Monday, January 31, 2011

As debt deepens and auditors arrive, Adair County hospital CEO resigns and is apparently escorted from the building

The CEO of Westlake Regional Hospital in Columbia "resigned Monday morning and was apparently escorted out of the hospital," reports the Adair County Community Voice. Rusty Tungate "and eight others turned in their resignations just one day before a consulting firm is scheduled to review the hospital's finances and operations."

Last week, the hospital's board hired Spectrum Health Partners LLC "to provide a complete review of the hospital’s operations and finances," beginning tomorrow, the Community Voice reports. Board Chairman James Evans told the newspaper that the firm will help find an interim administrator, probably by Wednesday.

"Evans would not elaborate on discussions with Tungate prior to his resignation," the Voice reports. "Tungate and the hospital renewed their contract in November. Tungate was serving as administrator to Westlake and has contracts with two other hospitals. His salary for services to Westlake was $195,000." (Read more)

UPDATE, Feb. 2: Tungate and other administrators are part of a team that also provides management for Jane Todd Crawford Memorial Hospital in Greensburg and Casey County Hospital in Liberty. Tungate will remain CEO of both hospitals, Larry Rowell reports in the Casey County News. Tungate told Rowell that the Adair County board was no longer willing to share management with the other hospitals, and that he is the longest-tenured hospital CEO in Kentucky. (Read more)

In a story in last week's Voice, Editor-Publisher Sharon Burton quoted Evans as saying, "We're losing $500,000 a year and we're deep in debt." The hospital recently borrowed $12.5 million. Adair County owns the hospital, and the board members are appointed by the county judge-executive with approval of the fiscal court. Judge-Executive Ann Melton referred to the consultants' work as a partial "audit."

Two bills would encourage, protect whistleblowers

Two proposed bills would serve to crack down on fraudulent health care claims and make it easier for employees to blow the whistle on illegal activity.

State Sen. Tom Jensen, R-London, (photo, right) has sponsored Senate Bill 11, which would increase damages and penalties against wrongdoers and prohibits retaliation against employees who assist in prosecution. It would also allow an employee who "works for a Medicaid provider or contractor to turn over evidence to prosecutors and receive a portion of the money recovered," The Lexington Herald-Leader's Beth Musgrave reports.

House Bill 4, sponsored by House Speaker Greg Stumbo, D-Prestonsburg, (photo, left) proposes similar action, likewise protecting whistleblowers and paying "some of the proceeds of the action being distributed to the person successfully bringing the action." The consequences as proposed in Stumbo's bill would be more widespread, however. "I want to see this used not just in (Medicaid), as the Senate is proposing, but anywhere fraud with state dollars is taking place," Stumbo said.

Almost two dozen states have their own false claims acts, including Tennessee and Indiana. Attorney General Jack Conway has expressed some concerns about the proposals. (Read more)

Jobs increasing in health services industry

Though Kentucky has been hit hard by the recession, certain industries, including health care, are hiring. State unemployment trends show educational and health services have grown 20.5 percent since 2001.

"With the population maturing — not just in Kentucky and in Fayette County but elsewhere — you're going to continue to see health care as a growing industry," said Ron Crouch, director of research and statistics for the state Office of Employment and Training.

The Lexington Herald-Leader's Scott Sloan reports all of Lexington's hospitals are expanding and large, flourishing companies like ACS and Pacific Pulmonary "are capitalizing on service related to health care."

Professional and business services also grew — up 15.2 percent between 2001 and the second quarter of 2010. Toyota has resumed hiring, Cincinnati-based grocery Kroger is growing and technology companies are creating more jobs. (Read more)

Effect of new health care law on premiums debatable

Neither President Barack Obama nor Republicans who oppose him are entirely accurate about whether or not the new health care law will lower premiums. Obama insists it will, Republicans say otherwise.

Politico found Obama's claims to be somewhat of a stretch. A new report showed middle-class families could save up to $2,300 in premiums, and small businesses could save up to $350 for each family. "But that's compared to what their premiums would have been without the law," reporter David Nather determined. "There are provisions that might help some people and businesses pay less for their premiums — just not everyone."

For example, only businesses with 10 or less full-time employees who earn wages of less $25,000 get the full 35 percent credit. Premiums may be "significantly lower" in high-risk pools for people with pre-existing conditions, "but they're still expensive," Nather reports.

Republican claims that premiums have already risen are not entirely true either. "There have been a series of premium increases by insurers across the country, but it's not always easy to tell what's really due to the law and what's not," Nather writes. Regarding its request to increase premiums by 56 percent for people who opt to buy insurance on their own, Blue Shield of California stated the increase has little to do with the new law. "These rates reflect trends that were building long before health reform," officials said.

"The bottom line is that the law's early provisions may be pushing some people's rates slightly higher, but they're probably not a big factor," Nather concludes. (Read more)

Health-related proposals target obesity, smoking; none are expected to pass this session

Though several health-related bills have been introduced in the Kentucky General Assembly, including ones that target smoking and obesity, legislators do not expect sweeping overhauls this year.

"I don't look for too much to change during this time," state Rep. Tom Burch, D-Louisville, told The Courier-Journal's Laura Ungar. The short session and the fact that it's not a budget year are apparently factors.

Perhaps the most discussed proposal, House Bill 193, would prohibit cigarette use in all enclosed public places and enclosed places of employment, including restaurants, bars and nightclubs. It also bans smoking within a "reasonable" distance outside of public places and work places.

State Rep. Addia Wuchner, R-Burlington, looks to target childhood obesity with a series of bills that would promote fitness and would measure children's body-mass indices, a height-weight ratio measurement. For more on her efforts, click here.

Making cold medication pseudoephedrine only available by prescription is another health-related proposal with proponents saying it would vastly curb the prevalence of methamphetamine labs in the state. Two similar bills have been proposed to this end, one by state Rep. Linda Belcher, D-Shepherdsville, another by state Sen. Tom Jensen, R-London. (Read more)

Skyrocketing prescription drug abuse is subject for examination by Kentucky's two biggest newspapers

The uphill battle against prescription drug abuse across the state was extensively explored in Kentucky's two largest newspapers this weekend.

