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Caduceus Newsletter:  Spring 2013.16, Week of April 29 

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Dr. Stan Eisen, Director
Preprofessional Health Programs
Christian Brothers University

650 East Parkway South
Memphis, TN  38104

Home page:
http://www.cbu.edu/~seisen/

Caduceus Newsletter Archives:
http://www.cbu.edu/~seisen/Caduceus.html

 

Water conservation starts at home:

 

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For more information, please go to Marginalia.

 

Table of Contents:

 

1.   This is the last Caduceus Newsletter for the Spring 2013 semester.   
2.  Graduating?  Some suggestions for gap year internships and volunteer experiences. 
3.  ===AAMC STAT===, News from the Association of American Medical Colleges, April 22, 2013 edition.
 
4.  Adventures in Environmental Research, from the School for Field Studies.  
5.  From the Huffington Post.com -- Dirty Dozen: EWG Releases 2013 List Of Most Pesticide-Heavy Fruits And Veggies.
 
6.  If you practice emergency medicine in any metropolitan area, you will deal with gun violence. 
7.  A pitch from the Sierra Club in time for Mother’s Day.  

8.  Marginalia:  Water conservation starts at home.  (BTW, the Maynard Stiles Wastewater Treatment Plant, one of 2 plants in Memphis, handles 80 million gallons of wastewater per day.)  

 

1.   This is the last Caduceus Newsletter for the Spring 2013 semester.   

During the summer months, issues of the Caduceus Newsletter will come out monthly.  If you would like to share any experiences (summer travel or research) and/or photos, please let me know.

 

What are my plans?  To follow my life-long dream of becoming a rock star:

 

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2.  Graduating?  Some suggestions for gap year internships and volunteer experiences. 

Volunteering information

·         LeBonheur Children’s Medical Center:  http://www.lebonheur.org/beavolunteer

·         Saint Jude Children’s Research Hospital:  http://www.stjude.org/volunteers

·         Baptist Memorial Hospital:  http://www.baptistonline.org/services/community/volunteer/

·         Methodist Healthcare:  http://www.methodisthealth.org/methodist/About+Us/Volunteering

·         Church Health Center:  http://www.churchhealthcenter.org/volunteer

Internships and gap year alternatives

·         PhysAssist Scribes – www.iamscribe.com

·         Church Health Center Internship Program:  http://www.churchhealthcenter.org/interns

·         Church Health Center Scholars Program:  http://www.churchhealthcenter.org/chscholars

·         Research Associates Program at St. Vincent’s Medical Center:  http://raprogram.org/

 

3.  ===AAMC STAT===, News from the Association of American Medical Colleges, April 22, 2013 edition. 

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News from the Association of American Medical Colleges

April 22, 2013

• Podcast Helps Medical Schools Prepare for Fisher Decision
• AAMC Comments on Revised SGR Replacement Proposal
• Study Examines Differences Among Hospitals’ Medicare
  Inpatient Hospital Transfers
• Senators Question President’s Proposed GME Cuts
• Competition Seeks Proposals on Teaching High Value Care



Podcast Helps Medical Schools Prepare for Fisher Decision

A podcast developed by the AAMC Holistic Review Project provides guidance to medical schools on the potential consequences of the Supreme Court's upcoming decision in Fisher vs. University of Texas at Austin, which concerns race-conscious admissions in higher education. The podcast presents a five-step action plan outline on ways to take thoughtful, strategic action in advance of, and upon, the decision. The “Before the Court Acts: Preparing for the Fisher Decision” podcast, including slides, is available as member-only content on the AAMC Web site. Sign in using an AAMC user name and password at https://www.aamc.org/initiatives/holisticreview/. For assistance, please contact holisticreview@aamc.org.


AAMC Comments on Revised SGR Replacement Proposal

Changes to physician reimbursement, quality measures and adequate risk adjustment, and reducing administrative burden on providers were the topics of a recent comment letter from the AAMC to the House Ways and Means and Energy and Commerce Committees on their request for feedback on a revised sustainable growth rate (SGR) repeal and reform proposal. In the letter, AAMC President and CEO Darrell G. Kirch, M.D., thanks the committees for their continued efforts to address Medicare physician payment reform and reiterates that fixing the SGR is crucial to ensure beneficiary access. He also addresses the impact of the looming physician shortage and the need to increase funding for graduate medical education. “One critical component that often is overlooked in the payment discussion is the need to ensure there are enough physicians to meet the country’s needs, particularly with a growing number of Medicare beneficiaries,” said Kirch.


