TimAllenMDJD

Wednesday, August 31, 2016

Let's Have a Tweetup: The Case for Using Twitter Professionally

Maren Y. Fuller and Timothy Craig Allen (2016) Let's Have a Tweetup: The Case for Using Twitter Professionally. Archives of Pathology & Laboratory Medicine: September 2016, Vol. 140, No. 9, pp. 956-957.
SPECIAL ARTICLES

Let's Have a Tweetup: The Case for Using Twitter Professionally

Maren Y. Fuller , MD; Timothy Craig Allen , MD, JD
From the Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas (Dr Fuller); and the Department of Pathology, University of Texas Medical Branch, Galveston (Dr Allen).
The authors have no relevant financial interest in the products or companies described in this article.
Reprints: Timothy Craig Allen, MD, JD, Department of Pathology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 (email: tcallen@utmb.edu).
Social media use is very common and can be an effective way for professionals to discuss information and interact with colleagues. Twitter (Twitter, Inc, San Francisco, California) is a social media network where posts, termed tweets, are limited to 140 characters. Professional use of Twitter is ideal for physicians interested in both networking and education and is optimally used to facilitate in-person networking. Live-tweeting (posting real-time reactions to events) at professional meetings is also a popular and highly successful use of Twitter. Physicians report patient privacy as the top concern preventing use of social media for professional reasons, and although generally social media use is safe, it is essential to understand how to protect patient confidentially. Other social media platforms with potential for professional use include Facebook (Facebook, Inc, Menlo Park, California), Instagram (Facebook, Inc), YouTube (YouTube, LLC, San Bruno, California), and Periscope (Twitter, Inc). With Twitter and other social media options, now is the time for pathologists to increase our visibility on social media and worldwide.
Posted by Timothy Craig Allen, M.D.,J.D. at 3:57 PM No comments:
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Monday, August 29, 2016

Health in times of uncertainty in the eastern Mediterranean region, 1990-2013

Lancet Glob Health. 2016 Aug 24. pii: S2214-109X(16)30168-1. doi: 10.1016/S2214-109X(16)30168-1. [Epub ahead of print]

Health in times of uncertainty in the eastern Mediterranean region, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.

Mokdad AH, Forouzanfar MH, Daoud F, El Bcheraoui C, Moradi-Lakeh M, Khalil I, Afshin A, Tuffaha M, Charara R, Barber RM, Wagner J, Cercy K, Kravitz H,Coates MM, Robinson M, Estep K, Steiner C, Jaber S, Mokdad AA, O'Rourke KF, Chew A, Kim P, El Razek MM, Abdalla S, Abd-Allah F, Abraham JP, Abu-Raddad LJ, Abu-Rmeileh NM, Al-Nehmi AA, Akanda AS, Al Ahmadi H, Al Khabouri MJ, Al Lami FH, Al Rayess ZA, Alasfoor D, AlBuhairan FS, Aldhahri SF,Alghnam S, Alhabib S, Al-Hamad N, Ali R, Ali SD, Alkhateeb M, AlMazroa MA, Alomari MA, Al-Raddadi R, Alsharif U, Al-Sheyab N, Alsowaidi S, Al-Thani M,Altirkawi KA, Amare AT, Amini H, Ammar W, Anwari P, Asayesh H, Asghar R, Assabri AM, Assadi R, Bacha U, Badawi A, Bakfalouni T, Basulaiman MO,Bazargan-Hejazi S, Bedi N, Bhakta AR, Bhutta ZA, Abdulhak AA, Boufous S, Bourne RR, Danawi H, Das J, Deribew A, Ding EL, Durrani AM, Elshrek Y,Ibrahim ME, Eshrati B, Esteghamati A, Faghmous IA, Farzadfar F, Feigl AB, Fereshtehnejad SM, Filip I, Fischer F, Gankpé FG, Ginawi I, Gishu MD, Gupta R,Habash RM, Hafezi-Nejad N, Hamadeh RR, Hamdouni H, Hamidi S, Harb HL, Hassanvand MS, Hedayati MT, Heydarpour P, Hsairi M, Husseini A,Jahanmehr N, Jha V, Jonas JB, Karam NE, Kasaeian A, Kassa NA, Kaul A, Khader Y, Khalifa SE, Khan EA, Khan G, Khoja T, Khosravi A, Kinfu Y, Defo BK,Balaji AL, Lunevicius R, Obermeyer CM, Malekzadeh R, Mansourian M, Marcenes W, Farid HM, Mehari A, Mehio-Sibai A, Memish ZA, Mensah GA,Mohammad KA, Nahas Z, Nasher JT, Nawaz H, Nejjari C, Nisar MI, Omer SB, Parsaeian M, Peprah EK, Pervaiz A, Pourmalek F, Qato DM, Qorbani M,Radfar A, Rafay A, Rahimi K, Rahimi-Movaghar V, Rahman SU, Rai RK, Rana SM, Rao SR, Refaat AH, Resnikoff S, Roshandel G, Saade G, Saeedi MY,Sahraian MA, Saleh S, Sanchez-Riera L, Satpathy M, Sepanlou SG, Setegn T, Shaheen A, Shahraz S, Sheikhbahaei S, Shishani K, Sliwa K, Tavakkoli M,Terkawi AS, Uthman OA, Westerman R, Younis MZ, El Sayed Zaki M, Zannad F, Roth GA, Wang H, Naghavi M, Vos T, Al Rabeeah AA, Lopez AD, Murray CJ.

