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Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Sunday, January 5, 2014

Video: AAJ President Discusses Generic Drugs

Today's post was shared by Take Justice Back and comes from www.takejusticeback.com


Nearly 80 percent of all prescriptions in the U.S. are filled with the generic version of a drug.  The price tag can be appealing, but taking a generic drug can also have dangerous consequences because generic drug manufacturers are not accountable for the safety of drugs they produce.Accountability is a key incentive to ensure drug companies monitor and adequately warn patients about the safety of drugs. Despite what many may think, the FDA does not test drugs, but instead relies on testing provided by the drug companies.  FDA approval of a drug does not guarantee safety.  In the above video, American Association for Justice President Burton LeBlanc talks about the accountability imbalance between generic drugs and name-brand drugs and how the lack of accountability can put consumers at risk. “What you may not know is that unlike brand-name manufacturers, generic drug manufacturers cannot be held accountable if their drugs injure or kill Americans. And we all know too well, if no one is accountable, no one is safe,” LeBlanc said. To view the video in its entirety, click here. Here’s where you can help. Join the growing number of over 20,000 consumers who have already signed a petition calling on the FDA to restore accountability. Safety is an issue that can’t be overlooked. 
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Friday, January 3, 2014

OSHA Warns Workers About Cold Stress

Cold weather illnesses and injuries are compensable under the workers' compensation act. Today's "cold weather post" is shared from OSHA:

During emergency response activities or recovery operations, workers may be required to work in cold environments, and sometimes for extended periods. Cold stress is a common problem encountered in these types of situations. The following frequently asked questions will help workers understand what cold stress is, how it may affect their health and safety, and how it can be prevented.

How cold is too cold?

When the body is unable to warm itself, cold related stress may result. This may include tissue damage and possibly death. Four factors contribute to cold stress: cold air temperatures, high velocity air movement, dampness of the air, and contact with cold water or surfaces. A cold environment forces the body to work harder to maintain its temperature. Cold air, water, and snow all draw heat from the body. Wind chill is the combination of air temperature and wind speed. For example, when the air temperature is 40°F, and the wind speed is 35 mph, your exposed skin receives conditions equivalent to the air temperature being 11° F. While it is obvious that below freezing conditions combined with inadequate clothing could bring about cold stress, it is also important to understand that it can also be brought about by temperatures in the 50's coupled with some rain and wind.

How does the body react to cold conditions?

When in a cold environment, most of your body's energy is used to keep your internal temperature warm. Over time, your body will begin to shift blood flow from your extremities (hands, feet, arms, and legs) and outer skin to the core (chest and abdomen). This allows exposed skin and the extremities to cool rapidly and increases the risk of frostbite and hypothermia. Combine this with cold water, and trench foot may also be a problem.

What are the most common cold induced problems?

Hypothermia, Frostbite, and Trench Foot.

What is Hypothermia?

Hypothermia which means "low heat", is a potentially serious health condition. This occurs when body heat is lost faster than it can be replaced. When the core body temperature drops below the normal 98.6° F to around 95° F, the onset of symptoms normally begins. The person may begin to shiver and stomp their feet in order to generate heat. Workers may lose coordination, have slurred speech, and fumble with items in the hand. The skin will likely be pale and cold. As the body temperature continues to fall these symptoms will worsen and shivering will stop. Workers may be unable to walk or stand. Once the body temperature falls to around 85° F severe hypothermia will develop and the person may become unconscious, and at 78°, the person could die.

Anyone working in a cold environment may be at risk for cold stress. However, older people may be at more risk than younger adults, since older people are not able to generate heat as quickly. Certain medications may prevent the body from generating heat normally. These include anti-depressants, sedatives, tranquilizers andothers.

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Friday, December 27, 2013

10 Reasons That Long-Term Unemployment Is a National Catastrophe

Today's post was shared by Mother Jones and comes from www.motherjones.com

Unemployment is bad. Obviously long-term unemployment is worse. But it's not just a little worse, it's horrifically worse. As a companion to our eight charts that describe the problem, here are the top ten reasons why long-term unemployment is such a national catastrophe:
  1. It's way higher than it's ever been before. When the headline unemployment rate peaked in 2010, it was actually a bit lower than the peak during the 1980 recession and only a point higher than the 1973 recession. As bad as it was, it was something we'd faced before. But the long-term unemployment rate is a whole different story. It peaked at a rate nearly double the worst we'd ever seen in the past, and it's been coming down only slowly ever since.
  2. It's widespread. There's a common belief that long-term unemployment mostly affects older workers and only in certain industries. In fact, with the exception of the construction industry, which was hurt especially badly during the 2007-08 recession, "the long-term unemployed are fairly evenly distributed across the age and industry spectrum."
  3. It's brutal. Obviously long-term unemployment produces a sharp loss of income, with all the stress that entails. But it does more. It produces deep distress, worse mental and physical health, higher mortality rates, hampers children’s educational progress, and lowers their future earnings. Megan McArdle summarizes the research
    findings this way: "Short of death or a debilitating terminal disease,...
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D.O.T. Christmas Poem