In their series titled "Prescription for Tragedy," which continues today, The Courier-Journal's Laura Ungar and Emily Hagedorn examined the effects of drug addiction in Bell County, which has the highest number of drug-related deaths in the state. Yet, as prescription drug abuse continues to rise statewide, funding to fight addiction has been slashed and treatment can be difficult to get, Hagedorn and Ungar report. (C-J photo illustration)

The Lexington Herald-Leader looks at how some counties are fighting back by drawing up ordinances that ban "pill mills," pain management clinics that "churn out large amounts of prescriptions for pain and anti-anxiety pills," Bill Estep and Dori Hjalmarson report.

The C-J reports 978 Kentuckians died in 2009 from prescription drug overdoses, up from 403 in 2000. For more state- and nation-wide numbers, click here. Bell County is the hardest hit in the state, with about 54 prescription drug-related deaths per 100,000 people. The high death rate is attributed to several factors, including "few good jobs, little for young people to do and easy access to nearby states where prescriptions are easier to get," Ungar and Hagedorn report.

While the problem continues to grow, petty crimes, such as theft, have increased with it. Yet, the funds to fight the abuse have decreased in Bell County. That is the case statewide, with funding cut from the state Office of Drug Control Policy and Operation UNITE, which was formed to fight chronic drug abuse. Moreover, Kentucky's family and juvenile drug courts were eliminated last year to save money.

A few Eastern Kentucky counties are fighting back by passing ordinances that ban certain types of pain clinics from opening or continuing to operate, the Herald-Leader reports. Carter, Greenup, Knott and Morgan counties have already approved their bans. Residents of Johnson and Owsley counties are asking for more regulation.

To some degree, the bans are put in place to send a message to doctors who are considering opening up shop in these areas. Carter County did not have any pain clinics when its ban was passed, but one businesses later shied away from opening in the county after learning about the law.

After crackdowns on pill mills in Kentucky in the early 2000s, Kentuckians traveled to Florida, which had no prescription-tracking system, to obtain pills and later sell them. In one raid in South Florida, Estep and Hjalmarson report authorities found more than 1,000 files from patients who lived in Eastern Kentucky.
And pain management clinics still flourish within the state as well. One Johnson County pain management clinic (right) "was so busy Friday — payday — that sheriff's deputies parked outside to spot traffic violations," Estep and Hjalmarson report.

This year, state Sen. Jimmy Higdon, R-Lebanon, has introduced Senate Bill 47, which would more strictly regulate the operation of pain clinics. (Read more)

To read more about The Courier Journal's series "A Prescription for Tragedy," view the following links:

G.O.P. War on Women and Compassion

As of this writing there are 173 co-sponsors in the House of the No Taxpayer Funding for Abortion Act, which was introduced by Republican Congressman Chris Smith of New Jersey.  For House speaker and committed right-to-lifer John Boehner, this bill is one of the Republican's "highest priorities."  He hailed the introduction of the bill by stating:  “A ban on taxpayer funding of abortion is the will of the people and ought to be the law of the land.  But current law – particularly as enforced by this Administration – does not reflect the will of the people."

It is bad enough that for 35 years the Hyde Amendment has continued to prohibit the use of federal funds to pay for abortions -- except in the cases of rape, incest, and when the life of the mother is endangered.  According to The Center for Reproductive Rights, because of the Hyde Amendment, "more than a million women have been denied funds to cover an abortion."  This, of course, has been particularly harmful to women of limited financial means, making it extremely difficult for them to "finance abortion services and severely limit[ing] their right to reproductive health care."

The Hyde Amendment is not permanent, but must be -- and has been -- approved as a rider to the appropriations bill every year.  The No Taxpayer Funding for Abortion Act would make some of the Hyde Amendment provisions permanent.  Even worse, the bill would substantially limit the long-standing exemptions for rape and incest.  As a Talking Points Memo report notes, "changing the way rape is classified when it comes to abortion (as well as strictly defining what 'health of the mother' means) have long been goals of the anti-abortion movement."

Nick Baumann of Mother Jones explains that this new bill would drastically rewrite the rules to significantly narrow the meaning of rape and incest for these purposes.  Under the bill's rape exemption, for example, federal assistance would be limited only to instances of "forcible rape," an ambiguous term to say the least.  This could exclude federal funds for abortions for pregnancies stemming from statutory rape, as well as from non-consensual sex when the woman was drugged or given excessive amounts of alcohol, or was of  limited mental capacity, and for many date rapes.  As for the incest exception, the bill would exclude women over 18 years of age.  Even the "health of the mother" exception would be limited to where the woman is at risk for death but not other serious harm.

There are other serious problems with the bill, including a provision which, Baumann notes, pro-abortion rights groups are concerned could lead to the end of private health insurance coverage for abortion.  In a Sunday editorial, "The New Abortion Wars," which strongly condemned the bill, The New York Times explained that the bill "would bar outright the use of federal subsidies to buy any insurance that covers abortion well beyond the new [insurance] exchanges."  In addition, the tax credits small businesses would get if they provide insurance to their workers could not be used to buy policies that cover abortion.

In an earlier post, I referenced a Mother Jones article, The GOP's New Abortion Agenda, that detailed the Republican Party's top goals:  "Enshrine tough restrictions on abortion funding into federal law and defund Planned Parenthood."  (See Back to the Dark Ages.)  It seems that they are well on their way.  As for the latter, as the Times editorial notes, another bill clearly aimed at Planned Parenthood's health centers would deny funds for family planning services to any organization that provides abortion, even though -- as at Planned Parenthood -- no federal funds are used for abortion.  The Times rightly calls this "a reckless effort to cripple an irreplaceable organization out of pure politics."