Abstract

BACKGROUND:

The eastern Mediterranean region is comprised of 22 countries: Afghanistan, Bahrain, Djibouti, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi Arabia, Somalia, Sudan, Syria, Tunisia, the United Arab Emirates, and Yemen. Since our Global Burden of Disease Study 2010 (GBD 2010), the region has faced unrest as a result of revolutions, wars, and the so-called Arab uprisings. The objective of this study was to present the burden of diseases, injuries, and risk factors in the eastern Mediterranean region as of 2013.

METHODS:

GBD 2013 includes an annual assessment covering 188 countries from 1990 to 2013. The study covers 306 diseases and injuries, 1233 sequelae, and 79 risk factors. Our GBD 2013 analyses included the addition of new data through updated systematic reviews and through the contribution of unpublished data sources from collaborators, an updated version of modelling software, and several improvements in our methods. In this systematic analysis, we use data from GBD 2013 to analyse the burden of disease and injuries in the eastern Mediterranean region specifically.

FINDINGS:

The leading cause of death in the region in 2013 was ischaemic heart disease (90·3 deaths per 100 000 people), which increased by 17·2% since 1990. However, diarrhoeal diseases were the leading cause of death in Somalia (186·7 deaths per 100 000 people) in 2013, which decreased by 26·9% since 1990. The leading cause of disability-adjusted life-years (DALYs) was ischaemic heart disease for males and lower respiratory infection for females. High blood pressure was the leading risk factor for DALYs in 2013, with an increase of 83·3% since 1990. Risk factors for DALYs varied by country. In low-income countries, childhood wasting was the leading cause of DALYs in Afghanistan, Somalia, and Yemen, whereas unsafe sex was the leading cause in Djibouti. Non-communicable risk factors were the leading cause of DALYs in high-income and middle-income countries in the region. DALY risk factors varied by age, with child and maternal malnutrition affecting the younger age groups (aged 28 days to 4 years), whereas high bodyweight and systolic blood pressure affected older people (aged 60-80 years). The proportion of DALYs attributed to high body-mass index increased from 3·7% to 7·5% between 1990 and 2013. Burden of mental health problems and drug use increased. Most increases in DALYs, especially from non-communicable diseases, were due to population growth. The crises in Egypt, Yemen, Libya, and Syria have resulted in a reduction in life expectancy; life expectancy in Syria would have been 5 years higher than that recorded for females and 6 years higher for males had the crisis not occurred.

