logo InforMed Society

April 2009; Volume 3, Issue 6

Official e-Newsletter of the Medical Society

Keeping you InforMed about the latest health care news!

In This Issue
From the President
FDA warning: Avoid Pistachios
2009 Asthma Walk
Maximize Medicare bonuses by going paperless
DNA terrain affects function in human genome
Researchers identify genetic variations that may increase risk of breast cancer
Researchers decipher blood stem attachment, communcation
Become a Role Model!
For a mere 68 cents per day, you simply can't afford
to miss out!

hands
RENEW
OR
 JOIN TODAY!


If your actions inspire others to dream more,
learn more, do more and become more,
you are a leader.


John Quincy Adams

Feel the need to be better InforMed?
Join our Mailing List
Featured Business

medabytes

  MedaBytes is a part of the Maricopa County Medical Society's family of businesses. We were established to assist the medical community with their computer and networking needs.

Like the other family members, MedaBytes strives to offer a valuable service at a fair price.


www.medabytes.com
602.253.2983
Volunteer Opportunity - TOPS (Team of Physicians for Students)

The Maricopa County Medical Society would like to invite you to participate in volunteering at this year's TOPS events which will take place on Saturday, April 25th, 2009 from 7am to 5pm, at Mesquite High School in Gilbert and/or on Saturday, May 2nd, 2009 at Sunnyslope High School from 7am to 5pm in Phoenix (shifts are available from 7am to 1pm, 11am to 5pm and an all day shift)

At these events, free pre-participation sports physical screenings will be performed for underserved high school athletes whose parents cannot afford the sports medicine physical screening that the high schools require.  Last year, TOPS performed over 2500 physicals and expects to be equally as busy this year, with students from over 60 high schools in the valley represented.

For more information, please visit our website:
www.mcmsonline.com
 
Free Asthma Screening Program

 May 9, 2009
9:00 AM - 1:00 PM
Scottsdale Healthcare Conference Room 7300
3634 North Drinkwater Blvd.
Scottsdale, AZ 85251

www.acaai.org

Pri-Med Phoenix
Diabetes in Depth 2009


Diabetes In Depth is a 1-day CME program presented by Pri-Med in collaboration with the American Diabetes Association. At the program, expert faculty will present clinically relevant practice and patient care issues in diabetes diagnosis and treatment. Our interactive sessions and workshops are aimed to better help you educate and manage your diabetic patients.

May 14th, 2009
Hyatt Regency Phoenix

To register, please visit:
www.primed.com
SAVE 50%

Refer a new member and save 50% on your MCMS membership dues!

Send to a Colleague 
MCMS Bldg

Maricopa County
Medical Society

326 E. Coronado Road
Phoenix, AZ 85004

Phone: 602.251.2015
Fax: 602.256.2749

Serving medicine,
serving the community
since 1892...



InforMed Society is published by the Maricopa County Medical Society.


Copyright © 2009

Questions or Comments, please email us at:
InforMed@mcmsonline.com
From the President...
All Aboard the Train to Reformville!

riveland
Brian R. Riveland, MD

The Health Care Reform train is gaining steam and rolling down the track.  The flurry of activity and speculation is staggering; it is rather difficult to keep up with.  So to help us all jump on the train we are going to have a little quiz this month.

Question #1:

What is "ARRA"?    
A: The 70's pop group, made up of Agnes, Ralph, Roberta and Arnold who's single," Poppa Pia" did not quite make it on the charts
B: American Recovery and Reinvestment Act of 2009

The answer of course is B.  I am certain you all have looked at all the provisions in this act and have read the 470 pages. In case you haven't, you may not be surprised to learn that there is much affecting medicine and much having nothing to do with economic stimulus.  Among the items you may find interesting:

There is considerable expansion of the privacy provisions (HIPAA) to include definition of penalties and other enforcement provisions.   There are subsidies and expansion of COBRA provisions, matching federal funds for Medicaid.  It establishes a new council for Comparative Effectiveness Research to strengthen the delivery of evidence based medicine and decrease duplication of services.   There is funding for Prevention and Wellness, Community Health Centers, Indian Health Service and Research.  There is funding to increase training of primary care providers (no mention of improving reimbursement however).


Read more....
 
FDA Warns: Avoid Pistachios Amid Salmonella Scare
In another food scare sure to rattle consumers who watched the national salmonella outbreak in peanuts unfold, federal food officials are now warning people not to eat any food containing pistachios, which could carry contamination from the same bacteria.

The Food and Drug Administration said central California-based Setton Pistachio of Terra Bella Inc., the nation's second-largest pistachio processor, was voluntarily recalling more than 2 million pounds of its roasted nuts shipped since last fall.

"Our advice to consumers is that they avoid eating pistachio products, and that they hold onto those products," said Dr. David Acheson, assistant commissioner for food safety. "The number of products that are going to be recalled over the coming days will grow, simply because these pistachio nuts have then been repackaged into consumer-level containers."

For more information...
2009 Blow the Whistle on Asthma
Asthma Walk
Saturday April 4th, 2009

The American Lung Association of Arizona's Blow the Whistle on Asthma Walk will take place Saturday, April 4th at Scottsdale Civic Center.  Registration begins at 8:00 AM and the walk begins at 9:00 AM.  Join us to help Arizonans breathe easier!!  Arizona has the second highest asthma rate in the country with approximately 600,000 residents who struggle to breathe.  In addition, asthma is the leading cause of school absenteeism and it costs this country approximately $16 billion annually.  We need your help.

