Popular Articles

Remarriage Does Not Heal The Health Damage Of Divorce And Widowhood, Study
New research from the US suggests that divorce and widowhood damage health in ways that even getting married again doesn"t heal.

UPMC Surgeon Performs 2,000th Prostate Cancer Surgery In Pittsburgh
Joel B. Nelson, M.D., chairman of the University of Pittsburgh Medical Center"s (UPMC) Department of Urology, performed his 2,000th radical prostatectomy at UPMC Shadyside, a milestone achieved by only a handful of surgeons worldwide. Radical prostatectomy, or removal of the entire prostate gland, is the most common treatment for patients with localized prostate cancer. Studies show that recovery from prostate cancer is significantly associated with a surgeon"s lifetime experience performing this operation.
News of the day
NYT Editorial Urges Gov. Paterson To Sign Bill Prohibiting Shackling Of Female Prisoners During Labor
New York Gov. David Paterson (D) should sign a bill prohibiting the "barbaric and medically hazardous practice of shackling female prisoners during labor," a New York Times editorial states. Along with "further frightening these vulnerable women, the practice of chaining their legs, wrists and even their abdomens" during labor "makes treatment and delivery more difficult and places mother and child at greater risk of harm," according to the Times. It adds that five states have similar policies in place. The American College of Obstetricians and Gynecologists several years ago called for an end to shackling during labor, and the Federal Bureau of Prisons last fall "ended the routine use of restraints for women in labor and limited shackling to cases in which a woman presents a danger to herself, the baby or the staff," the editorial states.The New York measure, which is "[m]odeled on federal prison policy and laws in other states, … would prohibit women from being shackled while being taken to the hospital for a delivery," although an inmate "could be cuffed by one wrist in cases in which she presented a danger to herself, hospital staff or corrections workers," the editorial states. However, "it seems highly unlikely that a woman doubled over in labor pains would be able to attempt an escape or overcome corrections officers," it notes.The bill "has caused a debate about how many pregnant women are actually shackled in New York," but "recent interviews of female inmates by the Correctional Association of New York … sugges[t] that the practice may be more common than corrections officials know," the editorial continues. "In any case, the bill would put an end to it, by establishing clear guidelines that carry the authority of law," according to the editorial. It adds that Paterson "should make it clear whether he thinks the measure needs minor changes or clarifications." The editorial concludes, "Otherwise, he should sign the bill into law" and "bring New York into line" with the federal government and other states "that have wisely acted to protect pregnant inmates and their children during labor" (New York Times, 7/21).
Public Health

Grant Will Support Comparative Effectiveness Research On Depression

The National Institute of Mental Health has awarded Group Health a $1 million stimulus grant to research more effective treatment for depression. The award is part of the federal stimulus funds from ARRA, the American Recovery and Reinvestment Act of 2009. The project will evaluate a new method for studying the effectiveness of treatments for depression. It will use electronic medical records to follow how individuals respond to different treatments across time. The study will track health outcomes against various factors in hundreds of Group Health patients" records, coded to protect privacy. "As long as antidepressants have existed, researchers have sought ways to match patients with the specific treatments that suit them best," explained Group Health psychiatrist Greg Simon, MD, MPH. He is also a senior investigator at Group Health"s research institute, Group Health Center for Health Studies. During the two-year study, Simon and his research team will plan a second, much larger investigation. If funded, it will be conducted by mental health researchers at several large health plans in the HMO Research Network. The Network is a consortium of nonproprietary public-interest research institutes with access to data on 10 million people nationwide. Simon"s study is an example of Group Health"s ongoing research on "comparative effectiveness." That means figuring out how well tests, treatments, and preventive actions work in real clinical settings. The federal government is calling for comparative effectiveness research as a way to base medicine - and health care reform - on the best available evidence. The goal: ensuring that people receive the most effective health care available. Researchers at Group Health Center for Health Studies have applied for other grants from the stimulus funds as well. This is the first of these grants to be awarded. Simon has participated in several well-known studies of depression, including its links to obesity and how to deliver therapy over the phone, online, and through workplace-based programs. Rebecca Hughes Group Health Cooperative Center for Health Studies


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