Showing posts with label health advocacy. Show all posts
Showing posts with label health advocacy. Show all posts

Friday, February 18, 2011

Released hospital patients' many unhappy returns

Patients who are released from the hospital too early or without proper planning and instructions often wind up back in the hospital after a few days, a problem that's costly to taxpayers and distressing to patients.

A study released today calculated that reducing hospital stays by a single day for Medicare and Medi-Cal patients in California adds up to $227 million a year.

An estimated 81,000 Medicare patients in California - or 20 percent - end up back in the hospital within 30 days of being discharged for some reason related to the same condition, the study found.

"Right now, when you go to the hospital, it's the do-it-yourself model. It's up to you to figure out what to do," said David Grant, author of the study for the California Discharge Planning Collaborative, a group of labor, senior and other advocacy organizations.

Patients, especially those who are elderly and lack social support, are often readmitted because they don't understand their discharge instructions, fail to take their medications or have complications that they can't handle.

Click on the "via" link for the rest of the article.

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Monday, February 14, 2011

Patient Stories May Improve Health, NYTimes.com

The only reservation that he mentioned was the same one all the other patients had — he feared that death would come before the perfect organ.

But during one visit just before he finally got the transplant, he confessed that he had been grappling with another concern, one so overwhelming he had even considered withdrawing from the waiting list. He worried that he would not be strong enough mentally and physically to survive a transplant.

In desperation, he told me, he had contacted several patients who had already undergone a transplant. “That’s what made me believe I’d be O.K.,” he said. “You doctors have answered all of my questions, but what I really needed was to hear the stories about transplant from people like me.”

Patients and doctors have long understood the power of telling and listening to personal narratives. Whether among patients in peer support groups or between doctors and patients in the exam room or even between doctors during consultations, stories are an essential part of how we communicate, interpret experiences and incorporate new information into our lives.

Despite the ubiquitousness of storytelling in medicine, research on its effects in the clinical setting has remained relatively thin. While important, a vast majority of studies have been anecdotal , offering up neither data nor statistics but rather — you guessed it — stories to back up the authors’ claims.

Now The Annals of Internal Medicine has published the results of a provocative new trial examining the effects of storytelling on patients with high blood pressure. And it appears that at least for one group of patients, listening to personal narratives helped control high blood pressure as effectively as the addition of more medications.

Monitoring the blood pressure of nearly 300 African-American patients who lived in urban areas and had known hypertension, the researchers at three-month intervals gave half the patients videos of similar patients telling stories about their own experiences. The rest of the patients received videos of more generic and impersonal health announcements on topics like dealing with stress. While all the patients who received the storytelling DVD had better blood pressure control on average, those who started out with uncontrolled hypertension were able to achieve and maintain a drop as significant as it had been for patients in previous trials testing drug regimens.

“Telling and listening to stories is the way we make sense of our lives,” said Dr. Thomas K. Houston, lead author of the study and a researcher at the University of Massachusetts Medical School in Worcester and the Veterans Affairs medical center in Bedford, Mass. “That natural tendency may have the potential to alter behavior and improve health.”

Experts in this emerging field of narrative communication say that storytelling effectively counteracts the initial denial that can arise when a patient learns of a new diagnosis or is asked to change deeply ingrained behaviors. Patients may react to this news by thinking, “This is not directly related to me,” or “My experience is different.” Stories help break down that denial by engaging the listener, often through some degree of identification with the storyteller or one of the characters.

“The magic of stories lies in the relatedness they foster,” Dr. Houston said. “Marketers have known this for a long time, which is why you see so many stories in advertisements.”

In health care, storytelling may have its greatest impact on patients who distrust the medical system or who have difficulty understanding or acting on health information because they may find personal narratives easier to digest. Stories may also help those patients who struggle with more “silent” chronic diseases, like diabetes or high blood pressure. In these cases, stories can help patients realize the importance of addressing a disease that has few obvious or immediate symptoms. “These types of patients and diseases may be a particular ‘sweet spot’ for storytelling,” Dr. Houston noted.

This particular benefit from stories comes as welcome news not only for patients but also for doctors, who are increasingly reimbursed based on patient outcomes. “There’s only so much the doctor can do, so providers are looking for innovative ways to help their patients,” Dr. Houston said. While more research still needs to be done, the possibilities for integrating storytelling into clinical practice are numerous. In one possible situation, which is not all that dissimilar from popular dating sites, doctors and patients would be able to access Web sites that would match patients to videos of similar patients recounting their own experiences with the same disease.

