Friday, December 11, 2015

"...what was new in the 17th century, he suggests, was a new respect for experimentation as a path to knowledge and a new 'experimental network' for knowledge-sharing."

A true scientific revolution: the triumph of mathematicians over philosophers

The moment it was accepted that Aristotle had not been right about everything was a crucial turning point in the history of science.

Other concepts, Wootton points out, could and did exist before their words were coined. Scientific experiments were performed (by Ptolemy, Galen, Alhazen, and so on) before the term “experiment” became commonplace; but what was new in the 17th century, he suggests, was a new respect for experimentation as a path to knowledge and a new “experimental network” for knowledge-sharing. On the other hand, as Wootton shows, the idea of “laws of nature” really was new and depended on the idea of a law-making God. Scientific notions of facts and evidence are shown to have emerged from the law courts. Overall, Wootton justifies nicely his argument that we “tend to overestimate the importance of new technology and underestimate the rate of production and the impact of new intellectual tools”.

Anti-obesity message aimed at preschoolers and toddlers

Anti-obesity message aimed at preschoolers and toddlers

The Daily Telegraph


Ms Burrell said parents needed to stop taking such a “laissez-faire” attitude towards their child’s weight and allowing them constant snacks and sugary drinks.
“The issue we have is that we are considering big kids to be normal — we are just used to seeing much bigger kids,” she said. “And it’s a big issue because parents are so defensive about it.”

The Role of Primary Care Practices in Advancing Population Health

 2016 Jan-Mar;39(1):87-94.

The Role of Primary Care Practices in Advancing Population Health.

Author information

  • 1Department of Health Policy, George Washington University, Washington, District of Columbia (Dr Goldberg and Ms Feng); and Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond (Dr Kuzel).

Abstract

Improving population health requires the contribution of many entities including state and local governments, hospitals, community organizations, health centers, and private practices. Primary care practices have the potential to play a key role in improving population health. While sporadic, primary care practices engage in a spectrum of practice- and community-based population health activities. Community-based activities are largely driven by altruistic motivations of physicians and staff. Patient and disease registries and access to comprehensive patient data are critical to improving population health. Guidance is needed for practices to engage in population health initiatives and appropriate incentives to motivate practices to address population health issues.

Thursday, December 10, 2015

A missing ethical competency? A review of critical reflection in health promotion

 2015 Dec 10. doi: 10.1071/HE15047. [Epub ahead of print]

A missing ethical competency? A review of critical reflection in health promotion.

Abstract

Issue addressed: There is increasing emphasis in the health promotion literature on the ethical imperative for the profession to move towards critical practice. A key challenge for health promotion is that critical practice appears both under-developed and under-practiced. This is evident in the omission of critical reflection from Australian and international competencies for health promotion practitioners.
Methods: A narrative literature review was undertaken to explore the current use of critical reflection in health promotion. Critical reflection models relevant to health promotion were identified and critiqued.
Results: There was a dearth of literature on critical reflection within health promotion, despite recognition of its potential to support critical practice. The discipline of critical social work provided literature on the use, effect and outcome of critical reflection in practice. The interdisciplinary critical reflection model was identified as the model most applicable to health promotion. Underpinned by critical theory, this model emphasises both critical and ethical practice.
Conclusions: Critical reflection is a core competency for health promotion practitioners to address the ethical imperative to move towards critical practice. There is a need to explore the application of a critical reflection model in health promotion to determine how it may support critical and ethical practice.
So what?: If health promotion is to meet its ethical responsibilities, then critical reflection needs to be articulated as a core health promotion competency and a model for its application in health promotion developed.

"70 out of every 100 Saudis suffer from obesity and it has become one of the country’s leading causes of preventable death."

Globally, The Public Underestimates The Extent Of Obesity




"In the United States, participants guessed that exactly half of all Americans are overweight. The real number is higher; 66 percent of American adults are classified as being overweight. The most notable underestimations occurred in Turkey and Saudi Arabia. In the latter, the average guess was quite low, only 28. In reality, however, the Saudi obesity rate is shocking. 70 out of every 100 Saudis suffer from obesity and it has become one of the country’s leading causes of preventable death."


Wednesday, December 9, 2015

From U Edinburgh: Providing ethical guidance for collaborative research in developing countries

 2015 Dec;11(4):211-235.

Providing ethical guidance for collaborative research in developing countries.

