Friday, September 23, 2016
J Clin Ethics. 2016 Fall;27(3):227-232.
Accommodating Conscientious Objection in Medicine-Private Ideological Convictions Must Not Trump Professional Obligations.
Friday, September 16, 2016
J Acquir Immune Defic Syndr. 2016 Oct 1;73(2):213-221.
"Despite progress in other areas, in industrialized nations, employment rates for people with disabilities keep falling."
Despite progress in other areas, in industrialized nations, employment rates for people with disabilities keep falling.
"The trend extends well beyond U.S. borders to other industrialized nations and to thedeveloping world, where the problem is more severe. But, despite international awareness that people with disabilities have the right to work – an entitlement enshrined in the United Nations Convention on the Rights of Persons With Disabilities – even the most advanced economies can't seem to find a way to successfully integrate them into the workplace."
Thursday, September 15, 2016
Holistic Review in Medical School Admissions and Selection: A Strategic, Mission-Driven Response to Shifting Societal Needs
Acad Med. 2016 Sep 13. [Epub ahead of print]
Holistic Review in Medical School Admissions and Selection: A Strategic, Mission-Driven Response to Shifting Societal Needs.
"Inactivity increased with age: among people aged 75 years or older, the prevalence was 35.3% (95% CI, 34.5 - 36.1), compared with 26.9% (95% CI, 26.3 - 27.5) among people aged 65 to 74 years and 25.4% (95% CI, 25.0 - 25.9) among those aged 50 to 64 years.
There was a marked inverse relationship between physical activity and educational level. The prevalence of inactivity was highest among people with less than a high school degree, at 44.1% (95% CI, 42.7 - 45.4); it decreased progressively for high school graduates (34.7%; 95% CI, 34.0 - 35.3) and people with some college (24.6%; 95% CI, 24.0 - 25.2), and reached a low of 14.2% (95% CI, 13.8-14.7) among those with a college degree.
Inactivity was more prevalent among Hispanics (32.7%; 95% CI, 31.0 - 34.5) and non-Hispanic blacks (33.1%; 95% CI, 31.8 - 34.3) than non-Hispanic whites (26.2%; 95% CI, 25.9 - 26.5) or people of other races or ethnicities (27.1%; 95% CI, 24.9 - 29.5). It was also higher among people who were obese, defined as having a body mass index (BMI) of at least 30 kg/m2 (35.8%; 95% CI, 35.1 - 36.4), compared with those with a BMI <25.0 kg/m2 (23.1%; 95% CI, 22.5 - 23.7).
Inactivity was also more prevalent among those with chronic illness. This was especially the case with COPD (44.4%; 95% CI, 43.3 - 45.5) vs 25.6% (95% CI, 25.2 - 25.9) among people without COPD, and stroke (42.9%; 95% CI, 41.3 - 44.5), vs 26.7% (95% CI, 26.3 - 27.0) among people with no history of stroke."
Tuesday, September 13, 2016
BMC Med Ethics. 2016 Sep 6;17(1):54. doi: 10.1186/s12910-016-0137-x.
O'Doherty KC1, Christofides E2, Yen J2, Bentzen HB3,4,5, Burke W6, Hallowell N7, Koenig BA8, Willison DJ9,10.
"Individually, they all came to realize that wellness programs alienated employees and wasted money."
"Individually, they all came to realize that wellness programs alienated employees and wasted money. After Khanna accepted a job running a wellness program for a nonprofit health system, he says, "I had a light bulb moment when I realized that these people who want these wellness programs and are running them really, literally have no idea what they're doing."
Their criticisms of the industry start with two of the most common tools in the wellness program's toolbox: the health risk assessment and the biometric screening. HRAs typically offer advice that any moderately educated adult has already heard hundreds of times: Eat lots of fruits and vegetables. Exercise. Don't smoke. Get enough sleep."
Monday, September 12, 2016
"If the left’s predicament comes down to a single fault, it is this. It is very good at demanding change, but pretty hopeless at understanding it."
