vendredi 28 février 2014

Even the WSJ believed in this Hollywood phantasm...


'The Wolf of Wall Street'
If there were an award for the brassiest Oscar campaign, it would surely go to Martin Scorsese's three-hour film about a financial scammer's excess and greed. Paramount bought billboards and two-page print ads that practically scream in large type "The Movie of Our Time" and "Because it's Awesome" (the latter is how Leonardo DiCaprio's character explains his morphine habit in the film). Many ads feature Mr. DiCaprio alone: No surprise, as he's considered the movie's best chance for an upset win on Sunday.

A better appreciation all of the causes in the DiCaprio's collapse in the Oscars!

jeudi 27 février 2014

Les dépenses de soins abusivement baptisées de santé...


LA DÉPENSE DE SANTÉ DES ADMINISTRATIONS PUBLIQUES FRANÇAISES EN 2013


Dépenses publiques de santé en France (2013)
Compte CNAM3 165,2 Mde
Dont ONDAM – soins de ville 63,2 Mde
Dont ONDAM – secteur hospitalier 79,7 Mde
Dont prestations hors ONDAM 10,5 Mde
Dont autres charges (dont gestion courante) 11,0 Mde
Compte AT-MP4 11,5 Mde
Dont prestations d’invalidité 10,6 Mde
Comptes RSI – maladie et invalidité5 10,2 Mde
Comptes MSA salariés et exploitants – maladie et invalidité6 12,0 Mde
Dépenses de la CNSA7 20,9 Mde
État – Mission santé8 1,4 Mde
(Doubles comptes) (2,7 Mde)
Dépense publique de santé 218,5 Mde
11 % du PIB


Source : Commission des comptes de la Sécurité sociale (juin 2013), PLF 2013.

La Commission a présenté le 26 septembre 2013 les comptes de la Sécurité sociale pour 2012 ainsi que les comptes prévisionnels tendanciels pour 2013 et 2014. Le déficit de l’ensemble des régimes de base de sécurité Sociale et du fonds de solidarité vieillesse (FSV) devrait s’établir à -17,3 Md€ en 2013 après -19,2 Md€ en 2012.

http://www.securite-sociale.fr/Les-comptes-de-la-Securite-sociale-Resultats-2012-previsions-2013-et-2014

Les 35 heures financées au détriment des malades: le FOREC


Evolution des parts respectives des différentes ressources du FOREC
(en %)
Recettes du FOREC
2000
2001
2002
2003
Droits de la consommation sur le tabac
65 
58 
50 
47 
Droits de la consommation
sur les alcools et les boissons
19 
19 
17 
16 
CSB
5
TGAP
Taxe sur les véhicules des sociétés

Taxe spéciale sur les conventions d'assurance

14 
Taxe sur les véhicules terrestres à moteur


Taxe prévoyance


Contributions publiques



Total
100 
100 
100 
100 
L'année 2000 est présentée pour information, le FOREC n'étant pas constitué à cette date.
Source : rapport de la commission des comptes de la sécurité sociale de septembre 2003

http://www.cgpme79.fr/actualites/article/forec-et-securite-sociale-meme

The fate of founders of modern surgery

http://download.journals.elsevierhealth.com/pdfs/journals/0741-5214/PIIS0741521413021551.pdf


An excellent paper of Peter Gloviczky on his life, the entrepreneurship in surgery both in Europe and US and the future.


mardi 25 février 2014

How to understand the daredevil?

http://onlinelibrary.wiley.com/doi/10.1111/sms.12031/abstract

http://well.blogs.nytimes.com/2014/02/19/the-genetics-of-being-a-daredevil/?




 2013 Mar;23(2):e108-13. doi: 10.1111/sms.12031. Epub 2012 Dec 17.

The -521 C/T variant in the dopamine-4-receptor gene (DRD4) is associated with skiing and snowboarding behavior.

Abstract

Sensation seeking is the tendency to seek out new and thrilling experiences and to take risks for the sake of such experiences. A single-nucleotide polymorphism, -521 C/T (rs1800955) in the promoter region of the dopamine-4-receptor gene (DRD4), is associated with approach-related traits including novelty seeking and extraversion, in some, but not all studies. To our knowledge, no studies have been conducted on the genetics of risk-taking behavior in sports. Using a joint-analysis approach, we measured sensation seeking in two cohorts of experienced male and female skiers and snowboarders (n = 503) using a sports-specific tool developed for this study, the Contextual Sensation Seeking Questionnaire for Skiing and Snowboarding (CSSQ-S), and a more general trait measure, the Zuckerman-Kuhlman Personality Questionnaire impulsive sensation-seeking subscale. We detected, and then replicated a significant association between the DRD4 -521CC genotype and sports-specific sensation seeking as measured using the CSSQ-S (P < 0.001). These data suggest that the DRD4 -521 C/T polymorphism contributes to a "risk-taking phenotype" in skiers and snowboarders, but the variant was not associated with impulsive sensation seeking (P = 0.9).
© 2012 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.

Innovation, technology, self diagnoses and the end of doctors

The transition time between the old and the new paradigm is stunning. doctors are becoming in the first line prescribers of exams and drugs, in the second line they interpret a huge panel of exams behind the computer screen provided by the industry and in the interventional environment they are now layers of a log increasing number of devices.
We shall see deep changes with the next wave: algorithmic medicine and AI, stem cells repair and molecular medicine for cancer, CVD and psychiatric troubles.





http://www.medpagetoday.com/PracticeManagement/InformationTechnology/43397?

http://www.medscape.com/features/slideshow/year-in-medicine2013?