While mostly a Republican endeavor, it must be pointed out that there are some pro-life Democrats in House too, including Rep. Daniel Lipinski (D-IL), a chair of the House pro-life caucus, who is a co-sponsor of Smith's bill.  The question, as always, is whether the rest of the Democrats in Congress and the President will stand up and fight hard for women's reproductive rights.

[Related posts:  Back to the Dark Ages]

Monday Jumpstart: The Decemberists (with Gillian Welch)



Down by the Water by the Decemberists with Gillian Welch (Live on Conan)

Vitamin D receptor activation with paricalcitol decreases albuminuria in type 2 diabetes

Vitamin D is a steroid hormone and a component of a complex endocrine pathway sometimes called 'vitamin D endocrine system' (Medscape, 2012).  Despite treatment with renin—angiotensin—aldosterone system (RAAS) inhibitors, patients with diabetes have increased risk of progressive renal failure that correlates with albuminuria.

281 patients with type 2 diabetes and albuminuria who were receiving angiotensin-converting enzyme inhibitors or angiotensin receptor blockers were enrolled in this study.

Patients were assigned to receive 24 weeks' treatment with:

- placebo
- 1 μg/day paricalcitol
- 2 μg/day paricalcitol

Paricalcitol (trade name Zemplar, Abbott Laboratories) is an analog of calcitriol, the active form of vitamin D.

The primary endpoint was the percentage change in mean urinary albumin-to-creatinine ratio (UACR).

The change in urinary albumin-to-creatinine ratio (UACR) was: −14% in the 1 μg paricalcitol group, and −20% in the 2 μg paricalcitol group.

The addition of 2 μg/day paricalcitol to RAAS inhibition safely lowers albuminuria in patients with diabetic nephropathy, and could be a novel approach to lower renal risk in diabetes.

References:
Selective vitamin D receptor activation with paricalcitol for reduction of albuminuria in patients with type 2 diabetes (VITAL study): a randomised controlled trial. The Lancet, Volume 376, Issue 9752, Pages 1543 - 1551, 6 November 2010.
Image source: Paricalcitol, Wikipedia, public domain.

Sunday, January 30, 2011

Vegetable Juice 101


There is a ton of information out there about the benefits of drinking fresh vegetable juice.  Not only does it give you added vitamins that are easier for your body to absorb, but it aids in digestion, increases your body's immunity, and adds more vegetables to your diet.  I know from personal experience that I feel more energized and healthy when I drink fresh juice on a regular basis.  It also helps curb sugar cravings!

Juicing is very easy once you understand the basics, but it can be a little intimidating for those just getting started.  Hopefully this tutorial will inspire you to start making fresh juice on your own!

#1: The Juicer
There are a lot of different models out there, but you don't have to spend a ton of money to get a decent juicer.  I purchased Jack LaLanne's Power Juicer in 2008 and it still works great.  This is a great beginner model --very easy to use, easy to clean, and easy to find available online or in stores.

You want to find a model that only has a few parts (thus, quick and easy to clean) and with a wide chute that will allow to you insert different kinds of fruits and vegetables.  I would also recommend investing in a model that has a splash guard in the front (mine does not).  This keeps the juice from splashing you as it squirts out, and if you plan on juicing red beets it is definitely worth the investment.


#2: What to Juice?
Now that you have the juicer, what do you want to juice?  Primarily fruit juice?  Mostly vegetable juice?  I highly recommend a combination juice of fruit and vegetables to get started.  As you get used to drinking fresh juice, then you can increase the vegetables and decease the fruit.  Once you start experimenting, you can discover tasty combinations of your own.  Here are some of my favorite fruits and veggies to juice: 
 

Celery 
Lettuce
Carrots
Cucumber
Fennel
Kale
Beets
Garlic
Ginger
Lemon
Oranges
Grapefruit
Apple
Pear

#3: Tips and Tricks
Always wash your fruits and vegetables before juicing and use organic produce whenever possible.  The fresher your produce is, the fresher your juice will taste and the more vitamins and nutrients you will get from it.


When juicing, make sure you don't overstuff the chute or veggies can get stuck.  Push items through slowly using the pusher.  Items with a bitter or thick peel should be peeled (e.g. lemon, oranges, limes, melons, etc), but thin and juicy peels are okay (e.g. apples).  When juicing leafy items like lettuce or kale, it will juice better when the leaves are tightly balled up and sandwiched between other fruits and vegetables.  I usually alternate kale or lettuce leaves with beets, lemon, carrots, or apple slices. 

 
#4: Drink Up!
Now you've succeeded in making a tasty, healthy juice for yourself!  Always drink juice immediately because it is at its peak when it is fresh.  The longer it sits, the more the vitamins begin to lose their potency.

However, you don't want to chug it!  It is best to swish the juice around in your mouth or "chew" it because this helps it mix with your saliva and aids in better digestion and absorption of the nutrients.  I know it sounds a little weird, but it makes a difference.

If you want to get some of the health benefits of fresh juice without committing to a juicer of your own, you can find a local juice bar in your area instead.  Just note that it is more cost-efficient to purchase your own juicer and produce if you plan to consume fresh juice on a regular basis.  



Basic Juice Recipe
Makes 12 ounces

3 stalks celery
1 lemon, peeled
1/2 apple, sliced
3 carrots
1/2 fennel bulb
4 kale leaves
1 small piece of ginger

Money Talks

The United States gives $1.5 billion to the Egyptian government, $1.3 billion comes in the form of  military aid.  That means we are subsidizing the brutality and repression that is being meted out by Egypt's security forces. 

The Working Group on Egypt, which Politico describes is a "bipartisan group of former U.S. officials and foreign policy scholars," urged the Obama administration to suspend all economic and military aid to Egypt until the government agrees to hold elections and end its assault on civil liberties and civil rights. 

The Working Group issued the following statement today:

Amidst the turmoil in Egypt, it is important for the United States to remain focused on the interests of the Egyptian people as well as the legitimacy and stability of the Egyptian government.

