Medicine
Summary > Eliezer Masliah, who since 2016 has been the head of the Division of Neuroscience in the National Institute on Aging (NIA), and whose scientific publication record over at least the past 25 years shows multiple, widespread, blatant instances of fraud. More details > Masliah appeared an ideal selection. The physician and neuropathologist conducted research at the University of California San Diego (UCSD) for decades, and his drive, curiosity, and productivity propelled him into the top ranks of scholars on Alzheimerâs and Parkinsonâs disease. His roughly **800 research papers**, many on how those conditions damage synapses, the junctions between neurons, have made him one of the most cited scientists in his field. **His work on topics including alpha-synucleinâa protein linked to both diseasesâcontinues to influence basic and clinical science**. > But over the past 2 years questions have arisen about some of Masliahâs research. A Science investigation has now found that scores of his lab studies at UCSD and NIA are riddled with apparently **falsified Western blotsâimages used to show the presence of proteinsâand micrographs of brain tissue. Numerous images seem to have been inappropriately reused within and across papers, sometimes published years apart in different journals**, describing divergent experimental conditions. > > After Science brought initial concerns about Masliahâs work to their attention, a neuroscientist and forensic analysts specializing in scientific work who had previously worked with Science produced a **300-page dossier revealing a steady stream of suspect images between 1997 and 2023 in 132 of his published research papers**. (Science did not pay them for their work.) âIn our opinion, this pattern of anomalous data raises a credible concern for research misconduct and calls into question a remarkably large body of scientific work,â they concluded. Related blog post on some drugs/therapeutic targets that rely on this work: https://www.science.org/content/blog-post/fraud-so-much-fraud
Saw this post on another site, and thought it would be helpful to link here > Go to the link to request that they add a Do Not Contact (DOC) or Do Not Release (DOC) restriction to their AMA Physician Professional Data record > [AMA Link](https://www.ama-assn.org/about/physician-professional-data/ensuring-physician-database-privacy). > I have worked on the Carrier side of malpractice insurance for nearly 10 years. Working in their marketing departments I can tell you this type of data was routinely purchased for mailers. If we wanted to we could buy full rights to the data, which allowed us to upload it into our SalesForce and CRM systems. They even offered to sell us data on physician computer activity by specialty so we could line up our email pushes with their most receptive times. > > I have even heard of carriers purchasing patient billing data to help determine a physician's professional liability risk profile. So if you have what they would deem a "riskier" patient population, they could charge you more. The old way was based on a broad risk profile by specialty and procedure codes.
> For most of the medicines currently in use, a single drug is prescribed to many people. But sometimes, an individual patient needs a customized drug. Personalized medicine tailors treatments for a specific patient or a handful of patients. It holds great promise for treating certain life-threatening conditions. However, such treatments can be expensive, difficult to develop and labour-intensive. > > Today in The Conversation Canada, Lori Burrows and Elizabeth Li of McMaster University write about the promise and challenges of personalized medicine. Treatments like CAR T-cell therapy for relapsed cancers and phage therapy for antibiotic resistant superbugs can save lives, but the high costs that come with such individualized therapies are a major barrier. There are other hurdles, too, including drug approvals and regulations.
cross-posted from: https://rss.ponder.cat/post/1945
article archive link: https://web.archive.org/web/20240719142236/https://www.theglobeandmail.com/canada/article-two-people-dead-in-listeria-outbreak-linked-to-recalled-plant-based/
A big one for me is coming back and seeing my catatonia patient I was giving IV meals to and changing the sheets out from under a week ago now up in the dayroom participating in a few rounds of spades while munching on cookies and soda. I have to shove down that exact excited squeal from the video sometimes. What've y'all got?
#### Highlights > - This study investigates why specialist physician fees vary. > - We consider variation between patients, physicians, specialties, and other factors. > - We find variation between physicians dominates other sources. > - Contrary to common beliefs, patient factors account for little of the variation. > - Our results inform policy to improve price transparency in specialist care market. #### More context: > Although Australia has a publicly funded health system that provides universal health coverage, about 44 % of the population holds private health insurance. Specialist physician fees in the private sector are unregulated; physicians can charge any price they want, subject to market forces. > We find that **patient risk factors** account for a small portion of the variance in fees and out-of-pocket payments > **Physician-specific variation**, responsible for much of the variation in total fees and OOP payments, could include physician characteristics that patients value, such as bedside manner, experience or reputation, or factors related to physiciansâ circumstances or preferences. A key physician-level factor that may drive the variation is the perception of quality or skill differences between physicians. This perception can come from either consumers or physicians themselves about their quality or skill levels in comparison to other physicians in the physician's local market. [...] which can lead to large price variation and non-transparency of fees. #### Recommendations > The government, private health insurers and physicians themselves could all play a more active role than they currently do. The government, for example, could mandate the disclosure of price and quality information for all procedures that receive government subsidies, insurers could provide incentives for the disclosure of such information, and physicians could change their referral practice to give preferences to other physicians who are willing to be transparent about their prices and quality.
