Viral Agents of Childhood Respiratory Tract Infection in the United States
As of October, 2019 Gideon www.GideonOnline.com and the Gideon e-book series contain details of 69,204 epidemiological surveys – of which 1,107 (1.6%) are related to the prevalence of specific viral species in patients with respiratory tract infection.  [1-3] The following chronology of published studies summarizes the relative proportion of viral agents associated with non-influenza childhood respiratory infection in the United States.  Additional details and primary references are available on request. 1976 – 2001 Tennessee hMPV accounted for 20% of acute respiratory illness among children ages 0 to 5 years having ...
Source: GIDEON blog - October 25, 2019 Category: Databases & Libraries Authors: Dr. Stephen Berger Tags: Ebooks Epidemiology ProMED Source Type: blogs

Top Diabetes Companies On The Way To The Artificial Pancreas
Connected continuous glucose sensing technologies, sensors inserted under the skin, digital skin patches, and many more innovations appeared on the market in the last years to make diabetes management as easy as possible. Here, we collected the flagship companies on the way to ultimately building the artificial pancreas or offering solutions to turn diabetes into an invisible condition. From honey urine to DIY artificial pancreas Diabetes has been around for centuries, if not even for thousands of years. In ancient China, India, or Greece, doctors already described the condition. In India, people discovered that the...
Source: The Medical Futurist - October 24, 2019 Category: Information Technology Authors: nora Tags: Future of Medicine blood blood sugar CGM connected health diabetes diabetes management digital digital health glucose insulin monitoring technology Source Type: blogs

Radiologists Identify the Relationship Between Lung Injury Patterns and Vaping
Once considered a safer alternative to cigarettes, radiologists are now drawing connections between vaping and lung injury patterns, according to a  studypublished this month in theAmerican Journal of Roentgenology. This isn ’t the first time that radiologists are voicing concerns about the adverse effects of e-cigarettes. A magnetic resonance imaging (MRI) studypublished in August showed that a single session of vaping causes reduced blood flow and damaged vascular reactivity in the femoral artery. The researchers also found that the vaping solution consists of potentially harmful chemicals that when inhaled, impact ...
Source: radRounds - October 19, 2019 Category: Radiology Authors: Julie Morse Source Type: blogs

Improving Medical AI Safety by Addressing Hidden Stratification
Jared Dunnmon Luke Oakden-Rayner By LUKE OAKDEN-RAYNER MD, JARED DUNNMON, PhD Medical AI testing is unsafe, and that isn’t likely to change anytime soon. No regulator is seriously considering implementing “pharmaceutical style” clinical trials for AI prior to marketing approval, and evidence strongly suggests that pre-clinical testing of medical AI systems is not enough to ensure that they are safe to use.  As discussed in a previous post, factors ranging from the laboratory effect to automation bias can contribute to substantial disconnects between pre-clinical performance of AI systems and dow...
Source: The Health Care Blog - October 18, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Artificial Intelligence Data Health Tech Health Technology AI Jared Dunnmon Luke Oakden-Rayner machine learning Source Type: blogs

How are hospitals supposed to reduce readmissions? Part III
By KIP SULLIVAN, JD The Medicare Payment Advisory Commission (MedPAC) and other proponents of the Hospital Readmissions Reduction Program (HRRP) justified their support for the HRRP with the claim that research had already demonstrated how hospitals could reduce readmissions for all Medicare fee-for-service patients, not just for groups of carefully selected patients. In this three-part series, I am reviewing the evidence for that claim. We saw in Part I and Part II that the research MedPAC cited in its 2007 report to Congress (the report Congress relied on in authorizing the HRRP) contained no studies supporting tha...
Source: The Health Care Blog - October 14, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare health reform Hospital Readmissions Reduction Program HRRP Kip Sullivan MedPAC Source Type: blogs

Like the Telephone Game, CDC's Lack of Clarity is Becoming Completely False Facts at the Local Level
Do you recall thetelephone game? Players sit in a circle and the first person whispers a phrase into the ear of the second person, who whispers it to the third person, and so forth, until it gets to the last player, who then repeats the phrase that they heard. Typically, the phrase changes substantially from the beginning because a series of small, progressive changes add up to a completely different phrase at the end.The only way to prevent this is for the first person to deliver such a clear message that it cannot be mistaken.In this commentary, I show how the lack of clarity by the CDC and other health groups in communi...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 14, 2019 Category: Addiction Source Type: blogs

CDC's Communications are Likely Making this Outbreak Much Worse
A newsurvey released yesterday by the National Opinion Research Center (NORC) at the University of Chicago found that the public believes that vaping nicotine-based e-liquids is much more harmful than vaping THC e-liquids.While 54% of the public believes that vaping nicotine is very harmful, only 38% believe that vaping THC is very harmful. And while just 16% of the public does not believe that nicotine vapes are harmful, an amazing one-third (33%) of the public does not believe that vaping marijuana carries any risk.These data are shocking in light of the fact that we are a good two months into an outbreak of severe respi...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 4, 2019 Category: Addiction Source Type: blogs

New Mayo Clinic Study Further Implicates Contaminated THC Oils in Respiratory Disease Outbreaks and Refutes Claim that Store-Bought Nicotine E-Liquids are Involved
Astudy published yesterday in theNew England Journal of Medicine by a team of researchers at the Mayo Clinic provides further evidence that contaminated THC oils are likely playing a major role in the vaping-associated respiratory disease outbreak and makes it even less likely that store-bought nicotine e-liquids are playing any role at all. Here is the key evidence provided by the paper:1.The overwhelming majority of patients admitted to vaping THC oils.Approximately 76% of the patients studied who reported on product use admitted to vaping marijuana (13 out of 17 patients). Because urine THC testing was either not conduc...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 3, 2019 Category: Addiction Source Type: blogs