 
The Asthma Walk is a morning full of fun, food and fighting lung disease.  A leisurely 5K walk is followed by a free pancake breakfast complete with toppings, live entertainment, a kid's corner with clowns, face painting and bounce houses, free massages and more!  Bring your family, friends, neighbors and coworkers to raise money for critical research, local education and Camp Not-A-Wheeze, the American Lung Association's summer camp for Arizona children with asthma. 

For more information or to sign up today visit:
www.phoenixasthmawalk.org or call 602.258.7505

Practices paperless before 2012 could maximize Medicare bonuses
Physicians can earn tens of thousands in IT incentives, but they must act quickly to achieve the biggest benefit and avoid penalties.

The recent economic stimulus package provides a significant investment in health information technology that could benefit many physicians. But the government is expecting doctors to do their part to implement health IT and is prepared to penalize those who don't. Over the next decade, the federal government is projected to spend more than $35 billion on Medicare and Medicaid bonuses to physicians, hospitals and others that adopt certified electronic health records. Because of the Medicare penalties that eventually will apply to nonadopters, however, the net spending level will be only about $20 billion over 10 years.

Physicians with approved EHRs in place before 2011 or 2012 will be eligible for the maximum Medicare incentive payments allowed by the stimulus. They will receive bonuses equal to 75% of their allowed Medicare Part B charges -- up to a sliding cap -- in each of the five years after adoption. The maximum of $18,000 in the first year phases down to $2,000 in the fifth year for a total five-year bonus of up to $44,000 for early adopters.

More information....
DNA terrain affects function in human genome
Researchers have developed a novel method for detecting functional regions of the human genome: examining its three-dimensional (3D) structure. The new approach will help researchers use genomic information to improve human health.

In 2003, the Human Genome Project mapped the linear order of the 3 billion human DNA base pairs-a sequence told in an alphabet of only 4 DNA bases. This information has helped researchers identify countless important genes, which are the parts of the genome that code for proteins. The human genome contains an estimated 20,000 to 25,000 protein-coding genes, far less than initially predicted. In fact, the protein-coding genes only make up a small fraction of the human genome-about 1.5-2%. Little is known about the remaining 98%.

A team led by Dr. Elliott Margulies of NIH's National Human Genome Research Institute (NHGRI), and Dr. Thomas Tullius of Boston University hypothesized that the 3D structure of DNA could contain important clues to the function of these non-coding regions. However, predicting the shape of a DNA molecule based on its sequence is tricky. Similar DNA sequences can have different 3D structures, while different sequences can have comparable structures.

Read complete article...
Researchers identify genetic variations that may increase risk of breast cancer 
Researchers have identified new genetic variations in two regions of DNA - located on chromosomes 1 and 14 - that may be associated with the risk of sporadic breast cancer. This study also confirms some of the previously identified associations between specific regions in the genome and breast cancer risk. The findings are reported by the Cancer Genetic Markers of Susceptibility (CGEMS) team, which includes researchers at the National Cancer Institute (NCI), part of the National Institutes of Health. The study appears online March 29, 2009, in Nature Genetics.

Nearly every cell in the human body contains 46 chromosomes - tightly packed bundles of DNA, half which came from each parent. While the DNA of any two people is more than 99 percent the same, the fraction of DNA that varies among individuals can play an important role in risk of disease. The most common type of variation, called a single nucleotide polymorphism (SNP), affects just a single building block of DNA. SNPs are used in genome-wide association studies to identify chromosome regions that are associated with disease.

Read more....
Researchers decipher blood stem cell attachment, communication
Researchers at the National Institutes of Health have deciphered a key sequence of events governing whether the stem cells that produce red and white blood cells remain anchored to the bone marrow, or migrate into the circulatory system.

An understanding of the factors that govern migration of blood stem cells might lead to improved treatment of leukemia, a cancer that affects circulating white blood cells. The findings also have implications for culturing infection-fighting immune cells outside the body, where they could be temporarily held in storage during chemotherapy and other treatments which suppress the immune system. Moreover, the findings could contribute to a strategy for growing large quantities of red blood cells in laboratory dishes outside the body, to reduce the need for blood donations.

Previously, researchers thought that the cellular environment in which the stem cells reside produced the chemical signals that determined whether the cells would be stationary or free-floating. The current study provides evidence that the stem cells produce chemical signals of their own that may, in turn, influence the chemical signals they receive from their environment.

"This important discovery will advance our understanding of how blood cells and immune cells are generated," said Duane Alexander, M.D., director of the NIH's Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).

Read more....
Become a Role Model to the Future Physicians of Arizona
Have you ever considered becoming a mentor and role model to a first-year medical student?  Here's your chance!
 
The University of Arizona College of Medicine-Phoenix, in partnership with Arizona State University, places a high priority on early and continuous clinical training.  All first- and second-year medical students spend one half-day, every other week, in a primary care setting working with a physician mentor.  This part of the curriculum is called the Longitudinal Clinical Experience (LCE).
 
Physician mentors are primary care internists, pediatricians and family physicians.  Mentors work with the same student for two years.  This provides the opportunity to develop a close and long lasting relationship.  Being a mentor allows you to be involved in medical education and shaping the career of a young physician, with a time commitment that is very manageable.  The student works with the mentor in their clinical setting, gradually assuming an increasing level of patient care responsibilities.
 
There are a number of benefits to being a physician mentor, in addition to the satisfaction of forming a long lasting relationship with a young physician in training.  As a mentor, you will receive a UA College of Medicine faculty title that allows full electronic access into the medical library and a discount at the UA bookstore.
 
Anyone interested in being a mentor or in learning more about this possibility should contact Greg Lewis, M.D. by emailing or calling the LCE Coordinator, Candace Johnston, at johnstonc@email.arizona.edu or 602-827-2006.