Dr. Houston is currently involved in several more studies that will examine the broader use of storytelling in patient care and delineate ways in which it can best be integrated. Nonetheless, he remains certain of one thing: Sharing narratives can be a powerful tool for doctors and patients.

“Storytelling is human,” Dr. Houston said. “We learn through stories, and we use them to make sense of our lives. It’s a natural extension to think that we could use stories to improve our health.”

Join the discussion on the Well blog, Healing Through Storytelling.”

Click on the link to read the full story.

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Friday, February 11, 2011

Medical News: Nursing Home Med Errors Vary by Form of Drug - in Geriatrics, General Geriatrics from MedPage Today

Residents in nursing and old age homes are four times as likely to get an incorrect dose of medication if it's in liquid rather than pill form, researchers reported.

In a study in 55 British homes, errors included such things as incorrect measurements and not shaking a suspension, according to David Phillip Alldred, PhD, of the University of Leeds in Leeds, England, and colleagues.

Errors also were more likely with inhalers and other drug formulations, compared with pills or tablets dispensed using a monitored dosage system, Alldred and colleagues reported online in BMJ Quality and Safety.

Monitored dosage systems -- also known as unit dose systems -- consist of a tray or cassette with compartments for one or more doses for a particular day and time and are intended to simplify the administration of medications for staff, the researchers noted.

But such systems can't be used for all medications -- liquids, among others -- and it's not clear that they are safer than delivering drugs from the manufacturer's own packaging, Alldred and colleagues noted.

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Sunday, February 6, 2011

Most ED patients willing to wait longer to avoid nondoctor care :: Aug. 30, 2010 ... American Medical News

Nurse practitioners and physician assistants account for at least 10% of outpatient visits and increasingly are being used to handle patient care in emergency departments, according to previous research.

But a new survey said 80% of patients expect to see a physician when they come to the ED. Fewer than half would be willing to see an NP or PA for an ankle injury -- they would rather wait two more hours to be cared for by a physician.

The survey of 507 ED patients at three teaching hospitals in Pittsburgh and Dallas found that, even for a minor complaint such as a cold symptom, only 57% would agree to see a nurse practitioner and 53% would see a physician assistant, according to the study in the August American Journal of Bioethics. Patients also preferred to see a fully trained physician compared with a medical resident, but not by as wide a margin as their desire to avoid nonphysicians.

Given their strong preferences for care from physicians, patients deserve greater disclosure about who is providing care and what the level of training is, said study lead author Gregory L. Larkin, MD, professor of emergency medicine at Yale University School of Medicine in Connecticut.

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Thursday, February 3, 2011

CMS Initiative Will Link Incentives With Reduced Infections, Readmissions - California Healthline

CMS is planning a "major multi-year financial commitment" involving Medicare, Medicaid and private insurers that aims to curb hospital-acquired infections and readmissions, according to a confidential draft of a CMS document, Inside Health Reform reports.

The so-called National Patient Safety Initiative -- which is being developed by CMS' innovation center -- would link $70 billion in Medicare funds across 10 years to hospitals' ability to achieve new standardized performance metrics. Under the plan, 6% of hospitals' Medicare payments will be contingent on reporting errors and meeting safety measures, with the proportion of payments increasing to 9% by 2015.

By hiring state contractors, CMS will develop measures and monitor progress, and then use results to determine payments.
Medicaid and private insurance plans that chose to participate in initiative also will link a larger portion of payments to patient safety goals, affordability and patient-centered care.

The innovation center also will fund studies that aim to determine how to disseminate best practices data, and support states and health systems that develop networked learning projects, Inside Health Reform reports (Inside Health Reform, 1/26).

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Wednesday, February 2, 2011

Website offers top tips on caring for people with learning disabilities | News | Nursing Times

A new website, offering practical tips on supporting people with learning disabilities, is proving popular with healthcare providers for its hands-on approach.

www.Netbuddy.org.uk provides solutions to issues many learning disability nurses will recognise, such as: how to administer medicines comfortably, how to manage constipation, how to communicate with someone who is non-verbal and how to cope with challenging behaviour.

All the tips are contributed by people with first-hand experience of learning disability.

