "Bioethics Meets Moral Psychology." Mainstream bioethicists have traditionally made at least two assumptions about the nature and outcome of their work. The first is that reason drives their conclusions. The second is that, when presented with those reasoned conclusions, others will change their behavior, practices, or policies accordingly.  Findings from moral psychology suggest, however, that neither of those assumptions is wholly correct. Both exaggerate the power of reason and underestimate ...
Source: blog.bioethics.net - March 14, 2016 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care medical futility blog syndicated Source Type: blogs

ePharma Summit 2016 | Lessons learned: ePharma marketers and problem-solving
Throughout the ePharma Summit, it was reassuring to hear that all ePharma marketers were privy (and respectful) to the role of regulatory and their customer’s privacy and rights.  However, being knowledgeable of limitations does not deter an ePharma marketer: as Peter Dannenfelser put it during Deploying Digital Strategy general session regarding executing marketing ideas: "If you’re blaming regulatory, you’re being lazy. Work around it. Be creative." This does not mean that regulatory won’t be taken into consideration, it means that ePharma marketers will find a way to get you to their product.&nbs...
Source: ePharma Summit - March 7, 2016 Category: Pharmaceuticals Tags: #ePharma16 Digital Health Digital pharma eDoctor ePatient ePharma 2016 ePharma Summit ePharma Summit 2016 Health tech pharma marketing pharmaceutical marketing the future of healthcare marketing Source Type: blogs

The Future of Healthcare is Digital yet Many Lag Behind
The ePharma Summit successfully gathers together the best innovation, research, and development in pharmaceutical marketing but their audiences/customers/consumers are mostly the tech savvy, the proactive and the involved. I would love to see in the future ePharma Summits the type of efforts made in order to bridge the gap between those who are less digitally connected or tech savvy. I see great openings for these efforts in Dr. Ahmed’s work at eHAP and the work Merck has embarked on in Africa. And while those efforts are alluring because they are abroad, there are many markets in the United States that are “...
Source: ePharma Summit - March 4, 2016 Category: Pharmaceuticals Tags: #ePharma16 Digital Health Digital pharma eDoctor ePatient ePharma 2016 ePharma Summit ePharma Summit 2016 Health tech pharma marketing pharmaceutical marketing the future of healthcare marketing Source Type: blogs