Todays post is shared is shared from Discussion Forum for Clinical & Public Health
 professionals in Occupational & Environmental Medicine
and was contributed by Natalie P.  Hartenbaum, MD, MPH, FACOEM
President and Chief Medical Officer OccuMedix, with permission

of the author Rick Neal, PA-C of OnSite Innovations









Sunday, December 22, 2013

Drilling down on the necessity of dental X-rays

Dental x-rays
When my son and daughter were youngsters, once a year I'd have a disagreement with their pediatric dentist. He wanted to do routine annual X-rays, and I would protest because neither child ever had any cavities. His response: Dental X-rays are an important diagnostic tool, representing a small speck in the sea of radiation that we receive by inhabiting planet Earth.
It turns out we both were right. Dental X-rays are essential for detecting serious oral and systemic health problems, and generally the amount of radiation is very low. But new thinking on dental X-rays is that the "one size fits all" schedule is outdated.
"The notion of bite-wing X-rays every year and a full set of X-rays every three years for every patient should go in the garbage can," says Stuart White, a dentist and professor emeritus at the UCLA School of Dentistry. Instead, decisions should be made individually.
Emphasizing that "without dental X-rays we would go back 120 years, and disease detection would be primitive and awful," White says dentists must strive to minimize unnecessary exposure.
And this is where the discussion gets complicated because the amount of radiation you receive depends on how the dentist takes pictures of your teeth.
For example, if your dentist uses slow film and round collimation (the piece of equipment placed near your face during X-rays), you're going to get approximately double the dose that you would from digital imagery and rectangular...
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Friday, December 20, 2013

What Happens in the Brain After a Concussion

Thomas Northcut/Getty Images
Head concussions are a serious issue for professional and ameture athletes. The challenge of determining brain damage is forcing medical scientists to research better diagnostic evaluation methods. Today's post is shared from nytimes.com

A remarkable recent experiment allowed scientists to see inside the skull and brain of animals that had just experienced a concussion, providing sobering new evidence of how damaging even minor brain impacts can be. While the results, which were published in Nature, are worrisome, they also hint at the possibility of treating concussions and lessening their harm.
Concussions occur when the brain bounces against the skull after someone’s head is bumped or jolted. Such injuries are fairly common in contact sports, like football and hockey, and there is growing concern that repeated concussions might contribute to lingering problems with thinking or memory. This concern was heightened this week by reports that the brain of the late major league baseball player Ryan Freel showed symptoms of chronic traumatic encephalopathy, a degenerative condition. He reportedly had been hit in the head multiple times during his career.
But scientists did not know exactly what happens at a molecular level inside the brain during and after a concussion. The living brain is notoriously difficult to study, since it shelters behind the thick, bony skull and other protective barriers. In some earlier studies, scientists had removed portions of lab animals’ skulls to view what happened to their brains during subsequent impacts. But removing part of the skull causes its own tissue damage and physiological response, muddying any findings about how the brain is...
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Wednesday, December 18, 2013

Midwest Center for Occupational Health and Safety

Today's post was shared by Safe Healthy Workers and comes from niosh-erc.org


The Beginnings


Men wearing protective gear
In the early 1970s, the federal government passed the "Occupational Safety and Health Act," which addressed workplace health and safety concerns that had been emerging in the US for decades.
The effort served to "protect our most precious resources--human beings--to assure so far as possible every working man and woman in the nation safe and healthful working conditions, and to preserve our human resources."
This law also established new agency, the National Institute for Occupational Safety and Health (NIOSH), which was set up as a prevention-oriented research institute responsible for identifying occupational hazards, conducting research and field studies, and conveying the results to OSHA, the Mine Safety Health Administration, other federal agencies, and professionals working in the field. A second objective was to provide training programs based on the results of research and study for OH&S professionals.

The Mid-1970s

Awareness of occupational hazards and interest in worker protection had increased in the public and private sectors. Through needs assessments conducted at NIOSH, it was apparent there was a shortage of qualified industrial health and safety specialists to meet the challenge of worker health and safety. In response to federal goals, and in an effort to alleviate manpower shortages, NIOSH established 12 Centers of Learning at selected Universities across the country.
These Educational Resource...
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Reset the Clock on Cancer: Tell the Senate to Fix Our Chemical Laws

Today's post was shared by Ban Asbestos Network and comes from www.huffingtonpost.com


What would you do to prevent someone you love from getting breast cancer? To keep your sister, mother, daughter or son safe from this devastating disease that has touched millions of people? The greatest opportunity to prevent breast cancer is identifying and eliminating the environmental causes of the disease, including exposures to toxic chemicals.