Only free and fair elections provide the prospect for a peaceful transfer of power to a government recognized as legitimate by the Egyptian people. We urge the Obama administration to pursue these fundamental objectives in the coming days and press the Egyptian government to:
  • call for free and fair elections for president and for parliament to be held as soon as possible;
  • amend the Egyptian Constitution to allow opposition candidates to register to run for the presidency;
  • immediately lift the state of emergency, release political prisoners, and allow for freedom of media and assembly;
  • allow domestic election monitors to operate throughout the country, without fear of arrest or violence;
  • immediately invite international monitors to enter the country and monitor the process leading to elections, reporting on the government's compliance with these measures to the international community; and
  • publicly declare that Hosni Mubarak will agree not to run for re-election.
We further recommend that the Obama administration suspend all economic and military assistance to Egypt until the government accepts and implements these measures.

[Related posts:  Note to US:  Invest in Populations, Not Dictators]

Saturday, January 29, 2011

Discovering feminisms through blogs

A few weeks ago a new blog popped up in my referral logs and on my Google alert:

WS 299: Body Politics and Motherhood

It's a class at Oregon State University that has the students blogging about the feminisms they are discovering and encountering through blogs and feminist websites. Which, obviously, I think is freaking awesome.

While I know that there are some great text books on feminism and the different aspects/foci of feminists, it's hard to argue that the internet gives a great example of the diversity of thought within feminism. There are the academic labels - liberal feminism - but then there are the living and breathing labels that blogging feminists use on a daily basis.

I also love this blog because it gave me an insight into how a couple of college students think of Viva la Feminista:
I am actually pretty stoked on her reviews section where she suggests books for her readers. I hardly have time to read, but I'm always on the look out for new stuff that might be worth-while, especially about parenting (which she also has some suggested reads on). She is highly supportive of women's reproductive rights, and even asks that "in In lieu of cake, please donate to: Chicago Abortion Fund" for her birthday post. [link]
----
First of all, I love the name of this blog! 

After reading many reviews that she has done in the past I realized that Veronica is the type of person that we need more of in society. She is not afraid to state what she believes, speak the truth, and fight.

I love reading blogs, in fact I have a list of about five that I read everyday. I intend to add Viva La Feminista to my list. I can't wait to keep up with Veronica's busy life and see what her next post has to offer.[link]

And I'm not afraid to admit that since this class blog came into my life, I have revisited them just to read those words. Hey, I'm human and there have been some days where I think, "What am I doing?" I just go read those words and think, "Oh, yeah...That's what I'm doing!" Thanks to their professor for thinking of this idea! Thanks to the students who are discovering my kind of feminism. I hope I live up to your expectations! And if I don't, you'll let me know.

Others should check out the blog, even just to get a real glimpse into what college students think of feminism and feminism online. Especially students just discovering what feminism means to them. And remember, they are in class, let their blog be a safe space, so be nice.

Great Jazz Albums (IMO) #18

Sarah Vaughan.  Sarah Vaughan with Clifford Brown (1954).  Last week, I wrote about the incredible album Dinah Washington recorded with the brilliant trumpeter Clifford Brown, among others.  The same year, Brown accompanied another of the all time greatest jazz singers, Sarah Vaughan.  This album is far more sedate than the Washington record, consisting of all standards.  Vaughan and Brown are are amazing together.  One reviewer writes that Vaughan "is arguably in the best voice of her career here," and that "Brown almost equals her with his solos; this "is one of the most important jazz-meets-vocal sessions ever recorded. The session also includes Herbie Mann on flute, Paul Quinichette on sax, Roy Haynes on drums.  As jazz critic Scott Yanow said, "everything works," making this an "essential acquisition"
[Related posts:  Really Great Jazz Albums,  #1 (Hank Mobley); , #2 (Horace Silver), #3 (Sonny Rollins), #4 (Sonny Clark), #5 (Dexter Gordon), #6 (Cannonball Adderley), #7 (Bill Evans), #8 (McCoy Tyner), #9 (Clifford Brown), #10 (Sinatra), #11 (Monk), #12 (Kenny Dorham), #13 (Coltrane), #14 (Duke Ellington), #15 (Miles Davis), #16 (Wayne Shorter), #17 (Dinah Washington)]

Atrial fibrillation - Cleveland Clinic video



Atrial Fibrillation - Cleveland Clinic video with information for patients. Dr. Walid Saliba, Cleveland Clinic staff cardiologist, discusses atrial fibrillation, the most common irregular heart rhythm that starts in the atria.

Friday, January 28, 2011

18 percent of Kentucky nursing homes had 10 or more deficiencies in July-Sept.; 42 exceeded state average of six

State inspectors found 20 of Kentucky's nursing homes, 18 percent of the total, had 10 or more deficiencies during the third quarter of 2010. Kentucky nursing homes have an average of six deficiencies, according to Medicare's nursing-home comparison data. The report shows 42 of the 109 homes in the state had more than six deficiencies from July through September.

Kentuckians for Nursing Home Reform, a non-profit organization that advocates for nursing home residents, obtained the data through an open-records request to the Kentucky Cabinet for Health and Family Services.

Inspections assess a facility on the care of residents and how that care is administered; on how staff and residents interact; and on its environment. Certified nursing homes must meet more than 180 regulatory standards.

To see a list of the nursing homes with 10 or more deficiencies, the four nursing homes that had no deficiencies during the third quarter and to read more, go to our news releases page.

Note to US: Invest In Populations, Not Dictators

Steve Coll has a typically insightful piece in The New Yorker, Democratic Movements, on the implications of the revolution in Tunisia and the growing unrest in other countries in the region.  Coll points out that while each country has their own unique concerns, Egypt, Libya, Algeria, Yemen, Syria, Jordan and Saudia Arabia have in common with Tunisia several political and demographic factors that are potentially combustible:  "youthful population, high unemployment, grotesque inequality, abusive police, reviled leaders, and authoritarian systems that stifle free expression."

