Lesson: Wait for the marshmallow.
31.5.09
Lessons that apply to hospital marketing...
Any decent buffet has foods that please 85% of the population. Meats, cheeses, potatoes... the typical fare.
Once your business hits a natural plateau, it’s tempting to invest in getting more people to come. And what most buffets do is double down. Now, they have bacon, plus they have beans with bacon and turkey-wrapped bacon. Now, instead of one chocolate cake, they have three.
This is essentially useless. You haven’t done anything to grow your audience. The base might be a little more pleased, but not enough to bring in any new business. And the disenfranchised (the vegans, the weight watchers, the healthy eaters, the kosher crowd) remain unmoved and uninterested. And one person like this out of a party of six is enough to keep all six away.
So, there are two ways to go. Much deeper, or a bit wider.
from Seth Godin.
Wider or deeper? In concert with deep quantitative analysis of service line performance, your future lies in an ability (or inability) to answer the 'wider/deeper' qualitative questions.
What is 'value' in the hospital setting?
1. It is numbers/figures based on income generated per service line (assuming you've got *some in the black).
2. It is trending needs/wants from the community you serve.
Ignore either and you're liable to end up like GM or the multiplicity of newspaper organizations cutting coverage en masse.
What would America look like without the general hospital? Who knows.
But if you don't ask the 'wider/deeper' questions, we may have the opportunity to find out.
30.5.09
How Often Are We (Me+You) Guilty of "DOA" Assumptions in Healthcare?
Pretty often. Stigma and profiling run rampant. I'd like to say I never formed visually-based, stereotyped impressions about a patient as a patient advocate. But I'd be lying.
The virtual equivalent? Hiding behind the "health disparities" or "lack of health literacy" arguments. The ER equivalent? "I'm in pain" always = drug-seeking.
We need traffic triage rules for interacting in healthcare delivery settings, but the elementary lessons work just fine:
1. Stop.
2. Look.
3. LISTEN.
You know what they say about assuming...
Brilliant film Rx via recommendation from @davidrosenman. Follow filmmaker @johnmchu on Twitter: http://twitter.com/jonmchu.
>American Public Understands PHR, eHealth Privacy Risks
Six in 10 Americans don’t believe that their medical records or personal information will remain confidential if they are stored and made accessible online, according to a recent survey on health-related issues conducted by NPR, Kaiser Family Foundation, and Harvard School of Public Health.
More than that, 76 percent of those surveyed believe that an unauthorized person could gain access to their electronically stored and shareable health records.
This is good news in disguise:
1. 3/4 of the American public surveyed (1,238 randomly selected participants over 18) is being very realistic about challenges with privacy/security related to EHRs and PHRs.
2. Reflects larger trend towards sharing, less "confidentiality" online (although privacy, security, and confidentiality are all different but interconnected metastasized issues to consider and confront).
3. Americans as a whole are being more pragmatic than Congress (shocker!) about the potential of EHRs (standing alone, magic-bullet style) to 'save' healthcare... "22 percent of those surveyed felt that the overall cost of healthcare in this country would go down if one were adopted."
I'd like to see this survey compared to a similar survey performed, say, 3 years after Citibank offered online banking. Or comparatively reviewed when to articles and surveys about Ebay and PayPal.
The scary part:
"Half of respondents reported that their physicians do not currently enter health information into a computer while they are present. Most respondents feel that it’s at least somewhat important for healthcare providers to use EHRs instead of paper records, but 90 percent said that they’ve never tried or been able to access medical test results online."
And the money quote:
"Seven in 10 respondents said that their doctors would do a better job coordinating their care if an EHR system were adopted."
70% think docs would do a better job with EHRs. 80% searching for health information online (via Pew, @susannahfox - new research due June 9th).
Any questions?
29.5.09
Careful How You Phrase Health Research Reporting...
And now, after some intense field research, a team of experts have uncovered six facts about the female orgasm
Umm....
Not sure I want to hear about the field research methodology...
Keeping Personal Health Records Personal
The Indiana University Health Center in February started offering students the opportunity to create and maintain personal health records via a secure page on the Bloomington-based school's student Web portal.
The university is using NoMoreClipboard software. Congrats to CEO Dr. William Cast, whom I met at last year's World Healthcare Congress in Washington, DC.
If universities can implement successfully...what are we waiting for?
28.5.09
Vital Genetic Research Creates...Glowing Monkey Feet?
You Think HIPAA's a Nightmare NOW?!
An urgent review of data security in the NHS has been ordered after the personal medical records of tens of thousands of people were lost by the health service.
A total of 140 security breaches were reported within the NHS between January and April this year, the Department of Health confirmed today.
These included computers containing medical records left in skips or stolen, and passwords taped on encrypted discs with sensitive information, according to The Independent newspaper.
Over the last six months, the information commissioner, Richard Thomas, has been forced to take action against 14 NHS bodies for breaching data regulations.
140 breaches. In just 120 days. 1.17 breaches/day on average.
If we enact a national data center network of PHI (RHIOs, etc) controlled/regulated by the US government, rather than patients and providers, as part of comprehensive healthcare reform, do we have these kinds of emergency audits to look forward to?
