Wednesday, March 30, 2011

The international community must intervene – in Japan - CSMonitor.com

Once again, a local problem is becoming a global crisis. Just as California was the epicenter of the subprime mortgage crisis that shook the world, so too the nuclear waste leaks at the Fukushima Daiichi plant in the wake of the earthquake are posing a threat to others far beyond Japan’s borders.

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And just as the international community had to come together to stem the financial meltdown from contaminating the entire world economy, it must now intervene in Japan to prevent radiation from poisoning the planet.

The situation is serious. If the spent fuel pools storing irradiated fuels from the reactors in Fukushima give way as a result of a new aftershock or by overheating, huge quantities of radioactive material – either as a liquid or gas flowing into the sea, air, or subsoil – will be released. In the case of the containment vessel of the third reactor, considerable quantities of plutonium might escape. In this event, parts of Japan will become largely uninhabitable, and radiation will spread out across the globe through the food chain or carried by the wind and sea currents.

Japan's missteps and coverup

Like the American financial institutions that spawned the subprime mortgage crisis, Japan’s nuclear crisis is largely the result of forsaking prudence for profits. Knowing better, the Fukushima plant was nonetheless built on an earthquake fault on the seacoast vulnerable to tsunamis. Worse, six plants were bundled together like toxic mortgages, inviting disastrous contagion, sidestepping safety regulations.

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63 Year Survival Of Hiroshima And Nagasaki Help Assess Current Long Term Radiation Effects In Japan

In order to understand what the long-term radiation-related effects might potentially be for residents in Japan today after the current nuclear accident, researchers report in Disaster Medicine and Public Health Preparedness that a study of the long-term health of the atomic explosions of Nagasaki and Hiroshima could provide some insight.

The review article in this American Medical Association (AMA) journal examines risk estimates and explains what we have learned from the survivors 63 years later. The AMA informs that this article is open access.

The authors note:

"Approximately 40% of the A-bomb survivors, but about 80% of those exposed before age 20 years, are alive today."

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Hospital worker had deadly blood infection

All Children's Hospital has contacted all the families whose children were exposed to an outpatient therapist who died Monday from a contagious infection that can lead to meningitis.

As they continue to notify staff who may be affected, officials want the public to know the hospital is safe, and the general public is not at risk.  However, they do want all of us to be aware of two key facts about the infection that could save lives.

Doctor Juan Dumois, The Director of Pediatric Infectious Diseases at All Children's, has spent the last two days answering questions about a blood infection that likely killed an outpatient therapist.  “It’s an organism that we call meningococcal. And this organism has the potential to cause very serious life threatening blood infections and sometimes, once it's in the blood it can get into the brain and that's when we call it meningitis."

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Why Not The Best (Hospital Benchmark Data)

Comparative Health Care
Performance Data

 

  • See how well U.S. hospitals perform on measures of evidence-based care, patient experience, readmission and mortality rates, and costs
  • Compare a hospital's performance with peer organizations and national benchmarks
  • Find case studies and tools to help improve the quality of care

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How safe is your hospital? - chicagotribune.com

Just before it was disclosed that a medical error at the University of Chicago led to the death of James Tyree, a well-known financier and philanthropist being treated for cancer, I was putting together a presentation examining the quality of care at some of the area's best-known hospitals.

Using publicly available data, I told a meeting of local health care executives that there were warning flags at several institutions, including the U. of C. Tyree, ironically, would have known about any actual problems in far greater detail. He served on the board of the hospital where he died from an air embolism in a dialysis catheter, and hospital officials said in an interview that they regularly report safety data to board members.

There's an important distinction between great doctoring and great safety. The U. of C. has a reputation for outstanding cancer care. That's likely the reason that Tyree, suffering from stomach cancer and pneumonia, had a relatively good prognosis when he entered the hospital and why his death so shocked his family and friends. But as a wise physician once warned, "Every hospital should have a plaque at its entrance that reads, 'There are some patients whom we cannot help; there are none whom we cannot harm.'"