All over the west, the left is in crisis. It cannot find answers to three urgent problems: the disruptive force of globalisation, the rise of populist nationalism, and the decline of traditional work
"If the left’s predicament comes down to a single fault, it is this. It is very good at demanding change, but pretty hopeless at understanding it. Supposedly radical elements too often regard deep technological shifts as the work of greedy capitalists and rightwing politicians, and demand that they are rolled back. Meanwhile, the self-styled moderates tend to advocate large-scale surrender, instead of recognising that technological and economic changes can create new openings for left ideas. A growing estrangement from the left’s traditional supporters makes these problems worse, and one side tends to cancel out the other. The result: as people experience dramatic change in their everyday lives, they form the impression that half of politics has precious little to say to them."
Int J Med Educ. 2016 Sep 6;7:286-92. doi: 10.5116/ijme.57b8.48e4.
Wednesday, September 7, 2016
Monday, September 5, 2016
Biomarker Testing in Lung Carcinoma Cytology Specimens: A Perspective From Members of the Pulmonary Pathology Society
Arch Pathol Lab Med. 2016 Apr 15. [Epub ahead of print]
Biomarker Testing in Lung Carcinoma Cytology Specimens: A Perspective From Members of the Pulmonary Pathology Society.
Roy-Chowdhuri S, Aisner DL, Allen TC, Beasley MB, Borczuk A, Cagle PT, Capelozzi V, Dacic S, da Cunha Santos G, Hariri LP, Kerr KM, Lantuejoul S,Mino-Kenudson M, Moreira A, Raparia K, Rekhtman N, Sholl L, Thunnissen E, Tsao MS, Vivero M, Yatabe Y1.
Sunday, September 4, 2016
"But the fact that the Rolling Stones can still sell out stadiums 52 years after the release of their first album does not mean that their music has passed the test of posterity."
Is It Here to Stay?
"But the fact that the Rolling Stones can still sell out stadiums 52 years after the release of their first album does not mean that their music has passed the test of posterity. Was baby-boom rock as musically significant as golden-age American popular music long ago proved itself to be? Or might it be that its popularity was an epiphenomenon of the turmoil of the ’60s and ’70s, and that its latter-day appeal is nothing more than a manifestation of the longing of the boomers for their lost youth?"
"There's some good news about obesity in the U.S. for a change. Rates of obesity fell in four states last year: Minnesota, Montana, New York and Ohio, according to a report released Thursday."
Behav Brain Sci. 2016 Jan;39:e96. doi: 10.1017/S0140525X15001028.
Plans to deny surgery to obese patients and smokers put on hold
Vale of York NHS group to review policy that would mean overweight patients and smokers waiting up to a year for elective surgery
"The report by the CCG said obese patients may secure a referral in less than a year if they shed 10% of their weight. Similarly, if smokers refuse to quit they faced having procedures delayed for up to six months, which can be accelerated if they quit their habit for eight weeks.
News of the proposed rationing sparked criticism from the former health minister Norman Lamb, who said it was “outrageous”.
NHS Providers, which represents NHS leaders, said similar proposals were likely to follow in future."
Thursday, September 1, 2016
Timothy Craig Allen (2016) The Archives of Pathology & Laboratory Medicine: The Most Widely Read Pathology Journal Today. Archives of Pathology & Laboratory Medicine: September 2016, Vol. 140, No. 9, pp. 953-955.
The author has no relevant financial interest in the products or companies described in this article.
Reprints: Timothy Craig Allen, MD, JD, Departments of Pathology and Laboratory Services, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 (email: tcallen@utmb.
The Archives of Pathology & Laboratory Medicine was first published in 1926 as a subspecialty journal of the American Medical Association. It became the official journal of the College of American Pathologists in 1995. Under the dynamic leadership of its most recent editor-in-chief, Philip T. Cagle, MD, and his vibrant editorial board, the Archives has nearly doubled its impact factor and become the most widely read general pathology journal today. Dr Cagle has consistently added leading pathologists to the editorial board, and the collective expertise of these individuals is clearly evident in new, cutting-edge journal masthead sections. The Archives has featured innovative content in the field of digital pathology, including articles on the utilization of smart phones in pathology and incorporation of whole-slide images and videos into the content of articles. Special sections have characterized the Archives during the current editorial board's tenure and have proven immensely popular with the journal's readership. As the Archives celebrates its 90th anniversary, its editorial board remains committed to providing insightful and relevant medical knowledge. The journal's open access Web site (www.archivesofpathology.org) allows the dissemination of this knowledge to every corner of the globe at no expense to those who wish to be educated or improve their medical practice.