Barbara Ficarra (Huffington Post): What Do Patients Really Want?
What do patients want? Despite the technological promises of the Health 2.0 movement, in some ways it's really no different today than it was forty years ago.
R-E-S-P-E-C-T, find out what it means to me...
27.5.09
Don't Feel Bad If They Turn You Down: Tim Berners-Lee Got Rejected Too
I met Tim Berners-Lee at a conference on "hypertext" in 1991 in San Antonio. The conference organizers had rejected his paper, relegating it to the poster session--usually a spot reserved for graduate students and fringe types. Few of the people who looked at the Web early on regarded it as technically elegant or a brilliant invention.
Don't give up. That is all.
NHS Allows Patients to Delete EHRs - But Only If Unused?
Following discussions with the Information Commissioner's Office, the agency in charge of the NHS National Programme for IT has given patients the right to delete an SCR as long as it has not been used.
The right will also apply to records with no information, even when some should have been entered because of a medical intervention. But CfH said it will not apply to records which have been used because they may be needed in the future for legal purposes.
Previously, CfH had intended that, while patients had the right of veto over the creation of a SCR, once it was set up ti could not be deleted but only masked.
The SCR will provide an electronic record with an overview of a patient's care, that can accessed, with consent, by staff in England's NHS. Its implementation is now four years overdue.
Note the last sentence. Implementation = 4 years overdue.
Obama Admin. health folks please set your watches to a stardate at least 4 years hence...
25.5.09
Black Bag 2.0 = DoctorsbagUK
For a modest fee - £2.99* per month (* £35.00 if paid p.a.), health professionals can register their medical bag/drugs bag with DoctorsBagUK . They simply enter the contents of the bag with drug name, dose, amount and expiry dates onto their own personalised drug data base. Everytime you give a drug from your bag you simply log on with your user name and password to update your online doctors bag whether at home or in the surgery. You have a record of the drugs in your doctors bag at any one time which can be printed out as evidence for the medicines management part of QOF, which requires doctors to keep their drug bags regularly updated and to have a system to check drugs are in date. You will receive an email message fourteen days before an item is due to expire and every five days until the item is replaced. There is a visual alert one month before expiry when logged on to your personal drug bag with a "traffic light" reminder system.
Would love to see these guys vetted for either Health 2.0 or Medicine 2.0.
Seems like a simple tech hack trying to make life easier for docs.
Unfortunately, the model probably wouldn't translate well in the US market since our PCPs and family practitioners 1. don't do housecalls, 2. don't have black bags even in the office anymore and 3. get most in-office meds as samples in 'underground' trade for drug lunch seminars from Big Pharma.
However, this model MAY translate very well in The Netherlands, where GPs still DO housecalls...
GPs using DoctorsBagUK.com offers docs:
* Automated email alerts 14 days before drugs' expiration dates (reboot the bag now!)
* Evidence-based medical practice data support - system in place to check drugs via QOF.
* Hopefully less expired pills in the UK water supply.
How much for this stunning medical equivalent of CMS?
2.99 per month (in pounds), or about $4.76.
Is Health 2.0 Really Necessary to Save Lives?
So I’m all for the Web 2.0 / Health 2.0 / Twitterverse / Facebook networks and websites helping people. But in terms of mass (as in “population wide”) mental health prevention, you can’t beat something as simple as a well-written webpage.
People sometimes ask me “Why do you do this?” This is why.
Dr. John Grohol is the CEO and founder of Psych Central and has been writing about mental health and psychology issues online since 1992.
Dr. John Grohol of Psych Central cuts through the Health 2.0/Medicine 2.0 hype with a though-provoking post about the power of a single, well-designed webpage.
This is health programming with a purpose.
John's perspective, simple=more effective, seems to be supported by the success of the One Slide Campaign, "Engage with Grace," which advocates open discussion among family members regarding end-of-life care decisions.
Info on Engage with Grace here: http://www.engagewithgrace.org/
How I integrated the One Slide project into family discussions: http://healthmgmtrx.blogspot.com/2008/11/thankful-for-life-talk-with-your-family.html
In the current political atmosphere, we're spending a lot of time talking about prolonging care and extending coverage.
Make sure you're aware of online resources to share that might actually save a life.
Choice-aware care is the next evolutionary phase after participatory medicine. What choices will you make about life, and trying to control how it ends?
22.5.09
Everything You Need to Know About the Future of Health 2.0: Read the "Help Wanted" Ads
Health 2.0 company in Palo Alto is seeking Senior Software Developers for its Patient Interfaces team.
Qualified candidates will have industry experience developing IVR applications and interfacing to web services in Java. Candidates must have solid specification, design, development and testing skills, honed through multiple development cycles from inception to release.
Key Responsibilities:
• Develop interfaces to VoiceXML and IVR systems for speech processing.
• Develop interfaces to SOAP web services to access content and deliver results.
• Unit testing of developed applications.
• Keep abreast of new technologies and suggest application to the company's systems.
• Follow this company's established quality system procedures.
• Complete training in accordance with HHN procedures.
• Other duties as directed.