INTERPRETATION:

Our study shows that the eastern Mediterranean region is going through a crucial health phase. The Arab uprisings and the wars that followed, coupled with ageing and population growth, will have a major impact on the region's health and resources. The region has historically seen improvements in life expectancy and other health indicators, even under stress. However, the current situation will cause deteriorating health conditions for many countries and for many years and will have an impact on the region and the rest of the world. Based on our findings, we call for increased investment in health in the region in addition to reducing the conflicts.
Posted by Timothy Craig Allen, M.D.,J.D. at 9:59 AM No comments:
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Saturday, August 27, 2016

Crafting AIDS policy in Brazil and Russia: State-civil societal ties, institutionalized morals, and foreign policy aspiration

Glob Public Health. 2016 Oct;11(9):1148-1168. Epub 2015 Nov 13.

Crafting AIDS policy in Brazil and Russia: State-civil societal ties, institutionalised morals, and foreign policy aspiration.

Gómez EJ1.

Author information

  • 1a International Development Institute , King's College, University of London , London , UK.

Abstract

During the 1990s, Brazil and Russia diverged in their policy response to AIDS. This is puzzling considering that both nations were globally integrated emerging economies transitioning to democracy. This article examines to what extent international pressures and partnerships with multilateral donors motivated these governments to increase and sustain federal spending and policy reforms. Contrary to this literature, the cases of Brazil and Russia suggest that these external factors were not important in achieving these outcomes. Furthermore, it is argued that Brazil's policy response was eventually stronger than Russia's and that it had more to do with domestic political and social factors: specifically, AIDS officials' efforts to cultivate a strong partnership with NGOs, the absence of officials' moral discriminatory outlook towards the AIDS community, and the government's interest in using policy reform as a means to bolster its international reputation in health.
Posted by Timothy Craig Allen, M.D.,J.D. at 11:12 AM No comments:
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Does Japan get enough sleep?

Does Japan get enough sleep?

Scientists confirm that sleep deprivation has a detrimental impact on physical and mental health


“On the days when I could get home at a reasonable time I knew I had to get to bed quickly, but my pulse was still racing,” Shimizu says.
He would often be expected to cover for part-time staff who called in sick.
“My phone became an object of fear, to the extent that I could never get any meaningful sleep,” he says. “I just expected it to ring and be called in to work.”
Not only was sleep quantity in short supply but so, too, sleep quality. He rapidly lost weight and suffered a variety of ailments. He tried discussing his situation with his two superiors, only to learn that they had been hospitalized due to similar circumstances, Shimizu says.
Seven months later during a company health check, he was ordered to stop working immediately and seek specialist help.
Posted by Timothy Craig Allen, M.D.,J.D. at 9:54 AM No comments:
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"Till Death Us Do Part": Homicide Defenses for Women in Abusive Relationships-Similar Problems-Different Responses in Germany and Australia

Violence Against Women. 2016 Aug 24. pii: 1077801216656832. [Epub ahead of print]

"Till Death Us Do Part": Homicide Defenses for Women in Abusive Relationships-Similar Problems-Different Responses in Germany and Australia.

Braun K1.

Author information

  • 1University of Southern Queensland, Springfield Central, Australia kerstin.braun@usq.edu.au.

Abstract

Cases in which women have killed their sleeping or otherwise inattentive abusive partners to "escape" domestic violence have arisen in both Germany and Australia. In this context, the availability of defenses including provocation and self-defense for abused defendants is controversially debated due to their traditional application and interpretation. It appears that these cases have driven law reform and changed judicial interpretation of defenses to some degree in Australia, whereas the situation in Germany remains stagnant. This article argues that while the situation in Australia is not without criticism, the recent legislative developments aimed at affording abused defendants greater access to defenses could serve as food for legal thought in the German debate.
Posted by Timothy Craig Allen, M.D.,J.D. at 9:16 AM No comments:
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Awakening to the politics of food: Politicized diet as social identity

Appetite. 2016 Aug 20. pii: S0195-6663(16)30422-6. doi: 10.1016/j.appet.2016.08.106. [Epub ahead of print]

Awakening to the politics of food: Politicized diet as social identity.

Chuck C1, Fernandes SA2, Hyers LL1.

Author information

  • 1West Chester University of Pennsylvania, 700 High Street, West Chester, PA 19382, USA.
  • 2West Chester University of Pennsylvania, 700 High Street, West Chester, PA 19382, USA. Electronic address: SF837232@wcupa.edu.

