Archives for March 2007

An Inconvenient Financial Truth – Healthcare Costs Endanger U.S. Financial Stability

March 29, 2007 | by

The federal government has made financial promises over the next 75 years at an estimated value of $50 trillion dollars. According to the Government Accountability Office (GAO), medicare obligations alone represent almost $39 trillion of that amount and have increased 197% since 2000 [1].

You read that right — future Social Security benefits and future Medicare benefits increased 197% from 2000 to 2006.

And — here’s the clincher — in the absence of extensive reform to both the Medicare program and the nation’s healthcare system, the government won’t have the money to meet those financial promises.

Antibiotics Overprescribed for Sinus Infections

March 24, 2007 | by

Healthcare use of antibiotics far outweighs the predicted incidence of bacterial causes of acute and chronic sinusitis. That’s the conclusion of a new study published in the March 2007 issue of Archives of Otolaryngology – Head and Neck Surgery [1].

Antibiotics are only effective against bacterial infection. Many sinus infections are due to viral infection, allergies or hormonal changes. Physicians try to avoid antibiotic use to reduce the emergence of dangerous resistant bacterial strains, such as methicillin-resistant Staphylococcus aureus. However, most patients with sinus congestion want immediate relief and, because more effective drugs for chronic sinusitis are lacking, demand antibiotics.

Penicillin

The four-year prospective study found Americans made on average 4.25 million visits to healthcare facilities per year for sinus infection between 1999 and 2002. At least one antibiotic was prescribed in nearly 83% of cases of acute sinusitis and 70% of cases of chronic sinusitis. Antibiotics were prescribed more often than antihistamines, nasal decongestants, corticosteroids, and antitussive, expectorant, and mucolytic agents (order reflects the frequency of recommended medication).

Study Showing Antioxidant Vitamins Increase Mortality Flawed

March 19, 2007 | by

A study published in The Journal of the American Medical Association (JAMA) made headlines recently. The review, “Mortality in randomized trials of antioxidant supplements for primary and secondary prevention: Systematic review and meta-analysis”, assessed the effect of antioxidant supplementation on mortality in randomized primary and secondary prevention trials and concluded that beta carotene, vitamin A and vitamin E supplementation are positively correlated with death and may increase mortality.

Clinical Trials

March 15, 2007 | by

A clinical trial, also called a clinical study, is a research study designed to answer specific questions about new medical approaches (e.g. drugs, therapies) or new ways of using existing approaches. These studies can test screening methods as well as prevention, diagnosis or treatment of a condition or disease. A clinical trial is one of the final steps in the research process. Health professionals run clinical studies according to strict guidelines set by the Food and Drug Administration (FDA) to ensure that people who agree to be in the studies are treated as safely as possible. Clinical trials are usually conducted in four phases with patients to evaluate the effectiveness of new medical approaches. The FDA requires strict testing of all drugs and vaccines prior to their approval for use as therapeutic agents in the general population.

Top 10 Places Cold and Flu Germs Hide

March 12, 2007 | by

Cold and flu germs hide everywhere and while most of us love surprises, suddenly coming down with the cold or flu isn’t one of them. Keeping your hands clean goes a long way towards preventing illness. In addition to that, here’s some tips on the places where cold and flu germs hide and the precautions you can take to stay healthy.