Knowledge and Skill Requirements:
• 4-7 years Java software development.
• Experience with VoiceXML and IVR systems.
• Experience with SOAP web services.
• Strong understanding of OO principles and design patterns.
• Good communication skills.
• Able to draft high quality written specifications and design documents.
• Excellent unit test and integration test skills.
Additional Skills:
• Excellent understanding of the Linux operating system.
• Detailed understanding of the Apache web server and Apache modules.
• Designing and developing data models and working with SQL databases.
• General work experience in VoIP
• Understanding of HL7 health care data schema.
• Software tools such as Perforce, Eclipse and Ant.
• Works most effectively in a small team environment.
Education:
• B.S. degree in Computer Science, or equivalent technical discipline is preferred.
If interested, please just click below. On the next page, you'll have the opportunity to apply just by sending us a copy of your resume. We're looking forward to hearing from you!
Another reminder-if you want to know what companies working in HIT are up to BEFORE they demo at Health 2.0, keep one eye (at least) on the help wanteds...
18.5.09
"Dear American Airlines..." A Redesign by Dustin Curtis
Treat this as a serious emergency across your entire company. Your shortfalls in customer experience do not stop at the website.
Note to healthcare types: If your website is an #epicfail, chances are your future consumers will think operations across your entire organization are also - you guessed it - an #epicfail.
Failwhales = not cute outside the Twittersphere.
Great redesign @dcurtis! Seriously? Would you consider a sample healthcare project?
HopePhones.org Launches! Sending My Old Blackberry Pearl to Frontline SMS:Medic Crew
This Blackberry Pearl served me well in three countries (USA, Canada, NL).
It was my second Blackberry, third ever mobile phone, and saw the founding of NextHealth, the beginning of my blogging (2007) career, and was lugged around to too many healthcare and tech events to count.
I learned to SMS and txt on this phone. I took photos of home, my dog Oskar, friends/presentations at conferences, and yes, some candid shots of ankle scars. This phone documented my life, kept my calendar and contacts, and was my number one 'go/no-go' communication tool for a blooming career.
This phone was my first mobile health tool. I used it to text coworkers, locate folks onsite, hold conference calls in ice cream parlors, and set up docs' appointments galore.
Recently I switched to an iPhone - which has changed the way I live/work - and I haven't looked back.
You're looking at a girl who still considers Goodwill a great place to shop.
As a consummate eBay-er, Craigslist-er, and dedicated re-user, I felt a gnawing sense of guilt at having a perfectly good operational smartphone sitting in my bedside drawer gathering conference-brochure lint.
But what's a girl to do? All my family members are attached to their own phones, and inheriting a hand-me-down Pearl would mean they'd need to switch carriers to T-Mobile, cancelling their old contracts (which is a pain with a $175 early termination fee).
But in the drawer my Pearl sat, lonely and underutilized, until @joshnesbit emailed me about a new nonprofit effort founded by the Frontline SMS:Medic crew.
HopePhones.org provides a feel-good, effortless philanthropy answer to the question: "What in the hell do I do with my old phone?"
Josh, Lucky and the crew are starting the nationwide mobile phone collection to support mHealth programs (like Mobiles in Malawi) at clinics in 30 developing countries.
Here's how it works...
1. Get your old phone cleaned up (remove old media including photos) and cancel the contract with your carrier (if you haven't already).
2. Remove the SIM card (back panel) or just power the phone down and send in as is.
3. Visit HopePhones.org.
4. Print out a prepaid shipping label, affix to your phone package.
5. Your phone heads off to The Wireless Source, which recycles your mobile and gives the phone 'trade-in' value to FrontlineSMS:Medic to purchase appropriate, useful recycled phones for worldwide campaigns using SMS and texting tech to improve healthcare delivery by equipping healthcare workers in developing countries.
Please. Consider sending in your old mobile phones.
Please. Don't consider doing anything else with them.
And keep an eye on the news for more on HopePhones. The FrontlineSMS:Medic guys continue to set an example for all of us working in mHealth - they're motivated, mobile, and making a difference (with very little money).
Josh is in his final year of undergrad at Stanford. Lucky is in his first year of med school there.
If these guys can get something like this off the ground, what's your excuse?
For more info, give Josh a holler:
josh@medic.frontlinesms.com
Congrats guys - glad to see my trash become treasure for 3-5 healthcare workers on the other side of the world.
Only Those IN Healthcare Surprised by This...
A recent NPR/Kaiser Family Foundation poll shows that the American public is surprisingly more positive about the potentials of EHRs than most professionals. People already are familiar with computerized information and accept its risks.
From "e-Patients.net - Meaningful Use: The Elephant IS In The Room."
I'm continuously surprised when I hear experienced docs, policymakers, and healthcare bloggers state confidently that the American public "isn't ready" for EHRs, or that docs "can't afford" to implement, or worse, that we'll be so concerned about security we'll refuse to try consumer-friendly services.
Wake up Health 2.0/Medicine 2.0 folks.
If we don't provide personal health platforms that satisfy peoples' desire for "meaningful use" tools, someone else will.