Author information

  • 1University of Edinburgh, UK.

Abstract

Experience has shown that the application of ethical guidelines developed for research in developed countries to research in developing countries can be, and often is, impractical and raises a number of contentious issues. Various attempts have been made to provide guidelines more appropriate to the developing world context; however, to date these efforts have been dominated by the fields of bioscience, medical research and nutrition. There is very little advice available for those seeking to undertake collaborative social science or natural science research in developing countries and what is there tends to be held within disparate sources. Charting the development of a set of ethics documentation for future use by the Ecosystem Services for Poverty Alleviation (ESPA) programme research community, this paper outlines past and present attitudes towards ethics procedures amongst this community and suggests ways in which ethics procedures might be made more relevant and user-friendly to researchers working in this area.

"This is the discussion we should be having on college campuses, while we still have the freedom to do so."

The Importance of Free Speech on Campus



By Andy Puzder
December 09, 2015

"Rather than labeling dissenting views as hate speech or trigger warnings, colleges would better serve their students by emphasizing that a free society can only remain free if there is genuine respect for open thought and free expression. That you can only achieve genuine diversity when people are free to say what they think regardless of political correctness. Otherwise, our campuses will become bastions of conformity rather than learning.
This is the discussion we should be having on college campuses, while we still have the freedom to do so."

"It’s easy to see, then, why business schools continue to insist on fiction as the perfect tool for teaching empathy in the corporate world."

Better Management Through Belles Lettres

Literature at the B-school

MERVE EMRE

"It’s easy to see, then, why business schools continue to insist on fiction as the perfect tool for teaching empathy in the corporate world. The imaginative excursions into the minds of others, the invitation to identify with those who are not like us, the whole specter of make-believe—this emphasis on corporate humanism helps shore up the flailing business of management education at a moment when it is no longer necessary, not when the real money comes from starting your own hedge fund or designing a new social networking app. The “moral leader” is the perfect counterpoint to the figure of the finance drone or socially bumbling tech CEO, who responds so predictably to financial incentives that he retains no sense of individual personhood, no sense of right or wrong."



"Discretionary" foods


http://www.foodmanufacture.co.uk/Manufacturing/Scotland-s-diet-needs-urgent-change?utm_source=copyright&utm_medium=OnSite&utm_campaign=copyright


Tuesday, December 8, 2015

Caveat emptor: Fighting trafficking of falsified and substandard medicinal products in Russia

 2015 Nov 27;27 Suppl 1:S37-40. doi: 10.3233/JRS-150681.

Fighting trafficking of falsified and substandard medicinal products in Russia.

Abstract

BACKGROUND:

The trafficking of falsified and substandard medicinal products is a global socio-economic problem, which poses a serious threat to economy and health of populations of most countries, including the Russian Federation.

OBJECTIVE:

To identify the main achievements and challenges in the fight against trafficking of falsified and substandard medicinal products in the Russian Federation, to formulate possible solutions to these problems.

METHODS:

The study of criminal cases and statistical information about the level of crime in the Russian Federation; legal analysis of regulatory legal acts in the sphere of criminal law and turnover of medicinal products; review of scientific and practical publications.

RESULTS:

The problem of trafficking of falsified and substandard medicinal products in the Russian Federation was publicly discussed in the late 1990s - early 2000-ies, first in the media and special editions, later this phenomenon was the subject of extensive discussions at international conferences, in public authorities and public circles. However, the most significant results in tackling this problem were achieved only in the last 5 years.Thus, in 2010, the Russian Federation first joined the annual international police operation under the code name Pangaea, held since 2008 on the initiative of Interpol and the Medicines and Healthcare products Regulatory Agency of the World Health Organization (MHRA WHO). From year to year, the special operation Pangea unites the efforts of many countries from different continents and aims to eliminate transnational criminal groups operating through a global network the Internet. In 2010, as a result of large-scale international inspections 1 200 Internet sites were revealed, through which the fake medicines were spread and 10,000 boxes of medicines were seized, making more than a million falsified tablets in the amount of 2.6 million USA dollars. In 2011, in a special operation Pangea IV was attended by 165 different organizations from 81 countries, including 72 customs, 30 regulators, 26 police and representatives of Interpol from 37 countries. Closed 13 495 illegal websites, seized about 8,000 packages of fake medicines, containing about 2.5 million doses. In 2015, the special operation Pangea VIII was held on the territory of 115 member States of Interpol. In the Russian Federation this operation was carried out jointly by the Ministry of internal Affairs, Federal customs service, the Federal Service on Surveillance in Healthcare of Russian Federation, the Federal Drug Control Service of the Russian Federation and their regional subdivisions. As a result of this operation 34 criminal cases were initiated in our country in connection with hard drugs, falsified and substandard medicinal products and biologically active additives under the guise of high-performance drugs. Special attention during the operation was given to uncontrolled Internet sale of medicinal products and biologically active additives at a price, which was significantly higher than the actual costs, under the guise of highly effective means of treatment for various diseases. In General, in the Russian Federation 448 administrative offences were identified, which resulted in withdrawal of more than 268 thousand units of medicines from illegal circulation, worth over 9 million rubles; 40 thousand falsified and substandard preparations Contex and Durex for personal contraception were withdrawn. The mobile laboratory has conducted screening program of quality in respect of 294 samples of medicines. It identified 20 parties of dubious authenticity. A message about 264 Internet sites which sell medicines in violation of applicable Russian legislation was sent to the coordinating headquarters of the General Secretariat of Interpol. An official statement with Internet service providers on cessation of activities at these sites was issued [1].On 26-28 October 2011, Moscow hosted an international high-level conference on counterfeiting of medicinal products, which was attended by more than 750 professionals in the field of law and pharmacy from different countries, including USA, China, countries of the European Council and the Commonwealth of Independent States. At the end of the conference the Convention on the counterfeiting of medicinal products and similar crimes involving threats to public health, was signed, which was called Medicrime [2]. The Convention was signed by representatives of Austria, Germany, Israel, Iceland, Italy, Cyprus, Portugal, Russian Federation, Finland, France, Ukraine, Switzerland. The Medicrime Convention is the first legal agreement in the field of criminal law aimed at criminalizing the trafficking of falsified and substandard medicinal products, as well as aimed at providing legal support for the investigation of these crimes at the international level. The positive side of the Convention of the Council of Europe Medicrime is that it is open for signature not only by member States of the Council of Europe and the European Union, but also by States that are not members of the Council of Europe, but participated in the elaboration of a Convention or have observer status with the Council of Europe. In addition, the Convention is open for signature by any other state at the invitation of the Committee of Ministers of the Council of Europe. The Convention introduces the responsibility for the production, storage and distribution of falsified medicinal products, active substances, excipients, components, materials and supplies; the use of falsified documents related to the trafficking of medicinal products (Articles 5, 6, 7). This legal act regulates the cooperation between the health authorities, customs, police and other competent authorities at international and national level (Articles 17, 21, 22).One of the results of the legal implementation of the rules of the Convention Medicrime in the Russian legislation was the adoption of the Federal law of the Russian Federation dated 31.12.2014 No. 532-FZ On amendments to certain legislative acts of the Russian Federation on countering the trafficking of falsified, counterfeit, substandard and unregistered medicines, medicinal devices and falsified biologically active additives [3]. The law came into force on 23 January 2015. In accordance with the Federal Law of the Russian Federation Criminal Code is supplemented by three new articles: Article 235.1. Illegal manufacture of medicines and medicinal devices; article 238.1. Circulation of falsified, substandard and unregistered medicines, medicinal devices and trafficking in falsified biologically active additives; article 327.2. Forgery of documents on medicines or medicinal devices or the packaging of medicines or medicinal devices [4].Although there are some deficiencies in the wording of these penal regulations, we believe their introduction in the Criminal Code is a serious step forward by the state to neutralize the trafficking of falsified and substandard medicinal products, and consequently to ensure the safety of the nation's health and economic security of the country. The inclusion of these special articles in the Criminal Code will allow to analyze statistical information on their practical application by the authorities, to investigate crimes, to fully implement the monitoring, prediction and prevention of these socially dangerous acts. It will contribute to the development and implementation of effective management decisions on the identification and investigation of crimes of this type.In recent years, in the framework of the joint preventive measures to combat the circulation of falsified and substandard medicinal products there has been some constructive interaction between law enforcement and regulatory authorities, primarily by the bodies of internal Affairs and units of the Federal Service on Surveillance in Healthcare of Russian Federation. During 2010-2013 researches in the field of Economics, International and Criminal Law, Criminology, Criminalistics, Operatively-search activity, devoted to the development of measures to neutralize trafficking of falsified and substandard medicinal products, were developed as reserved dissertations. The legislation in the sphere of protection of public health and the turnover of medicines was updated.Thus, trafficking of falsified and substandard medicinal products in the Russian Federation at present is not an appeal and not a theory, but there is a real activity of specialists in the field of law and pharmacy, with a certain legal framework, scientific and methodological support.However, this problem is not yet solved. The Indicator of withdrawn from circulation of falsified and substandard drugs remains high. In Russia by the end of 2014, 1 109 batches of substandard, falsified and counterfeit medicines were detected and withdrawn from circulation. The volume of state quality control of medicines coming into circulation accounted for 16,3% [5]. A serious danger is the increased level of falsification of pharmaceutical substances, 80% of which is imported to the Russian Federation on indirect contracts from China and India without proper control at customs posts.The study of criminal cases and statistics about the trafficking of falsified and substandard medicinal products in the Russian Federation leads to the conclusion that this crime is of a latent character. Every year about 50 crimes are detected, for only 30-35 of them criminal cases are initiated, and only 15-20 of the investigated criminal cases are submitted to court. This indicates serious problems in proving the guilt of the perpetrators of these crimes and bringing them to justice. The fight against this crime requires long and reliable operational development of criminal groups, qualified investigation and trial. (ABSTRACT TRUNCATED)

