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2011年5月22日星期日

13 health tests that could save your life (Y!) (Green)

Vincent Pedre M.D. Vincent headquarters MD - Friday, may 20, 12: 28 p.m. Easterndoctors Sports fans know the average to the stick of their favorite baseball players, their favorite quarterback completion rates and how many games home teams have won or lost.

But how many of us know our key health numbers? Be aware of some issues related to health can save your life.

Blood pressure: systolic is the large number. and diastolic is the lowest number. Normal values are 120/80 or below.
Fasting sugar in the blood: helps determine if your organization is difficulty metabolize sugar and it using energy. This test screens for diabetes and pre-diabetes.
Cholesterol: (Total, HDL, LDL, triglycerides) results may reveal that something is off with your routine of diet and lifestyle. High cholesterol increases your chances of cardiovascular disease, which can lead to a heart attack or stroke.
C-reactive protein: a measure of inflammation. chronic disease involves inflammation. Inflammation and chronic diseases.
TSH: (primarily for women) operate a measure of the thyroid, the master gland which regulates metabolism.
Vitamin D: new research suggests that vitamin d may play a role even stronger in the prevention of diseases, including heart disease, respiratory diseases, diabetes, depression, autoimmune diseases and at least 17 different types of cancer. Benefits of vitamin d.
BMI: (body mass index) the ratio of standard height and weight formula used to assess the weight and the risk of a person associated with disease, such as heart disease. A BMI greater than 25 is overweight. overweight is a BMI greater than 30.
Waist: an independent Predictor of disease risks for people with normal or slightly overweight BMI, waist circumference is not useful as an indicator of risk in people with a BMI over 35. Waist is an indirect measure of abdominal or visceral fat, which increases the risk of cardiovascular disease and diabetes
If you are vegetarian, you may be low in iron and vitamin B12. Ask your doctor to check the anemia and measure your level of B12.
If you have difficulty losing weight or tend to yo-yo diet, you can have a syndrome known as resistance to insulin, where the body has difficulty processing sugar. High levels of insulin cause gain weight around the middle. Ask your doctor to do a fasting insulin levels and a two-hour glucose tolerance test, which measures the response to a glucose load.
If you have suffer you irritable colon syndrome or have difficulty with your digestion, ask to be tested for parasites, dysbiosis (imbalance between good and bad bacteria) or food sensitivities. In my practice, I have contributed to countless patients with gas and bloating by natural means.
If you suffer from allergies, asthma, chronic, chronic cough postnasal drip, or respiratory infections, frequent sinusitis you can hidden triggers of food that are over-activating your immune system. Ask to be tested for IgG food sensitivities.
If suffer you from chronic fatigue and learned that all your tests are normal, including your thyroid, they may miss the real cause of your fatigue. Ask cortisol salivary tests to assess whether you have adrenal dysfunction.Vincent Pedre M.D. is Integrative, holistic generalist and international board certified internist in private practice in New York. Follow Dr. Headquarters on Facebook.

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2011年4月17日星期日

Health care in Transition data security

Health IT Boosts Patient Care, Safety
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Slideshow: Health it stimulates the Patient Care, SafetyAs hospitals move their security efforts, health, security of the data is in transition. External hackers are less a concern these days that insiders snooping on medical and financial records electronic. Hospitals is to share more data with practices of small doctor who may not have sufficient safeguards in place, while mobile devices are extend well beyond institutional walls, networks. In addition, the Federal personal information protection and security standards get more strong, as are penalties for violation of these rules.

"Your greatest [threats] are internal," Terrell Herzig, security officer information of the University of Alabama at Birmingham health system (UAB), said Tuesday at a health it Conference in Atlanta. "." Employees are known for take peaks unauthorized in the files of figures such as local celebrities or prominent citizens, and with more than 50 million uninsured Americans, there is a black market thriving for identification numbers stolen and fraudulent health plan.

"We are emphasizing awareness and education" for employees and medical staff, said Mark Moroses, officer of information Chief of Continuum health partners, a system of five-hospital in New York. "We are trying to do step to have a strong hand in less flagrant violation." The loop of education is what we focus on. ?