15.5.09
HIT #epicfail. Quest Diagnostics Will Send Data to Your PHR, Microsoft HealthVault But Only If Your Doc Does It
The connection will enable physicians who use Quest Diagnostics' Care360(TM) patient-centric physician portal to securely transfer, at a patient's request, diagnostic laboratory test results in a HIPAA-compliant format into the patient's protected account.
Americans Work Too Much?
More American workers are skipping lunch breaks and working longer hours to boost their careers, according to a survey published by the Society for Human Resource Management. About 72% of employees across the nation work through lunch, while 70% work beyond a 40-hour workweek and work at home on the weekends, according to the survey dubbed "Pressure to Work: The Employees' Perspective." The poll, which questioned U.S. workers about sick leave, flex time, and work arrangements, found that more than half (~52%) of participants admitted that self-imposed pressure was the main reason for working overtime, while 44% cite meeting project or performance goals. Only 21% of people polled said pressure from their immediate supervisor was the reason for working extra hours. About 12% cited pressure from top management executives as a source of pressure. Another 12% said advancing their individual career goals was the motivation for working extra hours.
Much prefer the Dutch model - working with the sense God gave little green apples.
One of the coolest things - many Dutch workers eat lunch together at a single table, at the same time.
If you haven't been to the Netherlands yet, make sure you can visit a friend (@mdbraber, @shakingtree, @zorg20, @bart, @hout, @fackeldeyfinds, @martijnhulst!) during his/her workday.
Don't be surprised by communal sandwich making, riding bikes to/from work, and a lot less political BS than we regularly ascribe to in the good old US of A.
Work hard at work, leave on time, have a life, life sometimes includes more work (certainly does for NextHealth crew).
More importantly, realize WHY you're working hard. The sad part of this research? Only 12% of Americans work overtime to advance individual career goals.
Too bad we still seem to believe time is money, instead of acknowledging generating value is money, no matter what period of time that takes you to accomplish.
To Chemo or Not to Chemo? Not Your Choice if You're 13 (Family Refusing for Religious Reasons)
Daniel was diagnosed with Hodgkin's lymphoma and stopped chemotherapy in February after a single treatment. He and his parents opted instead for "alternative medicines" based on their religious beliefs.
Child protection workers accused Daniel's parents of medical neglect; but in court, his mother insisted the boy wouldn't submit to chemotherapy for religious reasons and she said she wouldn't comply if the court orders it.
Doctors have said Daniel's cancer had up to a 90 percent chance of being cured with chemotherapy and radiation. Without those treatments, doctors said his chances of survival are 5 percent.
Question of the Day:
For what reasons is it appropriate, if any, to overrule a patient (or patient's guardians, powers of attorney, etc) to refuse medical treatment via the judicial system?
Visions of Terri Schiavo...except Daniel Hauser is 13. Who knows if he agrees with his parents' views on chemotherapy? Or his doctors?
13.5.09
Who Knew? Microsoft Owes Amalga to Medical Tourism Industry
Microsoft was so impressed with the hospital's software system, which was developed by a company called Global Care Solutions, that it bought the company. It now sells the software almost everywhere, outside of North America, as the Amalga Hospital Information System (HIS).
Another reason to look for HIT innovation outside the US...
Who knew Microsoft's Amalga HIS system (enterprise EHR/EMRs in the hospital setting) was originally designed by Global Care Solutions and first rolled out at medical tourism hotspot Bumrungrad in Thailand?
Yes, But Do You TRUST Your Doc? The Role of Trust in Healthcare Reform
For now, I'm still going to rely on the doctors who I trust to coordinate my family's medical care. It isn't cost efficient, and it probably doesn't always create the best medical outcomes, but I trust them.
Only in San Francisco - Donuts Named After Mood Disorders: "Critics aren't crazy about Psycho Donuts"
"Mental illness and doughnuts do not mix. That's the message mental health activists John Mitchem and Brian Miller sent Psycho Donuts as they stood in front of the Campbell store handing out "stigma-free" doughnuts, according to the San Jose Mercury News.
The brouhaha stems from the mental illness themed treats and business. The Bipolar's toppings, for instance, are half nuts, half coconut shavings, while Massive Head Trauma's red jelly filling oozes from the side (see photos below). The store itself comes with nurses, a padded cell and "group therapy" area.
Jordan Zweigoron, who launched the shop with co-owner Kipp Berdianski in March, explained to the Merc:
"There's a fine line, I think, between having a sense of humor and not, and we're really just looking at doing something that's light-hearted and fun."
But many folks aren't laughing. Miller said:
"Imagine a shop that made fun of cancer; it wouldn't be funny."
Meanwhile, mental health research charity NARSAD returned Psycho Donut's $50 donation. The Net's also buzzing with outrage. Everyone from a psychologist to a depression columnist have weighed in on the controversy, while Rebekah Robertson started an online petition.
Psycho Donuts owners believe critics need to lighten up and understand this:
We might be insulting the flour inside of that very sensitive donut, but let's agree on one thing: donuts are not people; and the names of our donuts do not correspond to any opinion or pre-conceived notion about people."
President Obama Thinks Healthcare Reform Will Save 2T - Wonder if Donations Were Factored Into the Blanket Savings Estimate?
