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Wednesday, October 15, 2008

At least 10% of the increase in Medicare expenditures since the mid-1990s is due to increased rates of one type of elective surgery, according to a recent study, and many of the patients may not need it. University of California, San Francisco found that only 44% of patients who undergo an elective cardiac surgery called angioplasty get the recommended test to determine whether the procedure is appropriate.

As a result, patients may be receiving a procedure that they either do not need or for which the risk outweighs the benefit. The operation opens partially clogged arteries in patients with heart disease and the annual rate of elective angioplasties has tripled in the United States during the last decade.

Angioplasties are currently being performed at a rate of over 800,000 per year in the U.S. The average cost was $44,110 per procedure in 2004. Since the operation tends to be performed on older Americans, Medicare covers most patients and compensates US$10,000 to $15,000 for each case.

Reuters reporter Julie Steenhuysen writes that angioplasty is “big business for medical device makers including Boston Scientific Corp, Medtronic Inc, Abbott Laboratories Inc and Johnson & Johnson”. Dr. Raymond Gibbons, a professor of medicine who specializes in cardiology at the Mayo Clinic in Rochester, Minnesota, criticizes the current U.S. health care system for compensating doctors based upon procedures performed rather than for following recommended practices.

A stress test in which the patient walks on a treadmill is recommended to determine whether a partial obstruction impairs heart function. Although not all patients who need angioplasty are strong enough to undergo the stress test, UC San Francisco researchers were surprised that testing preceded so few of the surgeries.

Professor of medicine Dr. Rita F. Redberg told U.S. News and World Report, “We didn’t expect to find 100 percent, but we expected a much higher percentage than 44”. Dr. Redberg co-authored a report on the findings for the Journal of the American Medical Association this month.

Dr. Grace Lin, another co-author of the study, noted: “What really matters is whether or not that blockage is affecting blood flow to the heart. That is why the stress test is important.” Their research analyzed over 23,000 Medicare cases and over 1,600 commercial insurance cases.

American Heart Association president Timothy Gardner called the study “a good wake-up call” to remind medical doctors to make sure they do not perform unnecessary procedures. Dr. Gardner regards the study as evidence that many unnecessary angioplasties are being performed.

The study found great variation in the rate of stress testing. Geographic areas ranged from 22% to 76% with the highest rate of testing in the Northeastern and Midwestern states. Testing rates also varied by gender, with men more likely to receive a stress test than women, and by other factors including the age of the physician. Dr. Gibbons points to some of these variances as indications that some physicians may be performing angioplasties indiscriminately.

Not all physicians agree. Although the various types of stress testing usually cost a few hundred dollars instead of tens of thousands, the chief cardiologist at University of Wisconsin Hospital and Clinics Dr. Matthew Wolff notes that stress tests yield false negative results in about 10% of cases. In his opinion, doctors who rely on stress tests “are going to be missing people with severe disease.” Although he agrees that some angioplasties are unnecessary, he contends that the new study does not offer a solution to the dilemma.

The American College of Cardiology plans to release new guidelines soon to help doctors determine when a stress test is appropriate, yet the payment system lacks a financial incentive to abide by testing guidelines. Dr. Eric Topol of Scripps Translational Science Institute in La Jolla, California noted the underuse of stress tests in a study of private insurance records 14 years ago. Dr. Topol agrees that testing guidelines “should be much more clear-cut”, and adds that stress tests ought to be performed annually. “You can do a stress test every year to be sure things are normal. That is an important baseline that is being ignored all too frequently.”

Cardiologist, Dr. Anthony DeFranco of Aurora St. Luke’s Medical Center, considers stress testing to be appropriate in at most 65% of cases, since a substantial minority of patients have other health problems that prevent them from undergoing the test.

Tuesday, October 10, 2017

Anar Mammadov, the son of Ziya Mammadov and the President of Azerbaijan Golf Federation, has been working on coaching young golf enthusiasts, to turn them into professional golfers. The country which hosts two 18 hole golf courses, developed the Azerbaijan golf Federation in 2012, and has been working ever since to build its future.