Study Examines Differences Among Hospitals’ Medicare
Inpatient Hospital Transfers


A new AAMC Analysis in Brief  examines the differences in the rates of Medicare inpatient hospital transfers among teaching and nonteaching institutions. The study found that patients admitted as transfers and usually to AAMC-member hospitals had more complex conditions and used more services than patients at other hospitals. The majority of transfers—almost three-quarters—were received by teaching hospitals, including a disproportionate number received by AAMC Council of Teaching Hospitals and Health Systems institutions. According to the study, “This issue has even greater urgency today because the Affordable Care Act and pay-for-performance initiatives create a new context in which the care for this small, unique, and frequently more costly population of patients might adversely impact hospital reimbursement.”


Senators Question President’s Proposed GME Cuts

Sens. Maria Cantwell (D-Wash.), Bill Nelson (D-Fla.), Robert Casey Jr. (D-Pa.), and Robert Menendez (D-N.J.) voiced their strong support for Medicare graduate medical education (GME) funding and raised concerns about the president’s proposed 10 percent cut in Medicare indirect medical education (IME) funding. The comments were made during a hearing before the Senate Finance Committee where Secretary of Health and Human Services (HHS) Kathleen Sebelius delivered testimony
on the president’s fiscal year 2014 HHS budget proposal. Sen. Cantwell questioned the impact of the proposed cuts on the unique services provided by teaching hospitals such as trauma and burn centers. Sen. Menendez (D-N.J.) also added his concern that the cuts would threaten the health care workforce and impact teaching hospitals’ ability to train new physicians. To read more, visit the AAMC’s Web site.


Competition Seeks Proposals on Teaching High Value Care

A new competition funded by the American Board of Internal Medicine Foundation is accepting submissions on educational or practice ideas and programs to train future physicians on ways to promote high value care and become better stewards of health care resources. Medical students, residents, fellows, and faculty are encouraged to submit proposals. The Teaching Value and Choosing Wisely® Competition is an initiative of the nonprofit Costs of Care, which advocates for “transforming American healthcare delivery by empowering patients and their caregivers to deflate medical bills.” Proposals are due June 15. For more information, visit http://www.teachingvalue.org/competition/index.aspx.

 

 

4.  Adventures in Environmental Research, from the School for Field Studies.  

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Environmental Field Studies Abroad

April 25, 2013



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Interview with SFS Board Chair Terry Andreas
"Earth Day does a lot to raise awareness," said Andreas, "simply by calling it to the attention of people that their children might not have clean water to drink. And at SFS, I hope we go one step beyond raising awareness and really show students how to solve these problems." READ MORE


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'Roos, Research, and Rare (trees)
During an "awe-inspiring" and "adventure-filled" week, Student Affairs Manager Ciara Legato dug into data collection during Directed Research and traversed the tallest peak in Queensland to get a glimpse of rare Stockwellia trees with "buttress roots ... taller than we could reach" and "a labyrinth of tunnels through the inside for us to explore." READ MORE


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Adventures in Research
"Whatever the project—be it assessing amphibian resistance to climate change, monitoring invasive species, or discovering a local culture—come dinnertime we gather together and share our daily adventures. Every day brings a new challenge; on some days we have great success and on others we learn to cope with unforeseen trials." — Nikola Alexandre (Vassar College), SFS Panama READ MORE

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Balancing Conservation and Development on South Caicos Through site visits, debate, and research, students explore and assess whether well-planned development can secure the socioeconomic future of South Caicos' population without compromising either the local culture or natural environment. READ MORE

 


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5.  From the Huffington Post.com -- Dirty Dozen: EWG Releases 2013 List Of Most Pesticide-Heavy Fruits And Veggies. 

Here’s the URL -- http://www.huffingtonpost.com/2013/04/22/dirty-dozen-foods-list-2013_n_3132788.html?utm_hp_ref=mostpopular .

 

In a nutshell, here is the EWG’s (Environmental Working Group) Dirty Dozen:

1)      Apples -- At least 1 pesticide in 99% of samples;

2)      Strawberries;

3)      Grapes -- A single grape tested positive for 15 pesticides;

4)      Celery -- Some samples tested positive for 13 pesticides;

5)      Peaches;

6)      Spinach, the second most contaminated vegetable this year;

7)      Sweet bell pepper – A single bell pepper tested positive for 15 pesticides;

8)      Nectarines (imported) – Every sampled tested positive for pesticides;

9)      Cucumber;

10)  Potato – The average potato has significantly higher total weight of pesticides in comparison with other food crops;

11)  Cherry tomatoes – Tested positive for 13 pesticides;

12)   Hot peppers.     