Hope that we can change the course of cancer for future generations is the most compelling reason why all of us should tell our senators to fix our broken chemical system that prohibits? women -- and all of us -- from living healthy lives.

Toxic chemicals, found in everything from cleaners to furniture to plastics, endlessly bombard our bodies and take a toll on our health. A strong and rapidly growing consensus from the scientific community has determined that chemicals in everyday products are linked to diseases and disorders that persist or are on the rise in the population, including breast cancer, infertility, asthma and more.

This week Sen. Barbara Boxer, D-Calif., is convening a full-day hearing with experts in public health about how to fix our broken chemicals system. The failure of the law governing chemicals, the Toxic Substances Control Act, (TSCA) stems from a number of factors, including the very basic flaw that chemicals don't have to be proven safe first before they are brought to market. Any meaningful reform of TSCA must shift the burden of proof to industry to demonstrate the safety of the chemicals they...
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Monday, December 16, 2013

FDA challenges safety, effectiveness of antibacterial soaps

In many medical treatment scenarios antibacterial soaps have been used and prescribed to treat injured workers. The US FDA has announced that new procedures to substantiate the allegations of the manufacturers as to the effectiveness and safety of these products. Today's post is shared from cidrap.umn.edu

 Liquid hand soap 
The US Food and Drug Administration (FDA) today proposed a rule that would require companies that make antibacterial hand soaps and body washes to show that the products are safe for long-term use and are better than regular soap and water in preventing illness and the spread of infections.

Under the FDA's proposal, manufacturers that don't demonstrate the safety and effectiveness would be required to reformulate the products or relabel them to remain on the market, the agency said in a statement today. The FDA detailed its proposal in a 130-page report posted in the Federal Register and is taking comments on it over the next 180 days.

Today's rule proposal doesn't apply to hand sanitizers, wipes, or antibacterial products used in healthcare settings.

The FDA's proposed rules are part of a broader effort to weigh the benefit and risks of certain active ingredients in antibacterial products, including triclosan in liquid soaps and triclocarban in bar soaps. Scientists have raised concerns about a possible role of widespread antiseptic use in the development of antibiotic resistance.

The FDA said in...
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Sunday, December 15, 2013

Your Flu Shot is Waiting

Today's post was shared by RWJF PublicHealth and comes from www.rwjf.org

New reports from the U.S. Centers for Disease Control and Prevention (CDC) show that 39 percent of adults and 41 percent of children six months and older got their flu shots for the 2013-2014 season by early November—a rate similar to flu vaccination coverage last season at the same time.
Other flu shot statistics of note this year include:
  • Vaccination among pregnant women (41 percent) and health care providers (63 percent) is about the same as it was this time last year
  • High rates were seen again this year among health care providers including pharmacists (90 percent), physicians (84 percent) and nurses (79 percent), but the CDC reported much lower vaccination rates among assistants or aides (49 percent) and health care providers working in long-term care facilities (53 percent)
“We are happy that annual flu vaccination is becoming a habit for many people, but there is still much room for improvement,” says Anne Schuchat, MD, director of the National Center for Immunization and Respiratory Diseases at CDC. “The bottom line is that influenza can cause a tremendous amount of illness and can be severe. Even when our flu vaccines are not as effective as we want them to be, they can reduce flu illnesses, doctors' visits, and flu-related hospitalizations and deaths.”
Seasonal influenza activity is increasing in parts of the United States. Further increases in influenza activity across the country are expected in the coming weeks. “If you have not...
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Wednesday, December 11, 2013

Characterizing the quality of supportive cancer care can guide quality improvement of veterans