In 2014, when the country hosted Azerbaijan Golf Challenge Open, the first professional golf in Azerbaijan, it helped the country’s sport to gain a much-needed exposure. But Azerbaijan was still in its nascent stage when it came to nurturing national talent. To facilitate coaching of Azeri children, Anar Mammadov facilitated the Federation to hire a Scottish coach Spenser Henderson, who is currently the under-18 National Boys Coach for Scotland Golf. Other initiatives included the Flames Golf, which was designed in 2015 to make golf a part of Azerbaijan sports. The AGF President has also personally met these young golfers and their parents to educate them about the scope of golf.

“We don’t want to waste time on our future. We built a proper infrastructure; made the sport popular and now, we have been training talented Azeri children in our academy,” Anar Mammadov also quoted in an interview.

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Sunday, March 15, 2009

200,000 litres of oil leaked into waters off the coast of Brisbane from the Pacific Adventurer when their fuel tanks were damaged in rough seas on Wednesday. The figure is about ten times higher than the original estimate of twenty thousand litres of oil. The devastating diesel oil spill has spread along 60 kilometres (37 miles) of the Queensland coast. In addition, 31 containers with 620 tonnes of ammonium nitrate fertiliser flew overboard during the violent storm.

Questions are being asked why the Hong Kong cargo ship was out in seas with nine meter waves caused by Cyclone Hamish, a Category 5 tropical cyclone, as well as why the fertiliser containers were not properly secured. One of the overboard containers ruptured the hull of the Pacific Adventurer, causing between 30 to 100 tonnes of oil to spew from the severely damaged ship.

If the ammonium nitrate mixes with the heavy oil, an explosion could occur. None of the containers have been recovered. Some of these may float, but it is believed that they may have sunk which then may cause algal blooms.

Disaster zones have been declared at Bribie and Moreton Islands, and along the Sunshine coast.

The vessel’s owner, Swire Shipping, reported that a second leak began on Friday, when the ship began listing after docking at Hamilton for repairs. “As full soundings of the vessel’s tanks were being taken at the port to determine how much oil had leaked from the vessel, a small quantity of fuel oil escaped from the Pacific Adventurer,” it stated. The ship was brought upright, and a recovery vessel was used to suck up the oil from the water. The leak produced a 500m-long oil slick down the Brisbane River. Booms were placed around this oil spill so that a skimmer could clean up the second spill.

Swire Shipping could face clean up costs of AU$100,000 a day as well as fines up to AU$1.5million (US$977,000; £703,000) if found guilty of environmental breaches or negligence.

Sunshine Coast beaches are slowly starting to be reopened. The beach of Mooloolaba was still closed following reports of burning sensations from swimmers. 12 beaches remain closed; however, 13 have been reopened.

Over 300 state government and council workers are using buckets, rakes and spades in the clean up effort. Sunshine Coast Mayor Bob Abbott says the majority will be gone by Sunday afternoon. The full environmental impact on wildlife is not yet known. One turtle and seven pelicans have been found covered in oil.

There are concerns that the drinking water of Moreton Island is at risk, as the island uses water from the underground water table near the oil spill site.

“Every bucketload of contaminated sand has to be removed from the island by barge, and each bucketload from a front-end loader weighs about one tonne. It’s just an impossible task,” said Mr Trevor Hassard of the Tangalooma Dolphin Education Centre.

The commercial fishing industry has suffered from the incident. Trawlers won’t resume operations until Sunday evening, and any catches will be tested for human consumption.

Friday, September 8, 2006

From September 3 to 8, experts gathered at the 10th International Congress on Obesity in Sydney, Australia, to discuss what they call the worldwide “obesity epidemic”. According to the World Health Organization (WHO), 1 billion people in the world today are overweight, and 300 million of those are obese. “Obesity and overweight pose a major risk for serious diet-related chronic diseases, including type 2 diabetes, cardiovascular disease, hypertension and stroke, and certain forms of cancer“, a WHO fact sheet states. According to AP, experts at the conference “have warned that obesity is a bigger threat than AIDS or bird flu, and will easily overwhelm the world’s health care systems if urgent action is not taken”.

Of particular concern is the large number of overweight children. Dr. Stephan Rossner from Sweden’s Karolinska University Hospital, a leading obesity expert who was present at the conference, has warned that as a result of the increasing number of overweight children, “we will have, within a decade or two, a number of young people who are on kidney dialysis. There will not be organs for everybody”. UK-based International Obesity Task Force has said that junk food manufacturers target children, for example, through Internet advertising, chat rooms, text messages, and “advergames” on websites. Politicians are not doing enough to address the problem of obesity, including childhood obesity, the experts said.

