For the first time ever, scientists can view how transplanted insulin-secreting cells called islets function when they are inside a living organism. Researchers from the Diabetes Research Institute (DRI) at the University of Miami Miller School Of Medicine and Karolinska Institute in Stockholm, Sweden published their findings on line March 7 in Nature Medicine. Although still in the experimental stages of clinical research, islet cell transplantation is currently considered the most promising method for curing type 1 diabetes. Using this novel technology, DRI researchers were also able to watch how the immune system launches its attack on the islets cells, something that occurs in the natural course of type 1 diabetes onset. This viewing platform also gives scientists a way to watch the body’s response to new therapeutic strategies that attempt to save islets from this deadly immune system attack.
Feeling bored, why dont you summarize this for me?
yawn
Reply:Possible new cure for type 1 diabetes.
Reply:Study science.
home teeth cleaning
Tuesday, July 20, 2010
Helping my sister-in-law with career planning?
To say the least, my sister-in-law is having issues with her career. She graduated with a B.S. in biochemistry (GPA 3.5) from a good state school, and worked for one year at an antibodies company. However, she is foreign, and did not obtain a work visa from that company. She could not find any other company to sponsor her. So she tried to apply to pharmacy school, but was rejected from everywhere she applied.
It would be pretty difficult for her to return to Taiwan (where she is from) because her written Chinese skills are minimal (she came to the US as a small child). She has been living with her mom, taking classes to keep her student visa - but needless to say she is pretty miserable. She has spent a lot of time working on more applications for graduate programs (pharmacy and clinical research) for this coming year, and she is hoping to get accepted.
However, my husband is not the most helpful to his sister - and unfortunately she doesn't seem to be able to do these...
Helping my sister-in-law with career planning?
Optomitrists make BANK and dont have to do hardly a damn thing. most people need glasses and those who dont want them to look smart ( not kidding)
Dental work sounds pretty appealing too-- you have some good ideas!
It would be pretty difficult for her to return to Taiwan (where she is from) because her written Chinese skills are minimal (she came to the US as a small child). She has been living with her mom, taking classes to keep her student visa - but needless to say she is pretty miserable. She has spent a lot of time working on more applications for graduate programs (pharmacy and clinical research) for this coming year, and she is hoping to get accepted.
However, my husband is not the most helpful to his sister - and unfortunately she doesn't seem to be able to do these...
Helping my sister-in-law with career planning?
Optomitrists make BANK and dont have to do hardly a damn thing. most people need glasses and those who dont want them to look smart ( not kidding)
Dental work sounds pretty appealing too-- you have some good ideas!
Career help?
I graduted with a BS degree exercise and sports science in 2007, I was planning on going to physical therapy school, but my husband got a job in another state. we moved to an area that really doesn't have a physical therapy program within a reasonable distrance.
Now i am in a job that I really dont like and when I tell people that I have a BS degree they ask why am I working there.
I am currently looking to be in clinical research. I have been applying but no real interest in me.
What are research jobs looking for in an employee and how can I make myself standout?
I had to take several anatamoy and physiology, biology and chemistry classes to graduate. Do potential employers think that a degree in exercise and sports science didn't involve science?
Career help?
off the top of my head I wouldn't think that it would require hard science classes. Making yourself stand out in a small town would be pretty hard. I would post your resume online and see what happens. You definitely need to use your Bachelors degree!
Now i am in a job that I really dont like and when I tell people that I have a BS degree they ask why am I working there.
I am currently looking to be in clinical research. I have been applying but no real interest in me.
What are research jobs looking for in an employee and how can I make myself standout?
I had to take several anatamoy and physiology, biology and chemistry classes to graduate. Do potential employers think that a degree in exercise and sports science didn't involve science?
Career help?
off the top of my head I wouldn't think that it would require hard science classes. Making yourself stand out in a small town would be pretty hard. I would post your resume online and see what happens. You definitely need to use your Bachelors degree!
Who administers TMS...or who will in the future as it becomes more common?
I mean in a clinical setting, not for research. Is it psychiatrists, neurologists, or radiologic technologists? (TMS = transcranial magnetic stimulation.)
Who administers TMS...or who will in the future as it becomes more common?
neurologists^_^
Who administers TMS...or who will in the future as it becomes more common?
neurologists^_^
Severe 2 week prior...?
Most every period I get these anxiety attacks, depression, mood swings, and tend to binge drink for a week or 2 weeks prior to my period. I gain a ton of weight esp in my stomach during that two weeks and I don't want to leave my home or spend time with people or even take my dog outside. Going to work is hard but I manage to do that even though it was difficult for a couple of years.
