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eHealth cancels $46.2M diabetes registry contract; no money spent, officials say

Written By empapat on Selasa, 18 September 2012 | 16.01

TORONTO - EHealth Ontario is cancelling its contract to set up a diabetes registry.

Greg Reed, president of eHealth, confirmed Tuesday that notice of termination has been sent to CGI Information Systems and Management Consultants Inc.

A resolution passed by the eHealth board of directors on Sept. 5 had recommended terminating the $46.2-million agreement to build a diabetes registry.

CGI and eHealth announced the six-year deal on Aug. 9, 2010 for the company to design, build and maintain the registry to better monitor diabetes patients.

Spokesman Robert Mitchell has said no money has been spent on the unfinished registry, and alleged CGI had regularly missed development deadlines.

Health Minister Deb Matthews said eHealth was concerned over "disappointing delays" with the registry.

19 Sep, 2012

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Source: http://www.globalnews.ca/Health/ehealth+cancels+462m+diabetes+registry+contract+no+money+spent+officials+say/6442717658/story.html
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Nova Scotia vows to tighten psychiatric hospital releases after activist's death

The East Coast Forensic Hospital is seen in a Halifax industrial park on Tuesday, Sept. 18, 2012. The Nova Scotia government issued a report on community access privileges related to the facility in response to the death of Raymond Taavel, a well-known community activist. Andre Denny, on a one-hour unescorted pass from the hospital, has been charged with second-degree murder in the case. THE CANADIAN PRESS/Andrew Vaughan

HALIFAX - The Nova Scotia government is promising to act on a review that found "significant gaps" in controls placed on patients who are given temporary release from a Halifax psychiatric hospital following the beating death of a local gay activist.

In the future, decisions to give patients releases into the community would consider the risks based on a set of explicit criteria, the provincial government said on Tuesday.

And it said temporary releases would be suspended for patients who don't return to the hospital until a review of the incident is conducted.

"A tragic death led to this review and many of the facts are not yet confirmed," deputy health minister Kevin McNamara told a news conference in Halifax.

"We will work hard collectively over the next several months to address the gaps identified in this review."

The review also calls for daily assessments of a patient's mental health before they are granted leave.

It says the public should be informed of potential risks when a patient is reported missing and it suggests officials explore the possibility of using cellphones and pagers to monitor patients when they are outside the hospital.

Justice Minister Ross Landry said the province rejected the possibility of using ankle bracelets to help track certain patients with violent histories.

"I'm not aware of information that shows a direct benefit with the GPS while balancing the individual's right to free movement and association," he said.

The review makes 18 recommendations and was ordered by the government after the release of Andre Noel Denny, who has been charged with second-degree murder in the death of Raymond Taavel.

Denny was on a one-hour unescorted leave from the East Cost Forensic Hospital on the night Taavel was killed in April.

He is scheduled to appear in court on Thursday after the Crown and defence agreed in June to extend a psychiatric assessment of Denny, who was diagnosed with schizophrenia as a teenager.

The report says Denny did not return to the hospital on time on April 16 and his absence was reported to the police.

The review was done by the deputy ministers of Health and Wellness and Justice, and the CEO of the Capital District Health Authority. It also includes reports from two independent experts in forensic psychiatry from Ontario and British Columbia.

It says the justice system and forensic psychiatry recognize patients have a right to liberty that is protected in the Charter of Rights and Freedoms.

"Balancing the right of the public to feel and be safe and the rights of individual forensic psychiatric patients who have been found not criminally responsible on account of mental disorder to get better and reintegrate with the community is challenging," the report says.

"It is made more difficult by a lack of research and development in this area."

The report says existing policies and practices at the hospital are in line with Canadian standards, but improvements can be made.

The government says it accepts all 18 recommendations and will release a report on its progress in implementing them within six months.

"We listened to the independent experts and agree there are improvements to Nova Scotia's forensic health-care system that can, and will, be made," Health Minister David Wilson said in a statement. "We must set the bar higher."

Liberal Diana Whalen said the recommendations in the report mainly concerned policies, procedures and paperwork.

"It's just that I think there is an issue for the public that goes beyond that and it's the issue of whether or not the policies are tight enough to ensure our safety as a society."