Netbuddy co-founder Deborah Gundle said: “Netbuddy appeals to healthcare professionals because the advice is very practical, and it comes directly from people with everyday experience of learning disability. It’s a goldmine of useful information from people who really know what they’re talking about.

Since www.Netbuddy.org.uk launched in September 2010, the site has had thousands of hits from parents, carers and healthcare providers - either picking up ideas or contributing tips.

“Parents immediately recognised how useful Netbuddy could be and started using it straight away,” said Deborah. “Now we are getting more healthcare professionals to the site, which is fantastic. We particularly want to hear from learning disability nurses, as they will have lots of useful ideas to pass on.

“We really believe that Netbuddy can make a huge difference in providing excellent quality of care for people with learning disabilities.”

Parents, caregivers of special needs children will find this article of interest.

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Monday, January 10, 2011

HealthCare.gov (Healthcare Reform, Affordable Care Act)

Your Rights and Protections Under the Affordable Care Ac... 

Under the new health care law, you will see an end to some of the worst abuses of the insurance industry. New rules will put you – not your insurance company – in control of your health care.…Continue Reading →

Myths vs. Facts: Repeal Would Be Bad for Americans’ Heal... 

You may have read in today’s New York Times that the health care law enacted nine months ago is in jeopardy. Nothing could be farther from the truth. Let’s take these issues one at a time and talk about facts.

Making Living Independently A Reality for People with Di... 

Many Americans with disabilities face challenges in accessing the fundamental right to determine where and how they want to live their lives. Thanks to a new inter-agency partnership, more people living with disabilities will have that choice.


Keeping an Eye on Proposed Premium Hikes  

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Sunday, January 9, 2011

Starve a Cold, Feed a Fever? | Patient Advocate - Kitty Wilde, RN

Do you starve a cold and feed a fever when you’re feeling under the weather? Or is it the other way around?

Good news — starving is never the correct answer.

When you eat a nutritional, well-balanced diet, many other factors fall in place that keep your body functioning optimally. Foods that are rich in nutrients help fight infections and may help to prevent illness. Because a wide array of nutrients in foods — some of which we may not even know about — are essential for wellness, relying on dietary supplements (vitamins and minerals) for good nutrition may limit your intake to just the known nutritional compounds rather than letting you get the full benefit of all nutrients available in food.

Including more raw fruits and vegetables in your diet is the best way to ensure a high intake of antioxidants. And when you cook these super-nutrients, be sure you cook them using as little liquid as possible to prevent nutrient loss.

To read the rest of the article, click on the link above.

See also, patient advocates:
http://www.nursefriendly.com/nursing/consumer.advocate/patient.awareness.orga...
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Andrew Lopez, RN
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Wednesday, January 5, 2011

I'll Never Ration. Not Me. Not I. - NYTimes.com

Opposition to health-care rationing is a little like opposition to growing up. It sounds great. It’s just not very practical.

A society’s resources are always limited. So we have to make choices about what we can afford and what we can’t. Not everyone can afford to own a vacation home — which means vacation homes are rationed. Not everyone can afford to live in towns with excellent public schools — which means that good public education is rationed.

Similarly, we can’t afford to try every feasible medical treatment on every patient. Instead, we make choices. The most obvious form of rationing is the millions of Americans who lack health insurance today. Most of them get less medical care than they need and, in the process, keep down the nation’s total medical bill.

But even those with health insurance experience rationing. How? In many ways.

This country has not spent the money to install computerized medical records, and we suffer more medical errors than many other countries. We underpay primary care doctors, relative to specialists, and we’re left stewing in waiting rooms while our primary-care doctors try to see as many patients as possible. Specialists are usually not paid for time they spend collaborating with doctors in other specialties, and many hard-to-diagnose conditions go untreated. Nurses are usually not paid to counsel people on how to improve their diets or remember to take their pills, and manageable cases of diabetes and heart disease become fatal.

At some point we'll need to accept the fact that we cannot all have every test, every operation, every treatment, every new medicine or see every specialist.

To read the rest of the article, click on the link above:

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Nurse Leadership Helps Treatment of Patients With Multiple Conditions | All Sites Nursing News

Team care led by a nurse appears to improve patient outcomes in cases of multiple chronic conditions such as heart disease, diabetes and depression.

Middle-aged patients with multiple conditions who experienced a team treatment approach using evidence-based guidelines improved in blood sugar, blood pressure, cholesterol control and depression, according to a study in the Dec. 30 issue of The New England Journal of Medicine.

