Medical Association – Civilav Med http://civilavmed.com/ Wed, 21 Jul 2021 12:43:34 +0000 en-US hourly 1 https://wordpress.org/?v=5.8 https://civilavmed.com/wp-content/uploads/2021/04/default-150x150.png Medical Association – Civilav Med http://civilavmed.com/ 32 32 joimax® announces strategic partnership with NAMSA | Business https://civilavmed.com/joimax-announces-strategic-partnership-with-namsa-business/ https://civilavmed.com/joimax-announces-strategic-partnership-with-namsa-business/#respond Wed, 21 Jul 2021 12:33:29 +0000 https://civilavmed.com/joimax-announces-strategic-partnership-with-namsa-business/

IRVINE, Calif .– (BUSINESS WIRE) – July 21, 2021–

joimax®, the German market leader in technologies and training methods for fully endoscopic and minimally invasive spinal surgery, is pleased to announce a new strategic partnership with NAMSA, the only contract research organization (CRO) in full continuum in the world focused exclusively on medical devices. Recognized as a leader in reimbursement strategies, with years of experience working with public and private payers, NAMSA will assist joimax® clients with reimbursement support services, including prior authorization and support. to calls, across the United States.

“We are delighted that NAMSA is serving as an exclusive partner in helping patients access joimax® endoscopic technologies,” said Maximilian Ries, general manager of joimax®. “We are optimistic that with the help of NAMSA and the nearly 5,000 clinical papers on endoscopic spine surgery, we will continue to expand coverage of this important minimally invasive technology.”

Since the inception of the American Medical Association CPT® 62380 Medical Procedure Code, Endoscopic Decompression of Neural Elements and / or Excision of Herniated Intervertebral Discs, in 2017, the use of endoscopic spinal procedures has increased.

For more details, visit www.joimax.com.

About joimax®

Founded in Karlsruhe, Germany, in 2001, joimax® is the leading developer and distributor of complete systems for fully endoscopic and minimally invasive spinal surgery. With TESSYS® (transforaminal), iLESSYS® (interlaminar) and CESSYS® (cervical) endoscopic surgical systems for decompression procedures, MultiZYTE® for the treatment of facet and sacroiliac joint pain, EndoLIF® and Percusys® for stabilization Minimally invasive endoscopically assisted, established systems are provided, addressing a range of indications. In procedures for herniated disc, stricture, pain treatment or spinal stabilization treatment, surgeons use joimax® technologies to operate through small incisions under local or complete anesthesia, via tissue and muscle corridors and to through natural openings in the spinal canal, for example, the foramen intervertebral canal, the so-called “Kambin’s triangle”.

About NAMSA

Helping medical device sponsors improve healthcare since 1967, NAMSA is the world’s only full-continuum contract research organization (CRO) focused on medical devices. With its global regulatory expertise and in-depth therapeutic knowledge, NAMSA is dedicated to accelerating medical device product development, delivering only the most proven solutions to move customers’ products through the development cycle in a way efficient and profitable. Medical device tests; regulatory, reimbursement and quality advice; and clinical research services; NAMSA is the industry’s premier trusted partner for successful development and commercialization results. http://www.namsa.com

See the source version on businesswire.com: https://www.businesswire.com/news/home/20210721005247/en/

CONTACT: Press contact Germany:

joimax® GmbH

Nicole Read

Nicole.Read@joimax.com

US Press Contact:

Tony Troncale

joimax® inc.

marketing@joimaxusa.com

001-949-859-3472

KEYWORD: UNITED STATES NORTH AMERICA CALIFORNIA

INDUSTRY KEYWORD: BIOTECHNOLOGY HEALTH SURGERY MEDICAL DEVICES

SOURCE: joimax

Copyright Business Wire 2021.

PUB: 07/21/2021 08:33 / DISC: 07/21/2021 08:33

http://www.businesswire.com/news/home/20210721005247/en

Copyright Business Wire 2021.


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Novartis invests $ 33.7 million in HBCUs to promote health equity https://civilavmed.com/novartis-invests-33-7-million-in-hbcus-to-promote-health-equity/ https://civilavmed.com/novartis-invests-33-7-million-in-hbcus-to-promote-health-equity/#respond Tue, 20 Jul 2021 21:28:45 +0000 https://civilavmed.com/novartis-invests-33-7-million-in-hbcus-to-promote-health-equity/

Novartis donates to a number of historically black academic institutions to help resolve inequalities in healthcare and education.

The pharmaceutical company, along with the Morehouse School of Medicine, the Thurgood Marshall College Fund, Coursera, and the National Medical Association, are investing a total of $ 33.7 million in the effort. The organizations, along with 26 HBCUs, colleges and medical schools, aim to alleviate some of the mistrust surrounding healthcare in communities of color. Their pledge, released today, details a series of programs that the coterie of donors and educators will launch in an effort to advance towards an end to racially unequal health care, which they have described as “endemic.”

The pledge cites research that shows black Americans have shorter life expectancies, higher cancer death rates, and higher infant mortality rates than white Americans, according to the Department of Minority Health’s Office. Health and Social Services.

The funds will be spread over 10 years to start. The Novartis US Foundation plans to allocate $ 13.7 million in money to three research centers at the Morehouse School of Medicine, which will aim to set a standard for clinical participants and clinical researchers of various races. Novartis says a lack of diversity in trials is the result of “reluctance to participate among minority patients”, which also extends to reluctance to vaccinate.

“Blacks and African Americans suffered disparities in education and health in the United States long before the COVID-19 pandemic,” said Patrice Matchaba, president of the American foundation Novartis. “We are proud of. . . take direction of Black and African American community members and other minority groups on [these] programs. “

The remaining $ 20 million from the investment will go to educational efforts over a decade, such as scholarships and mentorships, to provide HBCU students with equitable education and opportunities to learn in the medical field.