Stand with Obama on health care
Tuesday, May 12, 2009 8:41 PM From:"Mitch Stewart, BarackObama.com" <info@barackobama.com>Add sender to ContactsTo:"Jen McCabe Gorman" <jennifermccabegorman@yahoo.com>
Jen --
Monday morning, an unlikely gathering of health care industry and union leaders emerged from the White House, announcing a historic agreement to lower medical costs and save the average family up to $2,500. This kind of broad coalition would have been unthinkable in the past, when the old politics of division and short-term self interest held sway. But this is a new day.
Yesterday afternoon, President Obama announced the three bedrock principles that any comprehensive health care reform must achieve: (1) reduce costs, (2) guarantee choice, and (3) ensure all Americans have quality, affordable health care. And he set a hard goal for getting it done by the end of this year.
For those determined to oppose reform, the President's announcement means lobbyists are already scrambling across D.C. For the rest of us, it means there's no time to lose. As we speak, Congress is negotiating the details for health care reform, so the first step is showing where the American people stand.
Please click below to sign a declaration of support urging Congress to follow President Obama's three core principles for health care reform -- and to enact them before the end of this year:
(The more signatures we have, the more powerful our message will be, so please add your name and then forward this note on to family and friends.)
The health care crisis is not new, but it's getting worse. For decades, real health care reform has been blocked by special interest lobbying and political point-scoring. We simply cannot go any further down this dangerous road of delay and denial. But we don't have to.
Yesterday's agreement marks only the beginning of the broad coalition we need. The most important reason this round of health care reform will be different is you. Last fall millions of regular people came together and did the impossible. Now, we've got to roll up our sleeves, join hands with those new to our movement, and do it again.
Congress is already hammering out the details of the health care package, and it could still go any number of ways. Our representatives need to understand that when the President lays out these three bedrock principles, Americans of every stripe are standing with him. Yesterday's diverse gathering was a powerful start -- and now it's up to us.
It's time to stand up. Please sign the declaration of support today:
http://my.barackobama.com/OrganizingforHealthcare
Reducing costs, guaranteeing choice, and ensuring care for all are ambitious goals, but they are nothing less than what the American people deserve. And passing real health care reform this year is nothing less than what the American people need.
Thank you,
Mitch
Mitch Stewart
Director
Organizing for America
P.S. -- Here are some excerpts from the President's announcement yesterday that lay out the three principles for health care reform and why we need it this year. Please forward this note to people who want to know where the President stands.
###
In the coming weeks and months, Congress will be engaged in the difficult issue of how best to reform health care in America. I'm committed to building a transparent process where all views are welcome. But I'm also committed to ensuring that whatever plan we design upholds three basic principles: First, the rising cost of health care must be brought down; second, Americans must have the freedom to keep whatever doctor and health care plan they have, or to choose a new doctor or health care plan if they want it; and third, all Americans must have quality, affordable health care.
These are principles that I expect to see upheld in any comprehensive health care reform bill that's sent to my desk -- I mentioned it to the groups that were here today. It's reform that is an imperative for America's economic future, and reform that is a pillar of the new foundation we seek to build for our economy; reform that we can, must, and will achieve by the end of this year.
Ultimately, the debate about reducing costs -- and the larger debate about health care reform itself -- is not just about numbers; it's not just about forms or systems; it's about our own lives and the lives of our loved ones. And I understand that. As I've mentioned before during the course of the campaign, my mother passed away from ovarian cancer a little over a decade ago. And in the last weeks of her life, when she was coming to grips with her own mortality and showing extraordinary courage just to get through each day, she was spending too much time worrying about whether her health insurance would cover her bills. So I know what it's like to see a loved one who is suffering, but also having to deal with a broken health care system. I know that pain is shared by millions of Americans all across this country.
And that's why I was committed to health care reform as a presidential candidate; that's why health care reform is a key priority to this presidency; that's why I will not rest until the dream of health care reform is finally achieved in the United States of America.
Paid for by Organizing for America, a project of the Democratic National Committee -- 430 South Capitol Street SE, Washington, D.C. 20003. This communication is not authorized by any candidate or candidate's committee.This email was sent to: jennifermccabegorman@yahoo.com
To unsubscribe, go to: http://my.barackobama.com/unsubscribe
Yesterday I received this email asking for 1. my support of a petition to show Congress I still consider President Obama my personal-politico wunderkind, and 2. $ to support healthcare reform lobbying.
I find the first fascinating and the second offensive, given my line of work.
This is a sloppy email campaign if they can't even tailor it to healthcare folks with any level of pseudo-convincing specificity.
Why does the tone grate? I still want to believe. And more than anything else, I agree with President Obama's three goals for healthcare reform, but also note that at this point mass generalizations are a painful (and potentially harmful) pill to swallow.
So yes, Congress, President Obama, I support health care reform that will:
(1) reduce costs
(2) guarantee choice, and
(3) ensure all Americans have quality, affordable health care.
I think you're going to have a hard time getting this in place before I turn 30 however....
Defense mechanisms. Health. And the Red Queen/Sexual Antagonism Theory.