Progressive Conservative Chris d'Entremont said the issue of public safety isn't addressed by the report, citing a current policy of notifying the public within three working days when a patient fails to return to hospital.

"If something is to happen on a Friday, it could be until the next Wednesday until the public is actually notified," said d'Entremont. "If they say business days they are making it far too long."

19 Sep, 2012

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Source: http://www.globalnews.ca/Health/nova+scotia+vows+to+tighten+psychiatric+hospital+releases+after+activists+death/6442717101/story.html
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Study ties BPA in cans and bottles to childhood obesity

BPA is commonly found in aluminum cans and polycarbonate bottles.

, Getty Images

NEW YORK - A provocative new study suggests a connection between the BPA chemical used in food packaging and childhood obesity, but the researchers say their findings don't prove it's the cause.

While most people have traces of the plastics chemical in their bodies, the study found that children with the highest levels in their urine were twice as likely to be obese as those with the lowest.

There are other factors that could explain the results, and many reasons why children gain too much weight, the researchers said.

"Clearly unhealthy diet and poor physical activity are the leading factors contributing to obesity in the United States, especially in children," said lead author Dr. Leonardo Trasande of New York University.

But the study does hint that causes of childhood obesity may be more complicated, he added. He said it is the first national research to tie a chemical from the environment to childhood obesity, and seems to echo what some studies have seen in adults.

One puzzling result: Significant differences were detected only in white children. For black and Hispanic kids, obesity rates were similar for those with the lowest levels of BPA as those with the largest amount. The researchers couldn't explain that finding.

The study was released Tuesday and is in Wednesday's issue of the Journal of the American Medical Association.

BPA, or bisphenol A, has been used since the 1960s and become so widespread that it's found in virtually all Americans. Government health officials have deemed low levels of it to be safe, but haven't been able to decide what amount of BPA - if any - would be a health concern.

BPA is used to make hard plastics for food and beverage containers and many consumer goods and for metal can linings. Environmental groups have worried it interferes with children's development. Makers of baby bottles and sippy cups stopped using it, and this year the Food and Drug Administration announced it could no longer be used in those baby products.

Some experimental studies on animals have found that BPA can aid obesity by disrupting metabolism and helping to make fat cells larger. And studies have suggested a possible tie between urinary BPA levels and obesity-related illnesses in adults, including diabetes and heart disease.

In the new study, Trasande and his colleagues used information from an annual federal health survey, which includes weighing and measuring participants and taking blood and urine samples.

Their study involved more than 2,800 children ages 6 through 19, who took the survey in the years 2003 through 2008. They compared BPA levels in their urine to their weight, and divided them into four groups based on BPA amounts.

The key finding: About 22 per cent of the children with highest levels of BPA were obese, compared to just 10 per cent of kids with the lowest levels.

Was the reverse true? Did the heaviest kids have more BPA in their urine, and the thinnest kids less? Yes, Trasande said. But he did not include those numbers in his study, and declined to provide them.

The study raised more questions than it answered:

-The body excretes the chemical in a matter of hours. It's possible that the study is simply indicating that heavier kids are more likely to have recently consumed something from a BPA container.

-Only one urine sample was taken from each child, and the youngest children in the study were 6. What isn't known is how much BPA they were exposed to when they were infants - the time in life when the chemical theoretically could have had the greatest effect in triggering weight gain.

All this means is that the study raises some interesting questions, but at this point it's impossible to say BPA causes childhood obesity, said Linda Birnbaum, director of the National Institute of Environmental Health Sciences, a federal agency involved in research on BPA.

"It's a hypothesis that needs further exploration," she said.

The American Chemistry Council, which represents chemical manufacturers, called the study speculative and noted lab animal studies that found no evidence that BPA causes obesity.

"Attempts to link our national obesity problem to minute exposures to chemicals found in common, everyday products are a distraction from the real efforts under way to address this important national health issue," the organization said in a statement.

18 Sep, 2012

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Source: http://www.globalnews.ca/Health/study+ties+bpa+in+cans+and+bottles+to+childhood+obesity/6442717355/story.html
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Review finds flaws in hospital release program after gay activist's death

HALIFAX - A review of policies surrounding the release of patients at a Halifax psychiatric hospital makes 18 recommendations aimed at improving the system.

The report released today says specific criteria should be developed to assess a patient's risk of violence and of fleeing without permission.