According to Wikipedia, examples of junk food include, but are not limited to: hamburgers, pizza, candy, soda, and salty foods like potato chips and french fries. A well-known piece of junk food is the Big Mac. The US version of just one Big Mac burger contains 48% of calories from fat, 47% US Recommended Dietary Allowance (RDA) of fat, 52% RDA of saturated fat, 26% RDA of cholesterol, 42% RDA of sodium, and little nutritional value. It also has 18% of calories from protein. According to WHO, most people need only about 5% calories from protein. Staples such as rice, corn, baked potatoes, pinto beans, as well as fruits and vegetables such as broccoli, cauliflower, zucchini, oranges, and strawberries, provide more than this required amount of protein without the unhealthy amounts of fats or sodium, without cholesterol, and with plenty of fiber, vitamins, and minerals.

Both WHO and the American Centers for Disease Control and Prevention (CDC) define overweight in adults as a Body Mass Index (BMI) of 25 or above, and obese as a BMI of 30 or above. To combat overweight and obesity, WHO recommends that, among other things, people should be taking the following steps

• eating more fruit and vegetables, as well as nuts and whole grains;
• engaging in daily moderate physical activity for at least 30 minutes;
• cutting the amount of fatty, sugary foods in the diet;
• moving from saturated animal-based fats to unsaturated vegetable-oil based fats.

Friday, January 4, 2013

The Pakistani schoolgirl Malala Yousafzai, who was shot by the Taliban for campaigning for education for girls, was discharged yesterday from the Queen Elizabeth hospital in Birmingham, England after success in the first stage of her medical treatment.

In October, Yousafzai was shot by Taliban forces on a school bus in Mingora, Swat District, Pakistan. She was given emergency treatment in Pakistan and then flown to Britain for treatment at a specialist unit which deals with injured soldiers.

Dave Rosser, University Hospitals Birmingham NHS Foundation Trust medical director, gave a statement about Yousafzai’s release from hospital: “Malala is a strong young woman and has worked hard with the people caring for her to make excellent progress in her recovery. Following discussions with Malala and her medical team, we decided that she would benefit from being at home with her parents and two brothers. She will return to the hospital as an outpatient and our therapies team will continue to work with her at home to supervise her onward care.”

She is due to return to hospital in a few weeks for cranial reconstructive surgery.

Monday, June 18, 2007

Police in the United Kingdom have shut down a global internet paedophile ring in a ten month operation that involved 700 suspects in 35 different countries, some of whom remain at large. 31 children have been rescued from their abusers.

Sky News crime correspondent Martin Brunt said it could well be the biggest internet paedophile operation ever mounted in the UK. It was led by the Child Exploitation and Online Protection Centre.

Timothy Cox, 28, from Buxhall, near Stowmarket, UK, has been identified as the ringleader and has been sentenced to an indefinite jail term. He hosted the network the paedophiles used to communicate, a web chatroom called Kids The Light Of Our Lives, on which they swapped photos and videos of child sex abuse. Some attacks were broadcast live over the internet.

Judge Peter Thompson said that Cox posed a significant risk and had to be sent to jail for the protection of the public. He will not be considered for release until such time as he has persuaded the authorities that he is no longer a threat to the community. Such a term could mean that he is never released.

Cox himself was found to have 75,960 indecent and explicit images on his computer and police found evidence he supplied at least 11,491 images to other paedophiles over the chatroom, on which he used the identity “Son of God”. He admitted to nine counts of possessing or distributing images of children. Since his arrest in September, authorities worldwide have been infiltrating the network and collecting evidence against the other members, culminating in today’s announcement.

Wednesday, October 17, 2007

The American satirist Stephen Colbert has announced that he will run for the Presidency of the United States. He made his announcement on his mock news show The Colbert Report.

However, Colbert said that he would only run in his home state of South Carolina as a favorite son. He also said that he would represent both major political parties: the Republicans and the Democrats. It is not known how far Colbert will go with his character during his electoral run.