“This is the first collaboration of its kind and the Morehouse School of Medicine is delighted to work with Novartis and this coalition,” said Valerie Montgomery Rice, President and CEO of the Morehouse School of Medicine. “We know that real change starts here, when the work is done to have a meaningful impact on representation and inclusion. “


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Dr Carl F. Hammerstrom Jr. | News, Sports, Jobs https://civilavmed.com/dr-carl-f-hammerstrom-jr-news-sports-jobs/ https://civilavmed.com/dr-carl-f-hammerstrom-jr-news-sports-jobs/#respond Fri, 23 Apr 2021 07:01:09 +0000 https://civilavmed.com/dr-carl-f-hammerstrom-jr-news-sports-jobs/ Dr Carl F. Hammerstrom Jr. MARQUETTE, MI – Dr. Carl F. Hammerstrom Jr., 84, of Marquette, passed away on Tuesday morning April 20, 2021 surrounded by family and in the care of Lake Superior Life Care & Hospice at Trillium Hospice House. Carl was born April 23, 1936 in Detroit, Michigan, the son of Carl […]]]>


Dr Carl F. Hammerstrom Jr.

MARQUETTE, MI – Dr. Carl F. Hammerstrom Jr., 84, of Marquette, passed away on Tuesday morning April 20, 2021 surrounded by family and in the care of Lake Superior Life Care & Hospice at Trillium Hospice House.

Carl was born April 23, 1936 in Detroit, Michigan, the son of Carl F. and Mary (Metcalf) Hammerstrom, Sr.

He graduated from Phillips Exeter Academy in 1954, Harvard University in 1958, and Johns Hopkins Medical School in 1962.

He was recruited in December 1967 and served his country as a medical officer with the Fifth General Hospital of the United States Army, Bad Cannstatt Germany FROG from 1968 to 1971.

On June 27, 1959, he married Lynne Ulrich Crandall in Chautauqua, New York and the couple chose to raise their family in Marquette, in 1971.

Carl had served as chief medical resident at Henry Ford Hospital in Detroit and was in charge of the hospital when riots broke out in 1967. He continued his career, which spanned over 40 years in medicine, with Marquette helping to heal not only the patient but also the patient’s family.

He was a proud delegate of the American Medical Association and the Michigan State Medical Society, a fellow of the American College of Chest Physicians, an associate professor of clinical medicine at Michigan State University, and a long-time administrator of the Peter White Public Library Board of Directors.

In his youth, Carl played lacrosse and had the honor of “To be crushed” by the great NFL running back Jim Brown. Her interests included reading the little book by her fireplace. He was an avid hockey fan and an MTU & NMU season subscriber for decades. His loves were sailing and spending time with his wife in Paris, enjoying food and wine.

Carl is survived by his wife, Lynne C. Hammerstrom of Marquette; the children, Mary Beth Hammerstrom of Anchorage, AK and Eric (Michelle) Hammerstrom of Marquette; granddaughter, Alexis Hammerstrom of Marquette; brother, Frank Hammerstrom of Stuart, FL and nieces and nephews.

His parents died before him; one son, Paul; and brother, Kurt.

Carl’s family would like to thank Dr. Thomas Huffman and his nurse, Marcie and the staff at UP Health System-Marquette for their care.

A celebration of Carl’s life will take place this summer and will be announced.

In lieu of flowers, memorial contributions can be made to the Peter White Public Library, 217 N. Front Street, Marquette, MI 49855 or Trillium Hospice House, 1144 Northland Drive, Marquette, MI 49855.

Canale-Tonella Funeral Home and Cremation Services helps the family where memories can be shared on canalefuneral.com



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Prioritizing medical students for Covid-19 vaccination – SMMAMS https://civilavmed.com/prioritizing-medical-students-for-covid-19-vaccination-smmams/ https://civilavmed.com/prioritizing-medical-students-for-covid-19-vaccination-smmams/#respond Fri, 23 Apr 2021 02:51:30 +0000 https://civilavmed.com/prioritizing-medical-students-for-covid-19-vaccination-smmams/ Phase two of the National Covid-19 Vaccination Program (PICK) began on April 19, 2021, with priority group one covering the remaining health workers and those in essential services, while priority group two covering the elderly, high-risk groups with chronic diseases. diseases and people with disabilities. Clearly missing mentions of medical students who participate in service […]]]>


Phase two of the National Covid-19 Vaccination Program (PICK) began on April 19, 2021, with priority group one covering the remaining health workers and those in essential services, while priority group two covering the elderly, high-risk groups with chronic diseases. diseases and people with disabilities.

Clearly missing mentions of medical students who participate in service duties and come into direct contact with patients alongside physicians on a daily basis.

The Society of Malaysian Medical Association Medical Students (SMMAMS) is urging authorities to consider including medical students in phase two of PICK. We are grateful to medical schools that have either included medical students in their vaccination plans or attempted to have their students vaccinated. We also recognize the difficulties faced by other medical schools in getting their students vaccinated.

Medical students can become a protective buffer in the clinical setting with the completion of phase one and the start of phase two. Medical students should be seen as part of the medical team; taking a history, physical examinations and assistance with procedures in clinics and wards are an integral and essential part of their education.

However, they are left behind, living with the constant fear and angst of contracting and spreading the disease to already vulnerable patients.

The unprecedented times brought on by the pandemic have had a profound impact on medical education. Medicine, as a profession, requires hands-on learning and education at the bedside to acquire skills that cannot be acquired through online learning.