How are hospitals supposed to reduce readmissions? Part II
By KIP SULLIVAN, JD The notion that hospitals can reduce readmissions, and that punishing them for “excess” readmissions will get them to do that, became conventional wisdom during the 2000s on the basis of very little evidence. The Medicare Payment Advisory Commission (MedPAC) urged Congress to enact the Hospital Readmissions Reduction Program (HRRP) beginning in 2007, and in 2010 Congress did so. State Medicaid programs and private insurers quickly adopted similar programs. The rapid adoption of readmission-penalty programs without evidence confirming they can work has created widespread concern that these prog...
Source: The Health Care Blog - October 1, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy CMS hospital readmissions Hospital Readmissions Reduction Program HRRP Kip Sullivan MedPAC Source Type: blogs

AI competitions don ’t produce useful models
By LUKE OAKDEN-RAYNER A huge new CT brain dataset was released the other day, with the goal of training models to detect intracranial haemorrhage. So far, it looks pretty good, although I haven’t dug into it in detail yet (and the devil is often in the detail). The dataset has been released for a competition, which obviously lead to the usual friendly rivalry on Twitter: Of course, this lead to cynicism from the usual suspects as well. And the conversation continued from there, with thoughts ranging from “but since there is a hold out test set, how can you overfit?” to “the proposed so...
Source: The Health Care Blog - September 27, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech AI Luke Oakden-Rayner Source Type: blogs

Using Its Emergency Powers, Rest of the Story Issues Four-Month Temporary Ban on Further E-Cigarette Bans
Today, I am bypassing the usual rulemaking process and using my emergency powers to declare a public health emergency and accordingly, I am issuing a four-month, temporary ban on politicians enacting further electronic cigarette bans.The purpose of this public health emergency is to temporarily pause all knee-jerk reaction e-cigarette bans so that we can work with our vaping and cannabis market experts to identify what is actually making people sick and how to better regulate these products to protect the health of our residents without putting thousands of small business owners out of work, forcing thousands of ex-smokers...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - September 27, 2019 Category: Addiction Source Type: blogs

Massachusetts Governor's Emergency Order Protects Drug Dealers at the Expense of Hundreds of Life-Saving Small Businesses
In a move that is a huge victory for the state ' s drug dealers, Massachusetts Governor Charlie Baker has instituted a4-month ban on the sale of all vaping products in the state, including both nicotine-containing electronic cigarettes sold at retail stores and vape shops and cannabis vaping products sold at legal cannabis dispensaries. The ban, which was approved by the state Public Health Council on Tuesday, goes into effect immediately and was motivated by the recent emergence of an outbreak of vaping-associated respiratory illness (VARI) that has affected more than530 people across the United States and has resulted in...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - September 25, 2019 Category: Addiction Source Type: blogs

Breathtaking: The Future Of Respiratory Care And Pulmonology
Smoke-measuring smart shirts, breath sound analyzing algorithms, and smart inhalers pave the way of pulmonology and respiratory care into the future. As the number of patients suffering from asthma, COPD, or lung cancer due to rising air pollution and steady smoker-levels will unfortunately not decrease any time soon, we looked around what technology can do to help both patients and caregivers. The results are breathtaking. Attacks of breathlessness are too common The diseases which pulmonologists and respiratory care specialists attempt to fight are among the most common conditions in the modern world – and the n...
Source: The Medical Futurist - September 25, 2019 Category: Information Technology Authors: nora Tags: Artificial Intelligence Future of Medicine Health Sensors & Trackers AI asthma cancer cancer treatment care COPD diagnostics inhaler lung lung cancer management medical specialty pulmonology respiratory respiratory care Source Type: blogs

Arizona Detectives Bust Illegal THC Vape Cart Operation and Butane Hash Oil Lab; CDC Continues to Go After Legal Manufacturers and Downplay the Role of these Black Market Marijuana Products
Two weeks ago, detectives with the Maricopa County Drug Suppression Task Force busted anillegal THC vape cart operation in Phoenix. They found more than 1,000 THC vape carts worth an estimated $55,000 along with a butane hash oil manufacturing lab and 300 pounds of mid-grade marijuana used to manufacture butane hash oil. The vape carts they found were packaged as the " Dank " brand, which has been associated with some of the recent vaping illnesses and deaths.This is at least the second bust of an illegal THC vape cart manufacturing facility in as many weeks, as Wisconsin drug enforcement officials raided asimilar operatio...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - September 24, 2019 Category: Addiction Source Type: blogs

How Are Hospitals Supposed to Reduce Readmissions? | Part I
By KIP SULLIVAN The notion that hospital readmission rates are a “quality” measure reached the status of conventional wisdom by the late 2000s. In their 2007 and 2008 reports to Congress, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress authorize a program that would punish hospitals for “excess readmissions” of Medicare fee-for-service (FFS) enrollees. In 2010, Congress accepted MedPAC’s recommendation and, in Section 3025 of the Affordable Care Act (ACA) (p. 328), ordered the Centers for Medicare and Medicaid Services (CMS) to start the Hospital Readmissions Reduction Program (HRRP...
Source: The Health Care Blog - September 24, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare ACA Affordable Care Act hospital readmissions Hospital Readmissions Reduction Program HRRP Kip Sullivan Medicaid MedPAC Source Type: blogs