> A British Columbia provincial policy that forced people with chronic illnesses such as Crohnâs disease and rheumatoid arthritis to switch to cheaper medications saved the province more than $730-million over five years, according to a new government report. > > The B.C. government said Friday that the money freed up through its biosimilar switching plan allowed the province to expand public coverage of other drugs and devices, including Trikafta, a life-changing treatment for cystic fibrosis and continuous glucose monitors for people with diabetes.
> At the height of the COVID-19 pandemic, the U.S. military launched a secret campaign to counter what it perceived as Chinaâs growing influence in the Philippines, a nation hit especially hard by the deadly virus. > Reuters identified at least 300 accounts on X, formerly Twitter, that matched descriptions shared by former U.S. military officials familiar with the Philippines operation. Almost all were created in the summer of 2020 and centered on the slogan #Chinaangvirus â Tagalog for China is the virus. > The military program started under former President Donald Trump and continued months into Joe Bidenâs presidency, Reuters found â even after alarmed social media executives warned the new administration that the Pentagon had been trafficking in COVID misinformation. The Biden White House issued an edict in spring 2021 banning the anti-vax effort, which also disparaged vaccines produced by other rivals, and the Pentagon initiated an internal review, Reuters found.
30 April 1961 Leonid Rogozov does appendectomy on himself during his Antarctica expidition with help of driver and meteorologist.
> I was incredibly strong and fit,â says Lucy Keighley. And she looks it, in the photo she is showing me, taken a few years ago. She is with her best friend, Lorna; they have just completed a 15-mile race on the North York Moors. âIt was a brutal race,â she says. âBut it was great. I was happy.â Today, although itâs quite dark in the room (she doesnât get on well with bright light), I can see a tear rolling down her cheek. âI donât know if Iâm ever going to get back there.â > In the [most recent findings](https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/articles/selfreportedcoronaviruscovid19infectionsandassociatedsymptomsenglandandscotland/november2023tomarch2024) by the Office for National Statistics, released in April, an estimated 2 million people in England and Scotland (3.3% of the population) self-reported experiencing long Covid, meaning symptoms that continued for more than four weeks after infection, although many reported their symptoms had lasted two years or longer. Of those, about 1.5 million felt their day-to-day activities were affected, while 381,000 said their day-toâday activities were âlimited a lotâ. Worldwide, at least [65 million people](https://www.nature.com/articles/s41579-022-00846-2) are estimated to have long Covid.
cross-posted from: https://kbin.run/m/world@lemmy.world/t/410267 > More than 200 people with diabetes have been injured when their insulin pumps shut down unexpectedly due to a problem with a connected mobile app, the US Food and Drug Administration said Wednesday.
> Hospital leaders say the health system wonât be ready if the avian flu thatâs infected American dairy cattle becomes widespread among humans. > > In discussing a hypothetical scenario, the hospitals have struck a different tone than the Biden administration. It says the risk is currently low to most people and that agencies are closely monitoring for any sign of danger to Americans. > > Still, hospital officials told POLITICO theyâre dismayed that they donât feel better prepared, just four years after Covid-19 caught them unawares. Theyâre not confident that the health care system â including the government agencies that have wound down Covid responses â can avoid the missteps around tests, bed space and communication that plagued the last public health emergency, should this strain of flu, H5N1, become more of a threat.
cross-posted from: https://lemmy.ca/post/20510991 > > Sick notes place an unnecessary burden on doctors and patients, physicians' organizations say > > > Family doctors frustrated with writing sick notes have created a template letter for patients to give to their employers, explaining that the notes place an unnecessary burden on physicians during an ongoing primary-care crisis. > > > > They are also calling on the province to restrict when and how employers can ask for sick notes. > > > Many family doctors spend between 20 and 30 per cent of their day doing paperwork, Ali says, and filling out sick notes only adds to that. > > > > Also, having to leave the house to get a note does not allow the sick person to rest, Ali said, and the task is made even more difficult for those who don't have a family doctor and have to wait in walk-in clinics. "A person who feels under the weather â the last thing they want to do is possibly get on a bus, or into their vehicle, or ask someone for a ride to go to their doctors office," said Ali. > > > As of 2023, employers in Nova Scotia are only allowed to request a sick note if the absence is more than five consecutive work days. > > > > New legislation in Ontario, meanwhile, will force employers to scrap sick notes for the three days of provincially mandated annual sick leave. The Ontario government is moving to ban sick notes for short-term illness, in an effort to cut down on paperwork for family doctors. > > > In a statement sent to CBC News, B.C.'s Ministry of Labour said employers are able to request "reasonably sufficient proof" of illness, but are encouraged to be thoughtful about when they request sick notes. > > > > It did not respond to questions about whether it is considering legislation to ban or restrict asking for sick notes.