Abstract

In this qualitative study, the process of developing a politicized identity around diet was explored through a social psychological lens. Applying one of the most influencial models of group identity development proposed by Cross (1978) in which an "encounter" experience spurs an awakening into a politicized identity, we asked 36 participants who followed alternative diets due to political reasons to describe their unique encounter experiences that brought them to their politicized awakening. Their self-identified diets included pescetarian, vegetarian, vegan, raw, non-GMO/organic, and reduced meat consumption. Participants described the rationale for their diets, their "encounter" or awakening to their politicized diets, and whether they viewed their diet as a part of their identity. Using thematic analysis, we identified four key types of encounters that sparked their politicization: a series of integrated events, exposure to educational materials, a direct visceral emotional experience, and guidance from a role model. We discuss the results with regard to the politics of food, the nature of the politicized dieter's identity as part of a minority food culture, and the difficulties of engaging in political action through one's diet. The underexplored benefits of applying social psychological theories of identity to research on dietary subcultures is also discussed.
Posted by Timothy Craig Allen, M.D.,J.D. at 8:48 AM No comments:
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The obese 'are not lazy, lacking in motivation or stupid', says obesity expert

The obese 'are not lazy, lacking in motivation or stupid', says obesity expert

The FIZZ report says that soft drinks are the largest contributor of added sugar to the New Zealand diet, for both children and adults. You would expect plenty of opposition from the industry if a tax was tried here. Ahead of the soft drink tax coming to the UK in 2018, the industry is "fighting every step of the way," Swinburn says. The latest volley is the British Soft Drinks Association's claim that the tax would take 4000 jobs out of the UK economy. But the idea that soft drink taxes cost jobs was disputed by the American Journal of Public Health in 2014. 
Claim, counterclaim. The same information wars happen in New Zealand. The Food and Grocery Council (FGC) speaks for the industry and is fronted by chief executive Katherine Rich, a former National government minister. The FGC published a response to the FIZZ group's report and argued that the experience in Mexico shows that sugar taxes do not work.
"The Mexican soda tax has generated billions of pesos, and after a slight decline initially, sales soon returned to pre-tax levels," the FGC said. 

Posted by Timothy Craig Allen, M.D.,J.D. at 8:42 AM No comments:
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"In the politest of terms it put students on notice that their campus is short on intellectual 'safe spaces'..."

Editorial: Snowflakes put on notice



"Memo to incoming freshmen at the University of Chicago: Grow up!

That is essentially the message from the university’s dean of students, whose welcome letter to students raced around the internet last week. In the politest of terms it put students on notice that their campus is short on intellectual “safe spaces” — that their professors will not be issuing trigger warnings to protect their fragile feelings and that the university is not in the habit of rescinding invitations to campus speakers, no matter how controversial.

It was a breath of fresh air amid a broader campus climate in this country that is choking with political correctness — where free expression is willingly sacrificed in an effort to cocoon sensitive students."
Posted by Timothy Craig Allen, M.D.,J.D. at 8:11 AM No comments:
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Friday, August 26, 2016

Obesity autopsy

BBC Three to air an 'obesity autopsy' to show damage inside the body



“We can see obesity from the outside, but people die from what it does to their internal organs. It affects their heart, their liver, their kidneys, it affects every single organ in your body. The only way you get a real sense of that is by seeing those organs and seeing what happened.”
Posted by Timothy Craig Allen, M.D.,J.D. at 2:54 PM No comments:
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Dose dependency of outcomes of intrapleural fibrinolytic therapy in new rabbit empyema models

Am J Physiol Lung Cell Mol Physiol. 2016 Aug 1;311(2):L389-99. doi: 10.1152/ajplung.00171.2016. Epub 2016 Jun 24.

Dose dependency of outcomes of intrapleural fibrinolytic therapy in new rabbit empyema models.

Komissarov AA1, Florova G2, Azghani AO3, Buchanan A2, Boren J2, Allen T4, Rahman NM5, Koenig K2, Chamiso M2, Karandashova S2, Henry J2, Idell S2.