In Tunisia, according to Coll, "investments in civil society -- programs launched by the United States, European governments, and independent foundation, which were peaceful, gradual, and unrelated to war or invasion -- bore fruit."  It was "Tunisian women (empowered by constitutional rights), labor unions, human rights campaigners, journalists, and artists" who survived the police state and triggered the overthrow of President Ben Ali "because outside supporters had promoted their legitimacy and built their capacity."  This is in stark contrast, Coll notes, to the Bush Administration's invasion of Iraq, which "set back the cause of promoting democracy by tying its ideas to violence and occupation."

Coll is familiar with the many "objections to pushing democratic reform in the Arab world," which include the possibility of creating instability, empowering Islamists parties, and depriving us of reliable partners in combating terrorism.  And, "there are significant risks, particularly if Egypt's government were to fall to leaders who would abandon any alliance to Washington."  In addition, "the practical rewards for promoting democracy in Arab societies may be uncertain and slow, if they come at all."   Nevertheless, as Coll argues, "it is the right strategy -- in principal and in pursuit of America's national interests."  The "corrosive effects of political and economic exclusion in the region cannot be sustained."  As the situation in Tunisa shows us, "Arab politics is not stable" and "common sense is ample guidance in foreign policy:  the United States must invest in populations, not dictators."

British Hype Genetically Modified Food

Here is another important post from Marcia Ishii-Eiteman, senior scientist at PAN, originally posted on PAN's website (Pesticide Action Network (PAN North America).  Marcia reports on the grossly misleading and unscientific assertions of England's chief scientist about the need for genetically modified crops, which are based on findings in a report that turns out to be -- oh what a surprise -- tied to corporate interests.


 GMO apologists ignore science - again

by Marcia Ishii-Eiteman, Jan. 27, 2011

Britain’s Chief Scientist has come out trumpeting the need for genetically engineered (GE) crops to feed the world, and the UK media is falling all over itself with blaring headlines that echo this badly misinformed sentiment (see Guardian, Telegraph coverage).

The source of all the hullabaloo is the UK’s release this week of its mammoth Foresight report, Global Food and Farming Futures. Using the occasion to espouse what seems to be his personal opinion, Sir John Beddington —the Chief Scientist in question — argues that “It is very hard to see how it would be remotely sensible to justify not using new technologies such as GM. Just look at the problems that the world faces: water shortages and salination of existing water supplies, for example. GM crops should be able to deal with that.” “Should?” Is that the best you can do, Sir John?

In reality, after 25 years of research, no drought or salt-tolerant crops have yet been commercially developed, while yield declines, surging herbicide use, resistant superweeds, and a host of environmental—not to mention social—harms have been documented where GE crops have been planted. In contrast, ecologically resilient agroecological farming systems are known to perform well under the stressed conditions increasingly associated with climate change and water scarcity. For a scientist, Beddington does a remarkable job of ignoring the science.

So much hype

In truth, the UK report does not ever claim, as the newspapers and Beddington have, that “genetically modified crops are the key to human survival.” All it actually says is that “New technologies (such as the genetic modification of living organisms and the use of cloned livestock and nanotechnology) should not be excluded a priori on ethical or moral grounds.” But that sort of talk just puts people to sleep; it certainly doesn’t sell papers or keep industry happy.

The BBC at least has shown a bit more journalistic integrity, avoiding the GE hype and keeping to the report’s main message, namely that “the food production system will need to be radically changed, not just to produce more food but to produce it sustainably.” I couldn’t agree more.

Unfortunately, despite the relevance of its main message, there's still much that is missing from the report, as Indian journalist and policy analyst Devinder Sharma and UK organizations GM Freeze and the Soil Association explain. When asked by BBC for his opinion of the report, the UN Special Rapporteur on the Right to Food, Olivier de Schutter, politely exposed the flaws in the report and concluded:
We should realize that the insistence on producing more food is one that often has not benefited the small farmers, the poor in the rural areas in developing countries.... The problem with GM crops is that the patents on these crops are [held] by a very small handful of corporations, who will capture a larger proportion of the end dollar of the food that the consumer buys. [This] creates a dependency for small farmers that is very problematic in the long term. It may not be sustainable for small-scale farmers to be hooked up to such technologies....  Investing in small-scale farming rather than investing in large-scale heavily mechanized plantations is really the path we should now radically espouse.
Too bad the UK fell short of the mark this time. We usually expect greater vision from across the Atlantic.  [Read more after the break]


Whose report?

I asked a few of my colleagues who are listed as among the report's “400 authors and contributors” what happened. They all indicated that they had had no say in the actual writing of this report. As one scientist—whose name is listed in the report—put it:
“I was invited by email to write a review to be published elsewhere.  I didn’t participate in any meetings, discussions, findings, or report writing.  I hadn’t even been alerted to the fact that a report had been issued. It isn’t at all clear to me how the listed “stakeholders” actually participated in the process.  The issue of GM crops never came up in anything I saw, and it doesn’t even seem to feature strongly in the report.  [The] conclusion that Beddington is just using the report to promote GM crops seems about right.”
Another scientist observed, “It does not matter what the report says, what matters is who controls it.” In this case, the UK’s Chief Scientist and corporate interests seem to be clearly in charge. And the world is losing out.

A helping hand for industry

Patrick Mulvany of UK-based Practical Action observes: "The Foresight report delivered by Beddington today provides few surprises and offers no new proposals. It could have been different and saved the taxpayer a lot of money had the scientific establishment not been so 'willfully deaf' about recognising and taking forward the findings of the World Bank and UN sponsored global scientific assessment of the future of agriculture – the IAASTD reports."

The International Assessment of Agricultural Knowledge, Scientific and Technology for Development (IAASTD) is the most comprehensive, rigorous and credible global assessment of the future of agriculture, authored by 400 scientists and development experts from over 80 countries and approved by 58 governments. It firmly concludes that business as usual is not an option, and reliance on industrial agricultural technologies such as chemical pesticides and GMOs is unlikely to reduce global hunger and poverty. The IAASTD highlighted the urgent need to support small-scale farmers, invest in agroecological farming, undertake radical shifts in governance, trade and development policies to achieve social equity, and control corporate actors.

