You are not a Paleolithic human
Put down that bone fragment you were digging with and let’s grapple with a basic fact: You are a post-Neolithic human, born 10,000 years after the close of the pre-agricultural paleolithic era that dates back 2.5 million years. The Wheat Belly lifestyle and the population notion of a “paleolithic” diet overlap substantially . . . but there are differences. This is a common question that arises. So here we go and discuss our points of difference. First of all, what I am not doing here is bashing the ideas promoted by most followers of the paleo concepts. The ideas they follow are a damn sight better than c...
Source: Wheat Belly Blog - September 18, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle blood sugar bowel flora gluten grains insulin legumes paleo Source Type: blogs

Implementing Health Reform: Essential Community Providers; The Contraceptive Coverage Accommodation
The week of August 27, 2015 was quiet in terms of Affordable Care Act implementation activities, but there were at the end of the week on August 21 a couple of noteworthy developments. First, the Centers for Medicare and Medicaid Services published in the Federal Register notice of a new collection of data regarding essential community providers (ECPs) to support the certification of qualified health plans (QHPs) for plan year 2017.  Later in the day, CMS published the data collection forms and supporting statements at its Paperwork Reduction Act website. The ACA requires QHP insurers, including Stand-alone Dental Plan ...
Source: Health Affairs Blog - August 23, 2015 Category: Health Management Authors: Timothy Jost Tags: Equity and Disparities Following the ACA Insurance and Coverage Source Type: blogs

Amgen Pays $71 Million to States For Off-Label Allegations In Violation of Consumer Protection Laws
  Earlier this week, Amgen Inc. agreed to pay $71 million to 48 states to settle allegations that it violated state consumer protection laws by promoting its anemia drug Aranesp and plaque psoriasis drug Enbrel off-label. Amgen pleaded guilty in 2012 to a federal criminal charge related to similar off-label allegations related to Aranesp, paying $762 million, then the “single largest criminal and civil False Claims Act settlement involving a biotechnology company in U.S. history,” stated DOJ.  Aranesp is used to treat certain types of anemia by stimulating bone marrow to produce red blood cells.  En...
Source: Policy and Medicine - August 20, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs

Heading Off The Looming Diabetes-Tuberculosis Epidemic
Tuberculosis (TB) has recently made headlines in the U.S. And news of these cases remind us once again that TB is far from conquered. This disease infects about 8.6 million people every year and kills 1.5 million, more than any other infectious disease except human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS). Increasingly, TB’s spread is fueled by rising rates of diabetes—as with HIV, diabetes weakens the immune system, making a person more vulnerable to TB infection and illness—particularly in emerging economies like India and China, which are the source for much of th...
Source: Health Affairs Blog - August 19, 2015 Category: Health Management Authors: Anthony Harries Tags: Costs and Spending Equity and Disparities Featured Global Health Organization and Delivery Population Health Public Health Diabetes epidemics HIV/AIDS TB World Diabetes Foundation World Health Organization Source Type: blogs

Comforting the Dying [EOL in Art 97]
In "La Miseria"  Cristóbal Rojas depicts a man sitting vigil next to a female companion suffering from tuberculosis. (Source: blog.bioethics.net)
Source: blog.bioethics.net - August 16, 2015 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs

A Near Death from Voodoo Hexing
By CLIFTON K MEADOR, MD   In the spring of 1938, Dr. Drayton Doherty admitted a sixty-year-old African –American man to the hospital. The small hospital was located at the edge of town in an old house that had been converted into a fifteen-bed hospital. Six of the beds were located upstairs at the rear of the house in what previously served as a sleeping porch. The patient was admitted to that porch. Dr. Doherty went on to tell me that the patient, Vance Vanders, had been ill for many weeks and had lost over fifty pounds. He looked extremely wasted and near death. His eyes were sunken and resigned to death. The clin...
Source: The Health Care Blog - August 10, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB Source Type: blogs

Autoimmunity: Drug Abuse
The Wheat Belly lifestyle that begins with elimination of the worst and most dominant of all grains in the diet, semidwarf wheat products, followed by elimination of its closely-related brethren in other grains, is a powerful start in reversing the 200-some diseases of autoimmunity. We now know that the gliadin protein of wheat and related proteins in other grains initiate the increased intestinal permeability that begins the process, as highly inflammatory compounds, such as lipopolysaccharide from bacterial cell walls, are permitted entry into the body. We also know that gliadin itself gains entry into the bloodstream a...
Source: Wheat Belly Blog - July 14, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle autoimmunity gluten grains Inflammation Source Type: blogs