This has been severely compromised by the restrictions brought about by the pandemic. Medical students face issues such as inadequate clinical exposure, inability to complete graduation requirements, and postponement of studies leading to financial and psychological stress.

These would result in a reduction in skills when they finally joined the health workforce.

Therefore, SMMAMS calls on the National Covid-19 Immunization Task Force to:

  • Prioritize Covid-19 vaccination for all medical students in Malaysia who actively participate in clinical tasks after vaccination of all healthcare workers.
  • Factoring in the additional allocation of Covid-19 vaccines for medical students in the distribution for hospitals and universities across Malaysia.

Faculties of medicine and higher education institutions should:

  • Support and advocate on behalf of their medical students to be prioritized in the Covid-19 vaccination, after healthcare workers and clinical teachers.
  • Recognize the potential risks faced by unvaccinated medical students and recognize the delay in immunizing medical students as a potential cause of decreased clinical skills.

Elected Members of Parliament and Cabinet Ministers should:

  • Serve as a spokesperson for medical students to raise concerns about the risks to students when participating in clinical tasks.
  • Understand and recognize that the vaccination of medical students must be prioritized to reduce the risk of transmission of Covid-19.
  • Actively participate in open speeches with medical students to better understand their learning conditions.

Medical students are the healthcare workers of tomorrow. This is recognized by other countries like Hong Kong and the Philippines, where medical students are included in the vaccination plan with the first ones.

Ensuring the safety of medical students is imperative in order to safeguard the future of our health care system.

SMMAMS is the Society of Medical Students of the Malaysian Medical Association.

  • This is the personal opinion of the writer or publication and does not necessarily represent the views of Blue code.



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COVID-19 deaths show black female bias https://civilavmed.com/covid-19-deaths-show-black-female-bias/ https://civilavmed.com/covid-19-deaths-show-black-female-bias/#respond Thu, 22 Apr 2021 23:18:02 +0000 https://civilavmed.com/covid-19-deaths-show-black-female-bias/ Among COVID-19 deaths in the United States, minorities are over-represented (Yancy 2020) while women are under-represented (Peckam et al. 2020). Looking at the intersection between race and gender, we discover a black female bias: while black men are affected as much as white men, black women are more affected than white women, and this is […]]]>


Among COVID-19 deaths in the United States, minorities are over-represented (Yancy 2020) while women are under-represented (Peckam et al. 2020). Looking at the intersection between race and gender, we discover a black female bias: while black men are affected as much as white men, black women are more affected than white women, and this is due to their status. lower socio-economic. The first and hardest hit by the pandemic were black women employed as frontline workers who commute by public transport from historically red blocs.

In a new article (Bertocchi and Dimico 2021), we take advantage of extremely detailed, individual-level and georeferenced data on daily deaths in the United States from COVID-19 and other causes provided by the County Medical Examiner of Cook, Illinois, the county that includes the Chicago metro area. The information includes race and ethnicity among a wide range of other individual characteristics such as gender, age, pre-existing conditions and georeferenced home address. This analysis is based on data up to September 15, 2020, covering the first wave of the outbreak in Cook County. Figure 1 shows the spatial distribution of COVID-19 deaths recorded since March 16, 2020, the day the first COVID-19 death was recorded. We overlay the boundaries of the census block groups on the map.

Figure 1 COVID-19 Deaths in Cook County, March 16 to September 15, 2020

We combine data on deaths with US Census data on occupation by sector, use of public transportation, household overcrowding, and access to health insurance – down to the level of block group disaggregation. . Given that the county comprises nearly 4,000 block groups, this represents a major advantage over other analyzes of the racially differentiated impact of the pandemic (Almagro and Orane-Hutchinson 2020, McLaren 2020) that have been conducted in State, County, or at best Postal Code Level (there are only 164 for Cook County). The resulting unique data set allows us to jointly study the racial and gendered impact of COVID-19, its timing, determinants, and geography.

The black feminine bias

Our dataset allows us to focus on the potential intersection between race and other demographic characteristics, including gender. Preliminary correlative evidence suggests that, even after controlling for age and co-morbidities, the likelihood of dying from COVID-19 was particularly high for black women, while black men were not significantly more likely to die from COVID-19. disease than white men.

To establish our main results, we use information on all deaths (from COVID-19 and any other cause reported by the medical examiner) recorded from January 1 to September 15 in 2020 and 2019 and build a panel at the cell level. , with cells aggregated to race, census block group, week, and year level. The primary outcome of interest is a measure of the excess deaths for each breed in a given block group and week in 2020, compared to the same race, same block group, and same week in 2019. Using an event study approach, we capture differential patterns of deaths. between years, pre and post COVID-19 weeks and races. In Figure 2, we compare these differential trends for women and men.

Figure 2 Sex-disaggregated excess death for blacks and whites and the excess death differential between blacks and whites

To note: The graphs show the coefficients of the fixed-effects regressions where the dependent variables are excess deaths for Blacks and Whites, by sex (women in the upper left panel, men in the upper right panel) and the Black-White differential in excess deaths, by sex (females in the lower left panel, males in the lower right panel). Vertical lines represent 95% confidence intervals. Data refer to deaths, regardless of cause, reported between January 1 and September 15, 2020 and 2019. Event time 0 is the week of March 11.

The top two panels in Figure 2 show excess deaths approaching zero, as expected, in the weeks leading up to the start of the epidemic. They grow in the second half of March 2020, at the start of the epidemic, and are more numerous in males regardless of race. However, we also observe that black women outnumber white women (top left panel), while among men the racial differences are much less pronounced (top right).