“Depressed patients with multiple uncontrolled chronic diseases are at high risk of heart attack, stroke and other complications,” said lead study author Wayne J. Katon, MD, vice chairman of psychiatry and behavioral sciences at the University of Washington School of Medicine in Seattle. “We are excited about finding a new way to help patients control these chronic diseases, including depression.”

To read the complete article click on the above link:
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Monday, December 13, 2010

Doctors, nurses often contribute to patients' weight problems - FierceHealthcare

Although some doctors and nurses seems to think stigma and shame can help motivate patients to lose weight, the opposite seems to be true, according to a doctor's commentary published today in the Los Angeles Times.

"People who are exposed to stigmatizing situations are more likely to engage in unhealthy eating behaviors and less likely to be physically active," said Rebecca Puhl, director of research at the Rudd Center for Food Policy and Obesity at Yale University, who was interviewed for the piece.

Indeed, most women in one study coped with stigma over their weight by eating more food or refusing to diet.

What's more, humiliating interactions may make overweight patients unwilling to seek out medical care, which means their other medical problems likely will go untreated, as well. Puhl says that healthcare providers need to adjust their expectations, pointing out that losing weight isn't just about having patients go on diets. An inability to diet down to a healthy weight isn't due to just lack of motivation, according to Puhl.

She also calls on healthcare providers to recognize that even relatively small changes in weight count as progress toward better health. Most people can't lose more than 10 percent of their body weight and keep the weight off over time, she says.

Dr. Valerie Ulene, the commentary's author and a preventive medicine specialist whose siblings tortured her when she was an overweight child, says that patients who are overweight deserve to be treated compassionately and effectively. "It's not just the right thing to do, it's the best approach for successful treatment," she writes.

To learn more:
- here's the Los Angeles Times commentary

Related Articles:
Too often, MDs blame obese patients' ills on fat
To help patients lose weight, don't call them fat
Health-conscious docs more likely to offer lifestyle advice
Conquering chronic disease with lifestyle medicine
Guest Commentary: Brad Wilson on fighting obesity

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Monday, December 6, 2010

Health reform will bring need for more nurses in Oklahoma | NewsOK.com

More Oklahomans could soon hear: “The nurse will see you now.”

The prescription for hospitals and doctors' offices, which will get even busier as health care reform brings millions more people to their doorsteps, may be highly trained nurses with greater authority.

Those nurses should practice to the full extent of their education and be full partners with doctors as health care reform collides with an aging population and a reduction in primary care doctors, according to the Institute of Medicine and the Robert Wood Johnson Foundation.

“This is such a historic, monumental prescription for change,” said Marvel Williams, the dean of the nursing school at Oklahoma City University.

“I know there will be some people out there among other health care professions, particularly, who are a bit nervous about the role nurses are expected to take, based on these recommendations.”

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Friday, December 3, 2010

The 3 Times You Should Re-examine Your Health Care Benefits | Education & Careers

While our three (ring circus) branches of government try to figure what to do with health care, life for us down here in the trenches continues to march on. This means accidents happen, people get sick, and at some point every one of us ends up (at one time or another) in a doctor’s examination room wrapped in a paper gown. For this reason, you need to consider all your health insurance options whether you’re employed or not. Unfortunately, when your job status changes, so does your coverage. Here are the three most important times you need to re-examine your health care benefits.

When You Start a New Job

The sad truth is most employers can’t afford to cover their employees with 100% health care. In most cases, an employer pays for part or most of an employee’s plan, but then the employee has to also kick in to make up the difference. When you hire on with a new company, be sure to read the company’s health insurance policy from cover to cover. If you don’t understand something, ask your employer to spell it out for you. Typically, an employer health care plan DOES cover general doctor visits and catastrophic care, but usually DOESN’T include extras like dental, vision, chiropractic care, etc. If these things are important to you then often you can include them as extras on your policy, but you’ll have to pay for them.

Also if you or someone in your family has a pre-existing condition, you need to make sure that condition will be covered under your new plan. In fact, check on this BEFORE you quit your old job. And if you like the doctors you’ve been seeing make sure those doctors are covered under your new plan. If not, you may be paying for your doctor visits 100% out of your own pocket.