With the IAASTD already pointing the way forward, why would the UK even bother to come up with a less rigorous, less credible report of its own? Devinder Sharma suggests, “The only objective of the (Foresight] report seems to be to oppose the findings of the IAASTD.”

Turns out, the report is actually a project of the British Department for Business Innovation and Skills (aha! what a  giveaway!). This project aims “to ensure closer interaction between scientists, industry and government [and] identify future opportunities and threats for science engineering and technology.” Thanks, Devinder, for pointing out the man behind the curtain.

No wonder the pesticide industry group, Crop Protection Association, welcomed the report so warmly. There is no need for the rest of us to do likewise.

[Related posts:  [Farming to Nourish the Planet; Got Organic Milk?]

If It's Friday It Must Be . . . Yo La Tengo (Sugarcube)



Yo La Tengo perform their song Sugarcube in a very funny video in which they are forced to go to Rock School.  [Related Posts: The Story of Yo La Tengo; If It's Friday It Must Be . . . Yo La Tengo -- Mr. Tough, The Summer, I Feel Like Going Home, Today Is The Day, Sugarcube, Tom Courtenay, Here to Fall, Autumn Sweater, Femme Fatale, Our Way to Fall; With a Girl Like You, Black Flowers; Don't Cry No Tears; Jesus, Etc.]

5 ways your cell phone can save your life

From CNN:

You can use apps and other tools to turn your cell phone into a safety tool:

1. Program your cell phone so people can find you
2. Put your "in case of emergency" contact into your cell phone
3. Put your medical information on your cell phone
4. Get an app that teaches you first aid and CPR
5. Find help nearby




References:

Thursday, January 27, 2011

Lobbying on bills to require prescriptions for meds like pseudoephedrine intensifies in Kentucky and West Virginia

The lobbying battle over meds and meth is ramping up in Kentucky and West Virginia, with business interests weighing in against it in Kentucky.

The Kentucky Chamber of Commerce issued a press release this afternoon saying legislation to require prescriptions for decongestants like pseudoephedrine "could do more harm than good." It quoted Chamber official Bryan Sunderland as saying, "It would negatively impact worker productivity and result in higher health care costs – to employees, private employers and state government.”

Former Lt. Gov. Steve Pence sides with the Chamber of Commerce, telling The Associated Press it would move "a law enforcement issue into the medical profession, where it can least be handled."

This morning, a spokesman for the Asthma and Allergy Foundation of America, funded mainly by drug manufacturers, spoke at length from 9 to 10 a.m. on WVLK-AM in Lexington, arguing that the proposed law would impose unncessary costs and inconvenience on people who now buy the drugs over the counter.

There was no counter-argument on WVLK's Jack Pattie Show, though the Kentucky Medical Association has endorsed the idea, but yesterday a national substance-abuse expert told West Virginia legislators that a prescription law in that state could drastically reduce the incidence of methamphetamine labs.


And, if Kentucky and West Virginia would both pass such laws, "It will wipe out meth labs throughout this region," Stanford University psychiatry professor Keith Humphreys told Mountain State lawmakers, The Charleston Gazette's Alison Knezevich reports.


Some West Virginia legislators plan to introduce pseudoephedrine legislation soon, Knezevich reports. On Jan. 4, Kentucky state Sen. Tom Jensen, R-London, filed a bill that would require a prescription for ephedrine, pseudoephedrine and phenylpropanolamine, all now sold over the counter.


Oregon and Mississippi are the only states that require a prescription to get pseudoephedrine. Meth-lab incidence has fallen dramatically in those states since they implemented the laws, U.S. Rep. Harold "Hal" Rogers of Somerset, whose district covers most of Eastern Kentucky, noted in a recent article for newspapers.


Humphries told the West Virginia lawmakers that an average meth-lab bust costs taxpayers about $300,000, including cost of arrest, prosecution, incarceration, cleanup and foster care for children in the home. (Read more)

Company to pay $2 million for doctoring Medicaid documents

The company that administers Medicaid for Jefferson and 15 other counties will pay more than $2 million in damages because it falsified documents to get a bonus.

AmeriHealth Mercy's altered data increased its score for the number of cervical cancer screenings its providers performed in 2009 and resulted in a bonus of $677,000. Attorney General Jack Conway said Wednesday that a whistleblower contacted his office nine months ago saying the company doctored reports that claimed the number of hysterectomies or Pap smears women had received.

AmeriHealth Mercy is the third-party administrator for Passport Health Plan, which manages Medicaid for about 165,000 members in Jefferson, Oldham, Trimble, Carroll, Henry, Shelby, Spencer, Bullitt, Nelson, Washington, Marion, Larue, Hardin, Grayson, Meade and Breckinridge counties. Passport manages the Medicaid program in those counties, while AmeriHealth processes the day-to-day claims as per a contact it holds with Passport. In a written statement, Passport said it may change its third-party administrator for some services.

In an agreement with Conway's office, AmeriHealth will pay $2,032,758, which represents triple the amount it received in bonus money. The state is entitled to triple damages in these types of fraud cases. Because they both fund the program, the money will be split between the federal and state governments, The Lexington-Herald Leader reports.

Passport has been scrutinized by State Auditor Crit Luallen, who found the company squandered funds on meals, travel, lobbying and other expenses. Luallen further determined two top officials with the company were guilty of conflicts of interest. While overseeing the contract with AmeriHealth, the officials were also paid as consultants for the company, The Courier-Journal reports. Since the audit, Passport has fired two executives and hired an interim chief executive.

To read coverage from The Courier-Journal, click here; the Lexington Herald-Leader, here.

Just Politics


Justices at 2010 SOTU
Supreme Court Justices Alito, Thomas and Scalia broke with tradition and declined to attend President Obama's State of the Union address.  Well, I could see how they would not want to be present for what Alito has referred to as a "very political event."  Oh, wait.