Author information

  • 1Department of Cellular and Molecular Biology of the University of Texas Health Science Center at Tyler, Tyler, Texas; andrey.komissarov@uthct.edu.
  • 2Department of Cellular and Molecular Biology of the University of Texas Health Science Center at Tyler, Tyler, Texas;
  • 3The University of Texas at Tyler, Tyler, Texas;
  • 4Department of Pathology, The University of Texas Medical Branch, Galveston, Texas; and.
  • 5Oxford Centre for Respiratory Medicine, Oxford University Hospitals, National Health Service Trust, Oxford, UK.

Abstract

The incidence of empyema (EMP) is increasing worldwide; EMP generally occurs with pleural loculation and impaired drainage is often treated with intrapleural fibrinolytic therapy (IPFT) or surgery. A number of IPFT options are used clinically with empiric dosing and variable outcomes in adults. To evaluate mechanisms governing intrapleural fibrinolysis and disease outcomes, models of Pasteurella multocida and Streptococcus pneumoniae were generated in rabbits and the animals were treated with either human tissue (tPA) plasminogen activator or prourokinase (scuPA). Rabbit EMP was characterized by the development of pleural adhesions detectable by chest ultrasonography and fibrinous coating of the pleura. Similar to human EMP, rabbits with EMP accumulated sizable, 20- to 40-ml fibrinopurulent pleural effusions associated with extensive intrapleural organization, significantly increased pleural thickness, suppression of fibrinolytic and plasminogen-activating activities, and accumulation of high levels of plasminogen activator inhibitor 1, plasminogen, and extracellular DNA. IPFT with tPA (0.145 mg/kg) or scuPA (0.5 mg/kg) was ineffective in rabbit EMP (n = 9 and 3 for P. multocida and S. pneumoniae, respectively); 2 mg/kg tPA or scuPA IPFT (n = 5) effectively cleared S. pneumoniae-induced EMP collections in 24 h with no bleeding observed. Although intrapleural fibrinolytic activity for up to 40 min after IPFT was similar for effective and ineffective doses of fibrinolysin, it was lower for tPA than for scuPA treatments. These results demonstrate similarities between rabbit and human EMP, the importance of pleural fluid PAI-1 activity, and levels of plasminogen in the regulation of intrapleural fibrinolysis and illustrate the dose dependency of IPFT outcomes in EMP.
Posted by Timothy Craig Allen, M.D.,J.D. at 1:55 PM No comments:
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A pattern-matched Twitter analysis of US cancer-patient sentiments

J Surg Res. 2016 Jun 25. pii: S0022-4804(16)30175-5. doi: 10.1016/j.jss.2016.06.050. [Epub ahead of print]

A pattern-matched Twitter analysis of US cancer-patient sentiments.

Crannell WC1, Clark E2, Jones C1, James TA1, Moore J3.

Author information

  • 1Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont.
  • 2Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont; Department of Mathematics and Statistics, University of Vermont, College of Engineering and Mathematical Sciences, Burlington, Vermont.
  • 3Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont. Electronic address: Jesse.moore@uvmhealth.org.

Abstract

BACKGROUND:

Twitter has been recognized as an important source of organic sentiment and opinion. This study aimed to (1) characterize the content of tweets authored by the United States cancer patients; and (2) use patient tweets to compute the average happiness of cancer patients for each cancer diagnosis.

METHODS:

A large sample of English tweets from March 2014 through December 2014 was obtained from Twitter. Using regular expression software pattern matching, the tweets were filtered by cancer diagnosis. For each cancer-specific tweetset, individual patients were extracted, and the content of the tweet was categorized. The patients' Twitter identification numbers were used to gather all tweets for each patient, and happiness values for patient tweets were calculated using a quantitative hedonometric analysis.

RESULTS:

The most frequently tweeted cancers were breast (n = 15,421, 11% of total cancer tweets), lung (n = 2928, 2.0%), prostate (n = 1036, 0.7%), and colorectal (n = 773, 0.5%). Patient tweets pertained to the treatment course (n = 73, 26%), diagnosis (n = 65, 23%), and then surgery and/or biopsy (n = 42, 15%). Computed happiness values for each cancer diagnosis revealed higher average happiness values for thyroid (h_avg = 6.1625), breast (h_avg = 6.1485), and lymphoma (h_avg = 6.0977) cancers and lower average happiness values for pancreatic (h_avg = 5.8766), lung (h_avg = 5.8733), and kidney (h_avg = 5.8464) cancers.

