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Strength Training And Aerobic Exercise Both Lower Cardiovascular Risks, Reduce Pain
Different types of work site exercise programs have multiple benefits, including reduced neck and shoulder pain for employees who do all-around exercise and lowered heart disease and stroke risk factors for those who do strength training, reports a study in the July Journal of Occupational and Environmental Medicine, official publication of the American College of Occupational and Environmental Medicine (ACOEM).
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New York Times Examines Program To Help Orphans Survive 'Fragile Days Of Infancy'
The New York Times examines a program being offered at an orphanage in Tanzania that provides emotional and physical support for newborns and young children who are at a high risk of death after losing their mothers in infancy. "Africa is full of at least 50 million orphans, the legacy of AIDS and other diseases, war and high rates of death in pregnancy and childbirth," the newspaper writes. "With the numbers increasing every day, Africans are struggling to care for them, often in ways that differ strikingly from the traditional concept of an orphanage in the developed world."
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An Amnesic Patient With An Extraordinary Distorted Memory
If somebody asks you "Do you remember what you did on March 13, 1985?" you are very likely to answer "I don"t know", even if your memory is excellent. In a study conducted by Dalla Barba and Decaix from the Institut National de la Santçİ et de la Recherche Mçİdicale and the Department of Neurology of the Hç´pital Saint Antoine in Paris and published by Elsevier in the May 2009 issue of Cortex, researchers found that a patient with severe amnesia reported detailed false memories in answering this type of question. People with normal memories are unable to answer this type of question because it is beyond their memory capacity. This is the first reported case of a pathological condition that the authors of the article named "Confabulatory Hyperamnesia".
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Annals Of Internal Medicine Early Online Releases

Newly Designed Comprehensive Health Care Database May Advance Medical Research and Improve Patient Care High quality randomized clinical trials are not available to guide the clinical use of many therapies, so clinicians must rely on observational research. The AHRQ recently funded the development of the Distributed Ambulatory Research in Therapeutics Network, or DARTNet, to improve observational comparative effectiveness research and examine outcomes associated with prescription medications and medical devices. DARTNet is a federated network of electronic health data from eight organizations, representing more than 500 clinicians and 400,000 patients. A federated network links geographically and organizationally separate databases so that a single query can return results from multiple databases while also maintaining patient privacy. In addition to facilitating queries among the standardized and federated databases, the DARTNet system can prompt clinicians to obtain specific information during a patient visit. This capability allows the research team to collect additional data beyond what clinicians might routinely document in electronic records. Thus, DARTNet is designed to make available better data to enable high quality observational studies evaluating and comparing the effectiveness of various therapies. Researchers Describe the Structure and Benefits of a National Health Data Network If implemented, a national distributed health data network could become an important tool in the effort to improve the quality of health care. A distributed health data network is a system that allows secure, remote analysis of different medical organization or health plan datasets. In this type of network, organizations retain physical control over their data and its uses, allowing them to avoid issues related to confidentiality, regulation, and proprietary interests. Data from a national distributed health data network would cover many millions of people, which would have implications for studies pertaining to comparative effectiveness, best practices, diffusion of medical technologies, and quality of care. According to the researchers, there are considerable advantages to building a common core network to support the needs of multiple users, such as the FDA"s planned Sentinel System, the AHRQ"s DARTNet, and others, rather than building individual networks for each of these uses. The similarities in data needs and uses, coupled with potential savings of time and effort, favor a single, multi-purpose network. In closing, the authors caution that credible governance and funding mechanisms would be critical to ensure the long-term sustainability of the network. Angela Collom American College of Physicians


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