Andy Caldwell - Invierno

0.2086 of a second

PAGENAUD HOLDS OFF ROSSI TO WIN INDY 500

By INDYCAR | Published: May 26, 2019

INDIANAPOLIS – Simon Pagenaud swept the month of May at Indianapolis Motor Speedway and extended Team Penske’s Indianapolis 500 legacy in thrilling fashion, holding off Alexander Rossi to win the biggest race of them all, the 103rd Indianapolis 500 presented by Gainbridge on Sunday.

Pagenaud pushed the No. 22 Menards Team Penske Chevrolet across the finish line by 0.2086 of a second ahead of Rossi, the 2016 Indy 500 winner. It was Pagenaud’s first win at “The Greatest Spectacle in Racing” and extended Team Penske’s record for Indianapolis 500 victories to 18.

HT:MC

#MemorialDay "It’s a day for remembering, and honoring, the men and women who have died while serving their country in the U.S. armed forces."

OUR VIEW: Memorial Day a time to contemplate, remember

"It’s a day for remembering, and honoring, the men and women who have died while serving their country in the U.S. armed forces.

The latest compilation pegs that number at nearly 1.355 million since 1775 — roughly half of them combat deaths — and it includes some pretty esoteric conflicts that only history buffs would recognize."

Rural obesity an increasing concern

“Access to healthy and affordable food is also limited in many rural communities. Further, the distance that many rural residents must travel to access health care facilities, physical activity facilities and healthy food is an ongoing barrier.”

Abandoned on Bataan: One Man's Story of Survival #MemorialDayWeekend

Abandoned on Bataan: One Man's Story of Survival 

by Oliver Craig Allen

Old Glory - Van Morris

Old Glory
    - Van Morris



HT:DA

Camiel - Eighty Eight

Camiel - Eighty Eight

Ethics Hum Res. 2019 May;41(3):2-12. doi: 10.1002/eahr.500014.

Burden or Opportunity? Parent Experiences When Approached for Research in a Pediatric Intensive Care Unit.

Paquette E1, Shukla A2, Davidson J3, Rychlik K4, Davis M5.

Author information

1

Assistant professor of pediatrics at Northwestern University Feinberg School of Medicine and an adjunct professor of law at the Northwestern University Pritzker School of Law.

2

Research assistant at the Ann & Robert H. Lurie Children's Hospital of Chicago.

3

Medical student and research assistant at Northwestern University Feinberg School of Medicine.

4

Senior statistician at the Ann & Robert H. Lurie Children's Hospital of Chicago.

5

Professor and the vice chair of the Department of Pediatrics at Northwestern University Feinberg School of Medicine and the senior vice president of community health transformation at the Ann & Robert H. Lurie Children's Hospital of Chicago.

Abstract

Despite an ongoing need for pediatric research, low study enrollment may impede study completion, particularly in critical care. We conducted a prospective cross-sectional survey and chart review study to assess parent experiences with research in a pediatric intensive care unit (PICU). Of the 80 parents who completed the study survey, 54% were approached to participate in a research study in the PICU, and 93% agreed to participate. Motivators included altruism, low burden, low risk, and research that would benefit the child. Barriers included risks to the child, the child's being too sick to participate, feeling overwhelmed, not having enough time to participate, the research's being burdensome, and the research's not being explained well. PICU parents had mostly favorable attitudes toward research participation. Compared with non-Hispanic survey respondents, respondents of Hispanic ethnicity less often reported having been approached for research, which further evidences the need to track research recruitment processes to help avoid underinclusion of members of minority populations.

Arch Pathol Lab Med. 2019 Jan;143(1):75-80. doi: 10.5858/arpa.2018-0313-SA. Epub 2018 Aug 22.

Keep Calm and Tweet On: Legal and Ethical Considerations for Pathologists Using Social Media.

Gardner JM1, Allen TC1.

Author information

1

From the Department of Pathology, University of Arkansas for Medical Sciences, Little Rock (Dr Gardner); and Department of Pathology, University of Mississippi Medical Center, Jackson (Dr Allen).

Abstract

Recent privacy breaches by a major social media company have again raised questions from some pathologists regarding the legality and ethics of sharing pathology images on social media. The authors examined ethical principles as well as historic and legal precedents relevant to pathology medical photography. Taking and sharing photographs of pathology specimens is embedded into the culture of the specialty of pathology and has been for more than a century. In general, the pathologist who takes the photograph of a gross or microscopic specimen owns the copyright to that photograph. Patient consent is not legally or ethically required to take or use deidentified photographs of pathology specimens. Current US privacy laws (Health Insurance Portability and Accountability Act [HIPAA] of 1996) permit public sharing of deidentified pathology photographs without specific patient consent, even on social media. There is no case law of action taken against pathologists for sharing deidentified pathology images on social media or elsewhere. If there is any legal risk for pathologists or risk of patient harm in sharing pathology photographs, it is very small. The benefits of professional social media use for pathologists, patients, and society are numerous and well documented in the literature.

Many 'Dehumanize' People with Obesity

"In general, we know that people tend to see other groups they're not part of as lesser than them," Kersbergen said. "We've not been able to find any experiment expanding on what's causing it, based on the literature. Obviously, we need a culture change rather than a few slaps on the wrist here and there."

Body acceptance groups and "fat activists" are working to change perceptions toward people with obesity, she added. But shaming those carrying many extra pounds, or even pointing out the health risks associated with the condition, has the opposite effect than intended, Kersbergen said.

"The science is actually pretty straightforward; we know that feeling stigmatized because of your weight actually leads to weight increases," she said. "Telling people to lose weight is a very poor way of getting people to lose weight."

Biopreserv Biobank. 2019 May 15. doi: 10.1089/bio.2018.0036. [Epub ahead of print]

Centralization of the IARC Biobank: Combining Multiple Sample Collections into a Common Platform.

Mendy M1, Caboux E1, Wild CP1; IARC Biobank Steering Committee Members.

Collaborators (11)

Author information

1

Laboratory Services and Biobank Group, International Agency for Research on Cancer, Lyon, France.

Abstract

The International Agency for Research on Cancer (IARC) is the World Health Organization's (WHO) cancer research agency. The agency conducts research on cancer with worldwide collaborations, adopting a multidisciplinary approach of epidemiology and laboratory-based studies on cancer causes, as well as preventive interventions. The IARC Biobank stores multiple collections of samples and conducts preanalytical services for studies conducted worldwide in support of the research activities. Traditionally, the multiple collections from these studies were managed by the individual research groups in different project-specific databases. In 2010, a program to centralize sample collections into a single platform was initiated by adopting a common database with the introduction of a minimum dataset for sample collections received at IARC. The process involved checking data files, verifying the storage location of samples, conducting data harmonization, and importing or migrating existing data from project-specific spreadsheets and databases into the common database. In addition to the creation of a common biobank database and an up-to-date inventory of IARC's biological resources, a governance structure was established. The creation of the Biobank Steering Committee and the adoption of an access policy is to facilitate and guide the sharing of IARC's resources in a transparent manner, while taking into account Ethical, Legal, and Social Issues.

Twitter is a virus of the mind

If you log off, you lose your influence: An Encounter Ideas essay

Glenn Reynolds

"But in public influence Twitter punches far above its weight. Why? Because it’s where cultural kingmakers congregate, and thus where conventional wisdom is formed and shaped — often instantly and thoughtlessly."

"It used to be incredibly rare to see anyone under age 40 come in with a heart attack — and some of these people are now in their 20s and early 30s."

Death Rates Increasing for Younger Adults Due to Heart Disease

"The rates of heart attacks are declining overall in the U.S. — but not among all groups of Americans. According to a new study, heart attack rates are increasing in what may seem like an unlikely group: adults in their 20s and 30s.  What’s more, despite their relatively young age, 20- and 30-somethings have the same rate of bad outcomes after a heart attack — including death — as those who are about 10 years older, the study found.

It used to be incredibly rare to see anyone under age 40 come in with a heart attack — and some of these people are now in their 20s and early 30s."

"In the end, health care is more than a political issue; it is also deeply personal."

Health Care Voters May Surprise Us

"In the end, health care is more than a political issue; it is also deeply personal. Health problems can make anyone physically vulnerable, and many people financially so. For Americans with less education and financial means, navigating the system to get what they need is challenging, and many do not even bother to try. Apathy or lack of engagement in health care decision-making parallels their political disengagement.

The politics of health care reform, therefore, requires understanding differences in consumer priorities and designing policies to meet their most pressing needs."

Fruit juice may increase death risk as much as sugary drinks

"The researchers found that those who drank the most sugar-sweetened beverages -- including 100 percent fruit juice -- had higher odds of dying during the study, compared with those who drank the least of these."

"...slow walkers were twice as likely to have a heart-related death as fast walkers..."

Fast walkers more likely to live longer: Study

"'In other words, the findings suggest that perhaps physical fitness is a better indicator of life expectancy than body mass index (BMI), and that encouraging the population to engage in brisk walking may add years to their lives,' said Yates, lead author of the study published in the journal Mayo Clinic Proceedings.

.............

The study showed that slow walkers were twice as likely to have a heart-related death as fast walkers, even when other risk factors such as smoking and body mass index were taken into account."

Comput Biol Med. 2019 Apr 30;109:303-310. doi: 10.1016/j.compbiomed.2019.04.023. [Epub ahead of print]

Exploring the relationship of digital information sources and medication adherence.

Arbuckle C1, Tomaszewski D2, Brown L2, Schommer J3, Morisky D4, Parlett-Pelleriti C1, Linstead E5.

Author information

1

(a)Chapman University, Schmid College of Science and Technology, Mathematics and Computer Science, Orange, CA, 92866, USA.

2

Chapman University, School of Pharmacy, Department of Biomedical and Pharmaceutical Sciences, Irvine, CA, 92618, USA.

3

University of Minnesota, College of Pharmacy, Department of Pharmaceutical Care and Health Systems, Minneapolis, MN, 55455, USA.

4

University of California, Los Angeles, Fielding School of Public Health, Department of Community Health Sciences, Los Angeles, CA, 90095-1772, USA.

5

(a)Chapman University, Schmid College of Science and Technology, Mathematics and Computer Science, Orange, CA, 92866, USA. Electronic address: linstead@chapman.edu.

Abstract

We present a retrospective analysis of data collected in the United States from the 2015 National Consumer Survey on the Medication Experience and Pharmacists' Role in order to model the relationship between health information sources and medication adherence and perception. Our results indicate that while the digital age has presented prescription users with many non-traditional alternatives for health information, the use of digital content has a significant negative correlation with pharmaceutical adherence and attitudes toward medication. These findings along with previous research suggest that in order to fully realize the potential benefits of the digital age in regards to patient health, positive patient-provider discussions regarding information found online, efforts to improve general health literacy and improvements in the quality and accuracy of the information found are key. Given that higher reliance on digital content is correlated with younger age, the analysis suggests that proactive measures should be taken to educate younger prescription users about the merits and pitfalls of information seeking techniques as they pertain to health literacy.

"Previous research has suggested that urbanization is a primary factor in the rise in obesity around the world. However, a new large-scale study contradicts this, indicating that the increase in obesity rates is more significant among people in rural areas."

Do we have the wrong idea about the global obesity 'epidemic?'

Published Sunday 12 May 2019

Previous research has suggested that urbanization is a primary factor in the rise in obesity around the world. However, a new large-scale study contradicts this, indicating that the increase in obesity rates is more significant among people in rural areas.

The authors believe that this might be because rural populations in high-income countries typically enjoy fewer benefits than their urban counterparts, having lower incomes, more restricted access to education, and less access to healthful foods due to high costs.

"Discussions around public health tend to focus more on the negative aspects of living in cities," notes Prof. Ezzati. "In fact, cities provide a wealth of opportunities for better nutrition, more physical exercise and recreation, and overall improved health."

"These things are often harder to find in rural areas," he emphasizes.

Acad Pathol. 2018 Nov 14;5:2374289518811142. doi: 10.1177/2374289518811142. eCollection 2018 Jan-Dec.

The Legal Aspects of Diversity in Academic Pathology.

Allen TC1.

Author information

1

Department of Pathology, University of Mississippi Medical Center, Jackson, MS, USA.

Abstract

Diversity and inclusion in academic pathology center on building a diverse, inclusive pathology faculty. Understanding the basics of federal law, and the US Supreme Court cases that interpret those laws, allows one to consider good practices in diversity hire recruitment and retention that protects the pathology chair, the pathology department, and the institution. Consideration of inclusion and unconscious bias are helpful in building and sustaining robust, valuable academic pathology faculty diversity.

The Comma Queen and the Internet’s Copy Chief on What Matters to a Copyeditor #OxfordComma

The Comma Queen and 
the Internet’s Copy Chief on What Matters to a Copyeditor

Mary Norris and Benjamin Dreyer Talk Grammar and Style

By Literary Hub

---

May 1, 2019

"The term “house style” refers to mechanics: use of italics or quotes for titles, adherence to the serial comma, how to handle numerals consistently. For example, it’s house style at The New Yorker to write out round numbers, but increasingly we have come to regard all numbers as round—or so it would seem. Numerals jump off the page; numbers written as words lie on the page and don’t interrupt the flow. New Yorker house style is for readers who have the leisure to savor what they read."

Diagn Interv Imaging. 2019 May 6. pii: S2211-5684(19)30090-7. doi: 10.1016/j.diii.2019.03.015. [Epub ahead of print]

Impact of the rise of artificial intelligence in radiology: What do radiologists think?

Waymel Q1, Badr S1, Demondion X2, Cotten A2, Jacques T3.

Author information

1

Department of Musculoskeletal Radiology, University Hospital of Lille, 59037 Lille, France.

2

Department of Musculoskeletal Radiology, University Hospital of Lille, 59037 Lille, France; Lille Medical School, University of Lille, 59045 Lille, France.

3

Department of Musculoskeletal Radiology, University Hospital of Lille, 59037 Lille, France; Lille Medical School, University of Lille, 59045 Lille, France. Electronic address: thibaut.jacques@chru-lille.fr.

Abstract

PURPOSE:

The purpose of this study was to assess the perception, knowledge, wishes and expectations of a sample of French radiologists towards the rise of artificial intelligence (AI) in radiology.

MATERIAL AND METHOD:

A general data protection regulation-compliant electronic survey was sent by e-mail to the 617 radiologists registered in the French departments of Nord and Pas-de-Calais (93 radiology residents and 524 senior radiologists), from both public and private institutions. The survey included 42 questions focusing on AI in radiology, and data were collected between January 16th and January 31st, 2019. The answers were analyzed together by a senior radiologist and a radiology resident.

RESULTS:

A total of 70 radiology residents and 200 senior radiologists participated to the survey, which corresponded to a response rate of 43.8% (270/617). One hundred ninety-eight radiologists (198/270; 73.3%) estimated they had received insufficient previous information on AI. Two hundred and fifty-five respondents (255/270; 94.4%) would consider attending a generic continuous medical education in this field and 187 (187/270; 69.3%) a technically advanced training on AI. Two hundred and fourteen respondents (214/270; 79.3%) thought that AI will have a positive impact on their future practice. The highest expectations were the lowering of imaging-related medical errors (219/270; 81%), followed by the lowering of the interpretation time of each examination (201/270; 74.4%) and the increase in the time spent with patients (141/270; 52.2%).

CONCLUSION:

While respondents had the feeling of receiving insufficient previous information on AI, they are willing to improve their knowledge and technical skills on this field. They share an optimistic view and think that AI will have a positive impact on their future practice. A lower risk of imaging-related medical errors and an increase in the time spent with patients are among their main expectations.

"The upside of winning is pleasure and glory, but the cost of always winning is never getting to know how much more was in you."

Is Philosophy Fight Club?

by    Agnes Callard   in  Examined Life

"Socrates undersold philosophy when he described it as a preparation for death. Philosophy done right is death. The other kind of death is a simulacrum, a mere half death. If you want to know what it’s like to be nothing, nonexistent, don’t sit around waiting for the inevitable. Instead, lose. The upside of winning is pleasure and glory, but the cost of always winning is never getting to know how much more was in you. The only way to find the limit is to cross it. But you can’t lose unless you fight your heart out. Which is why I say, more fighting, more biting."

J Med Regul. 2018 Dec;104(4):23-31. doi: 10.30770/2572-1852-104.4.23.

Preventing Egregious Ethical Violations in Medical Practice: Evidence-Informed Recommendations from a Multidisciplinary Working Group.

DuBois JM, Anderson EE, Chibnall JT, Diakov L, Doukas DJ, Holmboe ES, Koenig HM, Krause JH, McMillan G, Mendelsohn M, Mozersky J, Norcross WA, Whelan AJ.

Abstract

This article reports the consensus recommendations of a working group that was convened at the end of a 4-year research project funded by the National Institutes of Health that examined 280 cases of egregious ethical violations in medical practice. The group reviewed data from the parent project, as well as other research on sexual abuse of patients, criminal prescribing of controlled substances, and unnecessary invasive procedures that were prosecuted as fraud. The working group embraced the goals of making such violations significantly less frequent and, when they do occur, identifying them sooner and taking necessary steps to ensure they are not repeated. Following review of data and previously published recommendations, the working group developed 10 recommendations that provide a starting point to meet these goals. Recommendations address leadership, oversight, tracking, disciplinary actions, education of patients, partnerships with law enforcement, further research and related matters. The working group recognized the need for further refinement of the recommendations to ensure feasibility and appropriate balance between protection of patients and fairness to physicians. While full implementation of appropriate measures will require time and study, we believe it is urgent to take visible actions to acknowledge and address the problem at hand.

JMIR Cancer. 2019 Apr 22;5(1):e12317. doi: 10.2196/12317.

Designing and Testing Apps to Support Patients With Cancer: Looking to Behavioral Science to Lead the Way.

Hamel LM1, Thompson HS1, Albrecht TL1, Harper FW1.

Author information

1

Population Studies and Disparities Research Program, Department of Oncology, Wayne State University, Detroit, MI, United States.

Abstract

BACKGROUND:

Behavioral science has a long and strong tradition of rigorous experimental and applied methodologies, which have produced several influential and far-reaching theoretical frameworks and have guided countless inquiries of human behavior in various contexts. In cancer care, behavioral scientists have established a firm foundation of research focused on understanding the experience of cancer and using that understanding to design and implement theory- and evidenced-based interventions to help patients cope with the cancer experience. Given the rich behavioral research base in oncology, behavioral scientists are ideally positioned to lead the integration of evidence-based science on behavior and behavior change into the development of smartphone apps supporting patients with cancer. Smartphone apps are being disseminated to patients with cancer with claims of being able to help them negotiate areas of vulnerability in their cancer experience. However, the vast majority of these apps are developed without the rigor and expertise of behavioral scientists.

OBJECTIVE:

In this article, we have illustrated the importance of behavioral science leading the development and evaluation of apps to support patients with cancer by providing an illustrative scientific process that our team of behavioral scientists, patient stakeholders, medical oncologists, and software developers used to empirically design and evaluate 2 patient-focused apps: the Discussion of Cost App (DISCOApp) and MyPatientPal.

METHODS:

Using a focused literature review and a descriptive roadmap of our team's process for designing and evaluating patient-focused behavioral apps for patients with cancer, we have demonstrated how behavioral scientists are integral to the development of empirically sound apps to help support patients with cancer. Specifically, we have illustrated the process by which our multidisciplinary team combined the established user-centered design principles and behavioral science theory and scientific rigor to design and evaluate 2 patient-focused apps.

RESULTS:

On the basis of initial acceptability and feasibility testing among patients and providers, our team has demonstrated how critical behavioral science is for designing and evaluating app-based interventions for patients with cancer.

CONCLUSIONS:

Behavioral science can and should be coupled with user-centered design principles to provide theoretical guidance and the rigor of the scientific method, thereby adding the much-needed and critical evidence for these types of app-based interventions for patients with cancer.

"For Soviet audiences, imbibing Western culture, and in fact, misinterpreting it, was an expression of a freedom, particularly after the Stalinist era where works of art were to be interpreted as the Party dictated." #ButCommunism

How To Think Freely

In their encounters with Western art, Soviet audiences found ways to reimagine themselves.

By JENNIFER WILSON

May 9, 2019

"Soviet readers desperate to get their hands on Western literature during the Thaw were not anti-communist. Indeed, J.D. Salinger’s Catcher in the Rye was beloved by Soviet critics and readers alike, who saw in Holden Caulfield’s contempt for a world of 'phonies' an indictment of American culture 'where everything was for sale.' For Soviet audiences, imbibing Western culture, and in fact, misinterpreting it, was an expression of a freedom, particularly after the Stalinist era where works of art were to be interpreted as the Party dictated."

"Confusion over effective weight-loss practices is one of the many factors fueling the obesity epidemic. So are unhealthy eating habits."

Helping patients win the fight against obesity

As an increasing number of Americans face health consequences from being severely overweight, medical schools are doing more to teach students how to prevent and treat the disease.

"Confusion over effective weight-loss practices is one of the many factors fueling the obesity epidemic. So are unhealthy eating habits. Indeed, a study in The Lancet released in April 2019 found that 1 in 4 deaths globally can be traced to a poor diet. This includes high consumption of salt, sugar, saturated fats, processed meats, and sugar-sweetened beverages. 

And the obesity epidemic continues to grow. In the United States, 18.5% of children and nearly 40% of adults were obese in 2015-16, according to the most recent National Health and Nutrition Examination Survey (NHANES). Those are the highest rates ever documented by NHANES, up from 13.9% of children and 30.5% of adults in 1999-2000."