Who Will Do My Autopsy?

Frederick Douglas WalkerMD
Del Mar, California

Translating Genomic Advances to Physical Therapist Practice: A Closer Look at the Nature and Nurture of Common Diseases

 2015 Dec 4. [Epub ahead of print]

Translating Genomic Advances to Physical Therapist Practice: A Closer Look at the Nature and Nurture of Common Diseases.

Author information

  • 1C.L. Curtis, PT, EdD, Department of Physical Therapy, School of Health Sciences and Practice, Institute of Public Health, New York Medical College, Valhalla, NY, 10595 (USA).
  • 2A. Goldberg, PT, PhD, Physical Therapy Department, School of Health Professions and Studies, University of Michigan-Flint, Flint, Michigan.
  • 3J.A. Kleim, PhD, School of Biological and Health Systems Engineering, Arizona State University, Tempe, Arizona.
  • 4S.L. Wolf, PT, PhD, FAPTA, FAHA, Department of Rehabilitation Medicine, Division of Physical Therapy, Departments of Medicine and Cell Biology, Emory University School of Medicine, Atlanta VA Center for Visual and Neurocognitive Rehabilitation, Atlanta, Georgia.

Abstract

The Human Genome Project and the International HapMap Projects have yielded new understanding of the influence of the human genome on health and disease advancing healthcare in significant ways. In personalized medicine, genetic factors are used to identify disease risk and tailor preventive and therapeutic regimens. Insight into the genetic bases of cellular processes is revealing the causes of disease and effects of exercise. Many diseases known to have a major lifestyle contribution are highly influenced by common genetic variants. Genetic variants are associated with increased risk for common diseases such as cardiovascular disease (CVD) and osteoarthritis (OA). Exercise response is also influenced by genetic factors. Knowledge of genetic factors can help clinicians better understand inter-individual differences in disease presentation, pain experience and exercise response. Family health history is an important genetic tool and encourages clinicians to consider the wider client-family unit. Clinicians in this new era need to be prepared to guide patients and their families on a variety of genomics-related concerns including genetic testing and other ethical, legal or social issues. It is thus essential that clinicians reconsider the role of genetics in the preservation of wellness and risk for disease to identify ways to best optimize fitness, health or recovery. Clinicians with knowledge of the influence of genetic variants on health and disease will be uniquely positioned to institute individualized lifestyle interventions, thereby fulfilling roles in prevention and wellness. This article describes how discoveries in genomics are rapidly evolving the understanding of health and disease by highlighting two conditions, CVD and OA. Genetic factors related to exercise effects are also considered.

Pathologists and Liability: An Old Medical Story Needing a New Ending

 2015 Dec;144(6):828-9. doi: 10.1309/AJCP7R6XVXOEPFAH.

Pathologists and Liability: An Old Medical Story Needing a New Ending.