There is also a call for daily assessments of a patient's mental health before they are granted a leave.

The report says the public should be informed of potential risks when a patient is reported missing and officials should explore the possibility of using cellphones and pagers to monitor patients on leave.

The review was launched by the province following the beating death of prominent gay activist Raymond Taavel on a street in downtown Halifax in April.

Andre Noel Denny has been charged with second-degree murder in the death.

Denny was on a one hour unescorted leave from the East Cost Forensic Hospital on the night Taavel was killed but he didn't return to the facility.

The review was done by the deputy ministers of Health and Wellness and Justice, and the chief executive officer of the Capital District Health Authority.

18 Sep, 2012

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Source: http://www.globalnews.ca/Health/review+finds+flaws+in+hospital+release+program+after+gay+activists+death/6442717101/story.html
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Medical apps promote patient self-care, could ease burden on health system

TORONTO - When Sara Nita's son Marcus was diagnosed with Type 1 diabetes last fall, she began keeping a written log of his multiple daily blood-sugar readings.

But she soon started casting around for a way to keep an electronic record, something she could enter into her smartphone that would not look like a bunch of numbers, but show trends in Marcus's glucose levels over time.

What she discovered was the Bant app, a free download through iTunes named after Canadian insulin developer Frederick Banting, that's aimed at helping patients better control their diabetes.

"I wanted something that I could view on my phone when he's away at school and the teacher calls and says: 'Do you remember what he was, whenever?' So I just wanted to have a log of it, instead of carrying a paper copy here and there and everywhere."

Nita says the app also allows her to send screenshots of Marcus's readings to his dad, from whom she is divorced, so he can also stay on top of the six-year-old boy's blood sugar. Graphs of readings show trends over time.

"I really like it because it shows ups and downs, and the way you can tell if he's starting to decline, maybe he might need a little less insulin or a little more, depending on his history in the last couple of days."

It also helps her son, she says. "When he realizes his trends, he can say ... maybe I should talk to Mom about maybe changing my insulin dose, maybe calling the doctor to get an adjustment.'"

The Bant is just one medical-related app under development by the University Health Network in Toronto.

Nita is using the public version of Bant, but UHN hopes to have a more advanced adaptation that automatically reads the data from a glucometer — the device that takes blood-sugar readings from a skin prick — available for free download soon.

"This is something to engage the patient in what we call self-care," says co-developer Joseph Cafazzo, a biomedical engineer who heads the Centre for Global eHealth Innovation at UHN. "And to a certain extent make them less dependent on their care providers and give them the life skills that they need in order to manage their diabetes."

Cafazzo's team has also developed an app to keep track of blood pressure readings in patients aged 45 and older. In a recent clinical trial, use of the app was shown to have measurable effects on patients' blood pressure compared to a control group that used a blood pressure monitor alone.

"What we found after a year was the people who had the telemonitoring component with the BlackBerry, their blood pressure dropped by 10 millimetres of mercury systolic and four points diastolic," he says "And what that means is that their risk of heart attack and stroke dropped by 20 per cent as a result.

"So this was truly self-care.... The patients just become much more self-aware by taking the blood pressure measurements on a regular basis. And they're more engaged and they're more likely to take their medications and more likely to have lifestyle changes that are necessary for their blood pressure management."

There has been an explosion of medical-related apps — a recent report by the Healthcare Information Management System Society tabbed the number at about 17,000 and growing — for use on smartphones and other electronic devices.

A new app, called Directory for Addiction Treatment in Canada, was just released by Drug Rehab Services, a private addiction referral service. The app lists low-cost and no-cost detox and treatment centres in every province and territory across Canada for people seeking help for alcohol or drug addiction.

It also provides listings of meetings for Alcoholic Anonymous, Narcotics Anonymous and Al-Anon across the country, says Marcelo Gemme, who developed the app as an alternative to his website directory.

The app can also put a user in direct contact with a qualified addictions counsellor, either through a toll-free call or text-messaging.

"The whole idea was to be able to build something that people go there, it's user-friendly and they find everything they need," says Gemme, who is located just outside Montreal.

Like a GPS, the mobile app will pinpoint the locations of treatment centres or support meetings within a certain distance set by the user, he says. "Let's say if it's an AA meeting, you're going to have a pin for every AA meeting within 25 kilometres of where you are right now as you do it.