The bottom two panels confirm that the racial differential for excess deaths is larger and more prolonged for females (bottom left). This means that the racial disadvantage is largely attributable to black women, who are affected by the epidemic earlier and more seriously. In other words, a male bias is only present within the white population while, strikingly, within the black population we do not observe any significant gender differences. To quantify, during the critical week of April 8, 2020, the black-white differential in excess death was 3 percentage points and was entirely attributable to black women.

What drives black female bias?

The emergence of a black female bias exposes an interplay between race and gender that had heretofore been overlooked. What explains it? A comparison between the groups of blocks reveals that it is motivated by those with the highest share of the population in poverty. Differences in poverty rates absorb differences in the proportions of people aged 65 and over with pre-existing illnesses. This suggests that socio-economic disparities, rather than demographic and biological differences, are at the heart of black women’s greatest vulnerability. But what, among the socio-economic disparities, can channel higher viral transmission and mortality?

We look at four potential and not mutually exclusive channels: employment, use of public transport, housing overcrowding, and health insurance coverage. The first and second reflect the risk of contracting the virus in the workplace and on the way to work; the third can amplify transmission rates within the household; and the last affects access to medical care once the contagion has occurred.

In order to assess whether the higher risk of contracting the virus in the workplace may explain the bias of black women in deaths, we calculate the share of women and men employed in 20 industries, at the block group level. Dividing the sample into clusters of blocks with shares above and below the median shows that the black female mortality gap is explained by female employment in two key high-exposure frontline sectors: health care and transportation / storage. These are sectors where black women are overrepresented and pay lower wages (Bertocchi 2020, Ross and Bateman 2019). Other highly exposed and poorly paid jobs, for example in restaurants, where again black women are strongly represented, do not explain the differences in mortality, probably because the closure of the food sector has protected their health, despite massive layoffs (Albanesi and Kim 2021, Alon et al. 2020).

A second contributing channel is the intensity of use of public transport, which we measure with the share of people who use it and the length of the journey to work (Caselli et al. 2020). On the other hand, we find no explanatory power for the overcrowding of housing, the spread of multigenerational families, or even the absence of health insurance. Finally, using the georeferenced home address of the deceased, we overlay the death map on the redlining maps created in the 1930s in order to assess the risk of mortgage default (Bertocchi and Dimico 2020). We find that the diminished resilience of black women is geographically concentrated in once low-level blocs, revealing a lingering influence of historic racial segregation.

Conclusion

Using a single data source, we have established that the COVID-19 death toll in Cook County has been disproportionately imposed on black women employed in high-risk front-line jobs in the healthcare and healthcare industries. transport, which they reach by public transport. historically poor neighborhoods where they reside.

Since we are dealing with the second most populous county in the United States, which contains the third largest metropolitan area in the country, our results are more relevant. They also highlight the need for granular data combining COVID-19 results by race and gender with socio-economic information. It is only with this data that scientists can generate evidence that can inform effective policy responses, including prioritization strategies for immunization campaigns, even after the emergency is over.

The references

Albanesi, S and J Kim (2021), “The gendered impact of the COVID-19 recession on the US labor market”, NBER Working Paper No. 28505.

Almagro M and A Orane-Hutchinson (2020), “The determinants of differential exposure to COVID-19 in New York and their evolution over time”, Covid economy 13: 31–50.

Alon A, M Doepke, J Olmstead-Rumsey and M Tertilt (2020), “The shecession (she-recession) of 2020: Causes and consequences,” VoxEU.org, September 22.

Bertocchi, G (2020), “COVID-19 Sensitivity, Women and Work,” VoxEU.org, April 23.

Bertocchi, G and A Dimico (2021), “COVID-19, race, and gender”, CEPR Working Paper n ° 16000.

Bertocchi, G and A Dimico (2020), “Race and the COVID-19 pandemic”, VoxEU.org, July 29.

Caselli FG, F Grigoli, P Rente Lourenço, D Sandri and A Spilimbergo (2020), “The disproportionate impact of lockdowns on women and youth,” VoxEU.org, January 15.

McLaren, J (2020), “Racial Disparity in COVID-19 Deaths: Searching for Economic Roots in Census Data,” VoxEU.org, August 11.

Peckham, H, NM de Gruijter, C Raine et al. (2020), “Male sex identified by global COVID-19 meta-analysis as a risk factor for death and admission to ITU”, Nature communications 11: 6317.

Ross, M and N Bateman (2019), “Meet the Low-Wage Workforce,” Brookings.

Yancy, CW (2020), “COVID-19 and African Americans”, Journal of the American Medical Association, Avis, April 15.



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Researcher analyzes factors behind natural menopausal age increase – ScienceDaily https://civilavmed.com/researcher-analyzes-factors-behind-natural-menopausal-age-increase-sciencedaily/ https://civilavmed.com/researcher-analyzes-factors-behind-natural-menopausal-age-increase-sciencedaily/#respond Thu, 22 Apr 2021 23:03:46 +0000 https://civilavmed.com/researcher-analyzes-factors-behind-natural-menopausal-age-increase-sciencedaily/ As women age, there are usually two important changes in their bodies that usually occur in adolescence and middle age. The first, known as menarche, is the time of puberty when a girl begins to have monthly menstrual cycles, which often tend to be 8 to 13 years old. She goes into the second change, […]]]>


As women age, there are usually two important changes in their bodies that usually occur in adolescence and middle age. The first, known as menarche, is the time of puberty when a girl begins to have monthly menstrual cycles, which often tend to be 8 to 13 years old. She goes into the second change, known as menopause, 12 months after her last menstrual cycle when her ovarian function ceases, usually in her 40s or 50s.