Author information

  • 1From the Department of Pathology, The University of Texas Medical Branch, Galveston; and.
  • 2Global Health Policy Institute, University of California-San Diego, La Jolla.

Troubling: Most teens' physical activity occurs at school

Most teens' physical activity occurs at school


This is especially true at a time when obesity in children has swelled along with increases in diabetes, high blood pressure, high cholesterol and malnutrition in U.S. children, she added.
"The most important implication coming out of this study is that we as a society—including parents, educators,  and government officials—need to do more to promote a healthy, active lifestyle among our at-risk adolescents," Beck said. However, she cautioned that this is a complex topic and said readers "should take care in drawing specific, concrete conclusions from the data."

Monday, December 7, 2015

From Hyogo College of Medicine, Japan: Current surgical strategies for malignant pleural mesothelioma

 2015 Nov 21. [Epub ahead of print]

Current surgical strategies for malignant pleural mesothelioma.

Author information

  • 1Hyogo College of Medicine, 1-1Mukogawacho Nishinomiya, Hyogo, 663-8501, Japan. ttakuwa@hyo-med.ac.jp.
  • 2Hyogo College of Medicine, 1-1Mukogawacho Nishinomiya, Hyogo, 663-8501, Japan.

Abstract

Malignant pleural mesothelioma (MPM) is associated with a poor prognosis. The main components of multimodality treatment include surgery, chemotherapy, and radiation therapy. Surgery remains controversial. Two procedures are currently offered: extrapleural pneumonectomy (EPP) and pleurectomy/decortication (P/D). The recent scientific literature suggests that P/D is a well-tolerated procedure, with the potential of becoming a default procedure in multimodality regimens. However, the precise treatment schemes and surgical procedures are yet to be established. In our study, we review the advantages and disadvantages of EPP and P/D, summarize the post-EPP and post-P/D observations (including mortality, morbidity, and median survival time), and discuss the choice of surgical technique (EPP vs. P/D). Moreover, we highlight the aspects of the multimodality treatments that are offered to MPM patients, including chemotherapy, radiotherapy, intensity-modulated radiation therapy, and other types of therapy.

Improving Detection of Prediabetes in Children and Adults: Using Combinations of Blood Glucose Tests

 2015 Nov 20;3:260.

Improving Detection of Prediabetes in Children and Adults: Using Combinations of Blood Glucose Tests.

Author information

  • 1Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University , Atlanta, GA , USA.
  • 2Department of Family Medicine, Mercer University School of Medicine , Macon, GA , USA.
  • 3Division of Health Management and Policy, School of Public Health, Georgia State University , Atlanta, GA , USA.

Abstract

HIGHLIGHTS:

The combined use of fasting plasma glucose and hemoglobin A1c test is associated with significantly higher diagnostic rates of prediabetes across age, race/ethnicity, and BMI than using only one test.Combined use of fasting plasma glucose, hemoglobin A1c, and oral glucose tolerance test do not improve the overall and gender-specific prediabetes prevalence beyond what is observed using a combination fasting plasma glucose and hemoglobin A1c test.A redefined hemoglobin A1c test that incorporates racial/ethnic, gender, age, and BMI differences may provide a better way to use hemoglobin A1c test in population-based and clinical settings.

AIM:

To determine combinations of blood glucose tests: oral glucose tolerance (OGT), fasting plasma glucose (FPG), and hemoglobin A1C (HbA1C) that are associated with highest diagnostic rates of prediabetes in non-diabetic American children and adults.

METHODS:

The 2007-2008 U.S. National Health and Nutrition Examination Surveys data were used for this study. Overall and specific prevalence of prediabetes (defined using OGT + FPG, OGT + HbA1C, HbA1C + FPG, and OGT + FPG + HbA1C tests) were determined across age, race/ethnicity, sex, and BMI categories.

RESULTS:

FPG + HbA1C test was associated with significantly higher diagnostic rates of prediabetes across age, race/ethnicity, and BMI. Estimates of overall prevalence of prediabetes using OGT + FPG, OGT + HbA1C, HbA1C + FPG, and OGT + FPG + HbA1C tests were 20.3, 24.2, 33, and 34.3%, respectively. Compared to OGT + FPG, the use of HbA1C + FPG test in screening was associated with 44.8, 135, 38.6, and 35.9% increased prevalence of prediabetes in non-Hispanic White, non-Hispanic Black, Mexican-American, and other racial/ethnic men, respectively. The corresponding values in women were 67.8, 140, 37.2, and 42.6%, respectively. Combined use of all blood glucose tests did not improve the overall and gender-specific prediabetes prevalence beyond what was observed using HbA1C + FPG test.

CONCLUSION:

HbA1C criteria were associated with higher diagnosis rates of prediabetes than FPG and OGT tests in non-diabetic American children and adults. Using a combination of HbA1C and FPG test in screening for prediabetes reduces intrinsic systematic bias in using just HbA1C testing and offers the benefits of each test. A well-defined HbA1C that takes into consideration race/ethnicity, gender, age, and body mass index may improve detection of prediabetes in population and clinical settings.

Life just isn't fair: Too much stored fat in body makes weight loss process harder

Too much stored fat in body makes weight loss process harder 

"The research paper suggests that the role of the sLR11 protein could be to store fat in the body for maintaining both temperature and energy levels over a prolonged period of time. "Their stored fat is actively fighting against their efforts to burn it off at the molecular level", said study author Andrew Whittle, in a news release." 






The Oceanside Post http://oceansidepost.com/2015/12/07/too-much-stored-fat-in-body-makes-weight-loss-process-harder.html

Why adult happy meals could be the next fad health kick

Why adult happy meals could be the next fad health kick




"A new University of Arizona study suggests that if kids and adults are offered a half-sized meal with a non-food incentive, or the full-sized meal sans incentive, the majority of both groups will pick the prize almost every time."

Risk factors and biomarkers of life-threatening cancers

 2015 Nov 24;9:596.

Risk factors and biomarkers of life-threatening cancers.

Author information

  • 1University of Strathclyde Institute of Global Public Health at iPRI, International Prevention Research Institute (iPRI, www.i-pri.org ), Espace Européen d'Ecully, Bâtiment G, Allée Claude Debussy, Ecully ouest Lyon 69130, France.

Abstract

There is growing evidence that risk factors for cancer occurrence and for cancer death are not necessarily the same. Knowledge of cancer aggressiveness risk factors (CARF) may help in identifying subjects at high risk of developing a potentially deadly cancer (and not just any cancer). The availability of CARFs may have positive consequences for health policies, medical practice, and the search for biomarkers. For instance, cancer chemoprevention and cancer screening of subjects with CARFs would probably be more ethical and cost-effective than recommending chemoprevention and screening to entire segments of the population. Also, the harmful consequences of chemoprevention and of screening would be reduced while effectiveness would be optimised. We present examples of CARF already in use (e.g. mutations of the breast cancer (BRCA) gene), of promising avenues for the discovery of biomarkers thanks to the investigation of CARFs (e.g. breast radiological density and systemic inflammation), and of biomarkers commonly used that are not real CARFs (e.g. certain mammography images, prostate-specific antigen (PSA) concentration, nevus number).

Friday, December 4, 2015

Is Obesity Driving Up US Childbirth-Related Deaths?

Is Obesity Driving Up US Childbirth-Related Deaths?


"In 1987, there were 7.2 deaths of mothers per 100,000 live births in the United States, according to the Centers for Disease Control and Prevention. In 2011, that number more than doubled, jumping to 17.8 deaths per 100,000 births, CNN reports."

From UCSF: Smoking or My Job? US Media Coverage of Nonsmoker-Only Hiring Policies

 2015 Dec 3;10(12):e0144281. doi: 10.1371/journal.pone.0144281.

Smoking or My Job? US Media Coverage of Nonsmoker-Only Hiring Policies.

Author information

  • 1Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, San Francisco, California, United States of America.

Abstract

OBJECTIVES:

Media advocacy plays a critical role in tobacco control, shaping the content of news in ways that generate public support for tobacco control. We examined US media coverage of nonsmoker-only hiring policies, which have little US public support, exploring the extent to which tobacco control advocates and experts have engaged the media on this controversial issue.

METHODS:

We searched online media databases (Lexis Nexis, Access World News, and Proquest) for articles published from 1995-2013, coding retrieved items through a collaborative, iterative process. We analyzed the volume, type, provenance, prominence, content and slant of coverage.

RESULTS:

We found 1,159 media items on nonsmoker-only hiring policies, most published in local newspapers in regions where such policies were enacted. The most common reason given for implementing such policies was to reduce healthcare costs. Most news items offered reasons both to support and oppose such policies; thus, the slant of the majority of news items was neutral or mixed. Tobacco control advocates or experts were infrequently cited or quoted in news items, and rarely authored opinion pieces. Those who expressed opinions were more likely to support than oppose nonsmoker-only hiring policies, for economic and health reasons. Ethical concerns about the policies were seldom raised.

CONCLUSIONS:

As presented in the media, nonsmoker-only hiring policies were primarily framed in terms of business cost savings and had little connection to health initiatives. Tobacco control advocates were rarely quoted and their positions were not consistent. Given their intrusiveness and the lack of strong evidence that such business policies actually do improve worker health, tobacco control advocates may feel that the status quo is preferable to engaging on a policy that the majority of Americans dislike.

The Middle East as It Will Be

The Middle East as It Will Be



"So the Islamic State will continue to exist, and as recent reports suggest, put down roots in a number of countries. The appeal of its cruelty, religious purity, and apocalyptic faith will not be diminished. Indeed, just the reverse, the longer it appears to stand up to the unholy coalition of the United States, Europe, Russia, the Persians, and the Shi’a."


HT:SD

No surprise: Obesity Linked to More Severe Bone, Joint Injuries (and increased costs)

Obesity Linked to More Severe Bone, Joint Injuries

Study also found obese patients more likely to need surgery, have longer hospital stays

"Hospital costs were about $160,000 for non-obese patients and nearly $235,000 for obese patients. And the most severely obese patients were more likely to be discharged to a continuing-care facility, according to the report."

Wednesday, December 2, 2015

Poor fitness levels in early adulthood linked with cardiovascular disease and future death

Poor fitness levels in early adulthood linked with cardiovascular disease and future death


The researchers also found that every one minute reduction in fitness by the seventh year was linked with a 21 percent increased risk of death and a 20 percent increase of cardiovascular disease. The researchers wrote, “The finding that fitness is related to development of subclinical changes in myocardial structure and function, but not CAC, sheds light on potential mechanistic benefits of exercise in youth not captured by [coronary artery calcification].”

Preventing obesity in infants: the Growing healthy feasibility trial protocol

 2015 Nov 30;5(11):e009258. doi: 10.1136/bmjopen-2015-009258.

Preventing obesity in infants: the Growing healthy feasibility trial protocol.

Author information

  • 1University of Technology Sydney, Sydney, New South Wales, Australia.
  • 2Deakin University, Melbourne, Victoria, Australia.
  • 3Latrobe University, Melbourne, Victoria, Australia.
  • 4University of Sydney, Sydney, New South Wales, Australia.
  • 5University of Otago, Dunedin, New Zealand.
  • 6University of Adelaide, Adelaide, Australia.
  • 7Inala Indigenous Health, Brisbane, Australia.

Abstract

INTRODUCTION:

Early childhood is an important period for establishing behaviours that will affect weight gain and health across the life course. Early feeding choices, including breast and/or formula, timing of introduction of solids, physical activity and electronic media use among infants and young children are considered likely determinants of childhood obesity. Parents play a primary role in shaping these behaviours through parental modelling, feeding styles, and the food and physical activity environments provided. Children from low socio-economic backgrounds have higher rates of obesity, making early intervention particularly important. However, such families are often more difficult to reach and may be less likely to participate in traditional programs that support healthy behaviours. Parents across all socio-demographic groups frequently access primary health care (PHC) services, including nurses in community health services and general medical practices, providing unparalleled opportunity for engagement to influence family behaviours. One emerging and promising area that might maximise engagement at a low cost is the provision of support for healthy parenting through electronic media such as the Internet or smart phones. The Growing healthy study explores the feasibility of delivering such support via primary health care services.

METHODS:

This paper describes the Growing healthy study, a non-randomised quasi experimental study examining the feasibility of an intervention delivered via a smartphone app (or website) for parents living in socioeconomically disadvantaged areas, for promoting infant feeding and parenting behaviours that promote healthy rather than excessive weight gain. Participants will be recruited via their primary health care practitioner and followed until their infant is 9 months old. Data will be collected via web-based questionnaires and the data collected inherently by the app itself.

ETHICS AND DISSEMINATION:

This study received approval from the University of Technology Sydney Ethics committee and will be disseminated via peer-reviewed publications and conference presentations.