When it comes to immunity, men may not have been dealt an equal hand. The latest study by Dr. Maya Saleh, of the Research Institute of the McGill University Health Centre and McGill University, shows that women have a more powerful immune system than men. In fact, the production of estrogen by females could have a beneficial effect on the innate inflammatory response against bacterial pathogens. These surprising results were published today in the Proceedings of the National Academy of Sciences.
Rejoice ladies. And thanks again Mom for the genetic material. I'll do you proud...
For Everyone Building e/m/teleHealth Apps...a Gut Check
People don’t like disembodied voices reminding them to take medicine.
Drop the 'droid voiceover and robo-architecture.
Rules?
1. Posterous-Simple.
2. ATM-Useful.
3. Modeled after consumer tech.
Go forth and build.
8.5.09
What's Missing from mHealth Demos? "The patient-doctor interaction"
I think what’s missing from a lot of these mobile [health] demos is the patient-doctor interaction,” Kaiser Permanente’s Ted Eytan said during an interview on the sidelines of the Health 2.0 conference earlier this month. “If my doctor recommended a mobile service and said, ‘Hey, I’ve looked at this and I think it would be useful,’ then I’d be more likely to use it.
God bless you @tedeytan.
Were Religious Text Authors Schizophrenic? - Daily Nexus
While torturing himself with relentless negative thoughts, Tolle had a realization that there were two entities that he belonged to: himself and his thoughts. This epiphany unraveled a moment of clarity in Tolle, and he claims that he heard a voice in his head telling him to ‘resist nothing.’ After being knocked out by a ‘vortex of energy,’ he woke up and saw a diamond in front of him and then began walking around as if he had just been born into the world.
And the crowd says 'amen...'
7.5.09
EBM Suicide Intervention Model for U.S. Army Blocked from Review
Despite an unprecedented crisis in military suicidality, the National Institute of Mental Health (NIMH) has rejected the only evidence-based proposal - the Burris SR process - to cure post traumatic stress disorder (PTSD) and suicide in the U.S. Army.
The rejection shocked proposal scientists, former Marine officer, combat veteran and psychotherapist Dr. Ron Clark, the Principal Investigator (PI), and former USAF officer, psychologist and co-PI Dr. Jeff Litchford.
Development worth following...
Genetic Sequence of H1N1, aka #Swineflu, Up Close and Personal
GenBank sequences from 2009 H1N1 influenza outbreak
All submitted influenza sequences are available in GenBank as soon as they are processed. The 2009 H1N1 influenza virus sequences are listed on this page and are available for BLAST searching here, and are also available in the NCBI Influenza Virus Sequence Database, and can be retrieved with sequences from other influenza viruses for further analyses using tools integrated to the database.
The following 2009 H1N1 influenza virus sequences were submitted to NCBI and are available in GenBank:
May 06, 2009, 102 submitted by CDC:
PB2 PB1 PA HA NP NA MP NS Influenza A virus
(A/Arizona/01/2009(H1N1))GQ117067 GQ117063 GQ117064 GQ117066 GQ117065 Influenza A virus
(A/Arizona/02/2009(H1N1))GQ117076 GQ117075 GQ117079 GQ117074 GQ117077 GQ117078 Influenza A virus
(A/California/04/2009(H1N1))GQ117044 Influenza A virus
(A/California/14/2009(H1N1))GQ117035 GQ117034 GQ117037 GQ117040 GQ117033 GQ117036 GQ117039 GQ117038 Influenza A virus
(A/Colorado/03/2009(H1N1))GQ117119 GQ117117 GQ117118 Influenza A virus
(A/Indiana/09/2009(H1N1))GQ117093 GQ117095 GQ117097 GQ117092 GQ117094 GQ117096 Influenza A virus
(A/Kansas/02/2009(H1N1))GQ117059 GQ117057 GQ117058 Influenza A virus
(A/Kansas/03/2009(H1N1))GQ117062 GQ117060 GQ117061 Influenza A virus