The time after menarche and before menopause is known as a woman’s reproductive lifespan and marks the years when she is most capable of having children. For many women, these events happen naturally. However, women can enter menopause earlier than expected due to other issues. Women who undergo radiation therapy for cancer usually stop their periods, as do women who have menopausal surgeries such as removing their ovaries.

Because each woman experiences these stages of life at different times, one woman’s reproductive lifespan is typically shorter or longer than another, sometimes significantly. Duke Appiah, Ph.D., of the Graduate School of Biomedical Sciences at Texas Tech University Health Sciences Center (TTUHSC), said these differences can affect much more than a woman’s reproductive health.

For example, said Appiah, researchers know there is a link between the length of a woman’s reproductive life and her overall metabolic health, but they don’t know why. Part of that link, he felt, could be caused by a woman naturally exposed to estrogen and various estrogenic compounds. Estrogen can be beneficial because it can help protect or delay the onset of certain health problems. However, they have also been linked to certain diseases, and women who normally have less estrogen and remain so during menopause are more likely to develop heart disease or osteoporosis.

“If the reproductive lifespan is longer, it means that they are still exposed to natural estrogen, which will also help delay certain diseases like cardiovascular disease and osteoporosis, and to some extent even cancer.” , said Appiah.

But why do some women who have a longer reproductive life, and therefore a longer exposure to estrogen, still develop metabolic problems?

That’s a question Appiah and a group of collaborators set out to answer in a research letter to Journal of the American Medical Association (JAMA). The letter, “Trends in age at natural menopause and reproductive lifespan in American women, 1959-2018,” was published in JAMAApril 8 issue. Appiah’s collaborators included Chike C. Nwabuo, MD, MPH, of Johns Hopkins University; Imo A. Ebong, MD, MS, University of California, Davis; Melissa F. Wellons, MD, MHS, of Vanderbilt University Medical Center; and Stephen J. Winters, MD, of the University of Louisville.

Appiah, assistant professor of public health at TTUHSC and director of the university’s master’s program in public health, said women who enter menopause between the ages of 40 and 45 are at higher risk of developing cardiovascular disease, while those who become menopausal after age. in 50 have a higher risk of breast cancer.

“These features have clinical significance, but we wanted to see in the United States over the past 60 years whether there have been changes in age at menopause, reproductive lifespan, and age at menarche. “, explained Appiah. “If that changed, we wanted to know what factors are possibly associated with these changes. Few studies have been done in the United States to look at age trends at menopause. So we can see some of the factors associated with or drive with natural menopause at an early age, maybe we can intervene. “

Appiah said many previous studies were out of date and used data from shorter time periods such as 1910-1950. None of these studies examine the link between age at menopause and the development of metabolic health problems. They also didn’t address the factors that can cause a woman to go through menopause earlier in her life.

To collect data for his study, Appiah used successive surveys covering the National Health Examination Survey I from 1959-1962 (NHES I) through the National Health and Nutrition Examination Survey (NHANES) for 2017-2018. NHANES is a biennial survey conducted by the Centers of Disease Control and Prevention to broadly assess the health of children and adults in the U.S. In addition to providing a much larger sample, NHANES provides a cross-sectional sample of people not institutionalized. American adult population. It includes a detailed demographic and behavioral questionnaire, a physical examination, laboratory tests and a list of all prescription drugs used by the respondent.

From this data, Appiah was able to analyze 7,773 women aged 40 to 74 at the time of the survey who had reached natural menopause. From NHES I 1959-1962 to NHANES 2015-2018, the average age at which women reached natural menopause increased from 48.4 years to 49.9 years and the average age at menarche increased from 13 , 5 years to 12.7 years. This resulted in an increase in the average length of reproductive life from 35.0 years to 37.1 years.

In multivariate fitted models, Appiah found that race and ethnicity (black and Hispanic), poverty, current and former smoking, and use of hormone therapy were associated with early age with natural menopause and a shorter reproductive life. Factors such as more years of schooling and oral contraceptive use were associated with women who reached natural menopause at an older age and had a longer reproductive life.

Appiah said other factors not assessed in their study such as lifestyle and behavior factors, improved access to health care, nutrition, obesity and environmental factors may be related. increasing trends in age at natural menopause and reproductive life.

In previous research, Appiah has shown that menopause is associated with metabolic conditions, which also influence the development of certain diseases. More importantly, he said, his work has shown that researchers tend to be more concerned about the age at which women reach menopause when they actually need to identify the factors that push women forward. to reach menopause at an earlier age, as these factors tend to be more important.

“This study was intended to give empirical evidence to some of my previous studies, but then for future studies I continue to examine how age and menopause are associated with heart structure and function, for example, how the heart beats, how the heart gets bigger with age, “said Appiah.” This article gave some perspective to some of my earlier work, and it also gave some direction to my future work, in which I will examine whether age at natural menopause and length of reproductive life are a marker of overall women’s health. “



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Turkish government rejects lockdown as pandemic spirals out of control https://civilavmed.com/turkish-government-rejects-lockdown-as-pandemic-spirals-out-of-control/ https://civilavmed.com/turkish-government-rejects-lockdown-as-pandemic-spirals-out-of-control/#respond Thu, 22 Apr 2021 22:29:02 +0000 https://civilavmed.com/turkish-government-rejects-lockdown-as-pandemic-spirals-out-of-control/ Due to the “collective immunity” policies implemented by the government of President Recep Tayyip Erdoğan in the interest of the ruling class, the COVID-19 pandemic in Turkey is out of control. Turkey has become an epicenter of the pandemic, like India and Brazil. According to Health Minister Fahrettin Koca, at least 85 percent of new […]]]>


Due to the “collective immunity” policies implemented by the government of President Recep Tayyip Erdoğan in the interest of the ruling class, the COVID-19 pandemic in Turkey is out of control. Turkey has become an epicenter of the pandemic, like India and Brazil. According to Health Minister Fahrettin Koca, at least 85 percent of new cases in the country are due to the UK’s most contagious variant or B.1.1.7.