CONCLUSIONS:

The study confirms that patients are expressing themselves openly on social media about their illness and that unique cancer diagnoses are correlated with varying degrees of happiness. Twitter can be employed as a tool to identify patient needs and as a means to gauge the cancer patient experience.
Posted by Timothy Craig Allen, M.D.,J.D. at 11:47 AM No comments:
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The utter futility of fad diets, in one chart

The utter futility of fad diets, in one chart


"Crowning a diet king because it delivers a clinically meaningless difference in bodyweight fuels diet hype, not diet help," the authors write. "It’s high time we started helping."
Posted by Timothy Craig Allen, M.D.,J.D. at 11:18 AM No comments:
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Strength and power training counteract loss of muscle mass

Strength and power training counteract loss of muscle mass

"There are basically two reasons that our muscle mass starts to shrink. The first is "sarcopenia" -- age-related muscle loss. This usually begins at around age 35 and occurs at a rate of 1 percent to 2 percent a year for the typical person. After age 60, it can accelerate to 3 percent a year. On average, adults who don't do regular strength training can expect to lose 4 to 6 pounds of muscle per decade.
The second reason our muscle mass starts to shrink is that, as we grow older, more of us use our muscles less. We don't spend as much time at sports as when we were younger. For most of us, our work doesn't require that we use our muscles much. Strength and power training can prevent, and even reverse, some of this loss."
Posted by Timothy Craig Allen, M.D.,J.D. at 11:03 AM No comments:
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Whereto speculative bioethics? Technological visions and future simulations in a science fictional culture

Med Humanit. 2016 Aug 24. pii: medhum-2016-010951. doi: 10.1136/medhum-2016-010951. [Epub ahead of print]

Whereto speculative bioethics? Technological visions and future simulations in a science fictional culture.

Schick A.

Abstract

This article critically examines the development and current state of speculative bioethics (bioethics discourse concerned with future technologies) as reflecting an intensifying science fictionality, a cognitive/perceptual mode in which the imagined future begins to exert increasing degrees of influence on the present, culminating in a collapse of distance between the two. Future technologies thereby come to be viewed as generating practical ethical issues that need to be addressed well in advance of their arrival. Although this appears to be a prudent effort, it actually bypasses the present as a site of moral agency and locates ethics within a simulation of the imagined future. A constructive form of speculative bioethics must be able to critically assess visions of technological futures if it is to function as an ethics that is of and for the present.
Posted by Timothy Craig Allen, M.D.,J.D. at 10:27 AM No comments:
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"The crumbling of ObamaCare has become commonplace all across the country."

Sen. John McCain: ObamaCare nightmare may leave 10,000 Arizonans with no insurance options


"The crumbling of ObamaCare has become commonplace all across the country. Major insurers like UnitedHealth, Blue Cross Blue Shield and Humana have reported stunning financial losses from Obamacare – to the tune of hundreds of millions of dollars. To cope with these losses, insurers have been forced to sharply increase premiums or exit the marketplace altogether. In fact, before it announced it would leave Arizona, Aetna had proposed an 18 percent premium rate hike over last year to cover its losses. The average proposed premium rate increase among all insurers for 2017 plans in Arizona tops 65 percent."

Posted by Timothy Craig Allen, M.D.,J.D. at 9:00 AM No comments:
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"For all her disdain of status anxiety, Nussbaum also seems to still be in the grip of it..."

Anger—what is it good for?