As I wrote in an earlier post, Activist Judges, Justice Alito attended a major fundraising event for the notorious right wing magazine American Spectator.  ThinkProgress reported that Alito was also the headliner at American Spectator's annual gala in 2008, and has been involved in other fundraising events for conservative groups.  "Justice Scalia and Justice Thomas have also attended secret political fundraisers."

ThinkProgress has provided more information on right wing political functions attended by Alito, Scalia and Thomas.  In particular, both Thomas and Alito were the keynote speakers for The Manhattan Institute's Wriston Lecture, Thomas in 2008 and Alito last October.  The Manhattan Institute, funded by major corporations, is a conservative think tank that produces "right-wing policy papers as well as sponsoring speeches for judges and Republican politicians." 

The justices' participation in activities supporting these conservative groups not only raises ethical concerns but calls into serious question their impartiality.  Indeed, a study by the Constitutional Accountability Center recently concluded that the current conservative majority is significantly more likely to favor corporate interests than the most pro-corporate member of the Court twenty-five years ago.  Another study by scholars at Northwestern and the University of Chicago concluded "that the a percentage of business cases on the Supreme Court docket has grown in the Roberts years, as has the percentage of cases won by business interests."

It sure doesn't look right to have three conservative justices of the Supreme Court skip out on a Democratic president's State of the Union address while participating in right wing fundraising events.  Unfortunately, this is one instance where appearances are not deceiving.

[Related posts:  Corporate Takeover Update; Corporate Takeover; Activists Judges]

Diagnosis, treatment, and prognosis of glioma: 5 new things

5 new ideas that are changing the management of brain tumor patients:

1. Prognosis and glioma subtypes. The cell of origin of the glioblastoma has never been defined. In his pioneering work “Death Foretold,” Dr. Christakis says “prognosis gives diagnosis its affective component, striking fear in patients and physicians alike.” There has been a lot of therapeutic nihilism about the treatment of glioblastoma, but that is now changing. Image source: Sen. Ted Kennedy who died of glioma in 2009.

2. Diagnosis and imaging mimics. Acute stroke in the luxury perfusion stage is probably the most common mimic of a brain tumor. Diffusion MRI sequences and perfusion CT scan are helpful in differentiating stroke from tumor by showing hypoperfusion as would be expected, rather than hyperperfusion seen in tumors.

3. Treatment and pseudoprogression. Temozolomide is an oral drug, which is changed into MTIC (methyltriazeno-imidazole-carboxamide), a DNA-methylating drug. The concomitant use of radiation therapy and adjuvant temozolomide in glioblastoma patients showed a median survival of 14.6 months.

Increase in contrast enhancement and mass effect can mimic tumor progression. The term “pseudoprogression” describes the inflammatory reaction to effective treatment. Increasing steroid doses can control the edema.

4. Antiepileptic drugs. Prophylactic use of antiepileptic drugs (AEDs) is not recommended in patients with brain tumor due to lack of efficacy. The interactions between AEDs and chemotherapy can also be problematic.

5. Quality of life issues. The incidence of common symptoms reported was fatigue (90%–94%), sleep disturbance (32%–52%), headache (50%), and cognitive impairment (50%). Ritalin, modafinil, and Aricept have all been shown to have a positive effect on mood and cognition. Cause of death was presumed brain herniation 73% of the time.

References:
Diagnosis, treatment, and prognosis of glioma. Five new things. Lynne P. Taylor, MD. Neurology November 2, 2010 vol. 75 no. 18 Supplement 1 S28-S32.
Image source: Sen. Kennedy who died of glioma in 2009, Wikipedia, GNU Free Documentation license.

Wednesday, January 26, 2011

R.I.P. Emmanuel Hammond

Roman Colosseum lit to protest an execution
On January 25, 2011, Georgia executed Emmanuel Hammond for the1988 murder of Atlanta preschool teacher, Julie Love.  There were two co-defendants.  One was given immunity in exchange for testifying against Hammond and was not prosecuted.  The other was sentenced to life after pleading guilty.  Substantial allegations that Hammond's trial lawyer was incompetent and the prosecution committed misconduct were rejected.  This is the fourth execution of 2011.

Death Penalty Politics


My friend and comrade, Natasha Minsker, the death penalty policy director for the ACLU of Northern California, wrote a great piece in the Sacramento Bee this week on the politics of the death penalty.  Here it is:

 

 

Viewpoints: Capital punishment low on voters' list of law enforcement priorities

Monday, Jan. 24, 2011 
When a hot button cools off with voters, it is worth a second look, especially after elected officials took office in the New Year.
Take the recent nail-biter contest for attorney general between San Francisco District Attorney Kamala Harris and Los Angeles County District Attorney Steve Cooley.
Harris' opposition to capital punishment was supposed to be a loser at the ballot box. Many forecast that her refusal to seek the death penalty as a DA -- even in high-profile cases like the murder of a San Francisco police officer -- would cost her the office of state's top cop. Her argument that life without possibility of parole is a better and more cost-effective punishment was expected to be a hard sell across the state. So much so that the Republican State Leadership Committee, a Virginia-based group dedicated to swinging key elections in the GOP's favor, bankrolled a $1.1 million run for an ad solely devoted to attacking Harris on her opposition to executions.

But voters chose Harris, and her numbers were especially good in Los Angeles -- a place that handed down more death sentences in 2009 than the entire state of Texas. Cooley should have had home-turf advantage. His aggressive push for death sentences was expected to doom Harris and turn out loyal voters. Yet Harris won Los Angeles County by a commanding 14 percentage-point margin.

Jerry Brown also faced sharp criticism on the death penalty on the campaign trail. Meg Whitman ran an ad called "Cops' Choice" in an effort to burnish her tough-on-crime image and expose voters to Brown's lifelong opposition to the death penalty. Whitman even went so far as to announce in the last days of her campaign that she would treat the death penalty as a litmus test when considering all judicial nominees. But the play fell flat with voters; Brown was easily voted into office.