Turkish President Recep Tayyip Erdogan sits with his wife Emine during a congress rally of his ruling party in Ankara, Turkey on Wednesday March 24, 2021 (AP Pool).

Despite limited measures announced on April 13, the number of daily cases remains above 60,000, sometimes more than in the United States. In proportion to its population, Turkey (85 million) has more than tripled the rate of reported cases compared to India (1.4 billion people and nearly 300,000 cases daily). The test’s positivity rate is almost 20%. According to data from the Ministry of Health, 362 people died on Wednesday.

These figures greatly underestimate the true losses. While Turkey has overtaken the UK in terms of total number of cases with almost 4.4 million, with 37,000 deaths, it appears far behind countries like the UK (127,000), France (102,000) and Italy (118,000) in terms of total mortality. According to calculations by investigative filmmaker Güçlü Yaman, however, there had been an additional 98,000 deaths in Turkey at the start of March 2021.

Last week, an anonymous doctor treating coronavirus patients in Istanbul told the daily Cumhuriyet: “Even if a PCR test is positive, COVID-19 is not listed on the death certificate if the intensive care patient dies on average 15 to 20 days after being tested positive.”

This ongoing massacre is a direct result of the Turkish ruling class seeing the mass deaths and illness of millions of people as “acceptable”.

As the pandemic erupted uncontrollably as a predictable consequence of the ‘openness’ policy in early March, the Erdoğan government last week announced limited measures to calm growing social anger and prevent a collapse of the healthcare system. . However, he kept non-essential production and some classes in schools open.

“In the economy, things are going very well on the production side,” Erdoğan blithely said, saying his government had done very well against the pandemic.

He said corporate profits and competitiveness in global markets have guided his government’s response to the pandemic, not saving lives. “We need to reduce the number of infections below the general average around the world, especially in countries with which we have close relationships. Otherwise, we risk not being able to take advantage of the economic opportunities offered to us by the pandemic. “



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“ Say yes to drug addiction, one drug den at a time ” https://civilavmed.com/say-yes-to-drug-addiction-one-drug-den-at-a-time/ https://civilavmed.com/say-yes-to-drug-addiction-one-drug-den-at-a-time/#respond Thu, 22 Apr 2021 22:05:52 +0000 https://civilavmed.com/say-yes-to-drug-addiction-one-drug-den-at-a-time/ “Saying yes to drug addiction, one drug den at a time” is a smart headline to a very serious problem. California Senate Republicans released a press release in the headline on Thursday about their concerns about Senate Bill 57 by Sen. Scott Wiener (D-San Francisco). “California is in the midst of an unprecedented overdose crisis […]]]>


“Saying yes to drug addiction, one drug den at a time” is a smart headline to a very serious problem. California Senate Republicans released a press release in the headline on Thursday about their concerns about Senate Bill 57 by Sen. Scott Wiener (D-San Francisco). “California is in the midst of an unprecedented overdose crisis that must be treated as a public health crisis,” Wiener said. Senate Bill 57 was passed by the Senate by a 21-11 vote, and is headed to the Assembly.

Republicans said, “Democratic Senate colleagues make it easier for addicts to use hard drugs without addressing the root causes of addiction or protecting neighbors living near proposed ‘drug dens’ locations.” Senate Bill 57 allows cities and counties in California to establish drug dens that are staffed and funded by taxpayers. “

SB 57, called the “Overdose Prevention Program,” written by Senator Wiener, would authorize the City and County of San Francisco, the County of Los Angeles, and the City of Oakland to approve entities to establish and implement programs. overdose prevention (OPP) until January 1, 2027. This bill obliges OPPs to provide specific services, including supervision by trained staff and referrals for treatment.

Senator Scott D. Wiener. (Photo: Kevin Sanders for the California Globe)

Republicans in the state Senate have said they are fighting the deadly fentanyl epidemic, while their fellow Senate Democrats appear to be normalizing drug addiction. “This bill lacks any strategy aimed at appropriately using alternatives to methadone, mandatory treatment protocols, on-site addiction counseling or even efforts to gradually wean an addict from the cycle of dependence”, indicates the analysis of the bill in opposition to SB 57.

“It’s like giving someone struggling with alcoholism a BevMo gift card. Democrats are the party of enablers right now – and at taxpayer expense, ”said Senate Republican Leader Scott Wilk (R-Santa Clarita). “Instead of vigorous efforts to help drug addicts kick the habit, Senate Democrats are throwing everyone under the bus in a ‘feel good’ push to hug the addict rather than helping them find housing. , heal and resume a productive life. There is no consideration for the neighborhoods in which these sites will operate, the victims of crimes resulting from drug addicts roaming the streets or the families of individuals with an addiction who pray for their loved one to be treated rather than to the death. drug.

It is evident that Senator Wiener is concerned about drug addiction as well as the dramatic increase in drug overdoses since 2019, attributable to the lockdown, but achieving a solution is where Wiener and others disagree.