Still, after a local newspaper exposed security vulnerabilities in a hospital in Continuum by obtaining an insider to emphasize how access to patient records, economy turns south, helped authorities stop and continue the employee, who was she had stolen patient identities to another hospital, but was not taken. "We did a better job of gathering of evidence," said economy turns south.

"You cannot lock the whole," said Cigdem main Delano, information officer at Morehouse School of Medicine (MSM) in Atlanta, said. "Regardless of what you do, always there is a human factor.

During this time, security and compliance officers are trying to find a delicate balance between the protection of their data and make it systems so difficult to navigate than users - especially these whimsical creatures known as physicians - rebel.

"You can also too have security," said Delano. At least someone in the MSM intended legal Department Ministry of Defense-level security in the clinical computer server room, said. But the school of medicine is not to do something with implications of national security bioterrorism research.

However, UAB has some contracts with the National Institutes of Health that involve potentially sensitive data, but did not want to prevent end users by forcing them to enter a complex password whenever they turned the computer for a few seconds. Herzig and his team chose thin client with the two factors as smart card authentication. If users remove their cards without closing a session, their sessions to remain frozen. They can reinsert cards to other workstations and simply return a personal identification number to return to work.

Continuum has essentially become its computers on wheels dumb terminal, economy turns south, said and next year will have only thin clients available for most end users. This is what Mike Wall, CEO of grid DICOM, a provider of storage Phoenix cloud and the archiving of digital medical images, called a "zero footprint" from the security perspective: no data stored on local computers.

"The whole zero-footprint thing is great, said Herzig, particularly in the era of mobility." "We made the decision that we were going to manage data, step of devices," he said.

Sometimes, however, it is impossible to keep all internal data, such as application to a growing number of patients for electronic copies of medical records and images. This is where the encryption comes in. Herzig talks to find a CD has clearly marked with the name of the patient lying in the hospital parking lot. The image on the disk was not guaranteed.

Apparently, this is a common phenomenon. "All the facilities to go to, there is a problem of CD," said wall, whose company, of course, has an interest in moving images in the cloud.

According to economy turns south, in the two years or more have security providers important information Summers to provide end-end encryption products and services end-to-health organizations. Prior to this, it was rather piecemeal.

"We went through what I affectionately call encryption conniptions", adds Herzig. "She be continuous through the space."


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VA launches Health Information Exchange pilot

As the Department of Veterans Affairs continues to build its health information technology infrastructure to serve the population veteran, the Ministry said that it starts a project pilot in the Richmond area to improve the provision of information on the health of veterans.

The driver, announced last week, is to Richmond VA Medical Center and MedVirginia (MedVA), a healthcare it group serving central Virginia which was created in 2000 by a consortium of Virginia health care providers. The two organizations will partner to create a comprehensive health information network for the exchange of health information using health virtual electronic lifetime record (VLER) for VA.

VLER actions select the exhibits medical of a fighters electronically, safely, and private with other health care establishments approved who are members of the National Health Information network. VLER health program has developed the exchange of information between different health care systems.

WILL chose the Richmond region because it has a high concentration of veterans, retired military personnel and members of the guard and reserve this region. The Richmond VA Medical Center serves as an estimate of 200,000 from 52 cities and counties veterans.

Secretary of Veterans Affairs, Eric Shinseki k., stated that "this pilot project is a step in more taken to deliver an electronic record of virtual life for Veterans of our country and members of the service".

MedVirginia, the Richmond group, has long been put emphasis on initiatives to improve the quality, safety and efficiency of health care through it, innovations, including the launch of the MedVirginia Solution, a health information exchange, 2006 community. Richmond driver builds on the success of the pilots VLER program at San Diego and Hampton Roads/Tidewater, Virginia Participants will exchange information using health information network in the country.

VA says vets in the Richmond region will be invited to participate in this programme of exchange of health data, which went live on March 11. Veterans who choose to participate will authorize their public health professionals and the private sector and physicians to share specific health electronic information. No exchange of information will occur without the permission of each patient.