Perhaps the most dramatic free fall on this issue in California happened last June when voters rejected former Riverside County District Attorney Rod Pachecho in favor of Judge Paul Zellerbach. Pacheco referred to his opponent as "Judge Marshmallow" for being "soft on crime," held rallies in favor of capital punishment, and frequently touted plans to "speed up" the death penalty and his hard line approach to prosecutions. In the end, Riverside voters preferred Zellerbach's broader approach to public safety and his promises to efficiently use public funds in a time of dwindling dollars.

It's not just Californians who are turning a deaf ear to death penalty election rhetoric. Election results from around the country confirm polling by Lake Research Partners that show many voters support candidates who support alternatives to the death penalty, and most voters simply don't care. Voters in Connecticut, Maryland, Massachusetts, New York, Kansas, and Illinois all elected governors who publicly support limiting or replacing the death penalty. Voters consistently hold other issues, such as the economy and jobs, as much higher priorities.

Economic woes may be the main reason that the death penalty issue has failed to ignite passions like in the old days. Across the nation, voters are questioning the high price tag of a system riddled with flaws such as the risks of executing the innocent. Last year, executions dropped again, by 12 percent from the year before, and death sentences remained at historic lows.
The nation and the state continue to move away from the death penalty even if political operatives and pundits have not. Whitman, Cooley and Pacheco learned the hard way that California voters are skeptical of the "tough-on-crime" rhetoric of the past. Voters have real reason to disbelieve the hype: For every 100 people sentenced to death in this state, only one has been executed. In the rare cases where the inmate is executed, it is 25 years or more after sentencing. The financial cost to the state is estimated at $1 billion over the next five years.

The human cost paid by victims' families is nearly incalculable. Legal turmoil drags on for decades in the appeals process, clemency and parole hearings, often bringing media superstardom for the killer.
With this year's election, the people of California have made their preference known: Capital punishment is low on their list of law enforcement priorities.

Voters want cost-effective public safety, not political posturing. Officeholders would do well to listen to them by supporting the swifter and less-costly alternative of life without parole, making the inmate work and pay restitution to victims' families.

[Related posts:  Tough on Crime]

Mid-Week Palate Cleanser: The Kills



Pale Blue Eyes by The Kills (Velvet Underground cover)

New schizophrenia drug lurasidone (Latuda) does not cause significant weight gain

Lurasidone (Latuda) was approved for the treatment of schizophrenia in adults in October 2010. Lurasidone acts as a D2, 5-HT2A, 5-HT7, and α2C-adrenergic receptor antagonist, and 5-HT1A receptor agonist.

Once-daily lurasidone did not cause significant weight gain, a common side effect of other schizophrenia drugs. Possible treatment side effects do include drowsiness, agitation, tremors, and nausea.

Lurasidone will carry a boxed warning - required of all atypical antipsychotics - about the increased risk for stroke and death when used off-label to treat dementia-related psychosis in older patients.

Other severe but rare side effects include neuroleptic malignant syndrome and tardive dyskinesia.

References:
New Schizophrenia Drug Approved. Journal Watch.
Image source: Lurasidone, Wikipedia, public domain.

Tuesday, January 25, 2011

SOTU Word Clouds

A picture is worth a thousand words, and vice versa.  Here is a Wordle word cloud (which takes all the words from the text and gives the greatest  prominence to words that appear more frequently in the text) of Obama's speech:


Here is a word cloud from the Republican response by Rep. Paul Ryan, which is certainly better then hearing the speech itself. 


 Interesting that in Obama's speech "people," "jobs," and "work" are prominent, while for Ryan's it is the "government, "spending" and "debt."

Finally, here is one I made up that I would have liked to have seen from the SOTU:


Lemon Pepper Tofu


This is usually about the time of year when I start wanting to take a vacation to someplace sunny.  Or a vacation in general.  That would be nice. 

Speaking of sun, are you getting enough Vitamin D?  In case you've missed all of the hype in the news recently about vitamin deficiencies I'll fill you in. Vitamin D comes from the sun and there are a couple of food sources as well.  If you're lacking in sunlight, you might want to think about taking a supplement. 

I had my vitamin levels tested last year and found out that I was especially low in Vitamin D, Iron, and B12.  Even for those of us with a healthy varied diet, there are still vitamins we could be low in -- especially B12 for vegans since you can only get this one from animal sources.  

I promise not to nag, but if you're not taking any supplements it might be something good to think about.  Or, you could always head to the Southern Hemisphere to get your Vitamin D the natural way.  Since I put the idea in your head I guess I can't be jealous.

 
The next best thing to sunlight right now is lemon zest.  I love using lemon zest in the winter because it perks up my taste buds and my mood.  This tofu is a perfect harmony between lemon and pepper.  It's not too spicy (unless you want it to be), but it's got a lot of flavor.  For anyone who fears tofu or is tired of it being stir-fried with soy sauce, this recipe is a must.  



Lemon Pepper Tofu

From Clean Start by Terry Walters
Serves 2

1 pound fresh tofu, cut into 1/2-inch fillets
2 garlic cloves, minced
2 Tbs extra virgin olive oil
4 Tbs fresh lemon juice
2 Tbs mirin
Freshly ground black pepper
Zest of 1 lemon
1/4 tsp crushed red pepper flakes

Wrap tofu in a paper towel and gently press out excess liquid.  (I usually stack a couple of plates on top of the tofu to weigh it down and leave it sitting for about 10 minutes to drain.)

Heat large cast-iron skillet to medium heat and saute garlic in olive oil for 2 minutes.  Add 1 tablespoon lemon juice, 1 tablespoon mirin and plenty of pepper. Stir to combine and place tofu in pan.   Saute 4 minutes, flip fillets, add another tablespoon lemon juice and more pepper as desired.  Saute 4 minutes longer, flip tofu again, add 1 tablespoon lemon juice and final tablespoon of mirin.

Saute 4 minutes or until evenly browned.  Flip one last time, add remaining tablespoon of lemon juice, lemon zest, and crushed red pepper and saute 4 minutes or until evenly browned.  Remove from heat and serve.  Garnish with a dash of red pepper, black pepper, and lemon zest.