Wiener said, “Amid the COVID-19 pandemic in the United States and California, the already alarming rate of drug overdoses is worsening. A recent study of emergency medical services data in the Journal of the American Medical Association found that overdose rates doubled in May 2020, compared to 2019. More than 40 states have documented increases in opioid overdoses since the beginning of the shelters in place. PPOs, also known as supervised consumption services, are a necessary intervention to prevent overdose deaths. About 165 PPOs exist in ten countries and have been rigorously researched and shown to reduce the health and safety issues associated with drug use, including public drug use, discarded syringes, HIV and hepatitis infections and overdose deaths. “

Republicans noted that in 2018 Gov. Jerry Brown vetoed a very similar bill, Assembly Bill 186. In his veto message, Governor Brown noted that “allowing the use of illegal and destructive drugs will never work”.

Here is Brown’s veto message:

Former Governor Jerry Brown (Photo: ca.gov)

“I conclude that the disadvantages of this bill far outweigh the possible advantages.

Fundamentally, I don’t believe that allowing illicit drug use in government-sponsored injection sites – without a corresponding obligation for the user to undergo treatment – will reduce drug addiction.

Further, although this bill creates immunity under state law, it cannot create such immunity under federal law. In fact, the United States Attorney General has threatened prosecution in the past, and it would be irresponsible to expose local authorities and medical professionals to possible federal criminal charges.

Our overarching goal must be to reduce the use of illegal drugs and opioids that enslave human beings on a daily basis and wreak havoc in our communities. California never had enough drug treatment programs, and it doesn’t have enough now. Residential, outpatient and case management is necessary, voluntarily undertaken, or coercively imposed by our courts. Incentives and sanctions are needed. One without the other is futile.

There is no silver bullet, silver bullet, or piecemeal approach that will work. A global effort at national and local levels is needed. Fortunately, under the Affordable Care Act, California now has federal funds to support a much larger system of care for drug addicts. This is the way to go: involve many parts and many elements in a fully integrated business.

I repeat, allowing the use of illegal and destructive drugs will never work. The community must have the authority and the laws to demand compassionate but effective and compulsory treatment. AB 186 is fully carrot and not stick. “

According to the analysis of the bill, the co-sponsors of SB 57 are “largely health care providers and health and justice advocates:”

California Association of Alcohol and Drug Program Executives (co-source), California Society of Addiction Medicine (co-source), Drug Policy Alliance (co-source) HealthRIGHT 360 (co-source), San Francisco AIDS Foundation (co-source) and the Tarzana treatment centers (co-source).

Analysis of the bill indicates that there is no fiscal impact on SB 57, which is hard to believe. If the City and County of San Francisco, Los Angeles County, and the City of Oakland approve entities to establish and implement overdose prevention programs, who pays for it?

The California District Attorneys Association has stated that it believes the reasons given by Governor Brown in his veto message are also applicable to SB 57. “We echo in particular Governor Brown’s concern that ‘allow the use of illicit drugs in government-sponsored injection sites – without a corresponding requirement that the user undergo treatment – will reduce drug addiction. “

ACAD also noted, “The recent injection site survey conducted last year by the Canadian province of Alberta is instructive in evaluating this policy. According to the study, SB 57 injection sites have a magnet effect where addicts are drawn to areas around the sites with the mistaken belief that use of the controlled substances in question is now legal. Regular use of injection sites is very low, overdose deaths near injection sites are actually increasing, and the risks of COVID-19 are magnified. “

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New lawsuit alleges Medicaid exemption for transgender people in Iowa is discriminatory and violates civil law https://civilavmed.com/new-lawsuit-alleges-medicaid-exemption-for-transgender-people-in-iowa-is-discriminatory-and-violates-civil-law/ https://civilavmed.com/new-lawsuit-alleges-medicaid-exemption-for-transgender-people-in-iowa-is-discriminatory-and-violates-civil-law/#respond Thu, 22 Apr 2021 19:59:00 +0000 https://civilavmed.com/new-lawsuit-alleges-medicaid-exemption-for-transgender-people-in-iowa-is-discriminatory-and-violates-civil-law/ The Iowa ACLU has filed a lawsuit on behalf of Aiden Vasquez, pictured here, alleging that a state law that excludes surgeries related to the transition from Medicaid coverage discriminates against transgender people from Iowa. (Photo courtesy of the Iowa ACLU). In another salvo against the state in its multi-year battle on behalf of transgender […]]]>


The Iowa ACLU has filed a lawsuit on behalf of Aiden Vasquez, pictured here, alleging that a state law that excludes surgeries related to the transition from Medicaid coverage discriminates against transgender people from Iowa. (Photo courtesy of the Iowa ACLU).

In another salvo against the state in its multi-year battle on behalf of transgender people in Iowa, the Iowa ACLU on Thursday announced it was pursuing a state law banning Medicaid coverage for surgeries. affirming the genre.

The civil liberties organization filed a lawsuit in Polk County District Court on behalf of two transgender people from Iowa, alleging that a law excluding surgeries related to the transition of public insurance funds is unconstitutional and is a violation of Iowa Civil Rights Act.

This is the third time the Iowa ACLU has filed suit against the state over policies that prevent Medicaid from covering medically necessary treatment for transgender people in Iowa, officials said Thursday. ACLU to journalists.

“We’re frustrated, customers are frustrated, and we know the people of Iowa are frustrated that the state continues to revive this discriminatory rule,” said Rita Bettis Austen, legal director of the ACLU of the ‘Iowa.

The lawsuit seeks to overturn a law passed by the 2019 Iowa Legislature that amended the Iowa Civil Rights Act to allow any state or local government entity to refuse to use public insurance, including including Medicaid, to pay for transitional surgeries.

The lawsuit is a reiteration of an earlier lawsuit filed by the Iowa ACLU on behalf of Aiden Vasquez of central Iowa and Mika Covington of southeast Iowa, both transgender and eligible for Medicaid.