"If you have a guy who has to travel, this is perfect, because he wants to go to a meeting when he has time off, so it doesn't trigger anything."

About 15 to 20 per cent of people seeking help for addictions are now contacting the referral service through a mobile phone, he says.

Watching his four daughters, who "are always on their phones," has convinced Gemme that the use of mobile apps for patients is destined to become an even greater part of health-care management and delivery.

"For me, it's really the future. The mobile, it's where the technology is going to."

Dr. Michael Sabel, an oncologist at the University of Michigan who specializes in the potentially deadly skin cancer melanoma, couldn't agree more.

Sabel and colleagues at the Ann Arbor, Mich., university have developed an app to help patients at high risk for skin cancer keep track of changes in moles and skin lesions to determine if they've become cancerous over time.

The UMSkinCheck app, available free through iTunes for iPhones and iPads, involves inputting 23 photographs of various parts of the body.

"For many, many years we had asked patients to get what's called the total photographic survey, where they had to either go into a dermatologist who offered this or a professional photographer to have some of these baseline images obtained," he says.

"But the reality is these are very difficult things to do — to schedule a time to have a full photographic survey. There are costs involved, it's not always covered by insurance. And even the skin self-exam is kind of difficult for patients.

"We just said to ourselves: 'People are carrying around supercomputers, photography, GPS. Can we use the mobile application technology to help patients in a health-related field?'"

UMSkinCheck gives the user a reminder to take a new set of photos within a set period of time, perhaps every month or two, so they can compare images of skin areas side by side.

"And now you can really say, 'Hey, look this really hasn't changed. I don't need to worry about this.' Or, 'You know what, this has changed. I need to call my dermatologist,'" Sabel says.

The app also includes a skin-cancer risk calculator and photos of the various skin cancers.

Sabel said the team is working on other medical apps, among them one for women being treated for breast cancer.

"My specialty is oncology, but there's probably a large spectrum across health care where these can be beneficial for patients," he says.

Sabel says apps such as UMSkinCheck aren't meant to replace doctors or other health providers. "We were very careful to say this is an app using the technology to ask people to do things that we already think they should be doing."

Cafazzo says apps allow patients to engage in self-care, especially when it comes to chronic conditions like diabetes, cardiovascular disease, cancers and respiratory conditions such as asthma.

The cost of chronic diseases in Canada is estimated at $80 billion a year in illness and disability — a figure sure to grow as the population ages.

"So if we are going to be responsible, we have to think of ways of dealing with chronic conditions such as diabetes and high blood pressure in different ways and give the patients the ability to do self-care, and not increase the burden on the health-care system," he says.

Nita says the Bant app has given her more than just a means of tracking Marcus's glucose readings — a built-in social media component has allowed her to get in touch with other families dealing with diabetes.

"Before, it was such a new thing for us, the whole diabetes thing. The first couple months we were in a panic. We were on auto-pilot, we didn't know what we were doing. We were afraid if we gave him too much (insulin), we were going to kill him," says Nita, who created the website www.nitacure.ca to raise awareness and research funding for juvenile diabetes.

"When I found this app, that's how I actually found the whole diabetic community online ... and that's helped a lot. There's always someone there who's already gone through what I'm going through."

18 Sep, 2012

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Source: http://www.globalnews.ca/Health/medical+apps+promote+patient+self-care+could+ease+burden+on+health+system/6442717351/story.html
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Study ties BPA in cans and bottles to childhood obesity but doesn't prove it's a cause

NEW YORK, N.Y. - A provocative new study suggests a connection between the BPA chemical used in food packaging and childhood obesity, but the researchers say their findings don't prove it's the cause.

While most people have traces of the plastics chemical in their bodies, the study found that children with the highest levels in their urine were twice as likely to be obese as those with the lowest.

There are other factors that could explain the results, and many reasons why children gain too much weight, the researchers said.

The study was released Tuesday and is in Wednesday's issue of the Journal of the American Medical Association.

In the new study, Trasande and his colleagues used information from an annual federal health survey, which includes weighing and measuring participants and taking blood and urine samples.

The key finding: About 22 per cent of the children with highest levels of BPA were obese, compared to just 10 per cent of kids with the lowest levels.