If You Quit or Are Fired From Your Existing Job

Regardless of the reason you leave a job the COBRA Act of 1985 ensures that you can take your company’s health insurance benefits with you for up to 18 months. Unfortunately, you’ll have to pay 100% of those monthly premiums yourself, but at least you’re covered. This is especially important if you’re going through specific treatment at the time you leave a job, or you want to retain your same health insurance while you look for a new job.

Whatever you do, DO NOT roll the dice and go without health insurance. That’s never a gamble worth taking.

If You’re In Between Jobs

If your employer’s health plan is too expensive for you to continue with on your own, then you need to get some sort of health insurance while you look for work. If you’re married, check to see if your spouse’s plan will cover you, at least for catastrophic care. You may have to pay a little extra, but it probably won’t add up to what you’d pay for your own policy.

If you have to purchase your own health insurance you basically have two options; A PPO (expensive, but covers a lot) or catastrophic care (cheaper, but with less coverage). The one you choose depends upon A) How much money you have to spend on health care, and B) How long you anticipate being unemployed.

A PPO is the closest thing your employer provided you with in terms of health care. Typically, a PPO has a family deductible of anywhere from $1,000 to $5,000 annually and also offers co-pays for doctor office visits and prescription drugs. This means you pay your doctor office co-pay of, for example, $25 per visit, every time you go to your doctor. But after you’ve paid enough medical bills (in a calendar year) to meet your deductible, then the insurance company pays anywhere from 80% to 100% of your remaining medical bills, but only for the rest of the calendar year. After January 1 the slate is wiped clean and you start paying toward your deductible all over again.

A PPO plan is pretty expensive because it covers everything from a cold to cancer. If you know you’re going to be out of work only for a short time, then a PPO may be overkill. Instead, you can go with a catastrophic care plan, which has a very high deductible (usually $5,000 to $10,000), and only covers you for major medical expenses, such as accidents or long term severe illness (like cancer). If you’re healthy, and left without health benefits for a month or less, then a catastrophic care plan may make more sense. It’s way cheaper than a PPO, but still guarantees you won’t lose everything if you happen to have an accident that requires expensive treatment while you’re without employer benefits.

Regardless of your employment status you should NEVER go without health insurance. It only takes something as simple as a hernia surgery or a broken leg to wipe out everything you’ve ever worked for. True, you don’t know if you’ll ever need to go to the doctor while in between jobs, but that’s why they call it insurance – because then you won’t have to worry if you do.

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Wednesday, November 17, 2010

Is Your Produce Losing Its Health Power? - MSN Health & Fitness - Nutrition

While we've been dutifully eating our fruits and vegetables all these years, a strange thing has been happening to our produce. It's losing its nutrients. That's right: Today's conventionally grown produce isn't as healthful as it was 30 years ago—and it's only getting worse. The decline in fruits and vegetables was first reported more than 10 years ago by English researcher Anne-Marie Mayer, Ph.D., who looked at the dwindling mineral concentrations of 20 UK-based crops from the 1930s to the 1980s.

It's happening to crops in the United States, too. In 2004, Donald Davis, Ph.D., a former researcher with the Biochemical Institute at the University of Texas, Austin, led a team that analyzed 43 fruits and vegetables from 1950 to 1999 and reported reductions in vitamins, minerals, and protein. Using USDA data, he found that broccoli, for example, had 130 mg of calcium in 1950. Today, that number is only 48 mg. What's going on? Davis believes it's due to the farming industry's desire to grow bigger vegetables faster. The very things that speed growth—selective breeding and synthetic fertilizers—decrease produce's ability to synthesize nutrients or absorb them from the soil.

A different story is playing out with organic produce. "By avoiding synthetic fertilizers, organic farmers put more stress on plants, and when plants experience stress, they protect themselves by producing phytochemicals," explains Alyson Mitchell, Ph.D., a professor of nutrition science at the University of California, Davis. Her 10-year study in the Journal of Agricultural and Food Chemistry showed that organic tomatoes can have as much as 30 percent more phytochemicals than conventional ones.

But even if organic is not in your budget, you can buck the trend. We polled the experts and found nine simple ways to put the nutrient punch back in your produce.

How to feed yourfamily for $100 a week.

Sleuth out strong colors

"Look for bold or brightly hued produce," says Sherry Tanumihardjo, Ph.D., an associate professor of nutritional sciences at the University of Wisconsin-Madison. A richly colored skin (think red leaf versus iceberg lettuce) indicates a higher count of healthy phytochemicals. Tanumihardjo recently published a study showing that darker orange carrots contain more beta-carotene.