(A/Massachusetts/06/2009(H1N1))GQ117043 GQ117041 GQ117042 Influenza A virus
(A/Massachusetts/07/2009(H1N1))GQ117103 GQ117101 GQ117102 Influenza A virus
(A/Michigan/02/2009(H1N1))GQ117109 GQ117112 GQ117107 GQ117108 GQ117111 GQ117110 Influenza A virus
(A/Minnesota/02/2009(H1N1))GQ117070 GQ117069 GQ117068 GQ117071 GQ117073 GQ117072 Influenza A virus
(A/Nebraska/02/2009(H1N1))GQ117104 GQ117105 GQ117106 Influenza A virus
(A/New York/09/2009(H1N1))GQ117120 Influenza A virus
(A/New York/13/2009(H1N1))GQ117115 GQ117116 GQ117113 GQ117114 Influenza A virus
(A/New York/20/2009(H1N1))GQ117082
GQ117086GQ117080
GQ117083GQ117081
GQ117084GQ117085 Influenza A virus
(A/New York/22/2009(H1N1))GQ117021 GQ117020 GQ117024 GQ117019 GQ117022 GQ117023 Influenza A virus
(A/Ohio/07/2009(H1N1))GQ117100 GQ117098 GQ117099 Influenza A virus
(A/South Carolina/09/2009(H1N1))GQ117056 GQ117052 GQ117053 GQ117055 GQ117054 Influenza A virus
(A/Texas/07/2009(H1N1))GQ117089 GQ117088 GQ117091 GQ117087 GQ117090 Influenza A virus
(A/Texas/08/2009(H1N1))GQ117047 GQ117046 GQ117049 GQ117051 GQ117045 GQ117048 GQ117050 Influenza A virus
(A/Texas/09/2009(H1N1))GQ117027 GQ117026 GQ117029 GQ117032 GQ117025 GQ117028 GQ117031 GQ117030 May 05, 2009, 20 submitted by Instituto de Salud Carlos III, Spain; 3 by National Institute for Infectious Diseases 'Lazzaro Spallanzani', Italy; 4 by Israel Central Virology Laboratory, 23 by Unknown Pathogen Investigation Collaborative Team (UPICT) and Instituto de Diangnostico y Referencia Epidemiologicos (inDRE), Canada/Mexico:
PB2 PB1 PA HA NP NA MP NS Influenza A virus
(A/Castilla-La Mancha/GP13/2009(H1N1))FJ985753 FJ985751 FJ985754 FJ985750 FJ985752 Influenza A virus
(A/Castilla-La Mancha/GP9/2009(H1N1))FJ985768 FJ985766 FJ985769 FJ985765 FJ985767 Influenza A virus
(A/Pais Vasco/GP20/2009(H1N1))FJ985763 FJ985761 FJ985764 FJ985760 FJ985762 Influenza A virus
(A/Valencia/GP4/2009(H1N1))FJ985758 FJ985756 FJ985759 FJ985755 FJ985757 Influenza A virus
(A/Italy/03/2009(H1N1))FJ985804 Influenza A virus
(A/Italy/04/2009(H1N1))FJ985805 Influenza A virus
(A/Italy/02/2009(H1N1))FJ997636 Influenza A virus
(A/Israel/G-640/2009(H1N1))FJ986328 Influenza A virus
(A/Israel/G-645/2009(H1N1))FJ986329 Influenza A virus
(A/Israel/MF-119/2009(H1N1))FJ986331 Influenza A virus
(A/Israel/MF-70/2009(H1N1))FJ986330 Influenza A virus
(A/Canada-NS/RV1535/2009(H1N1))FJ998225 FJ998222 FJ998207 FJ998216 FJ998213 FJ998210 FJ998219 Influenza A virus
(A/Canada-ON/RV1527/2009(H1N1))FJ998205 FJ998227 FJ998224 FJ998209 FJ998218 FJ998215 FJ998212 FJ998221 Influenza A virus
(A/Mexico/InDRE4487/2009(H1N1))FJ998206 FJ998226 FJ998223 FJ998208 FJ998217 FJ998214 FJ998211 FJ998220 May 04, 2009, 4 submitted by Statens Serum Institut, Denmark; 1 by Azienda Ospedaliero-Universitaria Pisana, Italy; 1 by Istituto Superiore di Sanita, Italy; 68 by CDC; 1 by University of Regensburg, Germany:
PB2 PB1 PA HA NP NA MP NS Influenza A virus
(A/Denmark/513/2009(H1N1))FJ982430 FJ982431 FJ982432 FJ982433 Influenza A virus
(A/Italy/01/2009(H1N1))FJ982434 Influenza A virus
(A/Italy/02/2009(H1N1))FJ984583 Influenza A virus
(A/California/07/2009(H1N1))FJ984387 FJ984386 Influenza A virus
(A/California/08/2009(H1N1))FJ984365 FJ984367 FJ984368 FJ984366 Influenza A virus
(A/New York/06/2009(H1N1))FJ984341 FJ984340 FJ984338 FJ984339 Influenza A virus
(A/New York/10/2009(H1N1))FJ984373 FJ984374 FJ984375 FJ984372 FJ984371 FJ984369 FJ984370 Influenza A virus
(A/New York/11/2009(H1N1))FJ984346 FJ984347 FJ984345 FJ984344 FJ984342 FJ984343 Influenza A virus
(A/New York/12/2009(H1N1))FJ984337 FJ984336 FJ984335 FJ984334 Influenza A virus
(A/New York/15/2009(H1N1))FJ984380 FJ984379 FJ984378 FJ984376 FJ984377 Influenza A virus
(A/New York/18/2009(H1N1))FJ984351 FJ984353 FJ984354 FJ984355 FJ984352 FJ984350 FJ984348 FJ984349 Influenza A virus