VA has made several recent announcements that it is moving forward with a comprehensive health information technology strategy. Earlier this month, Thebes released a request for project proposals develop an electronic health record system based on open source.

Last November, the Ministry said it will work with a private contractor to expedite decisions of claims and substantially reduce the average time needed to obtain the medical records of private doctors.


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2011年4月16日星期六

Health of data exchange Blast it policy advisors

Health IT Boosts Patient Care, Safety
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Slideshow: Health it stimulates the Patient Care, SafetyAt the last meeting of the Bureau of national health it s Council of advisors (ONC) President on Science and technology (PCAST) report Workgroup, Chairman Paul Egerman sought to put the finishing touches to the upcoming report of the Working Group for the Policy Committee health it.

However, the meeting of Wednesday, some members of the waste to their narrow mandate only working group suggest ways that principles of the report could be integrated with meaningful use, do not comment on its merits and feasibility. Although Egerman, a former software entrepreneur, continually seeks to keep the team on the point, flair-ups took place around privacy and feasibility. More specifically, the questions focused on a key element of the concepts of the PCAST for the exchange of health information (HIE): access to the data elements (DEAS).

"We can't be blessing blind technologists faith unless we are convinced," said workgroup member Wes Rishel, VP and analyst in the practice of research for the Gartner healthcare provider. "And when it comes from this area have DEAS administer privacy consent, I think this is a fundamentally flawed approach." I think that we have heard that repeatedly and repeatedly people who testified... If there was no belief that centralized, multiple, engines of private DEAS will solve the problems of granular consent, then we need to recommend measures to push down on these concepts. ?

Rishel and Dixie Baker, Senior Vice President, CTO and technical fellow at the Science Applications International Corporation health and commercial life science, the two seemed amazed at the apparent Dynamics endorsed the PCAST in which doctors could "unblock" a specific piece of clinical datathat they were allowed to see, yet be precluded from incorporation in their electronic medical records (EMR). If the dispute has led to clinical decision which had been based on data, they wondered, what would happen if the consent of the patient had been withdrawn in the meantime, which means that physicians and their lawyers have been unable to produce the data in a defence?

Referring to this dynamic, Rishel, commented, "I believe that we have serious problems with hypotheses fun in the PCAST report."

William Stead, Vice-President of the PCAST report Workgroup and Vice Chancellor for Health Affairs and Chief Strategy and information officer, Assistant at Vanderbilt University Medical Center said no hypothesis must be validated before be deployed on a large scale.

"We cannot implement a national system based on theory - we have to have some models of work... we need to test beds to see which people and possible other approaches, are possible to meet the needs of service providers.".

Baker think AHED was problematic. "AHED, as described in this report, is not practical, while at the same time providing safe and quality care, but it must be said that, from a technology point of view, while the report is feasible." From the perspective of clinical operations and the safe delivery of care to patients, some of the concepts must be rethought and alternative approaches should be developed.

Mark Rothstein, holds the Chair of medicine and law and Director, founder of the Institute of bioethics, the health policy and law at the Faculty of the University of Louisville, medicine, also urged caution.

"My view is that if PCAST is implemented it will present the innumerable problems in the privacy of health data." He wanted this title, noted clearly in the report of the working group that he was not authorized to comment on whether the PCAST concepts were "good or bad...". I would like to have this feeling clearly reflected in our conclusion. ?

Continuing to question the operational feasibility of a model DEAS, Rishel explained, "suppliers does not communicate data to a mechanism of general use unless they believe that their ability to express the consent given by their patients is applied - period.".

He added, "For me, at a very fundamental level, the PCAST report is separate and counter to the principles of information practices fair which is developing the tiger team (Working Group on privacy and security)."

To this, Egerman sought to move the discussion away from commenting on the merits of the report. "I do not want to go there," he said. "It is an interesting discussion, but it is a different argument."

As it has finalized the report of the Working Group, Rishel nevertheless urges Egerman to clearly communicate his aforementioned sense. "I don't want that to be a warm comment - it must be expressed with urgency and immediacy."


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