Pair your produce

"When eaten together, some produce contains compounds that can affect how we absorb their nutrients," explains Steve Schwartz, Ph.D., a professor of food science at Ohio State University. His 2004 study of tomato-based salsa and avocado found this food pairing significantly upped the body's absorption of the tomato's cancer-fighting lycopene. For more examples: prevention.com/healthypowerpairs.

Buy smaller items

Bigger isn't better, so skip the huge tomatoes and giant peppers. "Plants have a finite amount of nutrients they can pass on to their fruit, so if the produce is smaller, then its level of nutrients will be more concentrated," says Davis.

Pay attention to cooking methods

Certain vegetables release more nutrients when cooked. Broccoli and carrots, for example, are more nutritious when steamed than when raw or boiled—the gentle heat softens cell walls, making nutrients more accessible. Tomatoes release more lycopene when lightly sauteed or roasted, says Johnny Bowden, Ph.D., nutritionist and author of The Healthiest Meals on Earth.

Eat within a week

"The nutrients in most fruits and vegetables start to diminish as soon as they're picked, so for optimal nutrition, eat all produce within one week of buying," says Preston Andrews, Ph.D., a plant researcher and associate professor of horticulture at Washington State University. "If you can, plan your meals in advance and buy only fresh ingredients you can use that week."

Keep produce whole

Precut produce and bagged salads are time-savers. But peeling and chopping carrots, for example, can sap nutrients. Plus, tossing peels deprives you of good-for-you compounds. If possible, prep produce just before eating, says Bowden: "When sliced and peeled or shredded, then shipped to stores, their nutrients are significantly reduced."

Save the earth (and your pocketbook): Go green, not broke.

Look for new colors

If you're used to munching on red tomatoes, try orange or yellow, or serve purple cauliflower along with your usual white. "Many of us buy the same kinds of fruits and vegetables each week," says Andrews. "But there are hundreds of varieties besides your usual mainstays—and their nutrient levels can differ dramatically. In general, the more varied your diet is, the more vitamins and minerals you'll get."

Opt for old-timers

Seek out heirloom varieties like Brandywine tomatoes, Early Jersey Wakefield cabbage, Golden Bantam corn, or Jenny Lind melon. Plants that were bred before World War II are naturally hardier because they were established—and thrived—before the development of modern fertilizers and pesticides.

Find a farmers market

Unlike prematurely picked supermarket produce, which typically travels hundreds of miles before landing on store shelves, a farmers market or pick-your-own venue offers local, freshly harvested, in-season fare that's had a chance to ripen naturally—a process that amplifies its amount of phytonutrients, says Andrews: "As a crop gets closer to full ripeness, it converts its phytonutrients to the most readily absorbable forms, so you'll get a higher concentration of healthful compounds."

11 Ways to be a budget organic.

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FDA expected to ban alcoholic energy drinks - Health - Addictions - msnbc.com

The Food and Drug Administration is poised to announce a virtual ban of alcoholic energy drinks on Wednesday, even as a leading manufacturer is pulling its products off the market.

The FDA is expected to say that caffeine is an unsafe food additive to alcoholic drinks, a move that would effectively ban them from sale. College students have been hospitalized after drinking the beverages, including the popular Four Loko, and four states have banned the drinks.

Phusion Projects, which manufactures Four Loko, announced late Tuesday that it would reformulate its drinks, removing caffeine. While there is little known medical evidence that the drinks are less safe than other alcoholic drinks, public health advocates say they can make people feel more alert and able to handle risky tasks like driving.

The company's statement said it was removing caffeine from the drinks after unsuccessfully trying to deal with "a difficult and politically-charged regulatory environment at both the state and federal levels."

"We have repeatedly contended — and still believe, as do many people throughout the country — that the combination of alcohol and caffeine is safe," said Chris Hunter, Jeff Wright and Jaisen Freeman, who identify themselves as Phusion's three co-founders and current managing partners.

The statement did not mention several recent incidents in which college students were hospitalized after drinking the beverage. In response to such incidents, four states — Washington, Michigan, Utah and Oklahoma — have banned the beverages. Other states are considering similar action.

Four Loko comes in several varieties, including fruit punch and blue raspberry. A 23.5-ounce can sells for about $2.50 and has an alcohol content of 12 percent, comparable to four beers, according to the company's website.

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