Colbert has hosted The Colbert Report, a spin-off to another satirical television series, The Daily Show, since its creation in 2005. “I didn’t have a job back then. I wonder what it was like to have a job back then. I am sure I could ask a dentist or a surgeon. He would know.” On the show he plays a right-wing political pundit, based on real-life pundits such as Bill O’Reilly and Stone Phillips. Colbert has been credited with popularizing certain words such as “Truthiness”, meaning to believe something intuitively, without regard for actual facts, logic or evidence.

Filling in for New York Times columnist Maureen Dowd on Sunday, Colbert wrote: “I am not ready to announce yet — even though it’s clear that the voters are desperate for a white, male, middle-aged, Jesus-trumpeting alternative.”

Friday, July 20, 2007

Atlanta Falcons quarterback Michael Vick and three other men were indicted on Tuesday by a federal grand jury on charges of conspiracy related to a dog fighting operation. The charges included buying, breeding and training pit bull dogs, transporting the dogs across state lines to illegally participate in fights, and gambling on the fights.

The indictments stemmed from a search of Vick’s Smithfield, Virginia home in April, in which 54 pit bulls were removed, along with equipment used in dog fighting.

The indictment said that Vick had bought the property in Smithfield for US$34,000 to run the dog fighting under the name “Bad Newz Kennels” with two other people named in the indictment. Purnell Peace, Quanis Phillips, and Tony Taylor were all named in the indictment along with Vick.

The indictment stated that Vick took part in the killing of eight dogs that didn’t pass test fights, called “rolling”. The pit bulls were allegedly killed by hanging, drowning and slamming at least one dog onto the ground.

If convicted of both portions of the conspiracy charge, Vick could face six years in prison and a $350,000 fine. His property, located in Surry County, would be subject to forfeiture under U.S. laws dealing with illegal activities that are carried out at an interstate level. The indictment alleges that the dog fighting operation, involving American Pit Bull Terriers, spilled over into Alabama, North Carolina and New York.

Vick has a court date on July 26 for a bond hearing and to hear the charges. Vick has said that he had a kennel operation on the property, but had no involvement or knowledge of a dog fighting ring.

Sunday, April 11, 2010

Fifteen deaths and over 680 injuries have resulted from clashes between Red shirt protesters and government forces in the Thai capital Bangkok.

The deaths of seventeen civilians, including a Japanese cameraman working for the Reuters agency, and four soldiers come after almost a month of protests. Since March 12 Red shirts, so called because of their wearing of red as an identifying symbol, have occupied public spaces and have held rallies and marches in Bangkok in an attempt to force fresh elections.

According to eye witness reports the deaths and injuries are as a result of the police use of rubber bullets and tear gas against the protesters. To which the protesters responded with missiles, pushing and shoving and it is alleged firearms and small bombs.

The current clashes follow an attempt by the security forces to clear key areas in the city. A move seen as an attempt to restore authority and dignity to the security forces lost when the Red Shirts succeeded breaking of a security cordon around the Thaicom satellite television station on Friday.

Despite the courts ruling that the occupation of public spaces as being illegal and the issuing of 27 arrest warrants for the movements leaders, the protests had until today hitherto been peaceful – if noisy – with Thai security forces showing restraint in the policing of the protests, reluctant to cause bloodshed.

The Red shirts consider the Abhisit Vejjajiva administration to be illegitimate having never won an election, and as an undemocratic one imposed on the nation after the Yellow Shirts toppled the elected government of now-fugitive ex-PM Thaksin Shinawatra, during the 2008–2009 Thai political crisis. Red Shirt leaders have called for Bhumibol Adulyadej, the King of Thailand, revered by both sides, to intervene and help end the stalemate.

In late 2009, the considerable continuing influence of the ex-PM saw him take a post with the Cambodian government. Despite being deposed in the 2006 coup, the ousted Thaksin has been in exile, mostly living in Dubai. He is still influential in Thailand, using protests by the Red Shirts, with the Thai government fearing Thaksin will use Cambodia as base to campaign.

However, Thaksin published a letter on his website last November indicating that he did not intend to “go to Cambodia to help Cambodia fight with Thailand […] As I travel to Cambodia to discuss poverty and the world economic situation, I will try to preserve Thai interests with our friends in Phnom Penh, despite the Thai government still hounding me wherever I go,” he stated.

Cambodia has made it clear that they will not extradite Thaksin. Cambodian foreign ministry spokesman Koy Kuong said that regarding the jail sentence they are “not concerned about these issues […] We already clarified this case because he is a political victim.”