This earlier action was dismissed by the Iowa Court of Appeals in August 2020. The court has not upheld the law, but since neither individual has yet been denied Medicaid coverage under the new rule, the dispute was “speculative”, according to the court. .

Vasquez has since been denied coverage for transition care, Bettis Austen said. She added that Covington would join the lawsuit if she was also denied Medicaid coverage.

“It’s hard to know that the state has gone out of its way to discriminate against me and block my medical care just because I’m transgender, while other Iowans on Medicaid are able to get coverage for surgeries whose they need, ”Vasquez said in a statement.

Mika Covington was part of a previous lawsuit by the Iowa ACLU against state policies banning Medicaid coverage for transitional surgeries. Covington, who is transgender and qualifies for Medicaid, will join the latest civil liberties union lawsuit if she is denied coverage. (Photo courtesy of the Iowa ACLU).

The two Iowans seek care to treat gender dysphoria, or distress or discomfort that may arise in people whose gender identity differs from their physical characteristics. While others may seek other forms of gender affirmation, medical and surgical routes are common types of gender affirmation care.

Gender dysphoria can lead to serious risk factors, including depression, anxiety, and an increased risk of death by suicide.

Vasquez said that not being able to access this medical care “threatened my mental well-being”.

“I am a man, but in a body that does not reflect who I am,” he said. “This is why this surgery will be life changing.”

Major medical groups, including the American Medical Association and the American Psychological Association, agree that surgeries and other transitional care are medically necessary when prescribed by a physician.

“Being able to finally get the surgery that my doctors have deemed medically necessary for me will do nothing less than bring me back to life,” Covington said in a statement. “It will help me build a life in which my body is in harmony with my gender, so that I can overcome depression, lack of self-confidence, isolation and other issues caused by my gender dysphoria. “

Battles have taken place before

The measure was passed as an amendment to a health budget bill at the end of the 2019 legislative session.

This rule was in direct response to a March 2018 Iowa Supreme Court ruling that struck down an administrative code that limited Medicaid dollars for gender-affirming surgeries. In their ruling, the judges ruled that denying Medicaid reimbursement for surgeries to treat gender dysphoria violated protections under Iowa’s civil rights law. The law has prohibited discrimination based on gender identity or sexual orientation since 2007.

The decision was a first by the state Supreme Court upholding Iowa’s transgender rights under the Iowa Civil Rights Act, according to Iowa ACLU officials at the time.

The organization filed a lawsuit in 2017 on behalf of two other Iowans, Carol Ann Beal and EerieAnna Good, who were denied coverage for gender-affirming surgeries by their managed care organizations – the companies of insurance who administer the state’s Medicaid program.

The Iowa ACLU had also been involved in previous litigation against private insurers for access to gender-affirming surgeries and represented a transgender Iowan who won a discrimination case against the state in early 2019. .

Jesse Vroegh, a former Iowa Prison Department nurse who identifies as a male, filed a lawsuit alleging that the Iowa Public Sector Employee Health Insurance Plan contained a specific exclusion for transitional surgeries.

The lawsuit also alleged that the department denied his requests to use the men’s washroom and changing rooms at the Iowa Women’s Correctional Facility where he worked. Finding in his favor, a jury awarded Vroegh $ 120,000 in damages.

Comments: (319) 398-8469; michaela.ramm@thegazette.com



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New AMA resources help physicians on information blocking rule https://civilavmed.com/new-ama-resources-help-physicians-on-information-blocking-rule/ https://civilavmed.com/new-ama-resources-help-physicians-on-information-blocking-rule/#respond Thu, 22 Apr 2021 19:16:34 +0000 https://civilavmed.com/new-ama-resources-help-physicians-on-information-blocking-rule/ CHICAGO – The American Medical Association (AMA) now offers newly developed online educational resources to help physicians navigate the complex federal regulations aimed at ending information blocking practices that hinder access, exchange or use of electronic patient health information. The federal regulation of the Office of the National Coordinator of Health Information Technology (ONC) came […]]]>


CHICAGO – The American Medical Association (AMA) now offers newly developed online educational resources to help physicians navigate the complex federal regulations aimed at ending information blocking practices that hinder access, exchange or use of electronic patient health information.

The federal regulation of the Office of the National Coordinator of Health Information Technology (ONC) came into effect on April 5 and implements the interoperability provisions of the 21st Century Cures Act to promote patient control over their own health information.

“WADA supports the goals of the Remedies Act to increase information sharing between patients and physicians, improve patient care, and ensure electronic health information tracks patients,” said Jesse M. Ehrenfeld, Past President of WADA, M. Ehrenfeld, MD, MPH. dozens of exceptions, sub-exceptions and conditions. Physicians can turn to WADA’s resources for reliable help that explains what the new rule means for them and their medical practices. “

WADA has released a new Continuing Medical Education module titled “Information Blocking Regulations: What You Need to Know and How to Comply with.” accessible through the online learning platform AMA Ed Hub ™. This educational resource explains the new federal information blocking regulations, identifies which exceptions to use and when, and indicates the best methods for complying with the regulations and making them work.

WADA has also released a two-part online resource for physicians on the information blocking rule that deepens the integration of data sharing into medical practice and makes medical records more easily accessible to patients.

The new information blocking resources build on resources already available in WADA’s Patient Access Guide. Launched by WADA in February 2020, the guide compiles an extensive catalog of educational information and authoritative reference resources with practical tips, case scenarios and best practices for protecting patient privacy while giving them access to their electronic medical records.

For more than a decade, WADA has advocated for the fundamental right of patients to access their own medical information, and WADA continues to guide physicians and their staff on best practices for providing patients with access to medical information. electronic medical records as a step towards improving overall efficiency. of the medical care team.



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