 

6.  If you practice emergency medicine in any metropolitan area, you will deal with gun violence. 

If you practice emergency medicine in any metropolitan area, you will deal with gun violence.  The following graph is from http://www.theatlanticcities.com/neighborhoods/2012/12/geography-gun-violence-cities-versus-metros/4044/ :

 

Cities with the Highest Rates of Total Gun-Related Deaths
(per 100,000 people)

Rank

City

City Rate

Metro Rate

City/Metro
Ratio

1

New Orleans

69.1

32.8

2.1

2

Detroit

41.4

14.8

2.8

3

Las Vegas

36.9

17.6

2.1

4

Miami

33.5

11.7

2.9

5

Baltimore

33.1

15.2

2.2

6

St. Louis

31.1

14.0

2.2

7

Richmond

29.9

15.7

1.9

8

Memphis

25.5

19.8

1.3

9

Cleveland

25.2

10.9

2.3

10

Philadelphia

24.3

12.4

2.0

Table data from Centers for Disease Control [PDF]

Hence, the results of a recent Pew Research Center poll is all the more surprising:

Mixed Reactions to Senate Gun Vote

Democrats More Disappointed than Angry

OVERVIEW

The key Senate vote that halted gun control legislation last week is drawing a mixed reaction from the American public: 47% express negative feelings about the vote while 39% have a positive reaction to the Senate’s rejection of gun control legislation that included background checks on gun purchases. Overall, 15% say they are angry this legislation was voted down and 32% say they are disappointed. On the other side, 20% say are very happy the legislation was blocked, while 19% say they are relieved.

4-24-13 #1

 

The new national survey by the Pew Research Center and the Washington Post, conducted April 18-21 among 1,002 adults, finds a wide partisan gap in reactions. Just over half of Republicans are either very happy (29%) or relieved (23%) that the legislation was voted down, though roughly a third of Republicans say they are either disappointed (26%) or angry (8%). Among Democrats, fully two-thirds (67%) express negative sentiments about the legislation’s failure, with more saying they are disappointed (41%) than angry (26%).

 

Republicans and Democrats paid equally close attention to the gun debate last week: 40% across party lines say they tracked the events very closely, making it the second most closely followed story last week, afterthe terrorist bombings at the Boston Marathon

. About half of those who followed news about the gun control debate very closely last week had particularly strong reactions to the Senate vote – 31% say they are very happy about the outcome while 22% are angry. Among those who followed news about the debate less closely, only about a quarter offered such strong reactions.

 

The overall balance of positive and negative reactions to the Senate vote tracks more closely to earlier measures of the public’s broad views on gun control than to attitudes toward background checks specifically. A Pew Research Center/USA TODAY survey in February found the public divided over whether gun control (50%) or gun rights (46%) should be the higher priority. By contrast, making private gun sales and sales at gun shows subject to background checks was supported by an 83% to 15% margin in the February survey.

 

4-24-13 #2

 

Despite stark political divisions in the Senate over the Toomey-Manchin legislation, there are relatively modest differences in public reactions in states represented by senators on both sides of the vote. Even in states where both senators voted in favor of the legislation, only about half of the constituents are angry or disappointed that the proposal failed. Similarly, in states where both members voted no only about half are very happy or relieved the bill was blocked.

 

In the 21 states where both senators supported the legislation, including California, New York and Illinois, 51% say they are either angry or disappointed that the legislation failed, while 38% are very happy or relieved about the outcome. Just 16% of people in these states say they are angry the legislation was voted down, while 35% are simply disappointed.

In the 13 states where one senator voted in favor and one voted against the bill, such as Florida, Ohio and Arizona, the overall balance of opinion is similar: 49% say they are angry or disappointed, 36% very happy or relieved.

Reactions to the Senate vote are more positive in states represented by two senators who both voted against the legislation. In the 16 states where both senators voted against the legislation, such as Texas, Georgia and Tennessee, 46% say they are very happy or relieved that the bill did not pass; 37% say they are angry or disappointed.

Appendix: Senate Vote on Toomey-Manchin Proposal by State

States with two senators voting yes:

CA, CO, CT, DE, HI, IL, ME, MD, MA, MI, MN, NJ, NM, NY, OR, PA, RI, VT, VA, WA, WV

States with one senator voting yes and one senator voting no:
AZ, FL, IN, IA, LA, MO, MT, NV*, NH, NC, OH, SD, WI
* Sen. Harry Reid (D-NV) originally voted yes, but then changed his vote to no so that he could reintroduce the proposal at a later time. For this analysis, Sen. Reid is considered a yes vote.