Martha Nussbaum thinks we shouldn't lose our tempers. Good luck with that

by Julian Baggini / August 18, 2016 
For all her disdain of status anxiety, Nussbaum also seems to still be in the grip of it, needlessly dropping into an anecdote that she has delivered the prestigious Locke Lectures. She dedicates the book to Bernard Williams and their sometimes troubled history was deeply connected with Nussbaum’s status issues. In his obituary she confessed, “For some years, albeit not right at the start, I have wanted to dislodge these feelings of passionate inferiority, to establish some basis of equality, proving that I had something that was just as good as that jet-pilot velocity.”
But the most astonishing way in which Nussbaum undermines the virtuousness of her position comes when she offers a series of four real-life examples of how to deal with anger. For this she creates a fictional alter ego named Louise “to provide an additional layer of fictionality and a fig leaf of protection for the other people who are represented as fictional characters here.” This conceals nothing, as she as good as tells us. Remarkably, she then tells a story against one of Louise’s Nobel Prize-winning colleagues who spoke at a panel “inaugurating a new research centre Louise’s university was opening in a developing country.” People in Nussbaum’s professional circle will know who is behind the leaf instantly and I could find out very quickly with a Google search. She talks of his “characteristic delay tactics” and “infantile narcissism” and says she tells herself “if you really have to work with him, treat him like a selfish genius two-year-old.”
Posted by Timothy Craig Allen, M.D.,J.D. at 8:38 AM No comments:
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Feast Or Famine: The Switch That Helps Your Liver Adapt

Feast Or Famine: The Switch That Helps Your Liver Adapt

"These results suggest that inhibiting SETDB2 could lessen certain metabolic side effects such as weight gain and insulin resistance in patients taking steroids for inflammatory disease," Osborne added. "Since SETDB2 only affects a subset of steroid hormone-regulated genes related to metabolism, we think this strategy would not interfere with steroids' anti-inflammatory effects.
Posted by Timothy Craig Allen, M.D.,J.D. at 8:18 AM No comments:
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Tuesday, August 23, 2016

"The problem with the hipster, as history has made clear, was that trading bourgeois earnestness for bohemian irony didn’t actually do anything to rectify the depredations of capitalism."

Act Naturally: Pretentiousness, Coolness, and Culture

By Barrett Swanson
The problem with the hipster, as history has made clear, was that trading bourgeois earnestness for bohemian irony didn’t actually do anything to rectify the depredations of capitalism. Instead, hipsterism became just another style, an attitude susceptible to the very forces of establishment co-optation that the hipster’s eccentric strategies of parody and slang sought to avoid. This was to be expected. As early as 1934, critics like Malcolm Cowley were predicting that the outlook of nonconformity would inevitably be repackaged as a “consumption ethic,” since “self-expression and paganism encouraged a demand for all sorts of products — modern furniture, beach pajamas, cosmetics, colored bathrooms with toilet paper to match.”
Posted by Timothy Craig Allen, M.D.,J.D. at 2:48 PM No comments:
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"During the last 3 decades, teenage obesity has quadrupled."

New AAP Guidance on Avoiding Teen Obesity, Eating Disorders


"During the last 3 decades, teenage obesity has quadrupled. About 35% of teenagers may currently be overweight or obese, with Hispanic, American Indian, and African-American youth disproportionately affected, according to the authors. Although recent data suggest these rates may be stabilizing, they remain concerning, as obesity is associated with increased risk for later health problems, including diabetes and heart disease.
At the same time, eating disorders represent the third most common chronic problem in teenagers, after obesity and asthma."
Posted by Timothy Craig Allen, M.D.,J.D. at 2:29 PM No comments:
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Friday, August 19, 2016

More Evidence That 'healthy Obesity' May Be A Myth

More Evidence That 'healthy Obesity' May Be A Myth

"The term "healthy obesity" has gained traction over the past 15 years, but scientists have recently questioned its very existence. A study published August 18 in Cell Reports provides further evidence against the notion of a healthy obese state, revealing that white fat tissue samples from obese individuals classified as either metabolically healthy or unhealthy actually show nearly identical, abnormal changes in gene expression in response to insulin stimulation."


Posted by Timothy Craig Allen, M.D.,J.D. at 6:29 PM No comments:
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About Me

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Timothy Craig Allen, M.D.,J.D.
Jackson, Mississippi, United States
Professor and Chair, Department of Pathology in the University of Mississippi Medical School at the University of Mississippi Medical Center. B.S. Texas A&M University 1980; M.D. Baylor College of Medicine 1984; J.D.with honors University of Chicago 1998. Pulmonary Pathologist. Posts ≠ endorsements. Posts are my own and do not necessarily represent my institution.
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