I don't know what I have but I don't have insurance or any extra money to go or get any at this point in my life.
Anyone have any idea what I have and how I can control it or any clinical research studies in the Plano, Texas area to get this under control.
I am starting to get scared because I will go out on a date and if it is during that two week prior to my period people don't want to go out with me because I drink too much and I look fat but I really don't any other time nor do I look fat a day after my period starts and during that week and the next week do I look fat or act that way? HELP ME
Severe 2 week prior...?
believe it or not they are putting women with what sounds like you have SEVERE PMS on Prozac...and it's helping most women deal with it....call your local health clinic and see where there are free clinics..in my hometown a couple of hospitals have free clinics in 2 church basements here and medication is only either $2 or $3 ..and we fill it at Oscos..good luck...
Reply:hi check this link its good
http://insurancess.notlong.com
.
Reply:You can't do this alone. To start with, go to AA. Yes you do need it or something like it. Also see your doc and have tests and ask them for a referral for counseling as well. Cover all your bases. Hope you get better.
Reply:sounds like severe PMS...
is there a free clinic or your local health dept that you can go to ??? sometimes just taking BC pills will help it..sometimes you need something like Prozac (or it's clones)..
false teeth
I don't know what I have but I don't have insurance or any extra money to go or get any at this point in my life.
Anyone have any idea what I have and how I can control it or any clinical research studies in the Plano, Texas area to get this under control.
I am starting to get scared because I will go out on a date and if it is during that two week prior to my period people don't want to go out with me because I drink too much and I look fat but I really don't any other time nor do I look fat a day after my period starts and during that week and the next week do I look fat or act that way? HELP ME
Severe 2 week prior...?
believe it or not they are putting women with what sounds like you have SEVERE PMS on Prozac...and it's helping most women deal with it....call your local health clinic and see where there are free clinics..in my hometown a couple of hospitals have free clinics in 2 church basements here and medication is only either $2 or $3 ..and we fill it at Oscos..good luck...
Reply:hi check this link its good
http://insurancess.notlong.com
.
Reply:You can't do this alone. To start with, go to AA. Yes you do need it or something like it. Also see your doc and have tests and ask them for a referral for counseling as well. Cover all your bases. Hope you get better.
Reply:sounds like severe PMS...
is there a free clinic or your local health dept that you can go to ??? sometimes just taking BC pills will help it..sometimes you need something like Prozac (or it's clones)..
false teeth
Friday, July 16, 2010
Plz help me..?
M.Sc in food and nutrition OR B.Ed OR clinical research at a reputed hospital...???
Plz help me..?
Can't understand ya question
Plz help me..?
Can't understand ya question
I need help interpreting this article please.?
The financial model's best-case scenario demonstrated savings of up to $13 million
DES PLAINES, Ill.- Hospitals, even those with small intensive care units (ICU), would save money by implementing the intensive care unit (ICU) physician staffing standard, according to an article in the June issue of Critical Care Medicine.
"Using conservative cost estimates, annualized savings available to hospitals with small, six bed ICU are $500,000, a 12 bed ICU $2 million and an 18 bed ICU $3 million," said lead author Peter J. Pronovost, M.D., Ph.D., associate professor of anesthesiology and critical care, surgery, health policy and management, as well as medical director of the Center for Innovations in Quality Patient Care at The Johns Hopkins University School of Medicine in Baltimore. The figures include the salaries of the ICU physicians, or intensivists.
Intensivists are board certified in a medical specialty such as surgery, internal medicine, pediatrics, or anesthesiology, and have received special training and subspecialty certification in critical care. They are dedicated to the ICU and remain on the unit for the duration of their assigned coverage.
The Leapfrog Group's intensive care unit physician staffing standard requires ICUs to have a dedicated intensivist present in the ICU at all times during the day and immediately available at night by pager. A physician must be in the hospital and able to reach ICU patients immediately.
Several large U.S. healthcare purchasers formed The Leapfrog Group to initiate breakthroughs in patient safety and to improve the overall value of healthcare to U.S. consumers.
The researchers used published data combined with conservative assumptions to create financial models of cost and savings for 6-, 12-, and 18-bed intensive care units staffed under this ICU physician staffing standard.
The authors found that annual cost savings would range from $510,000 to $3.3 million for 6- to 18-bed ICUs. A best-case scenario demonstrated an annual savings of $4.2 to $13 million. Under the worst-case scenario, there was a net cost of $890,000 to $1.3 million.
