http://edition.cnn.com/2016/01/15/health/addiction-schools-education-prevention/index.html
It is obvious that state prohibition of drugs is a failure.
mercredi 20 janvier 2016
Prevention policy and illness insurance: two quite different worlds
Prevention policy is quite efficient as far as it is not a care provider mechanism:
tobacco smoking cessationalcohol drinking should be limited to zero or a minimal amount per a day
exercise as frequently as possible
maintain a normal body weight through life
keeping a healthy eating pattern of whole foods
use drugs, hormones as less as possible
These decisions could be implemented in schools, universities, enterprises and communities. They are not relevant of insurance.
Illness is an event which is potentially treatable and relevant to insurance
Firstly illness needs a diagnosis
Secondly it needs a treatment whose benefit does not outweighs the risks
Screening is a research of illness and should obey to the same ratio of benefit/risk.
A major paper that requires major changes in everyday practice of medicine
http://annals.org/article.aspx?articleid=2481815
http://www.medpagetoday.com/PrimaryCare/GeneralPrimaryCare/55714?xid=nl_mpt_DHE_2016-01-19&eun=g432148d0r
High-Value Care Advice 1: Clinicians should not perform testing or initiate antibiotic therapy in patients with bronchitis unless pneumonia is suspected.
High-Value Care Advice 2: Clinicians should test patients with symptoms suggestive of group A streptococcal pharyngitis (for example, persistent fevers, anterior cervical adenitis, and tonsillopharyngeal exudates or other appropriate combination of symptoms) by rapid antigen detection test and/or culture for group A Streptococcus. Clinicians should treat patients with antibiotics only if they have confirmed streptococcal pharyngitis.
High-Value Care Advice 3: Clinicians should reserve antibiotic treatment for acute rhinosinusitis for patients with persistent symptoms for more than 10 days, onset of severe symptoms or signs of high fever (>39 °C) and purulent nasal discharge or facial pain lasting for at least 3 consecutive days, or onset of worsening symptoms following a typical viral illness that lasted 5 days that was initially improving (double sickening).
High-Value Care Advice 4: Clinicians should not prescribe antibiotics for patients with the common cold.
How to improve quality and efficiency of care: kill the length of stay in hospitals
Enhanced Recovery After Surgery (ERAS) protocols improve substantially the outcomes of surgery.
http://www.medscape.com/viewarticle/856004_5?nlid=97483_2381
lundi 18 janvier 2016
Post innovation humanism
http://www.techinsider.io/neil-degrasse-tyson-interview-ray-kurzweil-innovators-2016-1
And now a clear warning about the long time that will pass before we crack the neural code.
http://blogs.scientificamerican.com/cross-check/the-singularity-and-the-neural-code/
And now a clear warning about the long time that will pass before we crack the neural code.
http://blogs.scientificamerican.com/cross-check/the-singularity-and-the-neural-code/
The changing equation of immigration
In welfare states there is no such thing as free immigration.
More the bot society that comes will increase the fare for foreign residents which are not able to compete with robots.
dimanche 17 janvier 2016
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