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Why Exercise Won't Make You Thin - TIME

As I write this, tomorrow is Tuesday, which is a cardio day. I'll spend five minutes warming up on the VersaClimber, a towering machine that requires you to move your arms and legs simultaneously. Then I'll do 30 minutes on a stair mill. On Wednesday a personal trainer will work me like a farm animal for an hour, sometimes to the point that I am dizzy — an abuse for which I pay as much as I spend on groceries in a week. Thursday is "body wedge" class, which involves another exercise contraption, this one a large foam wedge from which I will push myself up in various hateful ways for an hour. Friday will bring a 5.5-mile run, the extra half-mile my grueling expiation of any gastronomical indulgences during the week.

I have exercised like this — obsessively, a bit grimly — for years, but recently I began to wonder: Why am I doing this? Except for a two-year period at the end of an unhappy relationship — a period when I self-medicated with lots of Italian desserts — I have never been overweight. One of the most widely accepted, commonly repeated assumptions in our culture is that if you exercise, you will lose weight. But I exercise all the time, and since I ended that relationship and cut most of those desserts, my weight has returned to the same 163 lb. it has been most of my adult life. I still have gut fat that hangs over my belt when I sit. Why isn't all the exercise wiping it out?

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FEATURE-Small business struggles in Iraq | Energy & Oil | Reuters

Frustrated by little support from his government and chasing a dream of having his own business, Iraqi nurse Sabah Jassim pooled his savings and turned to a private bank to develop a medical clinic in Baghdad.

Jassim is one of hundreds of entrepreneurial Iraqis eager to start up small and medium enterprises (SMEs) following the 2003 U.S.-led invasion of Iraq that toppled Saddam Hussein.

Development in Iraq has been stifled by decades of economic sanctions and war and SMEs, often seen as the backbone of a country's economy, have made little progress in Iraq due to high start-up costs and scant government funding.

Chronic power and water shortages, ongoing security concerns and high customs tariffs have all made it difficult for a small business sector to emerge.

"There is no government support. I depended on Ashur bank and on myself. With their help I completed the project," said Jassim, who runs a medical clinic that offers dentistry, gynaecology, pharmaceutical and x-ray services in Baghdad's impoverished Ubaidi district

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Suzan Macco RN,CNHP (NurseForHealth) on Twitter

Suzan Macco RN,CNHP

@NurseForHealth De Pere, WI, USA
Bringing back the DO NO HARM philosophy of medicine; promotes non-toxic therapies; R.N. 31 yrs; ♥ Jesus ♥ Freedom; Cancer survivor w/Functional Medicine

»

Suzan Macco RN,CNHP

The process of digestion

»

Suzan Macco RN,CNHP
@
Are they having a tweetathon? @ I will check them out.

»

Suzan Macco RN,CNHP
@
No I don't yet. Should I? @

»

Suzan Macco RN,CNHP

The War on Cancer A Progress Report for Skeptics

»

Suzan Macco RN,CNHP
@
Yes, finally... @ Wish I knew that 16 yrs ago. Had my son on some of that garbage. Who'd think food the answer?!

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AIM: Adverse event reporting is on the rise

Although the FDA's Adverse Event Reporting System (AERS) database has been in existence since 1969, more than half of the incidents in it were received in the past decade, according to an article published online March 28 in the Archives of Internal Medicine.

These 2.2 million events represent a 1.65-fold increase from the prior decade, wrote Sheila Weiss-Smith, PhD, from the University of Maryland School of Pharmacy in Baltimore, and colleagues. "Report volume increased from 2000 to 2010 at a mean annual rate of 11.3 percent,” the authors continued.

AERS is a repository of passively reported adverse drug events designed as a safety net so the FDA can monitor all marketed drugs and detect serious safety problems. Weiss-Smith and colleagues sought to characterize the current reporting patterns.

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Harmed in the hospital? Should you sue? - CNN.com

Ryan Jeffers finds it hard to believe his daughter, Malyia, went from being a perfectly healthy 2-year-old who loved to dance, sing and entertain to an amputee facing a lifetime of medical care.

"I can't believe something so small turned into something so big," recalls Jeffers, who noticed that his daughter had a fever one Sunday in November.

Malyia's fever continued to climb, and unusual bruises appeared on her cheek; her parents say they rushed her to the emergency room near their Sacramento home. But things did not go as they expected.

The family says that they couldn't get a physician to examine Malyia and that the five-hour wait in the emergency room nearly killed her. Her septic infection worsened as she waited to be seen.

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