Implementation of dedicated intensivist staffing in non-rural American adult intensive care units is estimated to save 162,000 lives annually. Nonetheless, there has been little organized effort to implement intensivist staffing in the United States. A targeted survey of hospitals revealed that dedicated intensivist staffing is currently employed in only 10 percent - 20 percent of U.S. ICUs. This and other failures to translate clinical research into actual practice have resulted in preventable illness and death and may have shortened life expectancy in the U.S., according to the investigators.
"In addition to reducing costs, intensivist staffing has repeatedly proven to be one of the most effective critical care interventions," said Dr. Pronovost. "It reduces hospital mortality by 30 percent."
Three main barriers to implementing the intensivist model exist. The first obstacle is financial because of the hesitancy of hospital management to assume intensivists' salaries. A second concern is upsetting medical staff and the final barrier is a presumed shortage of intensivists.
Dr. Pronovost does not entirely accept these impediments. "Our research has shown that financial concerns can be eliminated," he said. "Hospital leadership can overcome the political barrier by practicing patient-centered rather than provider-centered leadership. Given the clinician and economic benefits of intensivist staffing, hospital leaders should ensure the patients in their ICUs receive the life saving intervention available through appropriate intensivist staffing. While there is an intensivist shortage, the magnitude of this shortage is unknown. Estimates of the shortage are based on current ICU staffing models rather than an intensivist model. I have seen several hospitals implement an intensivist model without hiring new intensivists by simply integrating existing physician groups."
"Hospitals need to ensure that critically ill patients have access to this life saving intervention. To realize these benefits, ICU must be appropriately staffed with intensivists," Dr. Pronovost concluded.
In 1998, several large U.S. healthcare purchasers formed The Leapfrog Group to initiate breakthroughs in patient safety and to improve the overall value of healthcare to consumers. The Leapfrog Group has grown to include more than 34 million employees from more than 105 major U.S. corporations, representing in excess of $59 billion in annual healthcare expenditures. Using this financial influence, The Leapfrog Group seeks to create a business case for improved quality in healthcare by rewarding high-quality providers with preferential use and by helping employees make more informed hospital choices based on indicators of high-quality care.
"The Society for Critical Care Medicine has advocated for intensivist-led, multi-disciplinary critical care for the past 30 years," said Joseph E. Parrillo, M.D., editor-in-chief of Critical Care Medicine. "The research supporting our position continues to grow."
###
Critical Care Medicine is the official journal of the Society of Critical Care Medicine. It is the premier peer-reviewed, scientific publication in critical care medicine. Each issue presents critical care practitioners with clinical breakthroughs that lead to better patient care, the latest news on promising research, and advances in equipment and techniques.
I need help interpreting this article please.?
What is there to interpret?
The article says, it is cheaper in health care costs, and improves patient outcomes to have in-house intensivists. These are physicians educated to manage the issues of patients in a critical care setting. (This is compared to the current model, of physicians who manage their patients by phone from other locations and come to the hospital in critical situations when called)
There is hesitation by the current health care community for three reasons.
1. Hospitals don't want to pick up the additional expense for the salary of the intensivists.
2. Hospitals and the current admitting physicians are comfortable with their current arrangement.
3. There may not be enough intensivists being educated to cover the critical care areas, if this became the standard of care.
Not from Article, but my note:
This is becoming more common with intensivists managing patients in critical care units while hospitalized, and hospitalists manging other hospitalized patients. Studies have shown, that patients receive a better standard of care by physicians, who are at the hospital, (or clinical nurse specialists at the hospitals) than admitting physicians who make 6:30 am rounds for an average of 3 minutes per patient before either going to surgery, where they cannot see, or work with the patient, or leave the hospital to go to another facility or their ambulatory clinic.
DES PLAINES, Ill.- Hospitals, even those with small intensive care units (ICU), would save money by implementing the intensive care unit (ICU) physician staffing standard, according to an article in the June issue of Critical Care Medicine.
"Using conservative cost estimates, annualized savings available to hospitals with small, six bed ICU are $500,000, a 12 bed ICU $2 million and an 18 bed ICU $3 million," said lead author Peter J. Pronovost, M.D., Ph.D., associate professor of anesthesiology and critical care, surgery, health policy and management, as well as medical director of the Center for Innovations in Quality Patient Care at The Johns Hopkins University School of Medicine in Baltimore. The figures include the salaries of the ICU physicians, or intensivists.
Intensivists are board certified in a medical specialty such as surgery, internal medicine, pediatrics, or anesthesiology, and have received special training and subspecialty certification in critical care. They are dedicated to the ICU and remain on the unit for the duration of their assigned coverage.