Objective  To evaluate nonhospice supportive cancer care comprehensively in a national sample of veterans.
Design, Setting, and Participants  Using a retrospective cohort study design, we measured evidence-based cancer care processes using previously validated indicators of care quality in patients with advanced cancer, addressing pain, nonpain symptoms, and information and care planning among 719 veterans with a 2008 Veterans Affairs Central Cancer Registry diagnosis of stage IV colorectal (37.0%), pancreatic (29.8%), or lung (33.2%) cancer.
Main Outcomes and Measures  We abstracted medical records from diagnosis for 3 years or until death among eligible veterans (lived ≥30 days following diagnosis with ≥1 Veterans Affairs hospitalization or ≥2 Veterans Affairs outpatient visits). Each indicator identified a clinical scenario and an appropriate action. For each indicator for which a veteran was eligible, we determined whether appropriate care was provided. We also determined patient-level quality overall and by pain, nonpain symptoms, and information and care planning domains.
Results  Most veterans were older (mean age, 66.2 years), male (97.2%), and white (74.3%). Eighty-five percent received both inpatient and outpatient care, and 92.5% died. Overall, the 719 veterans triggered a mean of 11.7 quality indicators (range, 1-22) and received a mean 49.5% of appropriate care. Notable gaps in care were that inpatient pain screening was common (96.5%) but lacking for outpatients (58.1%). With opioids, bowel prophylaxis occurred for only 52.2% of outpatients and 70.5% of inpatients. Few patients had a timely dyspnea evaluation (15.8%) or treatment (10.8%). Outpatient assessment of fatigue occurred for 31.3%. Of patients at high risk for diarrhea from chemotherapy, 24.2% were offered appropriate antidiarrheals. Only 17.7% of veterans had goals of care addressed in the month after a diagnosis of advanced cancer, and 63.7% had timely discussion of goals following intensive care unit admission. Most decedents (86.4%) were referred to palliative care or hospice before death. Single- vs multiple-fraction radiotherapy should have been considered in 28 veterans with bone metastasis, but none were offered this option.
Conclusions and Relevance  These care gaps reflect important targets for improving the patient and family experience of cancer care.

Tuesday, December 10, 2013

Passengers had to tell NJ Transit driver he struck pedestrian in Jersey City, report says

The NJ Transit bus driver who struck and critically injured a Union City man Friday night did not even know he struck the man until he was notified by passengers on the bus, police said in an accident report.

The posted speed limit for the street is 25 miles per hour, the report said.
The incident occurred in front of the Engine 14 Firehouse, whose members were among the first responders at the scene.  When police arrived, the victim was being treated for injuries to his head and right leg.
The man was taken to the Jersey City Medical Center. The driver told police that he was turning left onto Palisade Avenue from Congress Street when passengers told him there was a "commotion" in the street. The driver said he never saw the man, the report said. 
At the JCMC, medical officials were unable to get an account of what happened from the victim. 
The 58-year-old underwent emergency surgery early Saturday morning and underwent a second surgery Sunday, Jersey City Medical Center spokesman Mark Rabson said. He was in guarded condition this afternoon. 
NJ Transit officials refused to comment on the incident and would not say if any actions have been taken against the bus driver.

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Monday, December 9, 2013

Workplace Safety and Health Topics

NIOSH tries to stay ahead of the curve with workplace health and safety research. Today's post was shared by Safe Healthy Workers and comes from www.cdc.gov

Caption from theme options
Caption from theme options

Overview

Primary themes in the NIOSH job stress research program:
  1. To better understand the influence of what are commonly-termed "work organization" or "psychosocial" factors on stress, illness, and injury
  2. To identify ways to redesign jobs to create safer and healthier workplaces
Examples of research topics at NIOSH within these two broad themes:
  • Characteristics of healthy work organizations
  • Work organization interventions to promote safe and healthy working conditions
  • Surveillance of the changing nature of work
  • Work organization interventions to reduce musculoskeletal disorders among office operators
  • Work schedule designs to protect the health and well-being of workers
  • The effects of new organizational policies and practices on worker health and safety
  • Changing worker demographics (race/ethnicity, gender, and age) and worker safety and health
  • Work organization, cardiovascular disease, and depression
  • Psychological violence in the workplace
In addition, the NIOSH program also includes:
  • Sponsorship of conferences on work, stress and health
  • Publication of educational documents on work, stress, and health

Job Stress and NORA

In 1996, NIOSH established an interdisciplinary team of researchers and practitioners from industry, labor, and academia to develop a national research agenda on the "organization of work." Work organization refers to management and supervisory practices, to production processes, and to their influence on the way work is performed. (In...
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Thursday, December 5, 2013

OSHA fines Ronkonkoma contractor $460G for more safety violations

Today's post was shared by FairWarning and comes from www.newsday.com


A Ronkonkoma painting and stucco contractor is facing $460,350 in fines for safety violations, its sixth penalty since 2008, the U.S. Labor Department said Tuesday, Dec. 3, 2013.
A Ronkonkoma painting and stucco contractor is facing $460,350 in fines for safety violations, its sixth penalty since 2008, the U.S. Labor Department said Tuesday.
The fine total is the largest so far for Painting and Decorating Inc., the department said. The citation came after a March inspection by the Westbury office of the U.S. Occupational Safety and Health Administration turned up alleged violations at a work site in Manhasset. The violations were similar to those found in previous inspections, said OSHA, which is a unit of the Labor Department.
The new allegations include improperly inspected scaffolding; hazards such as missing cross braces and planks on scaffolding; a lack of fall protection for workers and a lack of protective helmets; and no protection against falling objects.
"The sizable fines proposed reflect the ongoing failure and refusal by this employer to provide basic safeguards for its employees," said Anthony Ciuffo, OSHA's Long Island area...
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