Latent tuberculosis (TB) testing and treatment for migrants: a practical guide for commissioners and practitioners
Public Health England (PHE) - This guidance providers advice for commissioners and practitioners implementing local latent TB infection testing and treatment for migrants. It offers practical advice on how primary care based LTBI testing and treatment could be implemented locally. Guidance Associated documentation (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 7, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Commissioning Local authorities, public health and health inequalities Source Type: blogs

Avoiding the Doctor? It’s Time to Man Up and Get a Checked Out
Do you know someone who should have seen a doctor years ago? Maybe it’s your husband, or your father, or your brother, even your son? They complain about the shortness of breath, the nagging cough, or the stomach pain. But they never take action. For some men, so decisive at work or within the family circle, the lack of motivation to get an illness or symptom checked out is surprising. In fact, men are 24% less likely to have visited a doctor in the past year than women. Seeing a doctor is scary and it makes them feel weak and out of control. Roald Bradstock was one of those men. An Olympic athlete who trained 3 to 4...
Source: Disruptive Women in Health Care - June 15, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Men's Health Source Type: blogs

Avoiding the Doctor? It’s Time to Man Up and Get Checked Out
Do you know someone who should have seen a doctor years ago? Maybe it’s your husband, or your father, or your brother, even your son? They complain about the shortness of breath, the nagging cough, or the stomach pain. But they never take action. For some men, so decisive at work or within the family circle, the lack of motivation to get an illness or symptom checked out is surprising. In fact, men are 24% less likely to have visited a doctor in the past year than women. Seeing a doctor is scary and it makes them feel weak and out of control. Roald Bradstock was one of those men. An Olympic athlete who trained 3 to 4...
Source: Disruptive Women in Health Care - June 15, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Men's Health Source Type: blogs

Extremely Drug Resistant TB Diagnosed in Maryland Patient
Extremely drug resistant TB has been diagnosed in a man who traveled from India and then through 3 states before he presented for evaluation. He is now being treated at the National Institutes of Health in Bethesda, Maryland. Extremely drug resistant TB is defined as being resistant to four of the major drugs used to treat the infection. The post Extremely Drug Resistant TB Diagnosed in Maryland Patient appeared first on InsideSurgery Medical Information Blog. (Source: Inside Surgery)
Source: Inside Surgery - June 9, 2015 Category: Surgery Authors: Editor Tags: Infectious Disease expressions extremely drug resistant National Institutes of Health phrases slang surgery TB tuberculosis words Source Type: blogs

Early HIV Treatment Is Essential, But So Is Testing And Linkage To Care
Last week’s announcement of the Strategic Timing of AntiRetroviral Treatment (START) trial results confirms what many experts have long believed — early treatment for HIV reduces illness and death. While START further establishes the vital role of early antiretroviral therapy (ART), many questions remain on how to actually bring the life-saving benefits of treatment to individual patients. In many regards, the very question over when to start treatment is unusual in the field of infectious disease. “No one says we shouldn’t treat TB [tuberculosis] until the size of your cavity is 5 centimeters or your sputum h...
Source: Health Affairs Blog - June 3, 2015 Category: Health Management Authors: Preeti Malani Tags: Drugs and Medical Technology Equity and Disparities Featured Organization and Delivery Public Health Carlos del Rio HIV Medicine Association HIV-AIDS Strategic Timing of AntiRetroviral Treatment Source Type: blogs

Access, Excess, And Medical Transformation: Delivering Durable Health Care In Rural Nepal
Conclusion: On Impact And Scale We believe that Durable Healthcare can transform the health care industry away from the dominant fee-for-service paradigm and towards a model that incentivizes patient safety, patient-centeredness, and evidence-based medicine. Only then we will have a competitive marketplace of private sector providers who leverage public funds for the broader public good. (Source: Health Affairs Blog)
Source: Health Affairs Blog - May 21, 2015 Category: Health Management Authors: Duncan Maru and Padam Chand Tags: Global Health Innovations in Care Delivery Organization and Delivery Population Health Public Health ACOs Durable Healthcare Organization EMR health technology Nepal health care Possible triple aim Source Type: blogs

Grief and Mourning at Death [EOL in Art 10]
Munch painted "Death in the Sickroom" in 1893.  Like many other paintings, it deals with the tuberculosis and death of his sister when he was 14.   Munch directs our focus not to the dying person but to the inner thoughts and grief of the fa... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 20, 2015 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs