‪‪Flint Water Crisis‬‬-Google Trends

https://goo.gl/en9GDu

Many residents of Flint, Michigan have consumed drinking water contaminated with lead since 2014.

Top questions on Flint water crisis in Michigan

Top questions on charges in Flint water crisis

Search interest in Flint water crisis

In early 2016, the Flint water crisis gained attention and President Obama declared the crisis a “state of emergency.”


Rosemary aroma can help older adults to remember to do things

http://goo.gl/sRilg2

The aroma of rosemary essential oil may improve ability of people over 65 to remember events and to remember to complete tasks at particular times in the future.

This is the finding of a study by post-graduate student Lauren Bussey, Lucy Moss and Dr Mark Moss of Northumbria University who will present their research today, Wednesday 27 April 2016, at the British Psychological Society's Annual Conference in Nottingham.

Lauren Bussey said: "In this study we focused on prospective memory. This involves the ability to remember events that will occur in the future and to remember to complete tasks at particular times. It's critical for everyday functioning. For example: when someone needs to remember to post a letter or to take medication at a particular time."

Rosemary and lavender essential oil were diffused in a testing room by placing four drops on an aroma stream fan diffuser and switching this on five minutes before the participants entered the room. A total of 150 people aged over 65 took part in the study and were randomly allocated to either the rosemary/lavender-scented room or another room with no scent.


REPORT: Poor Quality Nursing Home Jobs Undermine Care Quality

http://goo.gl/IQ2P0F

Poor quality nursing home jobs are leading to high turnover and staff vacancies, preventing residents from receiving the high-quality care they deserve, a new PHI report argues.

Raise the Floor: Quality Nursing Home Care Depends on Quality Jobsoutlines the case for improving jobs for the 650,000 nursing assistants employed by the nation’s 15,000-plus nursing homes.

These workers -- who are 91 percent female, 35 percent African American, and 20 percent foreign-born -- provide the majority of hands-on assistance that allows nursing home residents to live with dignity and as much independence as possible.

But nursing assistant jobs are characterized by poverty-level wages and poor benefits; erratic, often part-time schedules; limited support from supervisors; and little chance to advance beyond the entry level. Yearly wages average $19,000, barely enough for a family to meet their most basic needs.

In addition, PHI's research team estimates that more than 75 percent of nursing homes fail to meet the federal recommended staffing level for nursing assistants. This understaffing means that nursing assistants are constantly under stress and have time only to meet the residents' most basic personal care needs. This leads to dissatisfaction and burnout among staff and inadequate support for residents.

In the report, Maribel Rodriquez, a nursing assistant from Waterbury, Connecticut, describes her job as "hard physically, mentally and emotionally." The work takes a toll: nursing assistants are injured on the job three and half times as often as the average American worker.


Improving Access to Hepatitis C Treatment in Your State

Drugs are becoming the next battleground for health care access in Medicaid. I'll be posting more items that focus on the how insurance companies and states are trying to manage costs by "managing" us......

http://goo.gl/LO0Xud

In November 2015, the Centers for Medicare and Medicaid Services issued a Medicaid Drug Rebate Notice on Assuring Medicaid Beneficiaries Access to Hepatitis C Drugs. States are in the process of responding to the notice and HIV/ID providers can play an important role in helping states develop clinically appropriate coverage policies.

Moderated by Carol Brosgart, MD

In response to the harsh restrictions being placed on the new direct-acting antiviral (DAA) drugs by state Medicaid programs, the Centers for Medicare and Medicaid Services issued a program notice in Nov 2015 to remind states of Medicaid’s drug coverage rules. States are in the process of responding to the letter and ID/HIV providers can play an important role in helping Medicaid programs develop clinically appropriate coverage policies. This webinar provides tools and information to help providers become engaged in these discussions. The presenters have granted permission for their slides to be downloaded and used in presentations to educate other providers on these issues.

HCV Treatment Access Restrictions & Coverage Obligations under the Law – Robert Greenwald, JD

Helping Payers Maximize Affordability of Hepatitis C Drugs (and improve access for your patients) – Camilla Graham, MD, MPH

Improving HCV treatment access in California – Christian Ramers, MD, MPH

Related Resources

Measurable Brain Changes Following Head Impacts From a Season of High School Football

http://goo.gl/lGlCWd

Repeated impacts to the heads of high school football players cause measurable changes in their brains, even when no concussion occurs, according to research from UT Southwestern Medical Center’s Peter O’Donnell Jr. Brain Institute and Wake Forest University School of Medicine.

Researchers gathered data from high school varsity players who donned specially outfitted helmets that recorded data on each head impact during practice and regular games. They then used experimental techniques to measure changes in cellular microstructure in the brains of the players before, during, and after the season.

“Our findings add to a growing body of literature demonstrating that a single season of contact sports can result in brain changes regardless of clinical findings or concussion diagnosis,” said senior author Dr. Joseph Maldjian, Chief of the Neuroradiology Division and Director of the Advanced Neuroscience Imaging Research Lab, part of the Peter O’Donnell Jr. Brain Institute at UT Southwestern.

The findings contribute to a growing body of knowledge and study about concussions and other types of brain injury by researchers with the Peter O’Donnell Jr. Brain Institute. Among them:

  • In the first study of its kind, former National Football League (NFL) players who lost consciousness due to concussion during their playing days showed key differences in brain structure later in life. The hippocampus, a part of the brain involved in memory, was found to be smaller in 28 former NFL players as compared with a control group of men of similar age and education.
  • A study examining the neuropsychological status of former National Football League players found that cognitive deficits and depression are more common among retired players than in the general population.
  • CON-TEX includes one of the nation’s first registries of concussion patients ages 5 and older to capture comprehensive, longitudinal data on sports-related concussion and mild traumatic brain injury patients.
  • The Texas Institute for Brain Injury and Repair (TIBIR), a state-funded initiative to promote innovative research and education in traumatic brain injury, includes a comprehensive Concussion Network that delivers expert brain injury education to coaches, school nurses, athletic trainers, and parents about the risks of sports-related injuries.


How Home Health Can Improve Fall Rates and Readmissions

http://goo.gl/lMxGne

The Ohio State University (OSU) Wexner Medical Center looked at the medical records over 250 seniors who were treated and evaluated at its trauma center. The study came up with some surprising results, with nearly one-third of this patient group returning to the emergency department (ED) within 90 days after they were discharged.

“We have a lot of older adults that fall and we see them in the ER,” Lauren Southerland, MD, an emergency physician with OSU who specializes in geriatric care, told Home Health Care News. “We studied who had come to the ED, and found that if they had hit their heads, a lot of them were coming back. Head trauma made a person 2.5 times more likely to come back to the ED. It’s not at all what we expected to see.”

The biggest problem was what happened to patients after they returned home from an ED visit related to a fall.

“When we looked reasons why people were returning [to the hospital], a lot of the problems were related to the initial fall,” Southerland said. “A lot of them fell again within the next few months.”


PolyPharmacy: Obstacle to Aging in Place

https://goo.gl/ukgUPD

Mark A. Stratton, PharmD, notes in an article for Aging Well magazine that more than 50% of the deaths each year due to problems with prescription drugs occur among the elderly. This translates into 50,000 to 75,000 deaths annually.

One third of all hospitalizations of those ages 65 and over, are due to medication issues like PolyPharmacy (taking multiple drugs), poor compliance, and a lack of underestanding how seniors metabolize meds differently by both patients and healthcare providers.

In a study of over 150,000 elderly patients, 29% had been given at least one of 33 potentially inappropriate drugs; in addition, a study of approximately 27,600 Medicare patients documented more than 1,500 adverse drug effects (ADEs) in a single year. Most ADEs result from drug interactions; the more drugs a patient takes, the higher the risk of interactions. The estimated incidence of drug interactions rises from 6% in patients taking two medications a day to as high as 50% in patients taking five a day.


Did Google Trends Predict the Flint Water Crisis?

http://goo.gl/FUPJiH

In Flint, Michigan, citizens were subjected to extremely high levels of lead in their water source for several years. The water crisis was exacerbated by the lack of response from Michigan’s Emergency Managers, state-appointed officials who take power from local elected officials in order to return cities to financial solvency.

The graph below shows Google trends from the search term “lead water” within the city’s geographic region when compared to the State of Michigan, and the United States as a whole.

It shows that residents started searching for ‘lead water’ almost as soon as the City of Flint switched its water source. Further, we can see that residents continued to search for lead water long before any elected official or emergency manager seemed to realize there was an issue. Interestingly, one of the major peaks, in March of 2015, is when the Michigan Department of Environmental Quality (MDEQ) revealed their results from the first round of lead testing, which indicated that lead levels were extremely low. One would expect this to appease the city residents, and perhaps lead to a drop in Google searches for lead water; however, we can see that is clearly not the case.


How Magic Helps Me Live With Pain And Trauma

http://goo.gl/7AoSwE

I bought the cane. I bought wrist guards and knee supports, too. I’d been on social assistance for nearly a decade. They should’ve reimbursed me for these purchases, but I dropped the receipt on the floor and went to bed. I woke up with yet another migraine and, too weak and slow to get to the bathroom, I rolled over and puked on the receipt. I imagined bringing it to the disability office anyway, a small form of revenge, a demand to see my illness and honor it. But it felt futile—I knew they wouldn’t see me. I was crazy and I was in pain. I’d been told directly and indirectly that I was making it up, exaggerating. I wasn’t sick, I was lazy. I didn’t need support, I was manipulative and attention-seeking.

A few months later, a tarot reader warned me of the danger of holding my cane as a sword and shield. She wanted it to be my wand. She lived with chronic illness, too, and had been through a similar process: a mysterious illness, no cause or treatment known, no name fully agreed upon; a series of symptoms, diagnoses, tests, baffled doctors. Lost time stuck in bed; mistaken for hungover or drunk in public. She told me not to disguise my pain, nor pretend to be less sick to appease others.

I have complex trauma. Complex trauma, or c-PTSD, is a response to prolonged, repetitive, and cumulative trauma. Folks often develop complex trauma as a response to childhood abuse or neglect, poverty, relentless invalidation, interpersonal harm and intergenerational trauma, and systemic oppression.

Common symptoms include but are not limited to: unstable or fragmented sense of self; dissociation; emotional dysregulation and self-destructive behaviours; chronic feelings of shame, guilt, and worthlessness; difficulty trusting others or oneself; volatile and inconsistent relationships and friendships; and suicidal ideation. Many folks with complex trauma, like myself, also develop severe and debilitating illnesses, such as fibromyalgia, chronic fatigue, multiple chemical sensitivities, and chronic migraines.

Many traumatized queers also struggle with addiction and alcoholism (I’m currently five years sober, and it has not been easy). Other diagnoses under the umbrella of complex trauma are borderline personality disorder, dissociative identity disorder, and developmental trauma disorder.


ONCOblot® can confirm presence, origin of cancer cells

https://goo.gl/c80AkB

ONCOblot® is a simple blood test that uses a biomarker to determine whether cancerous cells are present in the body. It detects a protein called ENOX2, which is shed from the surface of cancer cells into the circulation. ENOX2 is only present in the blood if cancerous cells are present in the body. The test can detect the presence of cancer as early as Stage 0 – approximately 2 million cells, smaller than a pinhead. By contrast, standard mammograms can only detect tumors made up of several billion cells. This means an accurate diagnosis of breast cancer (for example) can be made 10 years before mammogram and at an early stage where nutrition intervention is more effective.  ONCOblot® also pinpoints the tissue of origin, so your doctor will know what type of cancer is present and be able to develop an early intervention treatment protocol.