The study raised more questions than it answered:

—The body excretes the chemical in a matter of hours. It's possible that the study is simply indicating that heavier kids are more likely to have recently consumed something from a BPA container.

—Only one urine sample was taken from each child, and the youngest children in the study were 6. What isn't known is how much BPA they were exposed to when they were infants — the time in life when the chemical theoretically could have had the greatest effect in triggering weight gain.

"It's a hypothesis that needs further exploration," she said.

The American Chemistry Council, which represents chemical manufacturers, called the study speculative and noted lab animal studies that found no evidence that BPA causes obesity.

____

Online:

JAMA: http://jama.ama-assn.org

18 Sep, 2012

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Source: http://www.globalnews.ca/Health/study+ties+bpa+in+cans+and+bottles+to+childhood+obesity+but+doesnt+prove+its+a+cause/6442717224/story.html
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Quebec's anti-corruption police squad searches McGill University Health Centre

MONTREAL - Quebec's anti-corruption squad is searching the offices of the McGill University Health Centre in downtown Montreal this morning.

A spokesman for the unit says around 10 investigators from the department's Hammer Squad are looking for signs of illegal activity.

Squad members are interviewing witnesses during the operation.

There are no immediate reports of arrests.

Quebec introduced Operation Hammer in late 2009 amid a flurry of corruption allegations that shocked the province.

The squad has been involved in a number of arrests since its inception.

18 Sep, 2012

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Source: http://www.globalnews.ca/Health/quebecs+anti-corruption+police+squad+searches+mcgill+university+health+centre/6442717239/story.html
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Group predicts more than half in 39 states will be obese by 2030, higher than govt forecast

NEW YORK, N.Y. - A group campaigning against obesity predicts that by 2030 more than half the people in 39 states will be obese — not merely overweight, but obese.

Mississippi is expected to retain its crown as the fattest state in the nation for at least two more decades. The report predicts 67 per cent of that state's adults will be obese by 2030; that would be an astounding increase from Mississippi's current 35 per cent obesity rate.

The new projections were released Tuesday by Trust for America's Health and the Robert Wood Johnson Foundation. The two organizations regularly report on obesity to raise awareness, and they rely on government figures.

But in this case, their dismal forecast goes beyond the 42 per cent national obesity level that federal health officials project by 2030.

About two-thirds of Americans are overweight now. That includes those who are obese, a group that accounts for about 36 per cent. Obesity rates have been holding steady in recent years.

Trust for America's Health officials said the projections were based on state-by-state surveys by the Centers for Disease Control and Prevention from 1999 through 2010. They said their projections are reasonable.

But their outlook suggests that even in the thinnest state — Colorado, where about one-fifth of residents are obese — 45 per cent are predicted to be obese by 2030.

Perhaps more surprising — Delaware is expected to have obesity levels nearly as high as Mississippi. Delaware currently is in the middle of the pack when it comes to self-reported obesity rates.

The report didn't detail why some states' rates were expected to jump more than others.

CDC officials declined to comment on the new report.

Whichever estimates you trust most, it's clear that the nation's weight problem is going to continue, escalating the number cases of diabetes, heart disease and stroke, said Jeff Levi, executive director of Trust for America's Health.

By 2030, medical costs from treating obesity-related diseases are likely to increase by $48 billion, to $66 billion per year, his report said.

The focus of so much of the ongoing debate about health care is over controlling costs, Levi said. "... We can only achieve it by addressing obesity. Otherwise, we're just tinkering around the margins."

___

Listed are 2011 obesity levels followed by the Trust for America's Health projections for 2030:

Mississippi, 35 per cent, 67 per cent

Oklahoma, 31 per cent, 66 per cent

Delaware, 29 per cent, 65 per cent

Tennessee, 29 per cent, 63 per cent

South Carolina, 31 per cent, 63 per cent

Alabama, 32 per cent, 63 per cent

Kansas, 30 per cent, 62 per cent

Louisiana, 33 per cent, 62 per cent

Missouri, 30 per cent, 62 per cent

Arkansas, 31 per cent, 61 per cent

South Dakota, 28 per cent, 60 per cent

West Virginia, 32 per cent, 60 per cent

Kentucky, 30 per cent, 60 per cent

Ohio, 30 per cent, 60 per cent

Michigan, 31 per cent, 59 per cent

Arizona, 25 per cent, 59 per cent

Maryland, 28 per cent, 59 per cent

Florida, 27 per cent, 59 per cent

North Carolina, 29 per cent, 58 per cent

New Hampshire, 26 per cent, 58 per cent

Texas, 30 per cent, 57 per cent

North Dakota, 28 per cent, 57 per cent

Nebraska, 28 per cent, 57 per cent

Pennsylvania, 29 per cent, 57 per cent

Wyoming, 25 per cent, 57 per cent

Wisconsin, 28 per cent, 56 per cent

Indiana, 31 per cent, 56 per cent

Washington, 27 per cent, 56 per cent

Maine, 28 per cent, 55 per cent

Minnesota, 26 per cent, 55 per cent

Iowa, 29 per cent, 54 per cent

New Mexico, 26 per cent, 54 per cent

Rhode Island, 25 per cent, 54 per cent

Illinois, 27 per cent, 54 per cent

Georgia, 28 per cent, 54 per cent

Montana, 25 per cent, 54 per cent

Idaho, 27 per cent, 53 per cent

Hawaii, 22 per cent, 52 per cent

New York, 25 per cent, 51 per cent

Virginia, 29 per cent, 50 per cent

Nevada, 25 per cent, 50 per cent

Oregon, 27 per cent, 49 per cent

Massachusetts, 23 per cent, 49 per cent

New Jersey, 24 per cent, 49 per cent

Vermont, 25 per cent, 48 per cent

California, 24 per cent, 47 per cent

Connecticut, 25 per cent, 47 per cent

Utah, 24 per cent, 46 per cent

Alaska, 27 per cent, 46 per cent

Colorado, 21 per cent, 45 per cent

District of Columbia, 24 per cent, 33 per cent

___

Online:

Trust for America's Health: http://healthyamericans.org/

18 Sep, 2012

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Source: http://www.globalnews.ca/Health/group+predicts+more+than+half+in++states+will+be+obese+by+2030+higher+than+govt+forecast/6442717218/story.html
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Government-ordered review of Halifax psychiatric facility to be released

HALIFAX - A review of a Halifax psychiatric facility that released a patient who was later charged in a fatal assault will be made public today.

The provincial government launched the review into the East Coast Forensic Hospital in May after the death of Raymond Taavel.

The Halifax man died after being beaten on a downtown street in April.

Andre Noel Denny is charged with second-degree murder in Taavel's death and is due back in court Thursday.

Denny was granted a one-hour unescorted leave from the hospital on the night Taavel died, but failed to return to the facility.

The government has said the report will focus on patient supervision, community access privileges, and public notification when a patient fails to return while out on a pass.

18 Sep, 2012

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Source: http://www.globalnews.ca/Health/government-ordered+review+of+halifax+psychiatric+facility+to+be+released/6442717101/story.html
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Health PEI losing its CEO to Saskatchewan

Written By empapat on Senin, 17 September 2012 | 16.31

CHARLOTTETOWN - The head of the agency in charge of delivering publicly funded health services in PEI is leaving the post.

Keith Dewar, CEO of Health PEI, has accepted an offer to become CEO of Saskatchewan's Regina-Qu'Appelle Health Region.

Dewar was behind creation of Health PEI in July 2010.

He issued a statement Monday that paid tribute to the staff and physicians at Health and PEI.

18 Sep, 2012

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Source: http://www.globalnews.ca/Health/health+pei+losing+its+ceo+to+saskatchewan/6442716899/story.html
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burning desire

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Popular Posts Today

eHealth cancels $46.2M diabetes registry contract; no money spent, officials say

Written By empapat on Selasa, 18 September 2012 | 16.01

Nova Scotia vows to tighten psychiatric hospital releases after activist's death

Study ties BPA in cans and bottles to childhood obesity

Review finds flaws in hospital release program after gay activist's death

Medical apps promote patient self-care, could ease burden on health system

Study ties BPA in cans and bottles to childhood obesity but doesn't prove it's a cause

Quebec's anti-corruption police squad searches McGill University Health Centre

Group predicts more than half in 39 states will be obese by 2030, higher than govt forecast

Government-ordered review of Halifax psychiatric facility to be released

Health PEI losing its CEO to Saskatchewan

Written By empapat on Senin, 17 September 2012 | 16.31

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