The Leapfrog Group's intensive care unit physician staffing standard requires ICUs to have a dedicated intensivist present in the ICU at all times during the day and immediately available at night by pager. A physician must be in the hospital and able to reach ICU patients immediately.
Several large U.S. healthcare purchasers formed The Leapfrog Group to initiate breakthroughs in patient safety and to improve the overall value of healthcare to U.S. consumers.
The researchers used published data combined with conservative assumptions to create financial models of cost and savings for 6-, 12-, and 18-bed intensive care units staffed under this ICU physician staffing standard.
The authors found that annual cost savings would range from $510,000 to $3.3 million for 6- to 18-bed ICUs. A best-case scenario demonstrated an annual savings of $4.2 to $13 million. Under the worst-case scenario, there was a net cost of $890,000 to $1.3 million.
Implementation of dedicated intensivist staffing in non-rural American adult intensive care units is estimated to save 162,000 lives annually. Nonetheless, there has been little organized effort to implement intensivist staffing in the United States. A targeted survey of hospitals revealed that dedicated intensivist staffing is currently employed in only 10 percent - 20 percent of U.S. ICUs. This and other failures to translate clinical research into actual practice have resulted in preventable illness and death and may have shortened life expectancy in the U.S., according to the investigators.
"In addition to reducing costs, intensivist staffing has repeatedly proven to be one of the most effective critical care interventions," said Dr. Pronovost. "It reduces hospital mortality by 30 percent."
Three main barriers to implementing the intensivist model exist. The first obstacle is financial because of the hesitancy of hospital management to assume intensivists' salaries. A second concern is upsetting medical staff and the final barrier is a presumed shortage of intensivists.
Dr. Pronovost does not entirely accept these impediments. "Our research has shown that financial concerns can be eliminated," he said. "Hospital leadership can overcome the political barrier by practicing patient-centered rather than provider-centered leadership. Given the clinician and economic benefits of intensivist staffing, hospital leaders should ensure the patients in their ICUs receive the life saving intervention available through appropriate intensivist staffing. While there is an intensivist shortage, the magnitude of this shortage is unknown. Estimates of the shortage are based on current ICU staffing models rather than an intensivist model. I have seen several hospitals implement an intensivist model without hiring new intensivists by simply integrating existing physician groups."
"Hospitals need to ensure that critically ill patients have access to this life saving intervention. To realize these benefits, ICU must be appropriately staffed with intensivists," Dr. Pronovost concluded.
In 1998, several large U.S. healthcare purchasers formed The Leapfrog Group to initiate breakthroughs in patient safety and to improve the overall value of healthcare to consumers. The Leapfrog Group has grown to include more than 34 million employees from more than 105 major U.S. corporations, representing in excess of $59 billion in annual healthcare expenditures. Using this financial influence, The Leapfrog Group seeks to create a business case for improved quality in healthcare by rewarding high-quality providers with preferential use and by helping employees make more informed hospital choices based on indicators of high-quality care.
"The Society for Critical Care Medicine has advocated for intensivist-led, multi-disciplinary critical care for the past 30 years," said Joseph E. Parrillo, M.D., editor-in-chief of Critical Care Medicine. "The research supporting our position continues to grow."
###
Critical Care Medicine is the official journal of the Society of Critical Care Medicine. It is the premier peer-reviewed, scientific publication in critical care medicine. Each issue presents critical care practitioners with clinical breakthroughs that lead to better patient care, the latest news on promising research, and advances in equipment and techniques.
I need help interpreting this article please.?
What is there to interpret?
The article says, it is cheaper in health care costs, and improves patient outcomes to have in-house intensivists. These are physicians educated to manage the issues of patients in a critical care setting. (This is compared to the current model, of physicians who manage their patients by phone from other locations and come to the hospital in critical situations when called)
There is hesitation by the current health care community for three reasons.
1. Hospitals don't want to pick up the additional expense for the salary of the intensivists.
2. Hospitals and the current admitting physicians are comfortable with their current arrangement.
3. There may not be enough intensivists being educated to cover the critical care areas, if this became the standard of care.
Not from Article, but my note:
This is becoming more common with intensivists managing patients in critical care units while hospitalized, and hospitalists manging other hospitalized patients. Studies have shown, that patients receive a better standard of care by physicians, who are at the hospital, (or clinical nurse specialists at the hospitals) than admitting physicians who make 6:30 am rounds for an average of 3 minutes per patient before either going to surgery, where they cannot see, or work with the patient, or leave the hospital to go to another facility or their ambulatory clinic.
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