States with two senators voting no:
AL, AK, AR, GA, ID, KS, KY, MS, NE, ND, OK, SC, TN, TX, UT, WY

Source: U.S. Senate

The analysis in this report is based on telephone interviews conducted April 18-21, 2013 among a national sample of 1,002 adults 18 years of age or older living in the continental United States (501 respondents were interviewed on a landline telephone, and 501 were interviewed on a cell phone, including 237 who had no landline telephone). The survey was conducted by interviewers at Universal Survey under the direction of Princeton Survey Research Associates International. A combination of landline and cell phone random digit dial samples were used; both samples were provided by Survey Sampling International. Interviews were conducted in English. Respondents in the landline sample were selected by randomly asking for the youngest adult male or female who is now at home. Interviews in the cell sample were conducted with the person who answered the phone, if that person was an adult 18 years of age or older. For detailed information about our survey methodology, see: http://people-press.org/methodology/.

The combined landline and cell phone sample are weighted using an iterative technique that matches gender, age, education, race, Hispanic origin and region to parameters from the 2011 Census Bureau’s American Community Survey and population density to parameters from the Decennial Census. The sample also is weighted to match current patterns of telephone status, based on extrapolations from the 2012 National Health Interview Survey. The weighting procedure also accounts for the fact that respondents with both landline and cell phones have a greater probability of being included in the combined sample and adjusts for household size among respondents with a landline phone. Sampling errors and statistical tests of significance take into account the effect of weighting. The following table shows the unweighted sample sizes and the error attributable to sampling that would be expected at the 95% level of confidence for different groups in the survey:

4-24-13 #3

Sample sizes and sampling errors for other subgroups are available upon request.

In addition to sampling error, one should bear in mind that question wording and practical difficulties in conducting surveys can introduce error or bias into the findings of opinion polls.

 

7.  A pitch from the Sierra Club in time for Mother’s Day.  

Sponsor a Wild Place

Only 5 days left for FREE SHIPPING on all adoptions and gifts - order by April 28

Sponsor a Wild Place

Sponsor a Wild Place Today

Each adoption comes with a scenic picture of your wild place, personalized certificate, colorful fact sheet, and gift options like a plush animal or a rucksack modeled after the one worn by John Muir in 1892.

Get FREE SHIPPING on all sponsorships and gifts 

We always include FREE shipping to anywhere in the United States on all of our sponsorships and gifts. Make sure to order by April 28 to have your gift arrive in time for the holidays. Worried your gift will not arrive in time? We also offer express shipping for an extra fee.

 
You received this email because you have previously supported the Sierra Club's efforts and/or expressed interest in future communications from us. We appreciate that you have chosen to receive email from us. If, however, you received this email in error or do not wish to receive future emails like this, use this link to be removed from this type of email contact.

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San Francisco, CA 94105
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(415) 977-5653
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8.  Marginalia:  Water conservation starts at home.  (BTW, the Maynard Stiles Wastewater Treatment Plant, one of 2 plants in Memphis, handles 80 million gallons of wastewater per day.)  

Roto-Rooter

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Today is Earth Day!

 

Earth Day reminds us all to be a bit more eco-friendly and environmentally-conscious. Simple plumbing maintenance can decrease your environmental footprint and benefit water conservation efforts for a more sustainable future. In addition, water conservation goes beyond being kind to Mother Nature; it can also positively impact your family's budget.

 Plumbing Tips for Water Conservation

 

The average American uses approximately 150 gallons of water a day, which is due in part to an overall lack in maintenance. Leaking faucets and toilets, overuse of multi-head showers, and inefficient toilets and washing machines are just a few home plumbing-related contributors to high water usage.

 Follow these tips below to ensure your home is eco-friendly and running more efficiently:

Roto-Rooter encourages you to be a part of our water conservation efforts. We offer earth-friendly plumbing solutions and our plumbers are more than happy to help you find the best and most affordable green adjustments for your home.

Dr. Stan Eisen, Director
Preprofessional Health Programs
Biology Department
Christian Brothers University

650 East Parkway South
Memphis, TN 38104

E-mail: seisen@cbu.edu
http://www.cbu.edu/~seisen/
Caduceus Newsletter Archives: http://www.cbu.edu/~seisen/Caduceus.html