Sorry that's being referenced in this one: https://www.nbcbayarea.com/news/health/nurses-kaiser-sf-protest-ai/3516888
> Walmart had made a big push into health care in recent years, opening clinics next to its superstores that offered primary and urgent care, labs, X-rays, behavioral health and dental work â Arkansas, Florida, Georgia, Illinois, Missouri and Texas. Walmart believed it could use its massive financial scale and store base to offer convenient, low-cost services to patients in rural and underserved areas that lacked primary care options. > > But the announcement is an abrupt reversal in Walmartâs strategy and may leave a gap in health care access, particularly for lower-income patients without insurance who relied on the centers. Walmart also said it will end virtual health care services. 99 Cents Only Stores, founded in 1982, announced Thursday that they will close all 371 of its stores. Nearby stores include Visalia (pictured), Tulare, Hanford, and Porterville. > > Related article Dollar stores are shutting down across America. They did this to themselves > > âOne of unique things was they were focused on stores located in underserved communities. Itâs disappointing that Walmart wasnât able to make it work because these patients need care and donât have as many options,â said Ateev Mehrotra, a professor of health care policy and medicine at Harvard Medical School who researches retail health clinics. > > Walmart said it was a âdifficult decision,â but its health care push was not profitable for the company because of the âchallenging reimbursement environment and escalating operating costs.â > > âWe determined there is not a sustainable business model for us to continue,â the company said.
"Researchers at the Technical University of Denmark (DTU) and Lund University, Sweden, have used enzymes produced by a common gut bacteria to remove the A and B antigens from red blood cells, bringing them one step closer to creating universal donor blood."
Medicine
!medicine@mander.xyzThis is a community for medical professionals. Please see the Medical Community Hub for other communities.
Official Lemmy community for /r/Medicine.
!medicine@mander.xyz is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment.
This is a highly moderated community. Please read the rules carefully before posting or commenting.
Related Communities
- Medical Community Hub
- Medicine (đ)
- Medicine Canada
- Premed
- Premed Canada
- Public Health
See the pinned post in the Medical Community Hub for links and descriptions. link (!medicine@lemmy.world)
Rules
Violations may result in a warning, removal, or ban based on moderator discretion. The rule numbers will correspond to those on /r/Medicine, and where differences are listed where relevant. Please also remember that instance rules for mander.xyz will also apply.
-
Flairs & Starter Comment: Lemmy does not have user flairs, but you are welcome to highlight your role in the healthcare system, however you feel is appropriate. Please also include a starter comment to explain why the link is of interest to the community and to start the conversation. Link posts without starter comments may be temporarily or permanently removed. (rule is different from /r/Medicine)
-
No requests for professional advice or general medical information: You may not solicit medical advice or share personal health anecdotes about yourself, family, acquaintances, or celebrities, seek comments on care provided by other clinicians, discuss billing disputes, or otherwise seek a professional opinion from members of the community. General queries about medical conditions, prognosis, drugs, or other medical topics from the lay public are not allowed.
-
No promotions, advertisements, surveys, or petitions: Surveys (formal or informal) and polls are not allowed on this community. You may not use the community to promote your website, channel, community, or product. Market research is not allowed. Petitions are not allowed. Advertising or spam may result in a permanent ban. Prior permission is required before posting educational material you were involved in making.
-
Link to high-quality, original research whenever possible: Posts which rely on or reference scientific data (e.g. an announcement about a medical breakthrough) should link to the original research in peer-reviewed medical journals or respectable news sources as judged by the moderators. Avoid login or paywall requirements when possible. Please submit direct links to PDFs as text/self posts with the link in the text. Sensationalized titles, misrepresentation of results, or promotion of blatantly bad science may lead to removal.
-
Act professionally and decently: /c/medicine is a public forum that represents the medical community and comments should reflect this. Please keep disagreement civil and focused on issues. Trolling, abuse, and insults (either personal or aimed at a specific group) are not allowed. Do not attack other users' flair. Keep offensive language to a minimum and do not use ethnic, sexual, or other slurs. Posts, comments, or private messages violating Reddit's content policy will be removed and reported to site administration.
-
No personal agendas: Users who primarily post or comment on a single pet issue on this community (as judged by moderators) will be asked to broaden participation or leave. Comments from users who appear on this community only to discuss a specific political topic, medical condition, health care role, or similar single-topic issues will be removed. Comments which deviate from the topic of a thread to interject an unrelated personal opinion (e.g. politics) or steer the conversation to their pet issue will be removed.
-
Protect patient confidentiality: Posting protected health information may result in an immediate ban. Please anonymize cases and remove any patient-identifiable information. For health information arising from the United States, follow the HIPAA Privacy Rule's De-Identification Standard.
-
No careers or homework questions: Questions relating to medical school admissions, courses or exams should be asked elsewhere. Links to medical training communitys and a compilation of careers and specialty threads are available on the /r/medicine wiki. Medical career advice may be asked. (rule is different from /r/Medicine)
-
Throwaway accounts: There are currently no limits on account age or 'karma'. (rule is different from /r/Medicine)
-
No memes or low-effort posts: Memes, image links (including social media screenshots), images of text, or other low-effort posts or comments are not allowed. Videos require a text post or starter comment that summarizes the video and provides context.
-
No Covid misinformation, conspiracy theories, or other nonsense
Moderators may act with their judgement beyond the scope of these rules to maintain the quality of the community. If your post doesn't show up shortly after posting, make sure that it meets our posting criteria. If it does, please message a moderator with a link to your post and explanation. You are free to message the moderation team for a second opinion on moderator actions.