(A/New York/19/2009(H1N1))FJ984392 FJ984393 FJ984394 FJ984391 FJ984390 FJ984388 FJ984389 Influenza A virus
(A/New York/23/2009(H1N1))FJ984364 FJ984363 FJ984362 FJ984361 Influenza A virus
(A/New York/31/2009(H1N1))FJ984359 FJ984360 FJ984358 FJ984357 FJ984356 Influenza A virus
(A/Ohio/07/2009(H1N1))FJ984400 FJ984397
FJ984401FJ984396 FJ984395
FJ984398FJ984399 Influenza A virus
(A/Texas/06/2009(H1N1))FJ984385 FJ984384 FJ984383 FJ984381 FJ984382 Influenza A virus
(A/Regensburg/Germany/01/2009(H1N1))FJ984953 May 1, 2009, 13 submitted by CDC; 1 by University of Geneva, Switzerland:
PB2 PB1 PA HA NP NA MP NS Influenza A virus
(A/California/07/2009(H1N1))FJ981613 Influenza A virus
(A/Switzerland/01/2009(H1N1))FJ981646 Influenza A virus
(A/Texas/04/2009(H1N1))FJ981616 FJ981619 FJ981612
FJ981615FJ981618 FJ981614 FJ981617 FJ981620 Influenza A virus
(A/Texas/05/2009(H1N1))FJ981610 FJ981609 FJ981608 FJ981611 April 30, 2009, 6 submitted by WHO CC for Reference and Research on Influenza, Australia; 1 by University of Regensburg, Germany; 7 by Ontario Agency for Health Protection and Promotion, Canada; 2 by Erasmus MC Rotterdam, Netherlands:
PB2 PB1 PA HA NP NA MP NS Influenza A virus
(A/Auckland/3/2009(H1N1))FJ973552 FJ973553 Influenza A virus
(A/Auckland/2/2009(H1N1))FJ973554 Influenza A virus
(A/Auckland/1/2009(H1N1))FJ973557 FJ973555 FJ973556 Influenza A virus
(A/Regensburg/Germany/01/2009(H1N1))FJ974021 Influenza A virus
(A/Toronto/3181/2009(H1N1))FJ974022 Influenza A virus
(A/Toronto/3170/2009(H1N1))FJ974023 Influenza A virus
(A/Toronto/3184/2009(H1N1))FJ974024 Influenza A virus
(A/Toronto/3178/2009(H1N1))FJ974025 Influenza A virus
(A/Toronto/3141/2009(H1N1))FJ974026 Influenza A virus
(A/Toronto/3145/2009(H1N1))FJ974027 Influenza A virus
(A/Toronto/3146/2009(H1N1))FJ974028 Influenza A virus
(A/Netherlands/602/2009(H1N1))CY039527 CY039528 April 29, 2009, 1 submitted by University of Regensburg, Germany; 3 by CDC:
PB2 PB1 PA HA NP NA MP NS Influenza A virus
(A/Regensburg/Germany/01/2009(H1N1))FJ970928 Influenza A virus
(A/California/06/2009(H1N1))FJ971075 FJ971074 Influenza A virus
(A/California/08/2009(H1N1))FJ971076 April 28, 2009, 34 submitted by CDC:
PB2 PB1 PA HA NP NA MP NS Influenza A virus
(A/New York/19/2009(H1N1))FJ969509 Influenza A virus
(A/New York/20/2009(H1N1))FJ969542 FJ969541 Influenza A virus
(A/Kansas/03/2009(H1N1))FJ969523 Influenza A virus
(A/Ohio/07/2009(H1N1))FJ969521
FJ969535FJ969520
FJ969534Influenza A virus
(A/California/04/2009(H1N1))FJ969516 FJ969515 FJ969512 FJ969517 FJ969513 FJ969514 Influenza A virus
(A/California/07/2009(H1N1))FJ969530 FJ969531 FJ969529
FJ969539FJ969540 FJ969536 FJ969527
FJ969537FJ969528
FJ969538Influenza A virus
(A/California/08/2009(H1N1))FJ969518
FJ969532FJ969519
FJ969533Influenza A virus
(A/California/10/2009(H1N1))FJ969511 FJ969510 Influenza A virus
(A/Texas/04/2009(H1N1))FJ969525 FJ969526 FJ969524 Influenza A virus
(A/Texas/05/2009(H1N1))FJ969522 April 27, 2009, 40 submitted by CDC:
PB2 PB1 PA HA NP NA MP NS Influenza A virus
(A/California/04/2009(H1N1))FJ966079 FJ966080 FJ966081 FJ966082 FJ966083 FJ966084 FJ966085 FJ966086 Influenza A virus
(A/California/05/2009(H1N1))FJ966955 FJ966958 FJ966957 FJ966952 FJ966953 FJ966956 FJ966954 Influenza A virus
(A/California/06/2009(H1N1))FJ966963 FJ966965 FJ966964 FJ966960 FJ966961 FJ966962 Influenza A virus
(A/California/07/2009(H1N1))FJ966976 FJ966978 FJ966977 FJ966974 FJ966975 Influenza A virus
(A/California/09/2009(H1N1))FJ966971 FJ966973 FJ966972 Influenza A virus
(A/Texas/04/2009(H1N1))FJ966982 FJ966979 FJ966981 FJ966980
FJ966983Influenza A virus
(A/Texas/05/2009(H1N1))FJ966970 FJ966959 FJ966967 FJ966969 FJ966968 FJ966966
From "2009 H1N1 influenza Outbreak, Influenza Virus Resource."
Many thanks to David Hale, @lostonroute66, for the link - via Twitter of course!